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Spice, Bath Salts, and Behavioral Health

1. Each of the following is an accurate statement about the synthetic cannabinoid spice EXCEPT:  

A. It is created with analogs of commonly used illicit drugs, which are groups of chemical compounds that are similar in structure and pharmacology

B. Studies indicate that the synthetic cannabinoids such as spice act on different receptors than natural cannabinoids andexhibit lesser potency than Delta-9-tetrahydrocannabinol (THC)

C. Spice is marketed as a “safer” alternative to marijuana and is not easily detected in urine or blood drug tests

D. Arctic Synergy, Black Mamba, Bombay Blue, Cloud Nine, Genie, K2 Blonde, K2 Blueberry, Moon Rocks, Natures Organic, Skunk, Spice Diamond, Yucatan Fire, and Zen are common product names for spice


2. Bath salts are synthetic cathinones that have effects similar to those of cocaine, amphetamine, or MDMA (ecstasy).

A. True

B. False


Is the Use of Spice or Bath Salts Related to Mental Disorders?

3. Current evidence has established a definitive, causal link between using spice and having an acute episode of psychosis in individuals with no history of psychosis, or in triggering a psychotic episode among individuals with a history of psychosis.

A. True

B. False


4. Bath salts intoxication can produce symptoms that resemble those of mental disorders, including aggression and violent behavior, confusion, delirium, delusions, anxiety, acute psychosis, and:

A. Disassociation and suicidal thinking

B. Extreme mood changes and fatigue

C. Inability to concentrate and appetite changes

D. Panic attacks and extreme paranoia


What Are the Implications for Behavioral Health Services Providers?

5. Experts recommend that treatment for substance use disorders that involve the use of spice or bath salts should not differ significantly from treatment for substance use disorders that involve similar substances, although further research is needed.

A. True

B. False


Education About Risk of Use

6. Since spice and bath salts are marketed as legal alternatives to illicit drugs, consumers who use these substances may assume they are safe, although in reality they can produce psychiatric and physical adverse effects that may be worse than those produced by the substances they mimic.

A. True

B. False


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