Drop in school grades

  Truancy and/or absenteeism from work

  Sudden change in friends

  Legal problems

  New interest in drug culture (e.g. drug related posters, music or magazines)

  Evidence of drugs or drug paraphernalia (e.g., needles, pipes, rolling papers)

  Lying and/or stealing

  Lack of interest in personal appearance

  Having more or less money than usual

  Marked change in sleeping patterns (getting more or less sleep)

  Loss of weight

  Loss of interest in family activities

  Hostile or argumentative attitude

  Refusal or hostility when asked to talk about possible drug and alcohol use

  Rapid speech coupled with loss of appetite and excessive thirst

  Stolen or missing household property

  Excessive mileage on vehicle

  Memory loss

  Fake ID (false driver's license indicating legal drinking age)

  Smell of alcohol on their breath

  Bloodshot eyes

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