• Q-Tips missing (use to filter their heroin into a syringe)

• Q-Tips pulled apart and found in garbage or rolled up in a tiny ball• Spoons missing, spoons with bent handles, spoons with burn marks on bottom (used to melt the heroin into liquid form to inject)• Burn marks on clothing• Chore Boy (copper strings; signs of crack usage)• Aluminum foil, burned or with burned lines on it (smoking heroin or OxyContin; called "chasing the dragon")• Hose clamps, used for grinding pills into powder for snorting or injecting• Grinders, which look like round, flat pill boxes - used for grinding pills• Dismembered pens, with ink cartridge removed for snorting or "push hits" for crack• Rubber tubing (for "tying off" arms or legs to make veins fill with blood)• Glass tubes for smoking crack• Missing money/clothes/jewelry/DVDs, game consoles, games• Missing checks; forged checks• Little orange syringe caps• Pepsi/Coke cans in garbage can (shake them to see if they contain needles)• Kleenex or towels with black or brown marks from cleaning off spoons• Syringes/NeedlesPhysical symptoms• Track/Needle marks on arms, legs, between toes• Wearing long sleeve clothing even in hot weather (to hide track marks)• Rapid weight gain or loss• No appetite, restless• In a really bad mood or really good mood• Sick like bad flu, then miraculously cured• Nodding/falling in and out of sleep• Constricted pupils of the eyes• Slurred speech• Loss of/change of friendsProvided by STEP-Up Tamaqua