October, 2025

Become Their Voice

October is a month of awareness, action, and hope. It’s recognized nationally as both Substance Abuse Prevention Month (Presidential Proclamation in 2011) and Depression and Mental Health Screening Month.


These designations remind us of the importance of prevention, early intervention, and ongoing support for individuals and families who are struggling. At Become Their Voice, we believe every conversation, every connection, and every resource shared has the power to change a life.


As we step into this season of awareness, we invite you to join us in shining a light on the importance of mental health and substance use prevention — together, we can make a lasting impact.


-- Deric and Kathy Kidd

Picture above is Deric with Amanda Frazier, Community Outreach Specialist, Drug Enforcement Administration/Omaha Division.


Amanda continues to play a vital role in the DEA's efforts to educate, support, connect, and engage communities in the fight against substance use.


Become Their Voice recently attended the 2025 DEA Summit in Omaha, Nebraska, where key topics included the latest and emerging drug trends, the role of grassroots advocacy, and the importance of strong collaboration between the DEA, law enforcement agencies, and community members.



Become Their Voice is honored to be a part of the Together for Families program and listed as a resource on the DEA website.


THE DRUGS OF YESTERDAY, ARE NOT THE DRUGS OF TODAY


Nitazenes


Nitazenes were a topic of discussion at the DEA Summit meeting. They are becoming more and more prevalent and more difficult to combat because it is more resistant to naloxone.


Yes, nitazenes (a class of powerful synthetic opioids) can be resistant to standard doses of naloxone (Narcan)—

but they are not completely immune to it.



 Quick Facts:


 Naloxone still works—sometimes


Nitazenes, like isotonitazene, etonitazene, or protonitazene, are much more potent than fentanyl—sometimes 10x or more.


Naloxone can reverse nitazene overdoses, but:


It may take higher doses


It may require multiple administrations (e.g., 4+ doses)


The reversal may be partial or temporary


Respiratory depression may persist even after giving Narcan



 Why They're Harder to Reverse:


Nitazenes bind very tightly to opioid receptors, potentially more than naloxone can block at standard levels.


Their high potency and duration of action can outlast naloxone’s effects (which wear off in 30–90 minutes).


There may be delayed rebound toxicity—meaning someone may relapse into overdose symptoms after seeming to recover.



 What This Means for First Responders / Bystanders:


Use Narcan anyway – it still gives the person a fighting chance and should always be administered.


Be prepared to give multiple doses, especially if no improvement is seen after 2–3 minutes.


Call 911 immediately – medical help is essential in these cases.


Stay with the person for as long as possible – they can go back into overdose after the naloxone wears off.




Nitazenes are more difficult to reverse than heroin or fentanyl.


Narcan may not be enough on its own—but it still helps and should be used.



The DEA is warning of an influx of nitazenes, a class of synthetic opioids that's more potent than fentanyl



This isn't your Mama's marijuana!



Average THC levels by decade


Decade Average THC Potency Key Trend



1980s ~1.5% to 5% The shift toward indoor cultivation techniques began in this period, allowing for more control over growing conditions and genetic selection.


1990s ~4% to 5% Advances in horticulture and the early stages of medical cannabis legalization led to a more controlled and commercial approach to growing.


2000s ~5% to 10% Potency continued to increase as understanding of the plant grew and cultivation techniques improved.


2010s ~10% to 15% The rise of legal recreational markets and a deeper scientific understanding of breeding drove further increases in THC concentration.


2020s ~18% to 25% Today's cannabis flower is consistently high-potency, with some strains reaching up to 37% THC. In 2022, data from the National Institute on Drug Abuse (NIDA) put the average THC concentration in seized cannabis at over 16%.




Increasing THC levels (the main psychoactive compound in cannabis) raise several health and safety concerns, particularly as cannabis products today often contain much higher concentrations than in past decades. Here’s a breakdown of the major concerns:



 1. Increased Risk of Mental Health Issues


Higher THC is associated with a greater risk of:


Psychosis, especially in those with genetic vulnerability or early/frequent use.


Anxiety and panic attacks


Depression and suicidal ideation, particularly in adolescents and heavy users.


Cognitive impairment, including memory, attention, and learning problems.



 2. Greater Impact on Youth and Developing Brains


The adolescent brain is especially vulnerable:


THC can disrupt brain development, particularly in areas linked to decision-making and emotion regulation.


Early and high-potency use is linked to lower academic performance, impaired motivation, and higher risk of substance use disorders later in life.



 3. Higher Risk of Dependence and Cannabis Use Disorder


More potent THC increases the likelihood of:


Tolerance and withdrawal symptoms


Compulsive use and difficulty quitting


Studies suggest that 10–30% of users may develop cannabis use disorder, and higher THC content raises that risk.



 4. More Severe Acute Reactions


High-THC products (like concentrates or edibles) can trigger:


Extreme intoxication, confusion, and hallucinations


Cannabinoid hyperemesis syndrome (severe nausea and vomiting)


Accidental overdoses, especially in children who may ingest edibles



 5. Increased Risk of Impaired Driving


High-THC products significantly impair:


Reaction time


Coordination


Judgment



This leads to a higher risk of motor vehicle crashes, especially when combined with alcohol.



 6. Unregulated Products May Be Especially Dangerous


In unregulated markets, high-THC products may be:


Inaccurately labeled


Contain contaminants (e.g., pesticides, solvents)


Lacking in CBD, which may help counteract some THC effects




 Key Emerging Drugs / Adulterants


1. Nitazenes (designer synthetic opioids)(discussed above)


These are extremely potent synthetic opioids (stronger than or comparable to fentanyl, in many cases) developed originally in the mid‑20th century but now reappearing in illicit drug markets.


Examples include protonitazene, metonitazene, butonitazene, etc.


They are often mixed (knowingly or not) with fentanyl or other drugs, which increases overdose risk.



2. Xylazine (aka “tranq” or “tranq dope”)


A veterinary tranquilizer not approved for human use. It doesn’t respond to naloxone (Narcan), so it complicates overdose reversal.


Often found mixed with fentanyl, heroin, sometimes stimulants. Used to extend sleep / sedation, increase the high, cut costs.


Major additional risks: severe soft tissue damage, necrotic wounds, skin ulcers, sometimes amputation; more dangerous overdose potential.



3. Medetomidine / (Dex)­medetomidine


Another veterinary sedative rising as an adulterant, especially in places like Philadelphia. It’s being found more often than xylazine in some drug‑checking results.


Similar sedative risks, contributes to respiratory depression and worsens overdose risk when combined with opioids.



4. BTMPS


A newer adulterant associated with fentanyl. Not much is known about its full effects, but it’s being detected in a growing number of cases.



5. Carfentanil


Extremely potent opioid (much more potent than fentanyl). It’s reemerging in some areas in combination with other synthetic opioids or as part of mixed/unknown drug supplies.



6. 7‑Hydroxymitragynine (7‑OH) from kratom extracts


Semi‑synthetic compound derived from kratom. It has opioid receptor activity, can be highly potent, and has been used in gummies, tablets, etc.


Being considered by regulatory agencies (FDA etc.) for scheduling due to abuse potential.





 Why These Trends Are Dangerous / What Makes Them Especially Risky


Unknown composition: People often don’t know what’s in what they're taking. Mixtures of sedatives + opioids + adulterants = unpredictable effects.


Overdose reversal more difficult: Some adulterants (like xylazine, medetomidine) are not reversed by naloxone. So even if someone gives Narcan, it might not be enough.


Higher potency = smaller margin of error: Very potent synthetics like nitazenes or carfentanil mean that very small mis‑doses can kill.


Severe side effects: Soft tissue damage, chronic wounds, ulcers (especially with xylazine), risk of organ damage, respiratory depression, etc.


Polysubstance exposure: Mixing stimulants, opioids, sedatives, etc., which complicates medical treatment and increases risk of interactive adverse effects.


Regulatory lag: Several of these substances are legal for veterinary or industrial use, unregulated as human drugs, making them easier to get/adulterate and harder to control.





Substance Abuse Prevention Month


Why It Matters


  • Most substance use disorders begin in adolescence. Prevention efforts during these years dramatically reduce the likelihood of misuse later in life.
  • Every $1 spent on prevention saves at least $7 in societal costs related to health, crime, and lost productivity (source: SAMHSA).
  • Substance misuse and mental health are connected — untreated mental health issues can increase risk of substance use, making prevention a dual focus.



Vaping

Teens who use e-cigarettes are 3.6 times more likely to begin smoking traditional cigarettes compared to those who don’t vape.

(Source: CDC, 2024)


Prescription Drugs

Nearly 1 in 6 teens has misused prescription drugs at least once, and most report getting them from friends, family, or their own home medicine cabinet.

(Source: National Institute on Drug Abuse – NIDA)


Marijuana

Adolescents who use marijuana weekly or more often before age 18 are 2 to 4 times more likely to develop major depression in adulthood.

(Source: American Journal of Psychiatry, 2019 study)


Alcohol

Youth who start drinking before age 15 are 4 times more likely to develop alcohol dependence later in life compared to those who wait until 21.

(Source: National Institute on Alcohol Abuse and Alcoholism – NIAAA)



The above photo is of flavored vaping cartridges.


Depression and Mental Health Screening Month


Why It Matters


  • Depression affects more than 1 in 20 U.S. adults each year.
  • It is a leading cause of disability worldwide, but is highly treatable with therapy, lifestyle changes, and/or medication.
  • Screenings save lives: just like blood pressure or cholesterol checks, mental health screenings are an early warning system.
  • Stigma and lack of awareness often prevent people from seeking help — screenings normalize the conversation.




Depression Prevalence

More than 1 in 5 U.S. adults (22.8%) experienced a mental illness in 2021, with depression being one of the most common conditions.

(Source: National Institute of Mental Health – NIMH)


Undiagnosed Depression

Nearly 60% of people with depression never receive treatment, even though effective therapies exist.

(Source: Mental Health America – MHA)


Screening Works

Over 6 million people have taken an online mental health screening through Mental Health America since 2014 — and more than 70% screened positive for a condition requiring follow-up care.

(Source: Mental Health America – MHA)


Youth Impact

About 17% of U.S. adolescents (ages 12–17) experienced at least one major depressive episode in 2022.

(Source: NIMH)


Suicide Risk

Untreated depression is the leading cause of suicide — and suicide is the second-leading cause of death among people ages 10–34.

(Source: CDC & NIMH)



Video above: Signs and Symptoms of Depression


RESOURCES


Mental Health & Substance Abuse Resources for Children & Teens in Iowa




Your Life Iowa


Services: 24/7 mental health and addiction support via call, text, chat, and email.


Call/Text: 855-581-8111


Orchard Place (Des Moines)


Services: A cornerstone for children’s mental health in Des Moines since 1886, Orchard Place offers inpatient, outpatient, in-home, and community-based services for ages birth–21. In 2024, they served over 6,000 youth with a 92 % satisfaction rate. 


Website: orchardplace.org



Ellipsis (Central Iowa)


Services: Offers a continuum of care—including school- and community-based counseling, crisis shelter, residential treatment, transition support, and after-care—for children and families 


Website: ellipsisiowa.org



MercyOne Genesis Behavioral Health (Quad Cities region: Davenport, IA + IL)


Services: Provides inpatient psychiatric care for children (ages 8–17), plus adult inpatient and outpatient services 


Website: aaidd.org, genesishcs.org, genesishealth.com



Hillcrest Family Services (Dubuque)


Services: Provides adolescent residential treatment on a licensed, landscaped campus in Dubuque—helping behaviorally challenged teens via nationally accredited care. 


Website: rosecrance.org



Rosecrance Iowa (Multiple Locations)


Services: A large Midwest provider with residential and outpatient mental health and addiction care for adolescents and adults. Locations include Sioux City, Quad Cities, and Northwest Iowa—treating over 7,000 people annually. 


Website: manningrecoverycenter.com



Iowa Department of Health and Human Services (HHS) – Behavioral Health


Services: Statewide behavioral health services, including crisis services and provider listings.


Email: SUD.PG.License@idph.iowa.gov



Iowa Substance Abuse Hotline


Services: 24/7 confidential hotline for substance abuse information and referrals.


Call: 866-531-7211



Southwest Iowa Region Mental Health & Disability Services


Services: Mental health services across various counties in southwest Iowa.


Website: swiamhds.com


Phone: 712-328-5645



Child Health Specialty Clinics – Creston


Services: Support for children and youth with special health care needs.


Contact: Phone: 641-782-9500



Children and Families of Iowa


Services: Mental health and substance abuse services for children and families.


Contact: Phone: 515-288-1981



Children's Square USA


Services: Behavioral health services for children and youth.


Phone: 712-322-3700



Child Health Specialty Clinics – Sioux City


Services: Support for children and youth with special health care needs.


Phone: 712-224-5437



Child Health Specialty Clinics – Carroll


Services: Support for children and youth with special health care needs.


Phone: 712-792-5530



Children at Home Program – Iowa Family Support Network


Services: Assistance for families raising a child with a disability.


Phone: 888-425-4371



YSS (Youth and Shelter Services)


Services: Mental health and substance abuse services for youth.


Phone: 515-233-3141



Community and Family Resources


Services: Substance abuse treatment for adolescents.


Phone: 515-576-7261



Compass Pointe Behavioral Health Services


Services: Behavioral health services for adolescents.


Phone: 712-336-0010



Children and Families of Iowa – Cornerstone Recovery Center


Services: Substance abuse treatment for adolescents.


Phone: 515-965-5505



Covenant Medical Center Horizons – Family Centered Recovery Program


Services: Substance abuse treatment for adolescents.


Phone: 319-272-2222



Crossroads of Pella – Edge of Recovery


Services: Substance abuse treatment for adolescents.


Phone: 641-628-1212



Family Counseling Center and Clinic – Youth and Shelter Services Incorporated


Services: Mental health services for adolescents.


Phone: 515-233-2250



First Step Mercy Recovery Center – Mercy Medical Center Des Moines


Services: Substance abuse treatment for adolescents.


Phone: 515-643-6500



Gilbert Alber PC


Services: Mental health services for adolescents.


Phone: 563-547-2474



Heartland Family Service


Services: Mental health and substance abuse services for adolescents.


Phone: 712-322-1407



Clive Behavioral Health (Clive)


Services: Offers around‑the‑clock inpatient behavioral health care for children and adolescents at its Clive facility, with both inpatient and outpatient programs.


Website: clivebehavorialhealth.com


Phone: 844-680-0504



Prairie Ridge Integrated Behavioral Healthcare


Services: Offers a full continuum of care—including crisis intervention, outpatient mental health, and substance-use treatment—across several Iowa communities. 


Website: prairieridge.net



Cherokee Mental Health Institute (Cherokee)


Services: A state-run psychiatric hospital serving adolescents and adults from 41–56 counties, with inpatient capacity for youth behavioral needs. 


Phone: 712-225-2594



Pain Into Purpose: Our Story...



EVENTS IN IOWA


October Events:


EmpowerED Minds: The School Wellness Summit

  • A major conference uniting educators and mental health professionals to support student wellness.
  • When: September 30 – October 1, 2025 (mostly held in early October)
  • Where: Des Moines, Iowa Events Center


15th Annual Healthiest State Walk

  • A statewide walking event to promote mental and physical well-being. Family activities included.
  • When: October 1, 2025
  • 15th Annual Healthiest State Walk Celebration Event
  • Community gathering with walk celebration, live music, and games at Water Works Park.
  • When: October 1, 2025, 5–7 PM


Make It OK: Mental Illness & Substance Use Presentation

  • A free virtual session tackling stigma surrounding both mental illness and substance use disorders.
  • When: October 15, 2025, 8–9 AM CDT


QPR Suicide Prevention Training

  • Another round of free virtual suicide prevention training via QPR.
  • Dates:
  • October 14, 2025, 11 AM–12:30 PM CDT
  • October 28, 2025, 6–7:30 PM CDT


NAMI Southwest Iowa — Hope Illuminated Gala

  • A heartfelt in-person event raising awareness and funds for mental health support.
  • When: October 11, 2025
  • Where: Cass County Community Center



Upcoming Events in November:


AC4C: Change, Growing Together Through it All

  • When: November 5th, 2025
  • Focus: Featuring keynote speaker Matt Bennett and closing keynote speaker Jason Kilmer.
  • Why It Matters: Many topics will be covered including organizational health for leaders, classroom management, stigma, drug trends, and marijuana and mental health


Awareness Month: National Family Caregivers Month

  • When: November 1–30, 2025
  • Focus: Recognizing and supporting family caregivers, many of whom provide vital care to loved ones with mental health or substance use challenges.
  • Why It Matters: Highlights the importance of caregiver mental health and resources for those supporting others.


Awareness Month: Movember – Men’s Mental Health

  • When: November 1–30, 2025
  • Focus: International campaign focusing on men’s health, including mental health and suicide prevention.
  • Why It Matters: Encourages open conversation and proactive support for men, who are at higher risk for suicide but often less likely to seek help.


Community Event: Veterans Day Mental Health Focus

  • When: November 11, 2025
  • Where: Events held statewide (local VFWs, VA centers, and community organizations)
  • Focus: Honoring veterans and raising awareness about PTSD, suicide prevention, and substance use challenges affecting military service members.
  • Why It Matters: Veterans are disproportionately impacted by both mental health struggles and substance misuse; local events often include resource fairs and screenings.


Training: QPR Suicide Prevention Training (Virtual)

  • When:
  • November 12, 2025, 9–10:30 AM CDT
  • November 25, 2025, 5–6:30 PM CDT
  • Focus: “Question, Persuade, Refer” training to recognize suicide warning signs and connect people with help.
  • Why It Matters: Continues to build grassroots prevention skills across Iowa communities.


Community Walk/Run: Out of the Darkness Community Walk – Des Moines

  • When: November 2, 2025
  • Where: Water Works Park, Des Moines, IA
  • Focus: Organized by the American Foundation for Suicide Prevention (AFSP) to raise funds and awareness for suicide prevention.
  • Why It Matters: Brings together survivors, families, and advocates to show support and raise money for lifesaving programs.



If your organization has an upcoming event and would like us to add it to our newsletter, please contact us.

Why Donate?





Make a lasting impact.


Your donation directly supports initiatives that raise awareness about the connection between mental health and substance abuse, helping to prevent tragedies and support those in need as well as their families.


Support a meaningful cause.


Funds go towards education, advocacy, and outreach programs that provide resources to individuals and families affected by mental health and addictive challenges. This includes grants, scholarships, and funding to bridge the gap for recovery programs. Click on the link below for full details.


Tax-Deductible contribution.



As a 501(c)(3) non profit, donations to the the Sebastian Kidd Foundation are tax-deductible, allowing you to support a vital cause while receiving potential tax benefits.



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Sebastian Kidd Foundation


Become Their Voice is funded by the Sebastian Kidd Foundation, a registered 501(c)(3) non profit organization. 92-0524029

Contact Us

Email: DericAndKathyKidd@BecomeTheirVoice.org

Website: BecomeTheirVoice.org


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