|Recreational Marijuana: On May 31, 2019 the Illinois House approved legalizing recreational marijuana in House Bill 1438 slated to take effect on January 1, 2020. Age of access is 21, making the availability to adolescents and children a potential problem. It is more crucial than ever that primary care providers screen, diagnosis, and provide treatment recommendations through the Screening, Brief Intervention and Referal to Treatment (SBIRT). DocAssist highly encourages a review of this screening tool on our website and take our 60 minute webinar called Adolescent Substance Misuse and Motivational Interviewing for further help. Consider contacting Illinois DocAssist for help in handling those situations where the parent’s recreational marijuana use is exposing the child to harm.
Medical Marijuana: Medical marijuana has been legal for both adults and children since 2013 for qualifying medical conditions. In the pediatric population, both the parent and the child must obtain a card through the Illinois Department of Public Health (IDPH) to obtain medical cannabis. To obtain a medical cannabis card or learn more about qualifying conditions, see the Illinois DPH website.
Medical CBC Oil: Prescription CBC Oil is purified from cannabis (the marijuana plant) and is monitored by the FDA. CBD Oil can be dispensed through a prescription from a licensed dispensary for a qualifying child who is registered with the Medical Cannabis Pilot Program. Under certain circumstances it can be used at school. For more information please go to Ashley’s Law.
OTC CBD Oil: Cannabidiol, also known as CBD Oil, is the result of compounding substances primarily extracted from the hemp plant. Hemp is a close relation to the marijuana plant. Under stressful growing conditions, the hemp plant can produce THC as a byproduct. When harvested the crop can thus contaminate the CBD Oil with a psychoactive substance.
There is prolific, though inaccurate, information available about CBD Oil and the impact on mental health. Many of these products are being advertised as alternative treatments for Anxiety, Posttraumatic Stress Disorder and ADHD. CBD Oil is available in many forms, such as oils, lotions, cocktails, coffees, gummies and vaping for ease of administration. As a consequence, increasing numbers of parents are providing CBD oil to address their children’s issues with attention, sleep and emotional regulation.
Currently there is no evidence-based validated studies to support the use of CBD oil for mental or medical disorders in children. It is not regulated by the FDA and promises of cures cannot be substantiated. Long term effects are unknown. Short term effects include exposure to harmful chemicals such as artificial CBD oil substitutions often sold as the real thing, contaminants, THC, or byproducts. The lack of regulation makes dosing unreliable as purity and concentration varies. Additionally, CBD oil may interact with other medications that are metabolized in the liver. When used for sleep, tolerance may develop.
If you have parents considering CBD oil for their child, call Illinois DocAssist for consultation at 866-986-2778 regarding alternative interventions that are evidence-based and safe for use with children and adolescents.
The American Academy of Pediatrics (AAP) and the American Academy of Child and Adolescent Psychiatry (AACAP) have issued position statements opposing the use of marijuana in the pediatric population. For more information follow these links.
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