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INSIDE ADDICTION: e Magazine JANUARY/FEBRUARY 2011 EXPERIENCE, INSIDEADDICTION.ORG STRENGTH, & HOPE e Magazine NEW YEAR, Headlines, News, and Views NEW RECOVERY MOVEMENT Drugs pg. 7 F R O M C AT H O L I C S C H O O L 2 TO C OL L E C T IN G C A N S Alcohol pg. 14 A S T O RY O F S T R E N G T H 4 Smoking pg. 22 A L L B E T S A R E O F F 11 W h e r e v e r Yo u G o 19 Other News/Views pg. 27 T h e r e Yo u A r e ...AND MORE!! Monthly Motivational pg.17/18 e Magazine Inside Addiction's goals are to raise awareness and lower the stigma about addiction and recovery, to educate people about treatment options, and to help everyone affected by addiction. Inside Addiction will address the sensitive issues surrounding the current epidemic of alcohol and drug addiction with the help of locally and nationally sought a er and recognized experts in the eld of health care and addiction. Each magazine will include the latest headlines, news, and views about addiction and recovery including alcohol, drugs, nicotine, gambling, and more. We'll put to rest some of the facts and ction about addiction, look into options for treatment and recovery, and hear the rst hand experience, strength, and hope from recovery addicts and the people who love and are affected by them. anks for reading, Dean E. Hale, Co-Editor Theresa A. Seeley, Co-Editor Joseph Kernozek, Co-Editor JANUARY/FEBRUARY 2011 FACTS AND FICTION ABOUT ADDICTION...................1 HEADLINES: ALCOHOL............................................................14 FROM CATHOLIC SCHOOL MONTHLY MOTIVATIONAL.........................................17/18 TO COLLECTING CANS.............................................................2 WHEREVER YOU GO THERE YOU ARE...........................19 A STORY OF STRENGTH.............................................................4 A FATHER TO MANY, SUPPORTING SOBRIETY.......20 45 MISDEMEANORS 2 STATE PRISON SENTENCES.....................................................................5 HEADLINES: NICOTINE...........................................................22 OUT OF PRISON, INTO THE ROOMS.................................6 INSIDE OPTIONS: RECOVERY COACHES.....................25 HEADLINES: DRUGS......................................................................7 OTHER NEWS AND VIEWS......................................................27 UNDE GE AND UNDER THEIR ASK US..................................................................................................31 INFLUENCE PART 2.....................................................................10 INSIDE ADDICTION CROSSWORD...................................32 ALL BETS ARE OFF........................................................................11 RESOURCES......................................................................................37 FROM THE STREETS OF CHICAGO TO THE ROOMS OF RECOVERY..........................................13 CONTACT INSIDE ADDICTION: firstname.lastname@example.com 1025 Outer Drive Schenectday, NY 12303 (518) 788-8974 INSIDE ADDICTION e Magazine 1 FACTS AND FICTION ABOUT ADDICTION Drug Abuse Leads To Addiction FICTION: A better phrase is "drug abuse often precedes dependence". The myth suggests that drug abuse causes drug dependence, when in actuality they are two different drug-use conditions. In many people dependence is preceded by abuse, but some people develop dependence without going through the progression of drug use, abuse, and dependence. In addition, many people abuse drugs for many years without developing the disease of chemical dependence. Not everyone who abuses alcohol and or drugs becomes an addict. Treatment Doesn't Work, Or People Wouldn't Relapse FICTION: People who don't understand addiction will often point out that relapse ("falling off the wagon", using again after treatment) occurs, so that the treatment must not have worked. We need to remember that relapse also occurs with other diseases (diabetes, cancer, hypertension, etc.), so this is a prejudicial view about dependence treatment. Treatment plants the "seeds" and educates addicts about their choices and consequences; a better life; recovery is an "inside job". After Treatment Alcoholics And Addicts Can Use Socially FICTION: Then why haven't they already? There are a few scientific studies that suggest this. But most of these studies look at "problem drinkers", and do not differentiate between " alcohol/drug abusers" and "pathological alcohol/drug dependence". "Abusers" can drink/use socially (that is, under control), whereas truly dependent individuals cannot. The obvious question to ask is "What is the logical reason why someone whose life has been devastated by alcohol/drugs wish to drink socially?" If they could have wouldn't they have ALREADY? Once again I'm reminded of a saying," The definition of insanity, doing the same thing and expecting different results". INSIDE ADDICTION e Magazine 3 IA: Until when? IA: What did? IA: And that was it? Wayne: I lost my job through my use Wayne: I got arrested for the rst time and those "cool guys" that were back when I was 8, then again when I Wayne: I called the number; 2 days hustling took me under their wing. I was 11, my rst drug arrest was around later I got on a bus and went to already lived in a crack house so it 17 or 18 years old went to Riker's treatment never turned back. worked out, it was easy, I even ended Island, then arrest, a er arrest, a er up selling to my own mother. arrest. IA: How's your life changed, any advice for someone still suffering? IA: And… IA: But you're clean now, for how long and how? Wayne: Everyone deserves the chance Wayne: It was the 80's, there was this to get clean a new way of life. You are big drug dealer, drove a white Volvo, "Everyone deserves worth it, the reward is worth it, the way red leather seats, phones in the car. One you feel spiritually, you can get that day we were driving he said you ever try the chance to get feeling 10 X more NOT using. I'm a this (crack) I tried it and just like certi ed Substance Abuse Counselor, everything else I tried once I tried it clean a new way I've traveled all over the world, and I'm once I was hooked. a good father, a good ancé, a good son, of life" a good brother. e same person I sold IA: What did that lead to? crack to (my mother) is not using we Wayne: 19 years sober. I had go en have a good relationship now. I Wayne: ere was a time I was ge ing shot, I knew be er I went to Catholic appreciate every part of my story, I money, I stayed a oat for 6-8 months School, I think that was my saving think if those things didn't happen I then it was downhill, the guy that got grace. rough everything from 19-23 wouldn't be where I am or who I am me hooked got shot, but it didn't stop years old, using, going to jail, using, today. me. going to jail, the last time I got arrested they set my bail at $1, I couldn't even IA: You've come a long way. make it, I sat in jail for 13 days, a corrections officer nally gave me a dollar and I got out. My clean day was Oct. 3rd 1991. At the end I was collecting cans, stealing a loaf of bread and bu er to eat everyday from March- October 3rd, 1991. I had known a friend in September of 1991 I saw him he had gone to treatment and go en clean, he looked good, he gave me a number to call. INSIDE ADDICTION 2 e Magazine FROM CATHOLIC SCHOOL TO COLLECTING CANS He grew up going to a Catholic School. He IA: What else? found drugs and ended up collecting cans on the streets of New York City to support Wayne: I've learned that my behaviors his addiction. Today he is a substance made my addiction easy to start, my abuse counselor. INSIDE ADDICTION rst drink was 8 or 9 years old, a nip out recently sat down with Wayne G. a of my father's drink. recovering addict with 19 years sober as he shared his story om a ending Catholic IA: When did other drugs start? School to ge ing hooked on crack to now being a substance abuse counselor in Wayne: My rst use of harder drugs upstate New York. Welcome to Wayne's was marijuana at age 11, I remember in World, what it was and what it has the Bronx I'd hang with guys older 14- become. 15 years old and from that point on I used every day. IA: How was it growing up, what sticks Wayne G. out in your mind? IA: Everyday? IA: You nished school? Wayne: I grew up in the Bronx, NY also Queens, NY a lot of moving back and "...we sniffed right in Wayne: I had a scholarship to play forth with my mother and grandparents when times got rough. the classroom teachers basketball for college, when I turned 15 my parents started smoking crack, I IA: Any siblings? never knew it." stopped coming home a er school, never made it to college. Wayne: Except for a couple stints when Wayne: I'm the oldest of 3, younger I was in jail and even when I was in jail IA: What happened? brother, younger sister. Growing up I'd get high sometimes. started off ok, my father le when I was Wayne: We didn't have a lot of young but he was always in my life. I IA: Any other drugs? " xings" (luxuries) my friends had their wound up ge ing a step-father that was own room, a tv, radios, I lived in a really abusive. Wayne: I smoked marijuana exclusively house with no heat, no lights, sleeping from age 11-13, that's when I started on my parents oor trying to stay IA: How so? sniffing coke (cocaine). warm, my parent's house had turned into a crack house. Wayne: ere was always drugs and IA: e whole time going to school? alcohol around my household. IA: How did that work out? Wayne: Yeah, I went to Catholic IA: What are your rst memories of School, I played basketball, I was an Wayne: I was still going to school, I addiction? athlete, and there were a lot of drugs in graduated, I wound up ge ing a job in Catholic School. ey were the World Trade Center in the Wayne: I didn't start using at rst, I Columbian, they had connections, we mailroom, I started seeing guys "hustle" started stealing at the age of 5, I stole were 13 years old doing coke in a but thought I'll never do that out of my mother's pocketbook, I stole Catholic School. We had more money from the teacher's pocketbook in than the kids in Public School, we school. sniffed right in the classroom teachers never knew it. INSIDE ADDICTION 4 e Magazine A STORY OF STRENGTH She came om a happy home, but she wasn't happy. She began using marijuana IA: at relationship, how did it affect at age 14, cocaine at 16. She graduated you and your addiction? om High School, went to college, she unked out of college. She found a Amber: It became very abuse boy iend, heroin, then crack. INSIDE emotionally and physically, I started to ADDICTION sits down with Amber and use more to numb myself and cope with hears her story of strength. How she went the abuse. I ended up leaving him and om one lifestyle to another and how her met someone else also into drugs. life is now. IA: How did that work out? Amber: I started using when I was about thirteen years old, the rst thing I started "I kept using more using was pot. drugs as I got older IA: How was it growing up? Amber one thing led to help me. She told me if she got me out of Amber: Everything was great. My family was small. My parents have been married another" jail she thought I would die. She was probably right, I really hated her for a for 25 years and still are. I have an older Amber: I overdosed multiple times, it got long time for that, but she did me a favor. brother and a younger sister. My parents pre y lethal. We ended up selling drugs I was looking at 2-4 years in prison. I had never used. I just wanted to escape from to maintain our habits. I couldn't hold a no one le that's how strong of a hold reality, I never liked myself, I had a low regular job, my family was out of the drugs had on me. self-esteem. Once I felt the high I just picture they were too hurt seeing me this wanted more and more of it. I kept using way. I couldn't go to my parents house, IA: How did you get help? more drugs as I got older one thing led to wasn't talking to them. I had nowhere to another, cocaine, psychedelics, and more. go, I was the black sheep of the family. Amber: A er being in jail someone from (At this point in the interview she began a drug program came to see me and I was IA: How was school? to cry) e drugs became my family they accepted to the program. I chose to get were everything to me. I got up to using help over si ing in jail. I didn't know Amber: I went through high school but 15 bags of heroin a day, every day. I where to go I was alone. I knew I needed don't remember much of it, then I went started to get arrested the lifestyle help. I stuffed a lot of things by using to college. I went for a year I didn't take it progressed; I was slipping further and drugs. I went to rehab for 21 days then seriously, I was too far into drugs, and further away. went to another program. I nally felt like unked out and moved back home. I I belonged to something and that people slowed down for a li le bit I got a job. I IA: How old were you then? cared about me. en I went to a sober was still using but not as heavily as I halfway house I got structure in my life. I used to. Amber: At the age of 20 and I got my rst went to outpatient. felony, I went to jail. I had to detox from IA: en what? heroin in jail on nothing. ey put me in IA: How's your life now? a cell by myself, there I was alone. I tried Amber: I ended up meeting a guy who to call my mom but she wouldn't Amber: My family is back in my life they ended up turning into a relationship with are proud of me. I didn't know I had the him heroin and crack cocaine. A er that strength I have. I've seen a lot of people it was off to the races. I jumped in feet come and go and that's hard. I have great rst and didn't look back. sober friends. I got a chance, anyone can. INSIDE ADDICTION e Magazine 5 45 MISDEMEANORS 2 STATE PRISON SENTENCES He started stealing as a child, started selling drugs at 17, using drinking at age 10, smoking heroin at age 19. marijuana at age 13, selling drugs at 17. He found heroin at age 19 and IA: Which led to? that love affair lasted 17 years. A er 45 Misdemeanor Convictions and David: Drama, pain, two state bids, INSIDE 3 commitments to psych centers, ADDICTION had the opportunity depression, you name it I was to sit down with David, a recovering there. Ultimately 45 addict now Quali ed Healthcare Misdemeanors, 2 felony Professional (QHP) as he shared sentences, 2 parole violations and his story, a road to redemption, his two state bids (prison sentences.) road to recovery! David M. IA: How fast did it all happen? IA: You've been named one of the 12 spotlight stories for the 2010- David: It seemed like almost turned out to be heaven. It taught 2011 OASAS "Your Story overnight. me how to help others besides Ma ers Campaign" quite an just helping myself to what you accomplishment, thanks for "Recovery is an had. I now have a daily schedule, get rest; know my weaknesses so sharing your story with us David. inside job. You they can become my strengths. David: Yeah, quite an have to take I'm now a substance abuse counselor. accomplishment, a hell of an accomplishment for somebody responsibility for IA: Any advice for someone who tried to stay low-pro le for a long time. I was raised in your actions." suffering? Brooklyn, I'm an only child. IA: You went to prison. David: Recovery is an inside job. IA: How was it growing up? David: Two times, but more You have to take responsibility importantly I stopped making for your actions. Go to meetings, I David: I was raised by a single excuses then and you like I can have a sponsor. I don't blame parent, I know she did the best recovery one day at a others anymore. Negative she could but I always used that time. thoughts equal negative as an excuse to do whatever and behaviors and results so stay whenever I wanted to do it. She IA: What worked for you? positive! wasn't home a lot I wanted to be someone else, I was alone, I was David: e Dept. of Corrections scared so I decided at a young age became a power greater than I was gonna be a "street king." I myself and took me away for 42 started drinking at age 10, months, I thought it was hell it smoking marijuana at age 13, and INSIDE ADDICTION 6 e Magazine OUT OF PRISON, INTO THE ROOMS Released from prison a er 29 years Wendell: Prison, I was saved that I incarcerated we met Wendell G. at a 12 went to prison so I didn't kill myself. step convention in Albany, N.Y. So how Before I went to prison I use to fall has his life changed since being on both asleep in my garage with a shotgun in sides of the bars? my mouth. I was drinking and doing drugs, commi ed a crime and went to IA: anks for taking time to share prison when I had just turned 18 years your story with us, so what's your story? old. Wendell: I was recently released from "My disease of Wendell G. prison a er twenty-nine years. I started using at the age of 7, drinking and loved addiction progressed, it from the beginning. I came from a I continued to use broken home; I was raised in the e issue wasn't so much emotional it country. more and heavy" was the addiction that made me ashamed. I couldn't get past the crime I IA: Why drinking? IA: Did that stop you? had commi ed until 2007. en I was able to deal with other things mentally. Wendell: It was exciting to me. I came Wendell: I continued to use in prison. I I had a lifetime of pain. As a young kid I to believe it was the only way I could used drugs off and on while I was in was lost. Now I'm found just like the have fun and laugh. I always had prison. It took me 8 years in prison song Amazing Grace. problems with expressing emotions, we before I got in an altercation over drugs moved around a lot when I was a kid. I at that point it dawned on me I was IA: It sounds like a struggle. (Wendell held a lot inside, I wouldn't say nothing already in prison and still doing the began to tear up at this point in the to nobody. I created a time bomb over same dumb sh-t that got me there. interview, released from prison a er 29 the years. years he sat in front of me in tears) IA: at was your turning point? IA: What happened? Wendell: It's not easy. All I can say is Wendell: Yeah I started doing things to give it a shot. If you're afraid confront Wendell: My disease of addiction prepare myself for ge ing out someday. your fears, step to your business. I don't progressed, I continued to use more I went to school while I was in prison want to go back to the penitentiary. I and heavy. e cycle of addiction made got a degree, went some more and got did more than half my life in the me feel sorry for myself; I thought another one. I got a bachelors degree in penitentiary. Now I got a taste of nobody cared about me. I got to the psychology, I gure if I could x myself freedom. I'm on parole; my parole point of suicide when I commi ed the I'd be ok. I last used alcohol and drugs officer knows where I'm at. If you do crime I commi ed (undisclosed). in 1989, but I wasn't in recovery. I the right thing nobody is going to be started working on my behaviors. I knocking your door down. I've been IA: Which resulted in? started doing step work (12 steps). out for 8 months, I'm clean! INSIDE ADDICTION HEADLINES, NEWS, AND VIEWS: DRUGS e Magazine 7 United States Navy Helping clinical psychologist."One of the in cold medicine and used to make Support Sailors With main reasons for relapse is the loss meth. ey also said the company Addictions of that connectivity during early violated federal drug regulations in recovery," said Hazelden vice at least ve states. Source: Join Together president Nick Motu. "We believe that if you can maintain a real solid CVS Chairman and CEO omas e Navy has signed a ve-year recovery platform for the rst 18 Ryan says the company contract with Hazelden to provide months, the chances of your success unacceptably breached its policies online recovery support services for and long-term recovery are much and has worked to x the problem. sailors. e new, $3.25 million higher." program was developed in Sailors, retirees, and their families Pain Management Without partnership with Hazelden for the will be able to use MORE to access e Addiction 10,000 patients in the Navy's 12-step recovery materials, a suicide Substance Abuse and Rehabilitation hotline, and treatment for post- Source: Florida Society of Services program. Although the traumatic stress. ey'll also be able Interventional Pain Physicians program is tailored for younger to connect online to support groups, (FSIPP) sailors and those on active duty, "recovery coaches," and retired Navy personnel and family counselors in real time. "When the body doesn't heal itself members will also be able to access naturally, pills aren't the only option it. According to a 2005 Department to bring relief," says Lora Brown, of Defense study, individuals in the CVS Fined $75 Million For MD an interventional pain military age 18-25 drink more Selling Meth. Ingredients physician and board member of the heavily than civilians the same age. Florida Society of Interventional While illegal drug use has dropped, Source: MSN Pain Physicians (FSIPP), the 17 percent of Navy personnel say organization behind e Pain Truth they are heavy drinkers -- meaning CVS Pharmacy Inc. has just agreed campaign. "Technology has brought they have ve or more alcoholic to pay $75 million in nes for us many pain management therapies beverages at least once a week. allowing repeated purchases of a that can alleviate pain and give Hazelden developed the program, methamphetamine ingredient that people back their lives." called Navy MORE (My Ongoing led to a rise in California's drug Recovery Experience), for sailors trafficking and abuse.It was the It's estimated that over 40-million who have completed addiction largest civil penalty under the Americans suffer with chronic treatment but who need help staying Controlled Substances Act.CVS, the pain. e physicians working with clean and sober. nation's largest operator of retail e Pain Truth campaign, which pharmacies, will also forfeit $2.6 was established to combat "It's when they go back to their million in pro ts from homes, when they go back to their pseudoephedrine. Florida's increasing prescription ships, when they go into the drug addiction problem, are increasingly stressful environments Why? dedicated to educating the public in which they work that they require on alternatives available for when these continuing care services," said CVS didn't adequately monitor sales the pain just won't go away. ey Navy Capt. Richard D. Bergthold, a of pseudoephedrine, which is found suggest: INSIDE ADDICTION 8 e Magazine HEADLINES, NEWS, AND VIEWS: DRUGS (Continued) -- Don't live through the pain - early found that the two main neurons (D1 A EN: Parents.. Family Dinners treatment can help pain from and D2) in the nucleus accumbens Deter Addiction becoming more severe. Seek medical region of the brain, an important part a ention if pain continues or worsens. of the brain's reward center, exert Source: CASA opposite effects on cocaine reward. -- Be speci c in describing your Activation of D1 neurons increases American teenagers who regularly condition, it will help physicians to cocaine reward whereas activation of have family dinners are much less properly treat your pain. D2 neurons decreases cocaine reward. likely to have used drugs, alcohol or marijuana compared to their peers -- Quali ed pain physicians will " e data suggest a model whereby who have family dinners infrequently, suggest options other than on-going chronic exposure to cocaine results in according to a new study - e addictive medications. Newer an imbalance in activity in the two Importance of Family Dinners VI - therapies including, Spinal Cord nucleus accumbens neurons: carried out by researchers from e Stimulation, Intraspinal Infusion increased activity in D1 neurons National Center on Addiction and Pumps and Platelet-Rich Plasma combined with decreased activity in Substance Abuse (CASA), Columbia therapy can bring pain relief D2 neurons," said Dr. Lobo. " is University. ose de ned as having further suggests that BDNF-TrkB family dinners frequently did so from -- Be vigilant when increased pain is signaling in D2 neurons mediates this ve to seven times per week, while experienced; explain the progress to decreased activity in D2 neurons." those who had family dinners fewer your physician. e study was conducted using than three times a week had optogenetics, a technology to optically infrequent family dinners. "Acute pain is not a progressive control neuronal activity in freely condition. Not everyone will moving rodents. " is new e authors found that 72% of experience chronic pain," said information provides fundamentally teenagers in the USA believe that Deborah Tracy, MD, president of novel insight into how cocaine regular family dinners with parents are FSIPP. "However, pain does come in corrupts the brains reward center, and either very or fairly important. varying degrees, and patients need to in particular how cocaine can e study reveals that teenagers who understand that without a proper differentially effect two neuronal do not have occasion to talk to their diagnosis of their condition, pain has subtypes that are heterogeneously parents regularly during family meals the potential of becoming worse and intermixed in the nucleus accumbens," are twice as likely to have used more persistent." said Eric Nestler, MD, PhD, Chair of tobacco products compared to peers Neuroscience, Nash Family Professor, who regularly meet up at the dinner New Research About Cocaine and Director of e Friedman Brain table with their parents. Marijuana use Addiction Institute at Mount Sinai and co-author was found to be one-and-a-half times on the study. "We can use this more likely. According to the report, Source: Mount Sinai information to potentially develop teens who gather with their family at new therapies for cocaine addiction, the dinner table infrequently are twice Led by Mary Kay Lobo, PhD, possibly aimed at altering neuronal as likely to be able to get hold of Postdoctoral Fellow in the activity selectively in either neuronal prescription drugs to get high or Department of Neuroscience at subtype." marijuana within an hour, compared Mount Sinai School of Medicine and to other teens. rst author of the study, researchers INSIDE ADDICTION e Magazine 9 HEADLINES, NEWS, AND VIEWS: DRUGS (Continued) On the other hand, a much higher People who smoke potent strains of researchers found that people percentage of teens who have family cannabis that are low in cannabidiol smoking cannabis containing a low dinners frequently say they cannot (such as skunk) are pu ing percentage of cannabidiol get hold of marijuana or prescription themselves at far greater risk of acute performed much worse on the drugs to get high. memory loss than people who memory tests when they were smoke other types of the drug. Two intoxicated than when they were e investigators also found that major constituents of cannabis are sober. In contrast, those smoking fewer teenagers who have frequent 9-tetrahydrocannabinol (THC) and cannabis high in cannabidiol family dinners have friends who use cannabidiol. THC is the main performed just as well on the tests substances. e authors write that psychoactive ingredient which when they were intoxicated as when the number of teens reporting makes users feel 'stoned', and they were sober. ere were no having frequent family dinners has produces psychotic-like symptoms differences in the THC content of stayed about the same, at 60% over such as delusions and paranoia. In the cannabis smoked by any of the the last ten years.When compared to contrast, cannabidiol does not participants. Professor Valerie those who have ve to seven family induce these symptoms and may Curran, from UCL, said: "We asked dinners each week on a regular basis, counteract the effects of THC. the participants to recall a short teenagers who have fewer than three Levels of cannabidiol in cannabis passage of prose, immediately a er per week: can range from virtually none, to up hearing it and again a er a short to 40%. delay. We found that people who • Have a 1.5 higher probability of were smoking cannabis low in having friends who use marijuana e researchers, from UCL cannabidiol experienced memory and alcohol regularly (University College London), tested impairment and remembered less of 134 cannabis users aged between 16 the prose than they could when • Have a 1.5 higher chance of having and 23 years. e participants were sober. However, people who were friends who abuse prescription invited to take a series of memory smoking high cannabidiol strains medications to get high tests on two separate occasions - were still good at these tests. Indeed, once while they were smoking their their performance when intoxicated • Have a 1.25 higher chance of own preferred type of cannabis and was virtually indistinguishable from having friends who use cocaine, acid, were intoxicated, and once when when they were drug-free. methamphetamine, heroin or they had not smoked for the last 24 "Over the last 20 years, the ecstasy. hours and were sober. constituents of street cannabis have changed, with low-cannabidiol Marijuana and Your Memory, A sample of the cannabis each strains like skunk now dominating "Skunk" May Lead To Stinking participant smoked was taken on the the market. But our study suggests inking intoxicated day and analyzed for that these strains can increase the levels of THC and cannabidiol. risk of cognitive harm. Source: British Journal of Psychiatry Saliva samples were also taken from each participant, and analyzed for levels of THC and cannabidiol. e INSIDE ADDICTION 10 e Magazine UNDE GE AND UNDER THEIR INFLUENCE PART 2 Last month we shared the story of Niki, one of IA: How did your alcoholism affect your over 8 million children living in a household family? with an addicted parent. is month we are speaking with Niki's mom (Nora) and hearing Nora: My older daughter had to protect my rsthand how it was raising children while younger daughter (Niki) it made her grow being under the in uence, her response to Niki's up too fast. My husband became an enabler interview, and how her life has changed in he had to chauffer me everywhere so I recovery. didn't drive. e whole family was involved. When I went to treatment at e Be y Ford IA: We spoke with your daughter in our last Center my whole family needed help too, issue and how it was growing up with you, not just me. My kids went to the children's her mother, an alcoholic. What was your program my husband went through the Nora S. turning point, your bo om? family program. Nora: My absolute bo om was when my daughter Niki was 9 she came to me with "People die om this they have the knowledge now. her big brown eyes and said was it disease. I knew if I something I did that caused you to drink? IA: How has your relationship with your didn't go I might not kids changed? IA: She was 9 years old? make it" Nora: Our relationship is great now. If I Nora: Yeah, at that point I really thought I'd IA: What changed? hadn't go en help I probably wouldn't have rather be dead, something just clicked and I custody of my kids, my husband would have knew I would do anything to get sober and Nora: It was spiritual for me I had to change le with them. If I had continued drinking I stay sober. Up until that point I wasn't ready my insides. Niki came to me and thought it would have died. Our relationship, mine to go to any lengths. was her fault that was the point of no return. with my kids is open. IA: How was it being a mom and raising a IA: What were some of the challenges you IA: How's life now? child while being an alcoholic? faced ge ing treatment? Nora: I just got a new job. A er 30 years, I Nora: During the day I was like supermom Nora: Being away from my kids. I was at the may go back to school to be a substance running around ge ing everything opposite side of the country. I cried the abuse counselor. accomplished, I had my eye on the prize the entire way. On the plane there was an drink at the end of the day. Every day I was alcohol cart going up and down the aisle I IA: Any advice for those still sick and running around one day I had an injury and just knew I may not make it back. People die suffering? started drinking for the pain. My drinking from this disease. I knew if I didn't go I started earlier in the day. It was difficult at might not make it. Insurance didn't cover it, Nora: To other mothers- the sooner the that time my kids were 1 and 3. I had a neck I drained my bank account because I knew I be er get help. Even if you've done damage injury the pain was so bad I was put on had to get help. in relationships you can always repair them. muscle relaxers my addiction took off. I had Communicate with your kids, talk about it. all I could do to get everything taken care of IA: Are you concerned your daughters will It's a taboo it needs to be addressed; we making meals. I was drinking for the pain. become alcoholics? need to get rid of the stigma. is is a I'd get up in the morning do my grocery disease; kids are highly affected by it shopping if I didn't drink I had the shakes. Nora: My kids have been educated they growing up in this kind of atmosphere. have a good head on their shoulders. ey Recovery is great, it's awesome. I wake up IA: Was there ever a point you could stop? know about alcoholism, I never did. For with serenity in my heart, in my soul. It's years I thought I was just a social drinker. I wonderful to be able to share in my kid's life Nora: Not until she (Niki) turned 9 and always drank for effect. Looking back I 100%! asked was it her fault, then I knew I would showed every single sign, I was a blackout do whatever it took to stop. Being caught up drinker since age 13. ey know (her kids) in my addiction fed my pain level. INSIDE ADDICTION e Magazine 11 ALL BETS ARE OFF Lying, manipulating, stealing, followed by I had my own business making money pain, shame and guilt and she couldn't I'd go to bingo 3 x a day. stop. is is the story of Lesa and her 7 year ba le with Compulsive Gambling. IA: How old were you then? From a successful young entrepreneur to living in a tent and losing it all. INSIDE Lesa: Between the ages of 24 and 27 I ADDICTION sat down and heard her was spending hundreds of dollars a story about winning and losing and the week then day from my late teens to vicious cycle of Compulsive Gambling. early twenties. I was making money at my business it supported my addiction. Lesa IA: How was it growing up, where did you, how was it? IA: What did that lead to? IA: is led to and o en leads to in any Lesa: I grew up in the state of Maine, I " e shame and guilt, addiction lies, stealing, and have two sisters, from a very young age I was very involved in sports, kind of a makes you not want to manipulation did it for you? superstar athlete. My family was very live with yourself. " Lesa: e lies to my family and friends involved and active with us. We were a middle class family, typical family trying Lesa: e turning point for me was a why I needed money I told them my to get by. trip I took to Aruba I started playing business was failing when it was doing video poker, I won $1,200 it was in the great, I needed more money for IA: So growing up was pre y good? paper they made a big deal out of it. I gambling. I lied to my clients at work, was with somebody I loved at the time, that for me is really tough to talk about, Lesa: I was very active in sports, class I think at that point I latched onto it as I still have a lot to do to make up. I'd go president, I was the prom queen, I was something that was really rewarding to away for four days at a time to gamble, I offered a full athletic scholarship to me. It felt good, I got involved in theses became good at manipulating my work college to play eldhockey. cycles internet poker , spending schedule so I could go to the casino.I thousands of dollars and not realizing manipulated and lied to everyone IA: So you went to college? the progression. including myself, there isn't a single person in my life I hadn't lied to. Lesa: Yeah, I did really well, I started IA: How long did this last? my own business at age 24 as a wellness IA: How about shame and guilt? coach, from that point forward that's Lesa: At the age of 31 I was spending when the gambling pieces of my life thousands of dollars a week . My Lesa: e shame and guilt, makes you came together. business was very strong, I was making not want to live with yourself. at's money but I found myself working to when the vicious cycle happens, the IA: How so? support my addiction . I found myself progression of wanting to take you own going to work just to make money to life. I felt remores le ing people down, I Lesa: I started young with bingo. I use gamble. I found myself basically lying was a professional woman and felt to work at the bingo parlor when my my way through my thirties. I had to desperate and hopeless. e only way mom was going there, when I was old the best I could to hold down my to get away from the shame and guilt enough, making money as a waitress in business, my relationship, and my was to do it more to escape from the High School I'd skip school and go play gambling addiction which was my guilt. It wasn't even about the money at bingo. en I got involved with scratch- priority. that point. off tickets that didn't last long but when INSIDE ADDICTION 12 e Magazine IA: How did compulsive gambling my own life. wrong time to do the right thing, I have affect you, in what ways? life in front of me! IA: What was the hardest part of Lesa: I would say the abuse of alcohol reaching out for help? IA: What's hard about it? came from gambling, I'd drink while I was gambling from morning to night. Lesa: I'd been wanting to get it for Lesa: Ge ing people to trust me, I have I'd drink before I went to the casino, I'd awhile. e hardest part was knowing I a path of destruction behind me. I'm eat a lot of food, self-abuse, self- had to change certain things in my life. not married, I don't have children, I'm destruction all part of it. e nancial Treatment was the only option for me. not in a relationship but I'm working piece began in my twenties. I ended up It was a life or death situation for me. my way through emotional stuff. living in a tent for six months, I wasn't Rehab was hard but it was what was paying my bills, my cars were needed. I had to peel away the layers of IA: What don't people know about repossessed. I made those choices so I unresolved issues. problem gambling, what advice do you had money to gamble. e truth is have for others? nothing was paid, a tremendous "Gambling is something amount of debt was made. that progresses to jail and Lesa: People don't understand the suicide. It has the highest progression and disease. is addiction IA: How did you get help? requires treatment. It's not identi ed or suicide rate of all respected as much as it should be. Lesa: I knew this wasn't going to addictions. If you need Gambling is something that progresses change so I reached out for help to my to jail and suicide. It has the highest family and for treatment. I got involved help, reach out! " suicide rate of all addictions. If you in therapy. I started doing what I IA: What's the best part of recovery? need help, reach out! thought was what I needed to do to get be er. I stopped for ve months. When Lesa: e best part is feeling con dent, I went back to gambling it was hard. I feeling free, my addiction will always be nally went to treatment for gambling there but right now I don't wake up in Maryland. e mental and emotional feeling like I have a noose around my pain was the worse, I almost had taken neck. I have hope today. ere's never a INSIDE ADDICTION e Magazine 13 FROM THE STREETS OF CHICAGO TO THE ROOMS OF RECOVERY He was born and raised in the 50's. myself a lot, nd my own He le Mississippi and moved to solutions to my "problems." Chicago but he was never comfortable with himself. INSIDE IA: What problems? ADDICTION sat down with Charles and heard his experience, Charles: I was never comfortable strength, and hope and how no "in me" or who I was. I was told to ma er where you go there you are. be in my place, stay in my place, and watch out. e lies, I taught Charles S. IA: How did you get involved in myself self-hatred. drugs? IA: How's life in recovery now? IA: And you turned to drugs. Charles: I was born and raised in Charles: My life is about living. the ies I grew up not feeling Charles: Yeah, I did but I came We have a disease that has the good about who I was, it killed my into the program (recovery) in power to kill you if not make you hope. 1990, stayed for 15 minutes, went want to kill yourself. is is about back out for ve years. I came life and death. I no longer wanna IA: It was a struggle growing up back in not to stop but because die, I wanna live. I'm enjoying black in the ies? drugs had whooped my ass. recovery, it's amazing, you don't Forget prison I had done worse a have to die. Charles: I had to deal with a self- imposed prison through my whole lot of issues that didn't addiction. have to do with drugs but more so of who I was, I had to teach VISIT: WWW.INSIDEADDICTION.ORG INSIDE ADDICTION HEADLINES, NEWS, AND VIEWS: ALCOHOL 14 e Magazine STATES BAN FOUR drinking on campuses. It argued that LOCO/OTHER ALCOHOL the Liquor Control Board did not ENERGY DRINKS adequately justify its use of an ALCOHOL THE MOST emergency ban and that other DANGEROUS DRUG! SOURCE: JOIN TOGETHER "caffeinated liquor products" would remain on the market. SOURCE: ISCD/EMCDDA e state of Washingon's Liquor Control Board has outlawed alcoholic A ENTION TEENS Alcohol is a more dangerous drug than energy drinks. Regulators acted at the both crack and heroin when the request of Washington governor SOURCE: Health Day News combined harms to the user and to Christine Gregoire in the wake of an others are assessed, British scientists October incident where nine Central New research found adolescents who said Monday. Washington University students were abused marijuana and alcohol scored hospitalized a er consuming lower on a ba ery of intellectual Presenting a new scale of drug harm caffeinated alcohol drinks. e state's aptitude tests than their drug-free that rates the damage to users emergency ban began Nov. 18 and will peers. University of New Mexico themselves and to wider society, the last 120 days, to give the Liquor (UNM) investigators asked 48 teens scientists rated alcohol the most Control Board time to prepare a rule aged 12 to 18 to undergo a ba ery of harmful overall and almost three times that would permanently ban the drinks. tests to assess the effects of chronic as harmful as cocaine or tobacco. e state's legislature may also consider substance abuse on their intellectual a ban next year. function. e tests measured a range of According to the scale, devised by a neuropsychological skills, including group of scientists including Britain's e maker of Four Loko, one of the verbal reasoning, executive function, Independent Scienti c Commi ee on alcoholic energy drinks blamed for the visuospatial ability, memory, and Drugs (ISCD) and an expert adviser to hospitalization of the nine students, processing speed. Nineteen of the the European Monitoring Center for issued a statement saying that the ban participants had a diagnosis of Drugs and Drug Addiction "does li le" to deal with underage substance abuse or dependence, 14 (EMCDDA), heroin and crack cocaine drinking on campuses. It argued that were abstinent but had a parent who rank as the second and third most the Liquor Control Board did not abused alcohol, and 15 were abstinent harmful drugs.Ecstasy is only an eighth adequately justify its use of an controls with no family history of as harmful as alcohol, according to the emergency ban and that other alcohol abuse. scientists' analysis. "caffeinated liquor products" would remain on the market. e state's e researchers found that teens Professor David Nu , chairman of the emergency ban will begin Nov. 18 and reporting the highest substance use had ISCD, whose work was published in last 120 days, to give the Liquor lower test scores across the board. In the Lancet medical journal, said the Control Board time to prepare a rule particular, teens who abused alcohol ndings showed that "aggressively that would permanently ban the drinks. scored substantially lower on the test targeting alcohol harms is a valid and e state's legislature may also consider measuring executive function, while necessary public health strategy." a ban next year. teens who abused pot scored lower on measures of memory Drugs were then scored out of 100, e maker of Four Loko, one of the performance.Interestingly, teens who with 100 given to the most harmful alcoholic energy drinks blamed for the were abstinent but had a parent who drug and zero indicating no harm at all. hospitalization of the nine students, abused alcohol were also affected, e scientists found alcohol was most issued a statement saying that the ban scoring lower on the test for harmful, with a score of 72, followed by "does li le" to deal with underage visuospatial ability. heroin with 55 and crack with 54. INSIDE ADDICTION e Magazine 15 HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued) Among some of the other drugs study to evaluate the compound's assessed were crystal meth (33), cocaine efficacy and potential bene ts in treating (27), tobacco (26), amphetamine or TREATING ALCOHOL AND both alcohol and nicotine dependence. speed (23), cannabis (20), NICOTINE DEPENDENCE e other compound is PF-4575180. benzodiazepines, such as Valium (15), Both were developed by P zer. ketamine (15), methadone (14), SOURCE: MEDICAL NEWS TODAY mephedrone (13), ecstasy (9), anabolic "Alcohol and nicotine addiction are steroids (9), LSD (7) and magic Researchers at the Ernest Gallo Clinic o en treated as separate disorders," mushrooms (5). and Research Center at the University Bartle says, "despite the fact that 60 to of California, San Francisco, and P zer 80 percent of heavy drinkers smoke BASEBALL'S TEXAS NGERS Inc., have determined that two new tobacco. ere are very few effective SUPPORT RECOVERY compounds may be effective in treating strategies for treating these disorders both alcohol and nicotine dependence separately, let alone together. Our data SOURCE: MAJOR LEAGUE BASEBALL at the same time. researchers showed suggest that by targeting speci c that alcohol consumption in rodents nAChR subtypes, it may be possible to is playoff season when the Texas was signi cantly decreased by two treat both alcohol and nicotine Rangers won the American League compounds that target neuronal dependence with one medication." Divisional Series, and then the A.L. nicotinic acetylcholine receptor Championship Series (ALCS), the Ale (nAChR) subtype (alpha)3(Beta)4. DRINKING PA ERNS of choice -- Ginger Ale -- was a welcome surprise. nAChRs are proteins found in the brain SOURCE: JOURNAL OF STUDIES ON and broader central nervous system that ALCOHOL AND DRUGS e Rangers gave dual celebrations -- mediate the effects of substances such as one nonalcoholic -- out of respect for nicotine. Recent human genetic studies Problem drinkers in the general their ALCS MVP center- elder Josh have shown that the genes encoding the population may reduce the amount of Hamilton, who is sober and in ongoing α3ß4* subtype are of signi cant alcohol they consume over a period of recovery. ey also gave a separate importance for susceptibility to both years but not to the level of the average champagne party for players. alcohol and nicotine dependence. adult, according to a new study. "Most (Major League Baseball must have liked " e problem has been translating these heavy drinkers maintain a steady level of the Rangers trend se ing non-alcoholic important genetic ndings into more heavy alcohol consumption over time," option. Before the World Series began, effective medications for people," said said lead researcher Kevin L. Delucchi, teams were noti ed that they must co-senior author Selena E. Bartle , PhD, Ph.D., Professor of Biostatistics in provide a non-alcoholic option for their director of the Preclinical Development Psychiatry at the University of players, as well as keep alcohol off the group at the Gallo Center. e lead California San Francisco. "It's pre y eld, among other limitations, said Rob author of the study is Susmita toxic, but somehow they manage to Manfred, the executive vice president Cha erjee, PhD, of the Gallo Center. keep drinking at a fairly sustained level. for MLB.) Our people were functional, for the e work was done in collaboration most part. ey had addresses, a lot of For those few moments, kids -- and with scientists led by co-senior author them had insurance at baseline, and adults -- watching the games got to see a Hans Rollema, PhD, in the they're not at the 'bo om of the barrel,' sports celebration without the booze. Neuroscience Research Unit at P zer which is interesting." We saw a team sticking together, Inc. commi ed to each other for both the One of the new compounds, CP- e researchers say their study is one of on- eld and off- eld ba les. e 601932, has been shown in a clinical the rst to examine heavy alcohol use in Rangers didn't win the World Series, but study to be safe in humans, notes the general population. they sure won my respect. Bartle . She recommends a clinical INSIDE ADDICTION 16 e Magazine HEADLINES, NEWS, AND VIEWS: ALCOHOL (Continued) Most studies have focused on the most eighth overall. e ndings were presented shows men are up to twice as likely to severe drinkers -- those who were already at the American Association for the Study develop alcoholism as women. in a treatment program, said Delucchi. of Liver Diseases 61st Annual Liver Researchers from Columbia and Yale "Not everyone who has an alcohol Meeting in Boston. studied male and female college-age social problem is in treatment or is in a program," drinkers in a laboratory test of alcohol said Delucchi. "People are out there on CELEBRITY SPEAKS OUT ABOUT consumption. A er consuming an their own." HER ALCOHOLISM alcoholic or non-alcoholic drink, each participant underwent a specialized e researchers also examined which Source: e Partnership positron emission tomography (PET) factors appeared to be linked with scan, an imaging technique that can continued heavy drinking. Participants e Partnership for a Drug-Free America measure the amount of alcohol-induced who received help from Alcoholics has a new name and a new spokesperson dopamine release. Anonymous or community social service in actress Melissa Gilbert. e 46-year-old agencies were likely to drink less. Melissa Gilbert will serve as the Dopamine has multiple functions in the However, those who had heavy-drinking Partnership's rst-ever long-term celebrity brain, but is important in this context friends in their social network, received spokesperson. Gilbert, who starred on because of its pleasurable effects when it is general suggestions that they do "Li le House in the Prairie," is now a released by rewarding experiences, such as something about their drinking, and went mother and stepmother to four children sex or drugs. to a formal treatment program were and has had her own struggles with drugs actually likely to drink more. Delucchi said and alcohol. Despite similar consumptions of alcohol, they were unable to determine why formal the men had greater dopamine release treatment appeared to be linked with "I myself am a recovering alcoholic, six than women. is increase was found in continued elevated drinking, although the years sober," Gilbert said. "As a young teen the ventral striatum, an area in the brain researchers theorize that perhaps those in the 1980s, I more than dabbled in drugs strongly associated with pleasure, who sought this type of treatment were and alcohol."She stated that parents today reinforcement and addiction formation."In likely to have experienced the greatest face a challenge when talking with their men, increased dopamine release also had level of alcohol-related problems and, children about drugs and alcohol. "We a stronger association with subjective therefore, were more likely to have sought can't actually say to our children, you positive effects of alcohol intoxication," such treatment. shouldn't do it, because I never did," she explained Dr. Nina Urban, corresponding said. "It's a whole different conversation." author for this study. " is may contribute MORTALIITY TES FROM LIVER Gilbert stated that she thought the online to the initial reinforcing properties of DISEASE, UNDERESTIMATED resources at drugfree.org would help alcohol and the risk for habit formation." parents feel less isolated. She also thinks Dr. Anissa Abi-Dargham, senior author on SOURCE: CENTER FOR DISEASE her example can be helpful to them. "I'm this project, notes that "another important CONTROL AND PREVENTION hoping that they'll come away with ... the observation from this study is the decline thought that the stigma of being a parent in alcohol-induced dopamine release with Statistics from the Centers for Disease with a child who is going through repeated heavy drinking episodes. is Control and Prevention (CDC) rank addiction issues is nonexistent," Gilbert may be one of the hallmarks of developing mortality related to chronic liver disease said, "because it can happen to anyone." tolerance or transitioning into habit." and cirrhosis as the 12th most common cause of death in adults in the U.S. Using a MEN TWICE AS LIKELY TO ese ndings indicate that the ability of modi ed de nition that includes diseases BECOME ALCOHOLICS alcohol to stimulate dopamine release may such as viral hepatitis, liver cancer and play an important and complex role in its obesity-related fa y liver disease (liver Source: Columbia And Yale University rewarding effects and abuse liability in diseases), Mayo Clinic-led researchers humans. have found that liver-related mortality is as Alcohol is one of the most commonly high as fourth for some age groups, and abused substances, and new research JANUARY 2011 # & ( + ! " $ % ' ! ' " %)* % , . # " - / ' / ' 0 % '" " " & ( + , . % ' 1 ) % ! " " " # & ( + , 2 2 " 3 0' " " 4 5 " " " . 4 " " " 6 6 " FEBRUARY 2011 # !" $ % ) , . 0 & ' ( * + - * / 1 1 2 $ ' # % ) , . - ' - 3 4 ( ( & ( ( 0 # % - $ 2 $( ( ( & ' ! 4 ( & ' $ $ / $$ 6( (7 ' 5 ( ) , ( & ( $ ( INSIDE ADDICTION e Magazine 19 Wherever You Go ere You Are She was born in Barbados, a different Wilma: In a ma er of a month or two country, but the same disease. INSIDE my behaviors picked up all over again. I ADDICTION spoke with Wilma, a wasn't even aware of them it was a way recovering addict from another country of life for me. I got here in 1974 I had a who le there, came here, but brought baby by time it was 1975. Her father her, with her. No ma er where you are went to prison and I started moving there you are, Wilma shares her really quick. I raised my rst child experience, strength, and hope and how alone. 11 years later I had a son who you can run but you can't hide from was 2 lbs.15 ounces due to my Wilma S. this disease. addiction. en right a er that I had another child who died due to my IA: You're from Barbados, how did you addiction. I used hard. I ran hard, I used get to the United States. hard. I didn't come into this process willingly. I moved upstate with a friend who said Wilma: I'm from the West Indies, at IA: So what changed? I needed to do something different. around age 15 , I decided I was going to ey didn't have a problem but they take on my own life in the process of told me if I wanted to stay there I had to doing so I found people who were Wilma: Somewhere along my whole get help. I went to outpatient. interesting to me. I dropped out of process of running the things that were school and took a different path. I got instilled in me as a child stayed with me. IA: When? pregnant when I was 16 years old and I was always able to get a job but I lost the baby due to my addiction. I was couldn't keep it. I didn't understand Wilma: December 29, 1995. I've been de ant, I had abandonment issues , all that. Using was my way of life my in this process ever since. It's a beautiful that came up 30 years later. I got to a success were stagnated by failures thing. I now run with people in point that I was doing some dangerous through using. I just kept going and recovery. I bought a new package the things, people wanted to hurt me, I had used until 1995. best package there is RECOVERY! to get off the island. My mother was in Even in my bad relationships including the United States so I came here. IA: en what? two marriages that ended I never used. I've lost people, I still didn't use, I don't IA: Did that change your path? Wilma: I moved out of Yonkers, NY have to anymore one day at a time. because I owed back rent and owing some other money. INSIDE ADDICTION 20 e Magazine A FATHER TO MANY, SUPPORTING SOBRIETY It began on the mean streets of an inner and you refer to it as " e ree city, drug dealers, prostitutes, and Legged Stool" in which you address poverty. He saw a need, he ful lled it. 3 distinctive parts of the recovery INSIDE ADDICTION recently had process in which when one is the opportunity to sit down with Father overlooked can and o en does lead Peter Young, one of the pioneers who to relapse and continued drug and began the shi om incarcerating alcohol use. addicts to rehabilitating them. Over the past ve decades he has helped Father Young: I didn't really come hundreds of thousands and their up with it, the guys at "the gate" did. families get back on track through I worked in prison for 33 years and treatment, housing, and employment when I'd see and meet people Father Young opportunities. ge ing ready to go home a er completing their sentence I would IA: How did you get involved in say , "You're all set to go" and they go to Father (me) I monitored them substance abuse treatment and what would say, "All dressed up and and reported back (to the court). initially got you interested and nowhere to go" they knew what they Every day in the ies there would motivated to help and work with needed. To have recovery they be 50-60 people in court I'd take people and a population with a needed somewhere clean, safe, and them out of court. I took over a lot substance abuse problem? sober, they needed a job. I decided of abandon buildings; I put 80+ to retire from the Dept. of ma resses on a gym oor, another Father Young: It was back in the late Corrections and began to plan and 100 in another building, I began by ies when I came to Green Street create somewhere on the outside for housing them. I was a Chaplin to the in Albany, NY it was a pre y tough all of these people to go. court helping ll a need I saw. ere place at that time a lot of people, were no detoxes back then, these houses of prostitution, gambling and IA: Which resulted in Father Peter were decent guys who needed to be drugs it was about a twelve block Young Programs? in a safe place where they weren't area, they had no regard for law. I choking on their own vomit going became the pastor in that area for Father Young: We now have over through withdrawals. about 12 years. ey said it's going 118 locations from Buffalo to to exist so let's contain it we'll put it Brooklyn. in one place and that was Green Street. IA: Who are some of the people you've dealt with throughout the IA: So how did you get involved? years in your continued efforts to providing services and change for Father Young: I saw people that had people suffering with the disease of a need, problems with criminal addiction? justice, housing, drugs, alcohol, I simply responded to the need I saw. Father Young: I worked with police court in the beginning, people had IA: Your approach is very unique the choice, go to court, go to jail, or INSIDE ADDICTION e Magazine 21 IA: What did you learn from that need to help them. I was and their willingness. e hardest experience? introduced to Bill Wilson in Ohio part is the lack of resources. (Founder of AA) and I began Father Young: I'd meet with men ge ing all the help I could get to IA: What still needs to change in the day a er I brought them in, help these people with this disease. regards to treatment of addiction? they wake up and say, 'Father I learned to become a matchmaker where did you get those 12 stitches not a counselor I'd have people in Father Young: We need to give in your head?" I'd tell them ,"you" Irecovery share their stories with the public voice and support for began to realize this is a disease, people who needed an example. I programs. People are backing off blackouts, etc. these were sick started working with the legislature from treatment they are de-funding people, very nice when they were and with Governor Rockefeller, I services discriminating against sober. ey were beautiful people started writing legislature. people with this disease. is is a and I thought something is wrong continuing struggle. e dollar is here. ey could not control their IA: What do you think people need ge ing squeezed and people are drinking, I went to Yale and then to to know about addiction and looking at every disease under Rutgers to learn more about the recovery? scrutiny. disease. Father Young: We have to take IA: What advise do you have for IA: en where did it take you? away the barriers that are there. someone themselves or who loves e stigma is a big barrier. You someone suffering with the disease Father Young: 35,000 meetings to have to open a door people don't of addiction? change the law over 14 years of my want to be called criminals; they life to change the law to a have a disease they need to be Father Young: What's best for treatment based model. at began treated. It's each one teach one. most in or seeking recovery over which is now the Office of Alcohol e people I see are amazing, they the past 50 years I've seen is P.P.T. and Substance Abuse. It was a are paying taxes, buying cars, the people, places, and things. Get journey to a de-stigmitazation houses, they are working. yourself support get to know the because now we treat people disease. A person takes a substance, instead of incarcerate them. IA: What's the best part of your the substance takes a substance job, what keeps you coming to then the substance takes the IA: Five decades how many people work a er ve decades helping person. ese are good people have you helped? others with the disease of they need help. ose that want addiction? What's the hardest part? recovery can get it. When we treat Father Young: We try to keep an people their lives improve. open door, we try not to turn Father Young: e best part of my anyone away. ese people need job is seeing people,ge ing le ers services; others turn them away we and emails all day of success stories Father Peter Young and his services can be reached by visiting WWW.PYHIT.COM INSIDE ADDICTION 22 HEADLINES, NEWS, AND VIEWS: NICOTINE e Magazine Non-Addictive Cigare es A Research "Nicotine addiction sustains tobacco use. approach. Priority? Qui ing tobacco can be as difficult to overcome as heroin or cocaine Smokeless Doesn't Mean Safe! Source: Science Daily addiction," said Hatsukami, director of the University of Minnesota's Tobacco Source: American Heart Association A er a major review of scienti c Use Research Center and the Masonic information, six leading tobacco research Cancer Center's Cancer Control and Smokeless tobacco products have a high and policy experts have concluded that a Prevention Research Program "Reducing risk of addiction and returning to nicotine reduction strategy should be an the nicotine in cigare es to a level that is smoking and should not be used as an urgent research priority because of its non-addicting could have a profound alternative to cigare es, cigars or pipes, potential to profoundly reduce the death impact on reducing death and disability says the America Heart Association in a and disease from tobacco use. According related to cigare es and improving recent policy statement. Smokeless to this new report, reducing the amount overall public health." tobacco products are not as safe as many of nicotine in cigare es to non-addictive people believe; they are linked to an levels could have a signi cant public Hatsukami adds that studies to date have increased risk of certain cancers, fatal health impact on prevention and found that substantial reduction in stroke and fatal heart a ack. If you want smoking cessation. Over time, the move nicotine in cigare es does not lead to to quit smoking, nicotine replacement could dramatically reduce the number of smokers smoking more lower-nicotine therapy, in the form of nicotine gum or a annual deaths related to cigare e cigare es because it is harder to nicotine-releasing skin patch is a much smoking by decreasing adolescent compensate for very low nicotine intake. safer alternative to smokeless tobacco experimentation with cigare es "In addition, studies have shown a products. preventing a progression to addiction, signi cantly lower number of cigare es and by reducing dependence on tobacco are smoked when low-nicotine cigare es According to clinical studies, there is no among currently addicted smokers of all are used, resulting in eventual abstinence link between using nicotine replacement ages. in a considerable number of smokers," therapy and increased heart a ack or she said. stroke risk. Dorothy Hatsukami, Ph.D., University of Minnesota Medical School, and Mitch "Imagine a world where the only Smokeless tobacco products have been Zeller, J.D., Pinney Associates in cigare es that kids could experiment entering the US market in response to Bethesda, MD, led the overall effort as with would neither create nor sustain the recent smoke-free air laws, which co-chairs of the National Cancer addiction," Zeller said. " e public health forbid tobacco smoking in many places. Institute's Tobacco Harm Reduction impact of this would be enormous if we Smokeless tobacco products may refer Network. ey convened several can prevent youthful experimentation to: meetings of researchers, policy makers, from progressing to regular smoking, • Dipping tobacco, it is placed between the lower tobacco control advocates and addiction, and the resulting premature or upper lip and gums. • Chewing tobacco.. government representatives that disease and death later. Reducing the • Snuff, it is insufflated or "snuffed" through the explored the science base for a nicotine nicotine content in cigare es may be a nose. reduction strategy. very effective way to accomplish this • Snus, a Swedish product similar to dipping Currently, about 44 million (or 20 major impact," he added. tobacco. percent) of adults in the United States • Creamy snuff, a uid tobacco mixture marketed as a dental hygiene aid, albeit used for recreation. smoke cigare es. Other research cited by Hatsukami, Zeller, and their colleagues • Tobacco gum. the authors had found that reducing recommend engaging scienti c, research • Dissolvable tobacco. nicotine to non-addictive levels could and government agencies to conduct the • Topical tobacco paste, it is applied to the skin. potentially reduce smoking prevalence to necessary research and set priorities and • Tobacco water, a mixture of water and tobacco. about 5 percent. goals as the next step toward determining the feasibility of a nicotine reduction INSIDE ADDICTION e Magazine 23 HEADLINES, NEWS, AND VIEWS: NICOTINE (Continued) SMOKING AND ALZHEIMER'S Source: USA Today "A lot of the demand is just coming A USE FOR TOBACCO from people realizing that smoke Heavy smoking in midlife increases an doesn't stay in one unit," said Rita individual's risk of developing Source: Join Together Turner, deputy director of the Center Alzheimer's disease by more than 157 for Tobacco Regulation, Litigation and percent, according to a new study Turns out that researchers looking to Advocacy at the University of Maryland sponsored by Kaiser Permanente. help tobacco farmers have found a new Law School. "Buildings are designed to Researchers suspect the link could be use for tobacco and nicotine – as what breathe." explained by the increased else, guess.. a pesticide. in ammation that is present both in According to new research, a "bio-oil" e Centers for Disease Control and smokers and in individuals with gleaned from tobacco leaves cooked in Prevention say secondhand smoke can Alzheimer's disease. A review of records a vacuum at extremely high heat kills a cause asthma, respiratory and ear of more than 21,000 men and women range of insects, fungi and bacteria. It infections, sudden infant death found that compared with nonsmokers, was more effective with nicotine in it, syndrome, heart disease and lung those who smoked more than two but was still toxic without it. cancer. " ere is no risk-free level of packs of cigare es a day had a more Apparently, this isn't news to gardeners, exposure to secondhand smoke," the than 157 percent greater risk of who have used tobacco and water to kill agency says on its website.Such developing Alzheimer's and a 172 pests for a long time, but the concerns have led to efforts to ban percent greater risk of developing researchers hope that their "bio-oil" can smoking not only in common spaces of vascular dementia. Principal help tobacco farmers hurt by dropping buildings, but also in individual investigator Rachel Whitmer, Ph.D., a demand. apartments. e Department of Kaiser Permanente research scientist, Housing and Urban Development said a follow-up study will seek to More Landlords/Apartment issued a notice last year encouraging determine whether qui ing smoking Developers Are Banning Bu s public housing authorities to consider might lower dementia risk. smoke-free policies, and many have, Source: MSNBC officials said. Some private developers e study followed subjects beginning also are doing so. in middle age for an average of 23 years. No Smoking signs are popping up at A total of 5,367 subjects were some apartment complexes and e Alaire, in Rockville, Md., lists diagnosed with dementia in their later condos, barring people from lighting up among its "green" features a saline years, and 2,367 of these individuals even in their own homes. And in places swimming pool without chlorine were smokers. A total of 261 people in where smoking is permi ed, tenants chemicals, a solar-powered trash this group were classi ed as heavy and owners are beginning to seek compactor, the use of recycled soda smokers. protection from the secondhand smoke bo les on its roof for plants — and a is is another good reason not to they say is seeping into their smoking ban.When asked how it has smoke! apartments. affected his rentals, "Without a doubt, this has driven far more residents to us than it has detracted," said Ma Blocher, senior vice president of marketing for the JBG Companies, which own the complex. INSIDE ADDICTION 24 e Magazine HEADLINES, NEWS, AND VIEWS: NICOTINE (Continued) SMOKING AND BREAST CANCER Cancer Prevention Research team leader. "Our analyses show there Conference, held in Philadelphia. is signi cant toxicity in harm reduction Source: University of California, San products, and our data show that Francisco Harm- Reduction Cigare es, reduction of carcinogens in harm NO SUCH THING! reduction mainstream smoke does not Being a current smoker or having a necessarily reduce the toxicity of history of smoking signi cantly Source: University of California, Riverside un ltered sidestream smoke." increased the risk of breast cancer progression and overall death among a To reduce the toxicity of cigare e Her group also found that sidestream group of multiethnic women with smoke, tobacco companies have smoke was consistently more potent to breast cancer, according to the results introduced "harm reduction cigare es," the embryonic stem cells than of a large prospective cohort study. o en marketed as safer than mainstream smoke, regardless of Women who are current smokers or conventional brands. But stem cell whether the cigare e brand was harm have history of smoking have a 39 scientists at the University of reduction or conventional. percent higher rate of dying from breast California, Riverside have found that cancer, even a er taking into account a even sidestream smoke (which burns " is information should be valuable to wide array of known prognostic factors off the tip of a cigare e) from harm potential users of harm reduction including clinical, socioeconomic and reduction cigare es impairs growth of cigare es and should be taken into behavioral factors," said Dejana human embryonic stem cells more than account when establishing policies Braithwaite, Ph.D, assistant professor, sidestream smoke from a conventional regarding the sale, advertising, and use division of cancer epidemiology, brand. of harm reduction products," Talbot department of epidemiology and "Harm reduction products are not said. biostatistics at the University of necessarily safer than their California, San Francisco. conventional counterparts," said Prue Researchers presented these results at Talbot, the director of UC Riverside's the Ninth Annual AACR Frontiers in Stem Cell Center and the research INSIDE ADDICTION e Magazine 25 INSIDE OPTIONS: RECOVERY COACHES William ("Bill") White is a Senior Research increasing the long-term recovery Consultant at Chestnut Health Systems, orientation of addiction treatment, past-chair of the board of Recovery wrapping treatment in a more extensive Communities United, and a volunteer menu of sustained recovery support consultant to Faces and Voices of Recovery. services, and radically altering how this He has a Master's degree in Addiction country views recovery. And it is rapidly Studies from Goddard College and has spreading to Europe, Asia, and Africa. worked full-time in the addictions treatment What this movement has achieved in the eld since 1969. Bill has authored or co- past decade is beyond anything imagined authored more than 300 articles and 16 by those of us who met in St. Paul. It has books, including Slaying the Dragon: e been a privilege to witness and document History of Addiction Treatment and the cultural and political awakening of Recovery in America and Let's Go Make individuals and families in recovery. Some History: Chronicles of the New Addiction Recovery Advocacy Movement. IA: What is a recovery coach? His collected papers can be found at William White www.williamwhitepapers.com. INSIDE Bill White: Historically, we have had two ADDICTION recently had the opportunity types of recovery support roles. ere are to discuss the new recovery movement addiction and allied health professionals impersonal professional service system, and including Recovery Coaches (RC.) who screen, evaluate, medically and will serve, for some, as an alternative to that psychologically treat, and then discharge system. I see the RC as the person who IA: What got you interested in the New individuals and families affected by has your back through the process of pre- Recovery Movement? addiction. And there are the recovery engagement, recovery initiation, sponsors/guides who provide temporary or the transition to stable recovery Bill White: A blend of personal activism and prolonged peer-based guidance within maintenance, and the achievement of my fascination with the history of addiction particular recovery mutual aid societies. e enhanced quality of personal/family life in recovery. In the late 1990s, I was writing recovery coach (RC) is a new role that long-term recovery. about the restigmatization, stands between the professional and the demedicalization, and recriminalization of sponsor. RCs differ from the professional in IA: How do you envision recovery coaches addiction throughout the 1980s and 1990s. that they are experientially credentialed being utilized? As a recovery historian, I knew that these rather than professionally credentialed, and conditions o en sparked grassroots they provide no medical or counseling Bill White: RCs are now being employed advocacy movements led by recovering services. RCs differ from the sponsor, in within addiction treatment organizations people and their families and allies, but I part, because they work with people across (particularly in the areas of outreach and failed to predict just how quickly that multiple pathways of recovery, not just post-treatment continuing care) and child movement would emerge. By 2000, that within a single recovery fellowship. RCs welfare and criminal justice initiatives. ey movement was already taking shape, and in provide outreach to people in need of are working in paid and volunteer roles 2001, recovery advocates from around the recovery, assertively link people to within recovery community organizations, country met in St. Paul, Minnesota to cast professional treatment and to communities and they are working in independent roles the future of the movement. We had no of recovery, and provide long-term, stage- within a new form of private practice. idea just how historic that meeting would appropriate recovery education and Everyone else in the system is acting like be. support. recovery is a hundred yard dash; the RC is saying, "Pace yourself, this is a marathon!" is past September, more than 100,000 IA: What is your personal vision of the recovering people and their families recovery coach role? IA: How does this role t into Health Care participated in some 200 Recovery Month Reform? activities. e recovery advocacy Bill White: My personal vision is that the movement is birthing hundreds of new RC will provide the human connecting recovery community organizations, tissue within an increasingly fragmented and INSIDE ADDICTION 26 e Magazine Bill White: I think some version of the RC personally de ne what "peer" means to them. like something, organize and change it. role will be integrated into the health care For some, the most important ingredient in at's precisely what we're trying to do. reform process as a reimbursable service. We that is recovery status, but age, gender, sexual Anyone who wants to help can contact Faces are already seeing some managed care orientation, and all manner of other and Voices of Recovery or their local or state companies reimburse these services based on characteristics may be essential to the mutual recovery advocacy organization. their experience that sustained monitoring identi cation that is such a critical aspect of and support from a recovery coach reduces the recovery support partnership. IA: What do people need to know about the costly recycling of people through recovery? multiple episodes of addiction treatment. IA: Do you see online and telephone coaching increasing? Bill White: If by people you mean the public, IA: Why did you personally think there was they need to know what it is (most of the a need for recovery coaches? Bill White: Yes. I don't think we can even public sees recovery as people who are trying begin to fathom how new technologies will to get their lives together rather than as an Bill White: I felt something very important be mobilized as instruments of recovery achieved and stable status). ey need to was lost in the addiction treatment eld support in the future. e growth of know that recovery is a vibrant reality in the through the diminished recovery telephone- and internet-based recovery lives of millions of individuals and families. representation among addiction checkups and coaching are already spreading ey need to know that there are many professionals (from more than 70% in the exponentially. is is the new frontier of pathways and styles of recovery. And they early 1970s to about 30% today) and recovery support and will be particularly well need to know that participation in through the over-professionalization of the suited for such groups as women, professional treatment, peer-based recovery role of addiction counselor. I saw the adolescents, status conscious professionals, support services, and recovery mutual aid recovery coach as a way to retrieve part of and people who are homebound or living in societies are particularly important for that lost value. I think the RC can once again areas lacking recovery support resources. people with the most severe and complex bring to the treatment environment the substance use disorders. ey need to know living proof that long-term recovery is IA: What do you think is the biggest barrier that recovery ourishes in supportive possible and I think it will restore to to people seeking and receiving help? communities. Communities cannot expect treatment experiential knowledge of the recovery if they do not provide the physical, long-term recovery process and local Bill White: When we ask the 90% of people psychological, and social space for it to grow. recovery cultures who need but do not seek help why they do not seek assistance, they tell us they 1) don't IA: You have been quite open about your IA: Who becomes and how does someone have a problem, 2) have a problem but can own recovery status. How has this personal become a recovery coach? handle it on their own, 3) can't afford experience informed your professional work? treatment, 4) don't believe treatment is Bill White: Most people serving as RCs draw effective, or 5) fear the social stigma involved Bill White: My recovery drew me to the eld on their personal or family recovery in addiction treatment. Now, we can shake and has repeatedly affirmed my commitment experiences as a foundation and then go our heads with great condescension and to this work, but I try to maintain a through some specialized training about how blame individuals for such a itudes, but the reasonably clear boundary between the work this role differs from that of a sponsor or fact is we as a country and as a professional I do professionally (the clinical research and addictions counselor. ere are an eld are doing li le to alter those perceptions consultations and my writing for scienti c increasing number of training programs to among our most important constituents. journals) and what I do as my personal prepare one for this role. Nor are we doing enough to enhance avocation (my advocacy work and my treatment access and quality and post- writing on the history of recovery). is IA: New York Recovery Coaches currently treatment recovery support. work has been more personally and represent special populations such as professionally ful lling than I can adequately prisons, reentry, LGBT, veterans, seniors, IA: How can people help this change? express. etc. Is this a common trend for recovery coach services? Bill White: ese are precisely the kinds of conditions those involved in the new Bill White: It is a natural extension of the RC recovery advocacy movement are seeking to role as the individuals served get to change. A er all, this is America; if you don't INSIDE ADDICTION OTHER NEWS AND VIEWS e Magazine 27 More Employers Helping Employees Administration (NHTSA) and the relievers including OxyContin, which can With Addiction Substance Abuse and Mental Health produce a euphoric feeling, become more Services Administration (SAMHSA), the common, the Drug Enforcement Source: Join Together BIG Initiative has secured corporate Administration said. sponsorships from nine employee A broad coalition of Employee Assistance assistance companies, and the participation e databases alert physicians and Programs (EAPs), employers, federal of employers like Caterpillar, UPS, and J.P. pharmacies to patients who see several officials, researchers, and behavioral health Morgan Chase. e initiative's co- doctors to collect multiple prescriptions, care providers wants to see EAPs screen facilitator, Tracy McPherson, Ph.D., said in le ing them judge whether to refuse a and provide brief intervention for problem a phone interview that one of the reasons potential abuser. Law officers say the drinking on a routine basis by October the BIG Initiative is important is because databases allows them to document a 2011. e BIG initiative (named for the problem drinking is linked to drunk driving. pa ern of abuse a er investigations or Brief Intervention Group) set the ambitious "Although the connection is obvious, it informants point to a suspected pill dealer goal of increasing the number of people doesn't get mentioned enough." or dirty doctor.A 2006 report conducted for identi ed by EAPs as having alcohol the Justice Department said prescription problems by 100% between October 2008 Editor's Note: Finally someone is drug databases cut the supply of painkillers and October 2011. recognizing that DWI is a symptom of a and stimulants, reducing the probability of BIGGER problem, the disease of addiction! their abuse. e rate of painkiller abuse According to e BIG Initiative Manual would have been 10 percent higher by 2003 (PDF), 66 percent of people with alcohol In 2011 States Will Begin Working without the databases, the report said. abuse disorders work full-time, and 16 Together Against Prescription Drug percent work part-time, which suggests that Abuse e Prescription Monitoring Program the workplace may be a good place to Information Exchange would swap identify them and intervene where Source: Council On State Governments information through a central hub at Ohio's appropriate. e manual goes on to say that Board of Pharmacy. State databases were 75 percent of businesses in the United Starting next year, dozens of states will checked more than two million times in States now use EAPs to provide behavioral begin kni ing together databases to watch 2008, the Justice Department said. e health care for stress, depression, mental prescription drug abuse, from powerful databases agged prescription activity on health, and substance use for their painkillers to diet pills. With federal money nearly 500,000 more potential abusers.A employees. and prodding, states are being asked to sign proposed interstate compact will be onto an agreement allowing police, unveiled in time for legislatures to consider is means that EAP services are available pharmacies and physicians to check it when they assemble next year, said John to an estimated 100 million Americans, suspicious prescription pill pa erns from Mountjoy, policy and research director of about ve to seven million of whom use Nevada to North Carolina.Civil liberties the Council of State Governments, a them each year. However, alcohol is and privacy advocates have objected to the national nonpro t based in Lexington, identi ed as a signi cant issue in only about state databases, which would be linked with Ky. e contract would preserve state-by- 160,000 EAP cases each year, although the technology and standards developed by the state differences that include control of the incidence of problem drinking is thought to Justice and Homeland Security databases by law enforcement agencies in be much higher. Unpublished preliminary departments. Texas and California, health departments in data indicate that businesses can save as North Carolina and Alabama, and much as $1,400 a month per employee irty-four states operate databases to ght pharmacy boards in more than a dozen screened and identi ed by EAP staff for a drug problem authorities say is growing states. substance abuse.Savings come from more deadly than heroin. Nationally, there improved productivity and reduced were 27,658 overdose deaths from Doctors are encouraged to check the absenteeism. prescription medication in 2007 - more databases, but in 19 states the law says they than heroin and cocaine combined, the aren't required to do so, according to the Based at George Washington University Centers for Disease Control and National Alliance for Model State Drug and supported with seed money from the Prevention reported in July. e threat is Laws. National Highway and Traffic Safety increasing as the most addictive pain INSIDE ADDICTION 28 e Magazine OTHER NEWS AND VIEWS (Continued) Death Rates Reduced By Raising Taxes rates remain in effect today. "Because of the view that mental illness and substance the effects of in ation over the years, abuse are rooted in neurobiology. Source: Medical News Today Florida's alcohol taxes in real terms are Researchers from Indiana University and now only a quarter of what they were back Columbia University decided to test Adjusting the alcohol tax in Florida to in the 1960s," according to Wagenaar. whether these efforts had changed public account for in ation since 1983 would "Simply returning the real tax rates to their perception, support for treatment, and prevent 600 to 800 deaths each year in levels in the 1960s would save the lives of a itudes about people living with that state from diseases caused by chronic some 1,500 Floridians per year from disorders. heavy alcohol use, according to a new alcohol-related disease. " study from the University of Florida. e e researchers compared responses of Florida legislature last increased alcohol e cause-of-death data for the Florida American adults to surveys given in 1996 taxes in 1983. study came from the US National Vital and 2006. Participants were asked to Statistics System of the National Center listen to short vigne es describing e new study, which analyzed death rate for Health Statistics, and are based on individuals suffering from major and tax data from 1969 to 2004, is information physicians provide on each depression, alcohol dependence, and published in the journal Alcoholism: individual death certi cate. e study schizophrenia, and then answer questions. Clinical and Experimental Research used those data through 2004, the last (ACER). It was conducted by Mildred M. year for which such data were available While 54 percent of respondents believed Maldonado-Molina, Ph.D., and Alexander when the study was started. e study that major depression had C. Wagenaar, Ph.D., of the Department of controlled for many other factors using neurobiological causes in 1996, 67 Epidemiology and Health Policy data on economic conditions and non- percent believed that a decade later. e Research, University of Florida, College of alcohol-related deaths in Florida as well as proportion who supported treatment for Medicine, Gainesville. similar data from other comparison states. depression, schizophrenia, and alcohol dependence also increased over the same "Previous studies conducted in the United e study used population-based alcohol- period. While 61 percent supported States and other countries have clearly related deaths from January 1969 to psychiatric treatment for alcohol shown that increasing alcohol taxes is December 2004 for Florida as well as dependence in 1996, 79 percent did so in associated with reduced overall comparison states, analyzing the trends 2006, and the percentage supporting it for consumption of alcohol as well as reduced over time with statistical models to ensure major depression jumped from 75 percent heavy drinking. is new study shows that that the reduction in death rates were to 85 percent. increasing taxes on alcohol also in uences speci cally due to the effects of alcohol ose who believed that the disorders the death rate from liver cirrhosis, taxes, not other factors also changing over were diseases were more likely to support pancreatitis, gastric diseases, some time. treatment, but stigma did not decrease. cancers, and cardiovascular diseases "Where associated, the effect was to caused by heavy alcohol use," according to e Disease Concept And Reducing increase, not decrease, community Maldonado-Molina. e University of Stigma rejection," the authors wrote. Florida study did not include deaths from traffic crashes, crime and violence Source: Health Day News e research team recommended that associated with alcohol use, and therefore advocates and treatment providers understates the total health effects of New survey results show that although rethink their approach to reducing stigma. alcohol taxes. more Americans now believe that mental Bernice Pescosolido, the Indiana illness and alcohol dependency are University sociologist who led the e Florida legislature last increased the medical or genetic in origin than did so in research, said that future efforts should per gallon tax on beer in 1983 from $0.40 the mid-1990s, they are just as likely to emphasize the person and his or her to $0.48, the per gallon tax on wine from reject those who suffer from them. abilities instead of the disease. $1.75 to $2.25, and the per gallon tax on roughout the late 1990s and early spirits from $4.75 to $6.50, and those 2000s, public health advocates promoted INSIDE ADDICTION e Magazine 29 OTHER NEWS AND VIEWS (Continued) teens who have been drinking and it the current legal limit for driving have a Animals, Key To Human Impulse doesn't even have to be on campus.Since signi cant negative effect on a person's Control/Addiction 2002, 7th thru 12th graders have been dexterity. Researchers writing in the open tested for marijuana and other illegal access journal BMC Research Notes Source: Join Together drugs.Students who participate in found that just two single vodka and extracurricular activities or use parking orange drinks were enough to make Canadian researchers have discovered stickers to park on campus are affected by senior volunteers struggle at an obstacle how the rat brain triggers and suppresses the new policy.It includes two mandatory avoidance test while walking. impulsive behavior, which could lead to tests and four random ones. new methods for diagnosing and treating Judith Hegeman worked with a team of addiction in humans. Poor impulse e 9-panel drug test costs about $13 per researchers from Sint Maartenskliniek, control had been implicated in a range of student. e alcohol test costs $18.If a Nijmegen, e Netherlands, to carry out complex health problems including student tests positive the rst time, he or the tests in 13 healthy men and women addiction, ADHD, and schizophrenia. To she will miss 20 percent of activities, and (average age 61.5yrs or 62yrs). She said, nd out how the brain mediates impulsive go through ve hours of counseling. If it's " e results clearly show that even with behavior, researchers examined synaptic a parking issue only, the student can't park low blood alcohol concentrations, changes in rats trained to control their on campus for 10 school days.A second reactions to sudden gait perturbations are impulsive response to a given signal. violation, the student misses 50% of seriously affected. A er ingestion of 2 activities, undergo 10 hours of counseling, alcoholic drinks, obstacles were hit twice Behavioral training not only inhibited the and can't park on campus for 30 days.A as o en, response times were delayed and impulsive response in the rats, but it also third violation, the student misses response amplitudes were reduced. ese led to speci c changes in the prefrontal activities and parking for a whole calendar changes were most obvious in situations cortex, suggesting a neuronal mechanism year. As for over the counter medicines with li le available response time". behind impulsiveness that might be like cough syrup, the school district says amenable to new therapies. the test is sophisticated enough to To carry out the test, the volunteers rst "A clear-cut case of an addiction is differentiate. started to walk on a treadmill. Once they choosing the pleasure of the immediate had a ained a steady walking pace, a thin sensation of the drug over the long-term Several schools in Houston have already wooden block was placed at the far end of damage and problems that it causes," said started using this policy. Elgin started this the belt and allowed to move towards the Sco Hayton, a doctoral candidate in alcohol testing policy this year as well. volunteer. Hegeman and her colleagues neuroscience at Queen's University in Marble Falls has not conducted it's rst measured the effects of alcohol on how Ontario and lead author of the study. alcohol testing yet. capable the subjects were of stepping over Understanding the neurological this obstacle. She said, "We found that mechanism behind such impulses may aid What do you think should Jr./Sr. High alcohol levels, considered to be safe for in the development of new drugs to School Students Be Drug Tested At driving, seriously hamper the ability to inhibit them, he concluded. School? successfully avoid sudden obstacles in the travel path. A possible limitation of this Drug Testing Students Email Us firstname.lastname@example.com study is the relatively small sample size, however even with the small number, it Source: Fox News.Com yielded an unequivocal outcome". How Much Is Too Much? Marble Falls, TX - Hundreds of students Even low alcohol concentrations affect in Marble Falls will now be subjected to Source: Medical News Today obstacle avoidance reactions in healthy alcohol testing at school. In addition to senior individuals. illegal drugs, the Marble Falls Just 2 drinks can slow down reactions in Independent School District is looking for older drinkers. Blood alcohol levels below INSIDE ADDICTION 30 e Magazine OTHER NEWS AND VIEWS (Continued) more risks while discipline has slipped. cocaine or other illegal substances. 75% Of People With Depression Are e Army counted 160 suicides last year, Universal Sensors Ltd, of Ickleton, Self-Medicating the highest total ever. e rate was above Cambridgeshire, said their Vantix that of the civilian population for the biosensor technology could also be used Source: WHO second year in a row. e study counted by the police to carry out roadside tests on an additional 146 deaths in 2009 that it drivers suspected of driving while under 75% of people with neurological, mental says were due to drug overdoses or other the in uence of drugs. and substance abuse disorders remain causes the Army lumps together as risky untreated worldwide, according to behavior. ere were also 1,713 known e company's Commercial Director, estimates by WHO (World Health suicide a empts last year. e ramped-up Kevin Auton, told the press that they Organization). is includes almost 95 tempo of Army life, with faster realize the availability of such a device million people with depression and over deployments and too li le time at home, poses ''huge implications for society", 25 million with epilepsy. WHO hopes that underlies the problem but is not its sole reports the UK's Daily Mail. its simpli ed new treatment guidelines, cause, Chiarelli said. called e Intervention Guide may help Auton said he wasn't sure if parents in the promote be er management of Most suicides occur early in a soldier's UK were ready for this technology, the depression, substance abuse disorders, Army career, and some come before a "test raises privacy issues," he added. epilepsy, well as a number of mental soldier has deployed. e report raises the Se ing aside the controversial issues, he disorders in a general practice se ing. possibility that part of the increase in risky said the test would enable worried parents Experts say that approximately 25% of the behavior comes from an increase in young to check if their children are using drugs. world's population will have a mental soldiers a racted to the wartime force Auton explained that in the US, parents health condition at some point in their precisely because it is dangerous. currently send samples of their children's lives. ere is a stigma associated with "Looking across the Army, the (report) hair and saliva to labs for drugs testing. If mental, substance abuse and neurological team found that there appeared to be an there is a similar demand in the UK, it conditions which commonly leave overall increase in high-risk behavior," could be an interesting market, he added. sufferers neglected and/or abused or self- including drug and alcohol use/abuse." "It's as simple to use as a pregnancy test," medicating with alcohol and drugs to cope Leader accountability had atrophied," the he said, explaining that the company can with their mental health issues. report said. " ere were too many gaps produce 30 billion biosensors a year, so it and seams in programs and processes that would be cheap to buy. He added that the Army, Addiction, And Suicide allowed high-risk behavior to continue company was "very focused on ge ing the undetected and seemingly unchecked." test out of the laboratory and onto other Source: MSN Among dozens of recommendations are platforms". is means the device could be increases in drug and mental health staffs on the market in about two years time and An Army report on the record number of and ways to encourage soldiers to seek selling at around £1.50 a test (about 2.30 soldier suicides says the trend re ects a help. US dollars). e device would be about rise in risky behavior including drunken the size of a small mobile phone, into driving and drug abuse in a military Drug Testing Your Kids Just Got Easier which one inserts a cartridge containing a stretched to the breaking point by the wars disposable 5mm wide chip and the saliva in Afghanistan and Iraq. e report says Source: Medical News Today sample. the Army is failing its soldiers by missing signs of trouble or by looking the other Want to make sure your kids aren't e chip has antibodies impregnated into way as commanders try to keep to tight making the same mistakes you did? It may its surface that react to certain metabolites schedules required to meet deployment be ge ing easier. A British company has of drugs, for instance the THC molecule schedules. e Army vice chief of staff, developed a cheap hand-held drug testing in cannabis. When the chip detects such a Gen. Peter Chiarelli, said ursday that device that in 5 minutes can enable chemical it produces a small electric statistics on levels of drug and alcohol parents to check, from a sample of saliva, current, which is ampli ed in the handheld abuse suggests that soldiers are taking whether their kids are using cannabis, device and turns on a warning light. INSIDE ADDICTION e Magazine 31 Ask Us… Question: My husband and I are going through a tough time in particular his in delity and obsession with porn. We have been married for ten years and have two young children. We started going to couples counseling and they have suggested he may be a sex addict, any advice? Answer: I'm glad you are seeking professional services as a couple. If it hasn't already been suggested he may look into a ending Sex And Love Addicts Anonymous Meetings. ey are a 12 step support network made up of men and women who have a desire to do something about their sex and/or love addiction. ey do have gender speci c groups and I would suggest he start with men only groups. To nd a meeting near you and more information visit www.slaafws.org Question: I've struggled with alcoholism for the past 30 years, I get sober, I relapse, I get sober, I relapse, the longest I've ever been able to stay sober is 16 months. My family has slowly distanced themselves a er multiple disappointments and let downs of my doing. I've tried talking to them and educating them about this disease. ey just won't listen! Answer: First of all congratulations on 16 months, that's awesome! Perseverance is the word I'm thinking of for you, get knocked down, get back up, but don't give up! Alcoholism is a life-long disease not only for you but for your loved one's affected by your disease. I would suggest you let them know about Al-Anon if you haven't already. You need to take care of you and they need to take care of themselves as well. Sometimes information coming from someone else even if it is the same as what you are saying can make a difference. ey have an emotional a achment to you, a history. Al-Anon will give them the opportunity to meet other people in their shoes they can use for support. Remember you aren't alone; your family is going through this too. Question: What's the difference between methadone and suboxone, is one be er than the other? Answer: Both can help you get and stay sober. Suboxone has a ceiling effect so that once you have partially occupied your receptors with the medication you can't get "higher". A er an initial dose stabilizes you the perceived high when you rst began disappears, so you just feel normal. Someone with a high tolerance to an opiate can't get high from suboxone. Whereas methadone is like any other opiate you can and will develop tolerance and the ability to get high will be available via increased dosing. Also with methadone you have to go to a clinic every day (o en referred to as liquid handcuffs) as it really controls your daily schedule and with suboxone you get a monthly prescription from your Dr. Only certain doctors can prescribe suboxone and methadone is distributed through a clinic. is is only a few differences between the two medications, I would suggest you look into this further to ensure you are thoroughly informed before making a decision what is best for you. INSIDE ADDICTION 32 e Magazine Personalized recovery jewelry hand cut slate painted with your sober date. Each necklace includes a 20" leather-like necklace with a lobster clasp. Each pendant is hand painted with your special date. There is no better gift than that of recovery so celebrate yours or purchase for that someone special in your life. All purchases are shipped within 24 hours of payment received (PayPal Accepted) Necklaces $15 Pins $5 To order contact us at email@example.com Clean Slates The Story: After 15 years of active drug and alcohol use I "hit my bottom". I finally got "sick and tired of being sick and tired". O LY then, and for reasons O E OTHER THA FOR MYSELF, I began my journey of recovery. I admitted myself to an inpatient program in central ew York. During the following 38 days I attended groups and counseling. In between groups I would often sit outside on a patio hanging my head in shame and one day I noticed the patio was made of slate. It had been right in front of me the entire time. I thought then what an opportunity I have been given to get a "clean slate", a new beginning! After successfully completing the program there was a graduation ceremony in which I received a certificate. That is when I thought there should be something more personal to commemorate my accomplishment. I had become so inspired and touched by this new way of life because I hadn't been truly living at all. This was my opportunity for a new beginning, a fresh start, a "clean slate". I decided to design slate jewelry that would be personalized to each person's accomplishment. I wanted to help spread the message of hope. There are many people with many different addictions- be it to alcohol and drugs like myself, smoking, gambling, food, etc. WE ARE OT ALO E, but know, any addiction we may have has not only been experienced by someone else but it has also been overcome by someone else. Any addiction can be overcome by anybody, any day, IF THEY WA T IT! If you or someone you love is celebrating a "clean slate", remember, there is no better gift than that of recovery. Thank you for letting me share mine with you, and remember "one day at a time". Giving Back: Partial proceeds are used to purchase and distribute books and literature to inmates, shelters, and elders in senior homes. These people may have a difficult time getting to a meeting or "receiving the message" due to where they are "located". I say "located" because that's only where they are, OT where they are living. I believe where you "live" comes from within. Home is where your heart is, not an address. Dean H. INSIDE ADDICTION 36 e Magazine To Purchase A DVD Copy of Any of Our Shows About Addiction and Recovery For Just $10 Email Us Your Request and Send Your Check or Money Order To: Dean Hale 1025 Outer Drive Schenectady, NY 12303 Inside Interventions: We sit down with Ken Seeley, world renowned interventionist, featured on the A&E Series Intervention and Founder of Intervention 911 and talk about how to get a loved one with a substance abuse problem help. No If's Ands or Bu s: We discuss the difficulties and bene ts of qui ing smoking, tips to quit and what to expect. Wife of an Alcoholic: Unhappily Ever A er: Addiction affects everyone in the family. We sit down with the wife of an alcoholic as she shares how her husband's addiction affected her. A Soldier's Biggest Ba le: We had the opportunity to sit down with a Ret. Sgt. From the US Army and the NYS Director of Veterans' Affairs to discuss addiction within the armed forces and how we are serving those who serve us. Out of e Closet, Into e Rooms: Karen M. shares her struggles, experience, strength, and hope being a gay black woman in recovery. Inside Gambling: Did you know gambling has the highest suicide rate of all addictions? We go inside gambling addiction and discuss the high stakes that can take you from rags to riches and back to rags, if you make it back! Out of Jail Into Recovery: Hear the stories from those formerly incarcerated and how they've turned their lives around behind the bars. Underage And Under eir In uence: We sit down with a mother and daughter and openly discuss how mom's alcoholism affected the family from a daughter's point of view. Inside Rehab: ink you know? You have no idea. We take cameras inside a 28 day rehab in Upstate N.Y. and put to rest some of the myths about treatment showing what it's like from the inside. Note: ese DVD's are suitable for both personal use and group educational viewing; we authorize and encourage their re-broadcasting. Watch all of our shows on YouTube at www.youtube.com/insideaddiction INSIDE ADDICTION e Magazine 37 ere Is Hope, ere Is Help SAMHSA TREATMENT LOCATOR Find a substance abuse treatment facility ANYWHERE in the United States Online at h p://dasis3.samhsa.gov/ ALCOHOLICS ANNONYMOUS (AA) International. Founded in 1935. Over 116,000 in-person groups and online. A fellowship of men and women who come together to share their experience, strength, and hope with the purpose of staying sober and helping other alcoholics achieve sobriety. AA has meetings for young people, women, men, gay, law enforcement, and other groups. AA General Service Office P.O. Box 459 Grand Central Station New York, NY 10163 Ph. 212- 870-3400 www.aa.org AL-ANON FAMILY GROUPS International. Founded in 1955. Over 24,000 in-person groups in 115 countries. A fellowship of men, women, and children whose lives are affected by a family member or friend's drinking. In AL- ANON the focus is not on the alcoholic but on the family member affected. All family members, children, spouses, parents, friends, or employers are welcome. AL-ANON 1600 Corporate Landing Parkway Virginia Beach, VA 23454-5617 Ph. 888-4ALANON (Toll-Free) or 757-563-1600 email@example.com www.alanon.alateen.org INSIDE ADDICTION e Magazine DUAL RECOVERY ANNONYMOUS (D ) International. Founded in 1989. 880 in-person meetings. D is a nonprofessional, independent, 12 step based self-help organization for people with dual diagnosis, that is people who suffer with both substance abuse and mental illness. Dual Recovery Anonymous World Service P.O. Box 8107 Prairie Village, KS 66208 Ph. 877-883-2332 (Toll-Free) or 913-991-2703 draonline.org GAMBLERS ANONYMOUS (GA) International. Founded in 1957. Approx. 1200 in-person meetings. A fellowship of men and women who come together to share their experience, strength, and hope with each other to recover from compulsive gambling by following a 12-step program. GA has a toll-free national hotline: 888-GA-HELPS or 888-424-3577. Gamblers Anonymous International Service Office P.O. Box 17173 Los Angeles, CA 90017 Ph. 213-386-8789 www.gamblersanonymous.org METHADONE ANONYMOUS (MA) International. In-person meetings in most states and online. A fellowship for people recovering from opiate addiction. firstname.lastname@example.com www.methadonesupport.org INSIDE ADDICTION e Magazine NAR-ANON FAMILY GROUPS International. In-person and online groups. Nar-Anon Family Groups is a 12-step program for relatives and friends who are concerned about the addiction or drug use of another. Nar-Anon Family Groups Inc. 22527 Crenshaw Blvd. Suite 200B Torrance, CA 90505 Ph. 800-477-6291 Nar-anon.org NARCOTICS ANONYMOUS International. Founded in 1953. Over 43,000 in-person groups in 128 countries. A fellowship of men and women who come together to share their experience, strength, and hope recovering from drug abuse. e ONLY requirement for membership is the desire to stop using drugs. NA information is available in several languages, on audio tapes, and in Braille. Narcotics Anonymous World Service P.O. Box 9999 Van Nuys, CA 91409 Ph. 818-773-9999 www.na.org NICOTINE ANONYMOUS (NICA) International. Founded in 1980. In-person meetings in 36 states within the United States and 35 countries, also online. A fellowship of men and women helping each other to live nicotine-free. e ONLY requirement for membership is the desire to stop using nicotine. Information available in 13 languages. Nicotine Anonymous World Service 419 Main Street, PMB # 370 Huntington Beach, CA 92648 Ph. 877-879-6422 (Toll-Free) www.nicotine-anonymous.org INSIDE ADDICTION e Magazine SECULAR ORGANIZATION FOR SOBRIETY (SOS) International. Founded in 1985. Over 750 groups and online. A network of autonomous, non- professional local groups dedicated solely to helping individuals achieve and maintain sobriety. SOS takes a self-empowerment approach which assists those who have difficulty with the spiritual aspects of many other self-help/sober support groups. SOS has family and friend groups. SOS Clearinghouse 4773 Hollywood Blvd. Hollywood, CA 90027 Ph. 323-666-4295 www.c west.org OVEREATERS ANONYMOUS (OA) A program of recovery not just about weight loss. It addresses physical, emotional, and spiritual well-being. It does not promote any particular diet but seeks to assist it's members in stoping their compulsive overeating. h p://www.oa.org/meetings/ nd-a-meeting.php Online/telephone meetings h p://www.oa.org/meetings/ nd-a-meeting-online.php SEX AND LOVE ADDICT ANONYMOUS (SLAA) A 12-step, 12-tradition orientated fellowship of men and women who help each other stay sober. SLAA offers help to ANYONE who has a sex addiction or love addiction or both who want to do something about it. ere are gender speci c and co-ed groups. Find A Meeting: h p://directory.slaafws.org NOTE: INSIDE ADDICTION is NOT affiliated with ANY of these organizations. is list is provided as a possible source of assistance in your recovery process. Remember there are NO magic pills or cookie-cu er approaches, NO quick xes; the key is perseverance, DON'T GIVE UP! INSIDEADDICTION.ORG
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