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State executive offices have also recognized the seriousness of steroid abuse and other drugs of abuse in schools. A 2003-2004 report from the New York State Commission on Human Relations, written by Superintendent of Public Instruction Patrice R. Lynch, noted that, "over-the-counter and prescription controlled drugs are widely available in New York City public schools and also used by students with a variety of health and academic impairments," and that students "are exposed to a wider range of drugs on a regular basis, 400mg equipoise per week." The commission found, "Students are regularly exposed to illegal drugs in schools and are often subject to the effects of those drugs." The report then recommended "new approaches to reduce the number of students who develop drug use disorders," and that "the State Legislature consider creating a more robust and comprehensive substance abuse program for high school students (with the support of the school district), steroid abuse." The Department of Education (DOE) followed up shortly thereafter, and in 2012, it published a report titled, Test Results in Schools: A Sourcebook to Reduce the Risk of Youth Drug Abuse, 400mg equipoise per week. It stated, The department's review focused on how a drug-use policy in schools can improve student learning, bodybuilding steroids side effects photos. Although the policies typically focus on reducing or eliminating the use of specific drugs, the department recognized the need for a broader approach to drug-abuse prevention and treatment, abuse steroid. The department has identified a number of common barriers to success with drug-abuse prevention strategies: (1) Many educators fail to recognize what is being taught, (2) schools may not have adequate support to facilitate successful drug self-management strategies, (3) schools may be reluctant to consider drugs as part of a school-wide solution, and (4) students with substance abuse disorders and other health and academic impairments fail to participate in drug use reduction strategies. (emphasis added in this version) The Department's recommendations in the new report, although limited, may provide an avenue for reform. The report recommends that teachers should be aware of students with a substance abuse disorder when teaching, and to seek to develop effective interventions for these students. The report also proposes that teachers and other school staff be given "the tools to promote positive drug-use behaviors by helping students express their needs, manage negative behavior, and provide information, support, and referrals to other services, hydrocortisone skin thinning."