Saturday, May 28, 2005

Pathfinder Support Services helps build a commitment to change

By Russ Krebs ~ Fremont Tribune

Youth involved in the Pathfinder Support Services adolescent intensive out-patient program created a mural to recognize their efforts. - Russ Krebs/Fremont Tribune
Every week adolescents in the Pathfinder Support Services drug and alcohol intensive outpatient program scan the newspapers for stories of addicts who are changing their lives.

Ermyl Leazenby, drug and alcohol counselor for Pathfinder, said the youth rarely - if ever - see any and that makes them think people don't recognize the hard work they put forth to kick addiction.

To recognize their efforts, the students themselves created a mural on a wall where they have group therapy three times a week. Emotions and sayings like "Keep it simple" and "If you believe you can achieve" fill the wall.

"We asked (the young recovering addicts) what it would take to get them to take ownership of the program and they suggested the mural," Leazenby said. "You need to take ownership in your recovery to succeed."

Another wall in the group therapy room has individual cinder blocks with names and goals on them.

"When they're ready to make a real commitment to change their personal life, they get a block," Leazenby said. "It's a process and it's hard to get there, but the kids are so proud when they get their block."

A relapse can take the block away, but she said it's not meant as a punishment, but as an incentive to continue in their recovery and return to an alcohol- and drug-free lifestyle.

The adolescent intensive outpatient program provides

11 hours per week of group and individual therapy to adolescents between 13 and 18 who have substance abuse problems. The goal is to develop a sober support system for the youth and help them remain chemically free.

"We individualize each kid's treatment to fit their needs," Leazenby said. "We make them verify they attend Alcoholics Anonymous and Narcotics Anonymous meetings in the community weekly. There's also random (weekly) drug testing."

Currently, there are four adolescents in the intensive outpatient program that meets three evenings a week for three hours. Adolescents have been admitted through the courts, probation, families, doctors and even the youth themselves.

The first 30 minutes of every night is a community meeting where the youth discuss things going on in their lives and how they dealt with them and how their peers might have dealt differently.

Next comes education on different drugs and their dangerous effects followed by activities like the mural.

"Instead of looking at the differences (between drugs or alcohol that are abused), we look at the similarities," said Doug Johnson, another drug and alcohol counselor with the program. "We look at the similarities of when you come down off meth or when you wake up from a big drunk."

Group or family therapy follows.

"We work on family issues because the family is always affected by chemical abuse," said Lori Cheshier, administrator of Pathfinder Support Services. "Family counseling is important because the family has to help with sobriety. Maybe mom and dad just need to learn to talk to their kids."

The intensive outpatient program can last anywhere from six to 20 weeks.

"We'll keep them until they're ready," Cheshier said.

Since its inception in January, two students have graduated from the program.

They aren't done with treatment though. Now they are part of the basic outpatient program that meets once a week to help them remain sober.

"No matter how many bumps in the road, we'll get through," Cheshier said. "We do whatever it takes to make sure people don't fall through the cracks."

Friday, May 27, 2005

CASA Grande

FEnews ~ 26 May 2005

ESF Project Offering Support To Alcoholics Has Great Results In First Year by Dan Atkinson.

An innovative project funded by European Social Funding (ESF), aiming to provide educational support for students with alcohol problems has had encouraging result in its first year.

The CASA (Camden Alcoholics Support Association) project offers support for people with alcohol problems who want to continue, or enter further education. The project is being run as a partnership between CASA and the City and Islington College, offering studying opportunities to individuals overcoming alcohol related problems.

The enhanced support offered to students had a positive effect on drop-out rates, with 77 of the initial 135 beneficiaries gaining positive outcomes. The project provided counselling, assistance accessing further education and benefits and helped build student's confidence and self-esteem. Many of the participants had suffered bad experiences in the work place or had been in rehab or therapy.

The ESF provided £144,944 to the project which finished in 2004, but has secured further funding to continue the project in 2005 and 2006.

Humphrey Apafo, CASA Project Manager explained that “the project offers a route back into education by helping to build beneficiaries' confidence before starting their study, so that they feel comfortable and able to tackle courses. The candidates were referred from alcohol counselling and through our contact with Islington and City College we have been able to assist beneficiaries in the application process, finding courses, providing funding and ongoing alcohol counselling. I feel the project has been very useful, providing someone for beneficiaries to talk to and giving them extra support if they feel it is needed. CASA continues to offer counselling and support for as long as the beneficiaries require, it is not limited to the length of the study period. The European Social Fund has extended the funding for us to continue the project for another two years.”

The success of this first project is encouraging as research indicates that people with alcohol and psychological problems who participate in Entry to Employment projects find it easier to maintain a stable, productive lifestyle.

Wednesday, May 25, 2005

Dealing with drugs

Bureau County Republican By Jessica Heinen

Editor's note: The name has been changed in this story to protect the privacy of the subject.

With a rise in drug cases in Bureau and surrounding counties, finding an appropriate facility for juvenile addict or alcoholic to recover is crucial.

John Davis (not his real name) is a recovering alcoholic. He and his wife have counseled recovering alcoholics and drug addicts in their home for the past few years.

His personal experiences, as well as the experience of counseling others, means Davis has plenty of information to offer those seeking a drug rehabilitation facility for their child.

"The questions people need to ask these facilities includes their cost; if their insurance will cover it; how many beds they have. People need to know what the facility works on specifically," Davis said.

Davis offered up several facilities in Rockford, Bloomington, Chicago and Peoria as viable facilities for people to take their son or daughter who is battling an addiction problem. All the facilities he spoke of have the option of inpatient care available.

"A lot of times with teenagers, they need to be inpatient to keep them away from other people. If you're taking your kid to intensive outpatient, and they're coming home at night and they're still hanging around the same crowd, it's not doing any good," Davis said.

Specific goals of each treatment center vary, however, the basic concepts and goals are similar. They include helping the young person to see they have an addiction, convincing them there's another way to live their life, teaching them the skills they need to live without abusing substances and helping them connect with services in their own community. Most treat children between the ages of 12 and 18. Some offer academic programs along with their drug treatment.

"Most treatment facilities I know, 28 days is a minimum for really good work. They incorporate AA or NA into the program, a 12-step program," Davis added. "Narcotics anonymous is more prevalent in your larger cities, Bloomington, Chicago, Peoria. I don't think there is anything in the LaSalle-Peru area. But there is an (Alcoholics Anonymous) everywhere."

"AA groups around here pretty much let you in. If you come in and say you're only an addict, they'll lead you toward a Narcotics Anonymous. If alcohol is apart of it, just say, 'I'm an alcoholic and an addict,'" Davis said.

Most facilities offer individual and group counseling, affording participants the privacy of speaking with a counselor plus the opportunity to talk with peers who own the same issues and problems.

Some facilities are designed to treat youth who are encountering behavioral or interpersonal emotional problems.

Davis said some of the programs are rigorous, harsh, while others offer a softer approach to the counseling. Prices can run from $30 to more than $1,000 a day.

"There are limited facilities but they can't say no to these kids. If the facility can't meet the child's needs or if they say they're too full, then that facility should find a hospital or treatment center that can help the family," said Davis about the aggravation of waiting lists that often greet parents when they attempt to bring their child in.

Davis said the facilities parents need to help their child are out there.

It is merely taking the time to find the right one to meet the child's needs.

"Parents should set aside their fear of what friends and family will think of their child in rehab. Rather, parents should think of what their friends and family would think if they did nothing, and their child died," Davis said.

Monday, May 23, 2005

Drowning your sorrows?

Mon 23 May 2005 Scotsman.com

by Jessica Kiddle

DO YOU automatically open a bottle of wine when you get home at night, or find it impossible to stick to orange juice at a party? There is nothing unusual about reaching for a drink in times of stress, sadness or celebration, but it is a habit that for many can turn into an unhealthy reliance.

The latest figures from the Scottish Executive show a 66 per cent increase in the number of people admitted to hospital due to alcohol-related liver disease in the last eight years, and recent research in Germany has highlighted a women's susceptibility to drink-induced brain damage. Yet, although drinkers are being bombarded with health warnings, alcohol has become our social currency and it is easy to become reliant on it.

In a bid to tackle this, Lisa Morgan, a creative-thinking expert with ten years' experience working for United Distillers, has started running her one-day 'The Glass Half Full' workshops.

Morgan's classes use visualisation techniques to help anyone concerned about their relationship with alcohol. Visualisation techniques have long been used in sport with athletes envisaging themselves succeeding before an event, but it is only recently they have been used for alcohol management.

"The wonderful thing about your imagination is that it works in your subconscious, which doesn't really know the difference between reality and dream. If you dream hard enough, you can make it a reality because all your energy flows towards that one goal," says Morgan, from her residential workshop centre in Cumbria.

One of the team behind the "drinking and driving wrecks lives" advertising campaign in the 1980s, Morgan believes you can't tell people what to do - you have to make them live it inside their heads. It was this philosophy that underpinned the highly successful adverts and one which now forms the backbone of her workshops.

"There is no way that drinking is a rational behaviour, but it is wrapped up in our emotions and our culture. My stance is that you have the power to create your own behaviour by using your imagination," she says.

"I am not a puritan," she says. "I am not saying you can't enjoy a drink, but if you are feeling guilty or anxious about the amount you now drink either socially or alone, or if you rely on drink to relax for example, it is time to examine your drinking habits."

Here she outlines her six key visualisation techniques to ensure you are in control of your drinking rather than letting it control you:

1 Become aware of what each drink is for

If you are surprised by how quickly you can finish a bottle of wine or by how easily one pint escalates into five, this technique will be a worthy exercise. Try to become aware of each drink you are consuming. The first one may be for relaxation, but what is the next one for? If you discover that some of your drinks are just a habit, then cut those out. Make each drink (not each drinking occasion) do something positive for you and you'll enjoy those drinks so much more."

2 Choose a role model

"When you drink, who do you remind yourself of?" asks Morgan. "Are they someone you want to be like? Now pick a person you truly admire and aspire to be like. How do they drink?"

Asking yourself these questions will, explains Morgan, highlight the fact that you often outgrow the early role models that encouraged your drinking style.

"So if you started drinking at university with friends that never sobered up enough to graduate, or if it was your uncle Jimmy who instilled his fondness of a wee dram in you, perhaps it is time to identify who you would like to emulate now. "Update your personal heroes to fit the person you wish to become," she says.

3 Challenge your subconscious

Influenced by your emotions, music and visual imagery, your subconscious is highly susceptible to the powers of advertising. To challenge the artificially constructed appeal of alcohol Morgan advises examining your thoughts and feelings towards drinking. "Choose your favourite tipple and write down all the associations you have with it," she says. "How many of those impressions are yours and how many have been sold to you through marketing? A drink is what you imagine it is. You have the power to choose whether to buy the imagery or not."

4 Change your mind

Morgan says that adopting a "can-do" attitude, and having the determination to change is essential if you wish to change your drinking habits. "Whatever you think now about your drinking, you can change your mind," she says. "If you think - 'I'm trapped' - simply change your mind. Consider the fact that if you didn't drink you would have the energy and money to change your situation. If you think 'all my friends drink a lot and I don't want to lose them' - change your mind. What sort of friends are they if they only like you drunk?"

5 Anticipate the hangover

"It has been shown that thin people stay thin because they 'imagine forward' - they imagine the discomfort they would feel if they overate, and so they stop eating before they reach that point," says Morgan. She applies the same theory to drinking. "Next time you plan to have a few drinks, imagine forward and get a sense of how you'll feel if you drink more than a couple of glasses. You can even try this now. Picture and feel a bad hangover: Imagine the thumping head, and queasy gut. Now that glass of 14 per cent oaky Chardonnay doesn't seem so appealing."

6 Make your own fun

If going to the pub is a pastime that consumes too much of your time and money, start thinking about all the other more beneficial things you could do with your time. "Make a list of ways for you to have a great time where drink is not involved. Estimate how much you spend on drink per month and put the money towards doing those activities you just listed. How many months' drinks budget will it take for you to have the time of your life?"

KNOW YOUR LIMIT

The recommended daily alcohol allowance is no more than four units for men and three for women. Consistently drinking this amount or more is not advised. One unit is the equivalent of half a pint or a small glass of wine.

It is now estimated that almost one in three men and nearly one in five women in the UK drink too much alcohol.

If consumed frequently and in large quantities, anyone can become dependent on alcohol, but people can have problems with alcohol without being dependent on it.

According to Alcohol Concern, alcohol problems affect eight million people in the UK, many of whom would not consider themselves as having a problem.

The 24-hour helpline for Alcoholics Anonymous is 0845 769 7555.

Saturday, May 21, 2005

Consequences of youth drinking

By Sarah Arnquist ~ Daily Republic

FAIRFIELD - The first step in Alcoholics Anonymous is admitting an addiction. Brian Holland took that step last summer while curled up in a jail cell after crashing his mom's car during a drunken binge.

Holland was just 18.

He should have graduated in 2004, but instead got caught up in a wild life consumed by alcohol and drugs. Holland doesn't have a driver's license or a high school diploma. He has a daily invitation to AA and a 12-step program to put his life back together.

"Everything in my life that's screwed up is because of drugs," he said. "I would have been in college right now."

Every day, his thoughts swarm around alcohol and drugs, but the consequences of slipping up keep him straight - for now.

"If I get drunk and I get caught, I'm going to jail for months."

Holland's life spun out of control, and though he may be the extreme of teenage drug and alcohol use, he certainly is not alone. Many others teeter on the edge of experimentation and addiction.

Widespread consumption

The legal drinking age in California is 21, but studies show alcohol consumption is widespread among American youth. In Solano County, least 35 percent of high school juniors, 27 percent of ninth graders, and 13 percent of seventh graders reported drinking alcohol in the previous 30 days, according to the 2003-2004 California Healthy Kids Survey.

Some teens started experimenting in grade school. The Healthy Kids Survey showed that by the seventh grade, 21 percent of youth reported trying alcohol and at least 64 percent of 11th graders had.

Solano County Health and Social Services launched a countywide campaign in April to raise awareness of the prevalence and risks of teen drinking. The campaign includes cable television spots and the Web site www.nodrugs.info. Health educators hope to reach young teens before serious problems begin.

Holland took his first drink at 12, but he had already smoked marijuana. He was home alone watching TV and took a few beers from the refrigerator. It started as innocent curiosity, but exploded into an addiction that knew no limits, Holland said.

The first semester of his freshman year was the last Holland spent in mainstream high school. He was expelled for poor attendance. Over the next few years, he moved between alternative schools, and had a brief stint in Hawaii while living with his father. No school program worked because Holland was rarely sober. At that point, he was drinking and using every day.

He supported his habit by manipulating his mother for money and stealing. Getting alcohol and drugs was never a problem, he said.

"It's easy to get everything. You just have to know where to look."

That could be a parent's fridge or a mall. One walk through the mall hooks teens up with whatever they want, Holland said.

It doesn't matter who you are, how old you are or where you live, you just have to know the right person, he said. An older sibling or neighbor, a homeless person or a classmate usually suffice.

'An adult is involved'

Adults play a key role in curbing underage consumption, said Del Royer, Solano County substance abuse administrator.

"Whenever a young person drinks, an adult is involved in some way," Royer said. "It is time we hold adults accountable for underage drinking."

Parents know if their children are using alcohol and drugs, but whether they want to admit and confront it is another question, Holland said. His mom tried helping him, but every strategy failed. He disregarded plenty of other warnings and offers for help. His addiction buried him.

Parents don't understand the extent of teenage drinking, according to national surveys. One 2003 survey by Hart Research Associates showed only 31 percent of parents of 15- and 16-year-olds believed their children had a drink in the past year, compared to the 60 percent of teens in that age group who reported drinking.

Parents can find out if their children are unhappy and using drugs simply by talking to them and trying to understand, Holland said.

"Talk to your kid. That's the biggest thing."

Crawling out of the hole

After six years of using, Holland burned everyone who loved and cared about him. When he finally decided to try and climb out of the deep hole he dug himself into, he found very few hands reaching in to help him out.

In his jail cell, Holland realized he would need to build his own steps out of that hole. His first step was to get sober through an intensive outpatient program. Next, he enrolled in AA and now attends meetings regularly. The next, very difficult step is winning back his family's trust and faith.

Holland found a part-time job and wants to finish high school and enroll in college. He has big goals, but approaches life one day at a time.

"I don't know what I want to do, but I'll probably be a drug counselor or write books about (my experience,)" he said.

He speaks like an old man of a foreign life, long ago, but he has only been sober for a couple months. Now, he realizes how lame all the crazy parties were.

"I never really did anything or went anywhere. All I did was get high."

More importantly, he seems to have found reasons not to use and feels fortunate he is on the right track. He only wasted six years of his life, unlike the guys at AA who drank for decades, he said.

"When you first start doing it, it seems so cool, but then you realize that it's not worth it."

Friday, May 20, 2005

Father's remorse heard at sentencing

By Jerry Bier / The Fresno Bee

Wednesday, May 18, 2005

Jess Ledesma spoke softly, fighting the tears.

"I still can't believe this has happened," he told the judge, his voice barely audible as members of his family and friends wept nearby during his sentencing hearing Tuesday.

He lives each day fighting depression and no longer drinks alcohol, Ledesma said. He is described by others as a man who has gone from carefree to somber. But still, they depend on him for their strength.

Ledesma, 39, said he did not think he was drunk when he drove off Trimmer Springs Road near Piedra almost two years ago, causing the deaths of his 8-year-old son, Ellec, and 7-year-old niece, Jennie.

Family members and his lawyer, Mark Coleman, had asked Fresno County Superior Court Judge Wayne R. Ellison not to send Ledesma to prison for the accident that had killed the two children.

Ellison sentenced Ledesma to five years on probation and suspended a 365-day jail term. He also ordered him not to drink, to attend Alcoholics Anonymous meetings, and to perform 1,000 hours of community service.

Go to churches and high schools and other places, Ellison told Ledesma, and "you tell them this story about the tragedies that can unfold in your life."

It was a family picnic, and Ledesma, who pleaded guilty to two counts of vehicular manslaughter, did not think he'd had that much to drink when he strapped the two children into his sport utility vehicle late on a Sunday evening and headed back to Fresno from Choinumni Park.

Minutes later, he struggled to unbuckle his son and niece from the sinking SUV before a swift Kings River current washed him downstream.

Hours later, the body of his son was found a half-mile downstream. The body of his niece was found still strapped into the back seat of the submerged Ford Bronco.

His blood-alcohol level after the accident registered 0.10. A driver in California is considered legally drunk with a blood-alcohol level of 0.08.

Ledesma's wife, Teresa; his sister, Irene; his mother, Frances; and his employer, Donald Vassar, asked the judge not to send him to prison.

"I don't hold my brother responsible in any way," said a weeping Irene Ledesma. "I know it was a freak accident. … My daughter adored her uncle. I know she wouldn't want him to be taken away."

Jess Ledesma is no longer the "carefree, happy kid we always had," his mother said. "I know it will never be over for him."

Coleman said Ledesma has not had alcohol since the accident, has joined Alcoholics Anonymous, has undergone counseling and is being treated for deep depression.

"In terms of punishment, I have never seen a man so tormented," Coleman said. "Nothing the court can do can punish Mr. Ledesma more than he has punished himself."

Ledesma said he has to keep himself strong for his family and his other two sons. He has to talk about the experience with other people, he said.

"I have to get out there and do something positive and turn it around," he said, wiping tears from his eyes.

Deputy District Attorney Heather Roush called the case "true tragedy" and asked the judge to send a message in his sentence that "you don't get into a car with two small children" when you have been drinking.

Wednesday, May 18, 2005

Alcohol harms women's brains faster than men's

Tue May 17, 2005 7:34 PM BST

NEW YORK (Reuters Health) - Although women are generally less likely than men to become dependent on alcohol, they appear to develop alcoholic brain damage more rapidly than men, German researchers report.

Dr. Alexander Diehl told Reuters Health, "There is evidence for a faster progression of the developmental events leading to dependence among female alcoholics -- the telescoping effect -- and an earlier onset of adverse consequences of alcoholism."

To investigate further, Diehl, at the University of Heidelberg in Mannheim, and colleagues studied 42 alcoholic women and 34 alcoholic men who had been admitted for 6 weeks of in-hospital treatment. A comparison group of 82 male and female "controls" were also recruited.

The researchers performed brain CAT scans on the patients at the beginning and end of treatment and once in controls.

The investigators note in the journal Alcoholism: Clinical and Experimental Research that the female alcoholics became dependent later than the men but had a more rapid development of dependence.

"Women showed equal alcohol consumption in relation to body weight in the last year and developed equal brain volume reductions as men after a significantly shorter period of alcohol dependence than men," Diehl explained.

Although the loss of brain volume partially reversed over the 6 weeks, it did not reach the level seen in controls.

"Because of the telescoping effect," Diehl concluded, "early diagnosis and early prevention are even more important for women with alcohol problems than for men."

SOURCE: Alcoholism: Clinical and Experimental Research, May 2005

University House Offers Sober Alternative

WCCO ~ May 17, 2005

A new residence near the University of Minnesota is designed to help students stay sober.

University House is a first of its kind residence for college students near the U of M campus.

“It's important that kids have a safe place where they can go to school and stay sober,” said Richard Mark, co-owner of University House.

The house is drug and alcohol free, a rarity on a college campus. Mark is an active member of Alcoholics Anonymous who knows the temptations of college life.

“I know the perils of being a college student trying to do college work and stay sober,” he said.

So Mark and his AA partners opened the house for college men. Colin Gasko is one of the residents.

“I was into alcohol and drugs for many years,” Gasko said. He has now been sober for two years and wanted to live in a place with others who will help him stay that way.

“I hope we'll create an environment where we can strive to be more responsible and learn and change,” Gasko said.

Those living near the house are trying to adjust.

“They're responsible neighbors and the owners are very involved,” said neighbor Jill Griffiths. “I guess I would welcome them.”

Some residents worry what a house full of young men will do to a family-orientated neighborhood.

Residents of University House hope to win over their neighbors by staying sober.

Tuesday, May 17, 2005

Kick that habit!

The Times of India ~ Monday, May 16, 2005
Manju Ramanan

"I am Raghuram Anand and I am an alcoholic," says Dr Anand, 60, from Surat, addressing a group of people at a hospital in Vadodara. No eyebrows are raised nor are there any shocked murmurs. What follows is a candid confession by Dr Anand on his addiction and the losses he suffered due to it -- be it his wife, family, medical practice, status or wealth.

Then comes the good news: All this changed after he joined the AA or Alcoholics Anonymous -- the fellowship that supports alcoholics to kick the habit.

Saiprasad Shetty, a 30-year-old engineer's case is similar. He took to the vice five years ago and saw his career and health go downslide. "I saw two of my uncles, die of sclerosis of the liver. Yet the same night I didn't hesitate to pour myself a drink," he admits.

Such cases are quite common at AA which has been helping thousands of people addicted to the bottle. Now things have become easier with a helpline number (9426513418). "People just need to call us and we will be able to guide them better," says Andrew Gonsalves, Chairman AA, speaking to AT from Mumbai.

"Only by working with fellow alcoholics can you stay away from it. In the process you find a support system where you can share your experiences," he says.

Now, there's good news for the families of alcoholics as well. Al-anon, the fellowship for families of alcoholics has finally opened a chapter in Vadodara. It's a forum where wives, mothers, sisters and brothers of alcoholics meet and learn to handle tough situations. As Angela Gonsalves, chairman of Al-Anon states, "One needs to accept and forgive alcoholics since they are afflicted by a disease. You have to be patient."

She agrees that the support group helps people maintain a positive outlook towards life and develop confidence. Maybe that's why the Al-Anon meetings begin with an introduction similar to the AA members.

Monday, May 16, 2005

'Alcohol worse for female brains'

BBC News: 2005/05/15

Women are far more vulnerable to alcohol-induced brain damage than men, scans have shown.

CT pictures of the brains of more than 150 volunteers revealed how women come to more harm and quicker than men when they drink heavily.

Scientists have suspected for some time that men might be more resilient to booze than women. The German research gives visible evidence of this.

The University of Heidelberg team published their findings in Alcoholism.

Women may be more vulnerable to chronic alcohol consumption
Study author Professor Karl Mann

In the study, around half of the volunteers were alcoholics. All of the volunteers had brain scans at the start and end of the six week study.

Those who were alcoholic were helped to "dry out" during the six weeks.

When the researchers analysed the brain scan results they found obvious evidence of brain damage among the heavy drinkers.

The drinkers had smaller brains, due to loss or atrophy, than the controls.

Brain loss

Women who were heavy drinkers lost the same amount of brain volume as the drinking men, but over a much shorter period of alcohol dependence.

Lead author Professor Karl Mann said although men generally drink more alcohol, women are probably develop alcohol dependence and adverse consequences more readily.

Other alcohol-related disorders, such as heart problems, depression and liver disease, also occurred earlier in women than men, he said.

"Women typically start drinking later in life, consume less...and one could reason that women are less affected by alcohol.

"But there is evidence for a faster progress of the events leading to dependence among female alcoholics and an earlier onset of adverse consequences of alcoholism.

"This suggests that women may be more vulnerable to chronic alcohol consumption."

For these reasons, he said it was even more important to spot and treat alcohol abuse early in women.

A spokesman from the Institute of Alcohol Studies said: "This study supports previous findings that women experience many alcohol-related harms before men at the same level of drinking.

"These results are particularly concerning given the rising alcohol consumption in UK women, and the increased risk of alcohol dependence that goes with it.

"This worryingly suggests that alcohol-related damage experienced by women in the UK is set to increase rapidly in the coming years."

Friday, May 13, 2005

A lot of bottle

By Denise Winterman
BBC News Magazine 2005/05/12


It's 70 years since two "hopeless drunks" set up a group dedicated to helping others beat the bottle. Alcoholics Anonymous has become a global institution, although its message is not to everyone's taste.

Even Alcoholics Anonymous describes its two founders as "hopeless" drunks.

New York stockbroker Bill Wilson and Ohio surgeon Bob Smith were both battling the bottle when they met through a church group in 1935.

After fighting his own addiction, Wilson helped Smith kick his, and together they devised the now famous 12-step programme that is the foundation of AA's approach. With a strong spiritual message, it asks people to acknowledge their powerlessness over alcohol, turn to a higher power - whatever they believe that to be - and take specific steps to change.

AA is not without it critics, some of whom have likened it to a cult, but few argue that it hasn't helped millions of alcoholics worldwide. So is it the answer to the battle with the bottle?

THE REGULAR

"I've been an alcoholic for 18 years, for 10 of those I've been going to AA and have been sober. It has saved my marriage and my life," says Bill, 48.

"Where I come from there is a strong drinking culture and going to the pub every day is not considered unusual. But when you start spending all your money on drink and put it before your family, you know you have a problem."

He finally decided to stop drinking when his wife walked out and took their children. Knowing he wanted to change but not knowing how to live his life without drink, he went to AA. "It taught me how to tackle each day without drink.

"Just as people's moods change daily, so does my attitude to alcohol. I can go for months without wanting a drink and then have a bad day. If I don't do the 12-steps programme, I'm unlikely to stay sober. AA is a lifelong commitment for me."

He says the network of AA meetings and sponsor system - whereby individuals help each other - means he can always get support, even on holiday in Spain last year. "I couldn't have given up the booze without that support. Alcoholics come in all shapes and sizes but we are fighting the same disease and only another alcoholic knows how hard that is," he says.

THE NEWCOMER

"I don't drink every day but gradually I've realised that I have an unhealthy relationship with alcohol," says Jason, 27. "For years I knew I wasn't really happy but now I realise that was due to alcohol. I tried to give up but couldn't, which is why I came to AA a few months ago."

He says he thought it would be full of broken-down old drunks, not young professionals like himself, but was wrong. "At my first meeting I realised there were a lot of people like me and I could identify with what they were saying. It became a lot easier for me to see there was another way of living that didn't involve pubs, clubs and drinking."

Jason tried counselling several times over the years but it didn't help. "I found it very isolating and vague," he says. "I need more direction and interaction and AA gives you both. It has given me a lot of insight and self awareness. Through the 12-step programme I have gone back and looked at my life and relationships."

It has made him more honest with himself and family and friends, he says.

"I am not your stereotypical alcoholic but at AA it doesn't matter how much you drink, what you drink or where - just as long as you want to give up."

THE PROFESSIONAL

The reason AA works is it provides a worldwide fellowship and sound co-counselling in the sponsor system, says Phillip Hodson of the British Association of Counselling and Psychotherapy (BACP).

"This is an unalloyed good thing and I praise them for it. You can go to any city anywhere and walk into a meeting regardless of race, class or creed," he says.

But this makes it more of a spiritual or semi-religious movement, less a therapeutic response.

"In the 12-step programme of AA, there is always an emphasis on a 'higher power' and the sufferer's 'personal incapability'. This is really in conflict with the underlying values of psychotherapy where the client is assumed to have sufficient resources of internal self-recovery without inventing an external metaphysical universe."

Hodson also believes the lack of help elsewhere has contributed to its success.

"There is little competition - who else can you turn to?" he says.

THE CRITICS

The trouble with AA, say critics, is that it merely substitutes one addiction for another and one becomes dependent on the group instead of alcohol.

Psychologist and lawyer Stanton Peele - author of Resisting 12-Step Coercion - takes issue with the message that addiction is an incurable disease and that while alcoholics can become sober, they remain alcoholics and should stay in AA.

What about an 18-year-old drinking too much on weekends, he asks. Would the best approach be to convince him he has a lifelong disease?

Mr Hodson says the 12 steps are not the only way of dealing with addictive behaviour.

"It does rather assume that alcoholism is a disease," he says, "instead of a set of accountable familial tendencies resulting in poor behavioural choices."

Getting Better: Inside Alcoholics Anonymous.

Robert Doar

What Alcoholics Anonymous can teach the rest of us. On The Wagon

Henrietta Seiberling, a divorced mother of two in Akron, Ohio, was at home with her children when the stranger called. The caller had gotten Henrietta's name from an Episcopal minister who said Henrietta might be able to help him with his problem. His problem? "I'm a rum hound from New York," said the stranger.

It was May 1935, and the stranger was Bill Wilson, a failed stockbroker from Brooklyn who had come to Akron on one more ill-fated business trip. A bigtalking and manipulative drunk, Wilson had spent years of his life drinking all day and every night. His hands shook so badly in the morning that he needed a glass of gin and a beer to eat breakfast. Never able to hold a job, Wilson lived off his wife, who worked in a department store.

For the two months preceding his trip to Akron, however, Wilson had remained sober. Now, alone in a small, unfamiliar city, he was dying for a drink--and looking for someone to talk him out of it.

Like Wilson, Seiberling was a member of the Oxford group, a nondenominational religious organization that gave particular attention to drunks. At Oxford group meetings she had met and come to know a tall, taciturn, drunk named Dr. Bob Smith. (Smith was a physician who specialized in rectal surgery, and the joke around Akron was that when you went to Smith you really bet your ass.) For more than a year Seiberling had been trying to convince Smith to stay sober. Now with the call from the out-of-towner, she saw her chance. "This was like manna from heaven," she thought at the time.

And perhaps it was. The following day, Seiberling had Wilson and Smith to dinner at her home. When she put the two men alone in the upstairs library for some after-dinner conversation, Alcoholics Anonymous was born.

Seiberling's simple act of neighborliness kicked off something big. That first night in 1935 Bill Wilson and Bob Smith formed a fellowship of two that has since grown to almost two million. (Millions more have benefited from A.A. but are not counted by A.A. because they no longer attend its meetings regularly.) Through their efforts (Smith concentrated his in Akron, Wilson went national) and through the publication of Wilson's book, Alcoholics Anonymous, A.A. has become a worldwide organization, with 76 thousand groups in 119 countries. More than 90 thousand A.A. meetings are held every week in the United States.

Saving lives is what A.A. does. The National Council on Alcoholism estimates that more than 97 thousand people suffer alcohol-related deaths every year. Without A.A. that number would be much higher. What's more, alcoholism is emotionally contagious. It scars more than just one person. It damages families, friendships, the work place. It poisons relations between people. Every time a person takes his first steps toward recovery through A.A., he is also making himself a better parent, sibling, and friend.

The history, teachings, and structure of Alcoholics Anonymous is the subject of Nan Robertson's new book.(*) A longtime reporter for The New York Times, whose story about her battle with toxic shock syndrome won her a Pulitzer Prize in 1985, Robertson is a member of A.A. Though the last chapter tells the tale of Robertson's own sickness (when she was the Times's correspondent in Paris her lunchtime intake was two double scotches and a carafe of wine), Getting Better is much more than a personal narrative. And it is more than a straight recounting of the history of A.A.

Instead, Getting Better is a thoughtfully written brief for why A.A. is a force for good in the world. Here is an organization that, without depending on donations from the government, and without a lot of self-promotion (and the self-congratulation that comes with it), has helped millions of Americans in the most significant way possible. Robertson's depiction of recovering alcoholics is refreshingly hopeful, but the best thing about Robertson's book is what it teaches nonalcoholics. The lessons of A.A.--community, spirituality, humility, and service--deserve a larger audience than just perpetual elbow benders.

A plastic rocking horse

A.A.'s Twelve Steps outline the separate acts that can lead to sobriety. These include admitting powerlessness over alcohol, taking a personal inventory, and seeking forgiveness from friends and family. The Twelve Traditions set forth a flexible guide for A.A. group activity.

Everyone can understand the ideas behind A.A.; it is much harder to follow the prescription. It begins with community. "Our common welfare should come first; personal recovery depends upon A.A. unity," reads the first of Wilson's Twelve Traditions. This emphasis was born in that first meeting between Smith and Wilson. Smith said later, "Wilson was the first living human with whom I had ever talked who knew what he was talking about in regard to alcoholism from actual experience." Wilson and Smith had found an answer that had eluded physicians and social workers: dialogue yes, but with everyone on equal terms. "Many alcoholics have sought help elsewhere," writes Robertson, "but those `helpers' have almost invariably been superior people--doctors, bosses, members of the clergy....It is quite wonderful for the newcomer to find himself in a place where everyone has once sunk as low as he has."

The central expression of this community is the A.A. meeting. No doctor, no foundation, no government social program has as its principal place of business a setting as modest as an A.A. meeting. Meetings are most frequently held in church basements, which by day are often filled with preschoolers. In the typical meeting that Robertson depicts there is a plastic rocking horse in the corner. On the wall are posters with some of A.A.'s favorite sayings. One day at a time. Keep it simple. I am responsible. Coffee is brewing alongside trays of cookies. When the meetings begins there are anywhere from 20 to 40 people spread around the room. Robertson quotes a 35-year-old man describing in his first meeting: "I felt that I had arrived at a place where I was very much at home, and that these people knew what they were talking about."

"Nobody pushes reluctant members to tell their story in a meeting or even to utter a word unless and until they feel ready," Robertson writes. "The habit of masking one's deepest self, of lying about everything and to everyone in order to continue the habit is deeply ingrained in drunks. Therefore the value of talking honestly to others who will understand is a crucial strength of A.A. Retelling a personal story while discovering new truths about oneself continues to lighten the burden of years of guilt and denial."

A second key aspect of A.A. is spirituality, the belief that there is a greater power than man. Though the power is often referred to as God, there is an antireligious aspect to A.A. Both Wilson and Smith were uncomfortable, even hostile, toward organized religion. In the Twelve Steps, the first reference to God is followed by the words, "as we understand him." "It's not a religious program, it's a spiritual program," A.A. members are fond of saying. Robertson is particularly self-conscious about this issue. "Some people think we're a bunch of religious nuts," she tells Wilson's widow when she explains why she wants to write the book.

But there is no getting around it. Outside of the big cities the references to God come frequently. And though this is changing, many Jews still feel uneasy at A.A. meetings. But the amount of discomfort depends greatly on the group. A.A. members are encouraged to shop around for the meeting that suits them. A pamphlet issued by the Hazelden rehabilitation center for alcoholics in Minnesota describes the etiquette for A.A. meetings: "No one makes an effort to keep [a speaker] from referring to God at meetings, and no one makes an effort to force anyone to talk about God." For Wilson, and for many in A.A., "the God part," as Robertson calls it, is a product less of faith than of survival. "Our human resources....were not sufficient; they failed utterly," Wilson wrote. "We had to find a power by which we could live, and it had to be A Power Greater Than Ourselves." But that power could be anything. One member described it at a meeting: "The only place I ever found God was here--in your faces, and the way you talked."

After community and spirituality, the third essential ingredient of A.A. is humility. Alcoholics are often ambitious and compulsive achievers, constantly projecting into the future. In a nonalcoholic these qualities are double-edged--virtues as well as defects. But to the alcoholic they are often a cause for drinking. In A.A. alcoholics are constantly urged to let go, keep it simple, stop trying to control. "God grant me the serenity to accept the things I cannot change," is the first line of the prayer recited at many A.A. meetings. The key word is "accept" and it is related to more than just an alcoholic's powerlessness against alcohol. The alcoholic has to accept that he cannot always control his world. Consistent with this approach, A.A. sets no lofty goals. Robertson writes, "A.A. reduces the problem to manageable size. Members are asked only to stay away from the first drink, for today only."

After awhile A.A. members learn to apply this attitude toward other aspects of their lives. A doctor describes how other alcoholic doctors respond to the program:

"All the new doctors...seem to be under tremendous compulsion to recite their curriculum vitae: their medical schools, their hospital affiliation. They try to make it clear to everyone else that they have great medical knowledge. They make references to some medical issue. In some way, without anybody saying anything, this kind of behavior gradually tapers off. The newcomers begin to realize that instead of `I am what I do,' the group's silent message is, `You are how sober you are today--and the rest of it doesn't matter.'"

The emphasis on humility is reflected in the organizational structure of A.A. All A.A. groups are self-supporting and autonomous. Though A.A.'s national headquarters in New York publishes A.A.'s literature and organizes the national conventions, the individual groups are granted complete control over their own affairs. "Represent us, don't boss us," was Wilson's instruction to the national office. The handful of alcoholics who work at the headquarters (there are no titles) are rotated every two years so as to guard against anyone building up a fietdom. No one is permitted to donate more than $1,000, and publicity is strongly frowned upon. In 1959 Wilson refused a Time cover story because it violated his conviction that humility was the key to sobriety.

Heiresses and plumbers

One of the most often misunderstood practices of A.A. and one that is closely tied to the concept of humility, is the anonymity. In part, it aims to protect members' reputations in the nonalcoholic world. But even more important, it keeps them from becoming too proud of their achievement--and mindful that a relapse is only a drink away. Describing the reason for anonymity, Wilson said, "Its deeper purpose is to keep those fool egos of ours from running hog-wild after money and fame."

This raise one of the few problems with the book. In order to write it Robertson had to sacrifice her anonymity. And there can be no question that Robertson is proud--damn proud--of her recovery. How she reconciles that with the A.A. emphasis on humility is hard to see. I don't think she does. Instead she ignores the contradiction in the belief that it doesn't matter as much as getting out the story of A.A. She may be right.

A.A. also discourages judging others. "In the subculture that is A.A.," writes Robertson, "most of the world's yardsticks for success do not count." Members try to refrain from commenting on another's age, appearance, or profession. And A.A. is a remarkably diverse organization, with heiresses sitting alongside plumbers. Though there are few blacks, there are many homosexuals.

But when it comes to drug addicts, many A.A. members are less than true to their beliefs. Drug addicts have found the A.A. program useful but not always welcoming. Though in many cities it is not unusual for a member to begin his comments, "My name is --- and I am a drug addict and an alcoholic," some groups have started over-30-only meetings. The message is clear--No Drug Addicts Please. This is an unfortunate response because A.A. is remarkably successful in arresting drug addiction. It is also ironic because Wilson would not have approved. "I never heard him bitch about anyone," said a man who joined A.A. in the 1940s and was one of its first homosexuals. "It wouldn't have mattered if I was a cannibal."

Another illustration of A.A.'s tolerance is the A.A. attitude toward drinking by nonalcoholics. Unlike antismoking fanatics, A.A.s do not preach; they don't even disapprove. "We are careful never to show intolerance or hatred of drinking as an institution. Experience shows that such an attitude is not helpful to anyone," wrote Wilson.

Robertson does not always live up to A.A.'s ideals. She occasionally exhibits a surprising inability to forgive some of her fellow members. After describing a meeting where Greg made the mistake of criticizing Susan for expressing too much resentment, Robertson approvingly describes the tit-for-tat response of a group of members who ask Susan out for coffee, pointedly leaving Greg behind.

The final lesson of A.A. that deserves greater circulation is the concept of service. Though A.A. does not recruit new members (because the first step to sobriety is recognizing the problem, and that can only come from within), it does teach its members that their recovery is not complete until they have engaged in what is called Twelfth Stepping--making a personal effort to help another alcoholic maintain his sobriety. "Nothing will so much insure immunity from drinking as intensive work with other alcoholics," Wilson wrote.

New members are encouraged to find "sponsors," who will act as special friends during their first difficult months in A.A. Just being available to talk is the sponsors' main job. But they also will make visits and speak to the alcoholics' family. This can thrust them into the most volatile family situations. And ironically their first suggestion to a family dealing with a drinking alcoholic is "let him drink." Only when he hits bottom will he be able to see his way out.

Teaching teetotalers

A.A.'s lessons of community, spiritually, humility, and service may seem like hopelessly woolly notions, but America suffers from an absence of all four. In the Brooklyn neighborhood where Wilson lived (and where I grew up) the A.A. meetings have become the most visible and vital gatherings of the week. Even the neighborhood kids know when and where they are taking place. Surely such comings-together shouldn't be limited only to those who can't have one martini without having five.

The same goes for spiritually. Though many liberals squirm at the idea, recognizing a greater power helps to ground one in moral and ethical principles. It provides confidence that there is a moral order, and without that confidence people have a tendency to lack all conviction.

Of course it wouldn't be prudent to wield a heavy hand with A.A.'s type of spirituality. You wouldn't want the leader of a local jobs training program leading his crew in prayer. (Besides, the ACLU wouldn't let him.) But A.A. shows that religion, even when it's not organized under the hub of Catholicism or Judaism or whatever, can still motivate people to do good deeds. For the millions of Americans who are in that twilight zone between not belonging to any congregation and not entirely rejecting the notion of a higher being, A.A. proves there can be a middle ground--religion without church.

Humility and service are closely related. With the first, the second is more effective. The romance of the reformer, the activist's dynamic rhetoric are so often a mask for self-absorbed ambition. Rather than helping, they are obstacles to change. How much better would be the attitude that says "Let's stop pointing fingers. Who cares who gets the credit? These are tough problems. Let's get to work." That is the A.A. way. In the long run it is a step by step, realistic, view of social change that results in the greatest benefit, not the idealist's promise (or demand) for change now.

What Bill Wilson and Bob Smith started in Henrietta Seiberling's library has bequeathed to the country a population of people who are more than merely alive because of A.A.--they are better citizens. For the rest of us who never hid a bottle in the kitchen cupboard, woke up with the shakes, or brawled in a barroom, A.A. has much to offer.

Wednesday, May 11, 2005

When it comes to alcohol, 20 may still be too young

The New Zealand Herald ~ Tapu Misa ~ 11.05.05

I know one shouldn't confess to these things unless one is at an Alcoholics Anonymous meeting, but, well, I've had more than a passing acquaintance with the demon drink.

Ever since workmates introduced me to the cheering effects of alcohol, at what I've come to regard in my advanced state as the tender age of 20, I've been smitten. After growing up in a teetotal household, and attending my fair share of Pacific Island functions where the drink of choice was Raro cordial, I finally got a taste of what I'd been missing.

Actually, the taste itself was pretty awful - though with persistence I learned to like the stuff - but the effect was something else.

Indeed, a glass or two of sav blanc and I'm inclined to see the world and anyone in my sights in a more glowing light. I become more garrulous, and imagine myself to be a wittier and altogether more interesting person. My inhibitions disappear in a haze of alcohol-induced confidence.

And that's where the trouble usually starts. Inhibitions, I've come to realise, have their uses. They keep us from getting into strife; from saying and doing things that we invariably end up regretting. And that's just the grown-ups among us.

For all the hand-wringing over mind-altering drugs, alcohol seems to have crept in under the radar screen. Not only is it legal and socially acceptable but, according to the advertising, absolutely essential to our happiness.

Indeed, only the most socially retarded among us would attempt to hold an event without laying on the alcohol. And these days it's never been easier to get our hands on it.

I like that I can throw a few bottles of wine into my shopping trolley every week, even as I resolve to cut down my consumption for the sake of my liver and my figure (alcohol being rather fattening). Much as I like to spout the research that shows regular consumption can be beneficial, I know that less would be safer.

Which is why I have a lot of sympathy for Progressive MP Matt Robson's push to raise the drinking age to 20. If we fully mature adults can't handle our drink, what chance the still-developing teenager?

Teenagers under the influence, we're told, are more likely to indulge in risky, life-threatening and changing behaviour. But take a look at the adult population, and it's easy to see whose behaviour they're modelling. Unsafe and unwise sex, violence, drink-driving - these aren't just teen problems. Given today's trends, you'd have to wonder if 20 is still way too young.

Then there's the continuing parade of public figures whose careers and marriages have gone into freefall after several drinks too many - if not by being caught driving while under the influence, then certainly by failing to shut up while under the influence.

That's the thing about being under the influence - not only is your vision and judgment impaired but you're the last one to know how bad you look. How else to explain the sorry saga of former Police Commissioner Peter Doone?

Doone, as we all now know because he's suing for defamation of his character, was on his way home on election night 1999 with his future wife, Robyn Johnstone, after spending several hours at an event where there had been much dancing and some drinking.

They had just picked up takeaways from a favourite restaurant in Courtenay Place in Wellington when their car was pulled over by a patrol car, siren and lights flashing. It was about 9.15 and Johnstone was in the driver's seat. She'd had two or three glasses of wine, which might explain why she failed to turn on the car's headlights.

Now, I happen to know that the reaction of most people to the sight of a police car pulling them over is "bugger", or words to that effect, especially if they've had a drink or two, and are exuding the faint but unmistakable aroma of alcohol. Most people know that at that time of the night, in those circumstances, a breath test is inevitable.

But for some reason this thought did not seem to cross the minds of either Doone or Johnstone, who worked for the Land Transport Safety Authority. Indeed, when Mr Doone decided to get out of the car and approach the constable, thereby effectively stopping him from approaching the driver's side of the car, the possibility of his partner being breath-tested seemed to have been the furthest thought from his mind. His only intention, he has said, was to have a chat.

Apparently he didn't realise that the constable had every intention of breath-testing Johnstone, which is fairly routine in these cases. You'd think the country's top cop would have known that, and that he'd have insisted the constable do his job, just to make sure there were no lingering doubts as to his partner's fitness to drive.

But apparently that never featured in the little chat, which ended with Doone saying "We'll be on our way", or words to that effect, the rookie constable being too intimidated to argue with his boss and insist that the future Mrs Doone take the sniffer test.

Unsurprisingly, the report on the night concluded his actions had been inappropriate and unwise. He seems to think now that he ought not to have resigned, that it was the words incorrectly ascribed to him by a Sunday newspaper, and not his actions, that cast him in a bad light.

But this only confirms his unsuitability for the job. At best, he showed poor judgment. At worst, he abused his position.

I can't see how he could have kept his job, but it was a costly few drinks.

Saturday, May 07, 2005

Storm in a tea cup for asthma aerosols

Scoop - New Zealand News~ Friday, 6 May 2005, 8:56 am

A report in the New Zealand Medical Journal today about the temporary effects of asthma inhalers on alcohol breath testing, is a well known phenomenon and concerns raised by the Asthma New Zealand are a storm in a tea cup, according to Professor Julian Crane, Wellington School of Medicine and Health Sciences.

Professor Crane said: `It is pretty much a storm in a tea cup. The solution is very simple, breath testing needs to be repeated after 6 minutes. UK analysis by Lion Laboratories1, manufacturers of evidential breath machines showed that if a subject with no alcohol in his body used a similar inhaler to Salamol™ , sealed his mouth closed and immediately blew into an intoximeter it would produce a breath reading of 32 microgram per 100ml (three points below the UK upper limit for driving). One minute later, not having used the inhaler again, the reading was 1 microgram. Six minutes after using the inhaler there was no trace of alcohol in a breath test.’

‘Provided a period of at least six minutes elapses between the use of an inhaler and a breath test there is no effect on the alcohol reading. I know of no case in the world where a sober person has been convicted due to a breath alcohol reading caused by an asthma inhaler.’

Lion Laboratories also calculated that to raise the breath or blood, alcohol level from zero to the UK legal limit for driving, a 70kg man would need to take over 5500 actuations of the inhaler product in less than 30 minutes. This equates to around 27 containers.

Professor Crane added: ‘Asthma New Zealand has suggested that the miniscule amount of alcohol would be a problem for recovering alcoholics and the Muslim community.. This has been roundly refuted by representatives of those communities. Asthma New Zealand is clearly unaware that each and every one of us, child or adult makes ethanol, methanol and a whole variety of volatile organic compounds every day and it can be detected on our breath. It is a simple fact of life’.

More women go to Alcoholics Anonymous

Expatica ~ 6 May 2005

BRUSSELS – More and more women are signing up for Alcoholics Anonymous meetings in Belgium, it was revealed on Friday.

The increase is accredited to two popular TV series, ‘Familie’ and ‘Thuis’, running on Flemish stations. Both regularly depict female characters struggling with alcohol abuse and going to the support group AA.

Two years ago, the average ratio of women to men signed up at AA in Belgium was one to seven. Today it is one to one.

In eastern Flanders, however, which has the highest concentration of AA groups in the country, the male-female ratio is three to one.

In 2001, 9.5 percent of men and 3.6 percent of women were estimated to have an alcohol problem in Belgium.

I was taught to take my life one day at a time.

Gulf Daily News ~ Published: 7th May 2005

Alcoholics Anonymous has been helping people in Bahrain for 30 years. Recovering alcoholics tell in their own words how it has given them new lives.

"I had had enough. I was sick and tired of being sick and tired."

The man is in his late 40s. He is fit and neatly dressed. His name is Zaki and he is an alcoholic.

"I could not stop drinking and it had reached the point when I needed a drink first thing in the morning, just to stop the shakes," he said.

"I lost my job, my health, my family and my self-respect. I was suicidal when I came to my first meeting of Alcoholics Anonymous over four years ago.

"After three weeks of meetings every day I stopped drinking and I haven't had a drink since.

"It's been a slow but steady progress for me. But now I'm back in work, I am head of my household again and I feel well and happy. All thanks to AA."

Zaki looks fit and prosperous. It is hard to see him now as a shaking, miserable and dirty drunk, begging money from his friends and sleeping wherever he could find a bed for the night.

Zaki is "sharing his experience, strength and hope" with fellow recovering alcoholics in a room on the first floor of the American Mission Hospital in Manama.

It is smoky. The air-conditioner clatters. About 24 people listen intently.

This is the daily evening gathering of Alcoholics Anonymous, which marks 30 years of meetings in Bahrain next month.

The majority of the people in this particular meeting are expatriates and the meeting is in English.

But there are seven Bahraini men with a sobriety time ranging from three months to 20 years.

There are also two European women.

The age range is mid-20s to late 60s.

Worldwide, AA has over two million members who are sober today in over 140 countries and the "fellowship" is celebrating its own 70th birthday this year.

AA was started by two American alcoholics in 1935 and is by far the largest and fastest-growing self-help movement in the world.

Its success is based on a set of basic precepts that are read out at the start of every meeting:

"Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other, that they may solve their common problem and help others to recover from alcoholism.

"The only requirement for membership is a desire to stop drinking. There are no dues or fees for AA membership. We are self-supporting through our own contributions.

"AA is not allied with any sect, denomination, politics, organisation or institution; does not wish to engage in any controversy, neither endorses nor opposes any causes.

"Our primary purpose is to stay sober and help other alcoholics to achieve sobriety."

One crucial element of AA's success in helping alcoholics to stop drinking and to stay stopped, is its insistence on complete abstinence from the outset - one day at a time.

"First we stop drinking, then we address the underlying problems that will pull any alcoholic back to the bottle," said Michael, a British AA member in his mid-60s.

"Other recovery programmes will help by counselling, trying to wean the drinker away from his or her dependence on alcohol, or will prescribe drugs as a substitute for the booze.

"These can help many with a drinking problem and I tried them all.

"But AA was the only programme which told me to stop drinking first, then to sort out my problems.

"I had tried psychiatrists, counsellors, and doctors. They helped me to stop, but they couldn't be with me throughout the day.

"I was prescribed Valium and told not to drink. All I got was another addiction - for 13 years to Valium itself.

"I even tried health farms, not drinking spirits, drinking only white wine and soda, only drinking at the weekends.

"And, at one time in desperation, I got a job in Saudi Arabia where I thought I couldn't possibly get a drink.

"But nothing worked because I would always drink again after a few days, weeks or once for five months.

"And when I did, it got worse. I was in and out of hospital and then I was given only three months to live by the liver specialist.

"For me, AA was the end of the road. I didn't want to end up with a bunch of no-hopers or religious nuts, which is what I thought made up AA meetings.

"How wrong I was! I was taught to take my life one day at a time. That I could stay sober for 24 hours, then another 24 hours.

"Now I have over 7,000 '24 hours' without a drink behind me. AA has not only saved my life, but has given me a new way to live."

The other unique element of AA is that all members are themselves recovering alcoholics.

"You can't kid a kidder," Michael explained.

"Each newcomer to AA is surrounded by people who have been where he or she is.

"Each of us came to AA refusing to accept that drinking was our main problem. "We blamed everything else, our marriage, job, society, childhood or just plain insisted that we could control our drinking."

AA members help the newcomer in many different ways.

In practical terms they will exchange phone numbers and call regularly to check how he or she is.

One long-time member will become the newcomer's 'sponsor', staying in daily contact and becoming a trusted confidante.

The sponsor will help by explaining AA's programme of ongoing recovery, which is essential if the individual is not only to stop drinking, but maintain emotional and mental balance to stay sober.

"Resentments, blaming others and self-pity will drag any alcoholic back to drinking," Michael frowns, as he tries to clarify his own journey in recovery.

"In my case, fear was the reason I drank. I didn't think I was 'enough' and I was angry at the world, scared of the future and very sorry for myself.

"But when I had a couple of drinks I felt smart, attractive and in control. Booze was the medicine that instantly cured what ailed me.

"But like any medicine, I needed more and more to make it work. Slowly but surely I couldn't face life without a drink and then the physical and mental effects of daily alcohol abuse began to take its toll.

"As we say: 'First I took a drink and then the drink took me'.

"AA helped me to understand that I have an addiction to alcohol, that when I take one drink, I can't stop.

"It's the first drink that gets me drunk.

"I used to think that it was the fourth or fifth drink that got me high."

Over Michael's almost 20 years of continuous sobriety he has come through the death of his first wife, the severe and chronic illness of his second wife, the mental breakdown of his eldest son, unemployment and near homelessness.

"Without the support of AA and the spiritual core of AA's programme of recovery, I would certainly have hit the bottle again and then I would have died, or worse, become seriously insane and hospitalised for life," he said.

Michael is now living happily in Bahrain and holds down a responsible job.

Wednesday, May 04, 2005

Drive Rap For Drunk

Mirror UK 4 May 2005

A DRIVER was more than four times the drink limit when he crashed on the way to an Alcoholics Anonymous meeting, a court heard yesterday.

Mark Wilkins gave a breath-test reading of 149 - the legal limit is 35 - after driving his Ford Fiesta into a bollard. Wilkins, 42, from Featherstone, West Yorks, admitted drink-driving. He was banned from driving for five years and given a two-year community rehabilitation order. His solicitor, Katie Edmondson, told Wakefield magistrates: "He has now come to terms with the fact he has a problem."

Hungover at work

Standard Online Wednesday May 4, 2005

Few people are dumb enough to turn up to work drunk. However, as Angela Kibui and Anthony Ngare find out, many employees have muddled through their workdays while recovering from the night before.

So you decided to show up at that cocktail party, where you put away all the free spirits on offer. Or you went out on a date intending to have a glass of wine at dinner. Then the wine decided to have a beer and the next thing you know, you’re all over the town hitting the clubs and throwing down a succession of sambuca shots like there is no tomorrow.

But there is a tomorrow, and it’s a working day. At 7am the next day, you’re lying in bed and there’s a little man in your head pounding away with a hammer. You feel like you haven’t slept in weeks. Gingerly, you get up from your bed and weave your way to the bathroom, carefully avoiding furniture that seems determined to trip you over. Once there, you proceed to repeatedly empty your stomach of anything that it may contain. If you are still drunk, you will probably have the sense to call in sick. However, if all you have is a low-grade hangover you will pop a couple of aspirins, drag yourself off to work and struggle through the day.

This is a familiar scenario for many Kenyans, infamous for their drinking habits. Take Chris, who refers to his drinking binges as "curing the cancer". A seasoned bar-hopper, he and his friends tend to drink well into the wee hours of the morning and go to work feeling awful. This never stops him and his buddies from taking up from where they left off.

For Ernest, who works in the Industrial Area, going to the office while hungover is "a frequent thing". "All you need is not to be dumb enough to get caught," he says. He recalls a day about two months ago when he arrived at work very early on a Thursday morning to conceal the fact that he had a hangover. He kept to himself so that the other colleagues wouldn’t know his condition. By eleven o’clock, he could bear it no more and asked to take the rest of the day off saying he thought he had malaria.

"Reporting to work while suffering the effects of intoxicants is a sign of disrespect for the company and for those that the individual interacts with," says Stephen Ngure, Training and Development Manager at the Kenya Tea Development Authority (KTDA). He has had to deal with such situations before. "Even if the person is your best worker but turns up with hangovers once a week, he ought to be shown the door to send a clear message that it shall not be tolerated." He recalls a specific incident when a driver ferrying green tea leaf landed the vehicle in the ditch as he had not had enough sleep and was still nursing a hangover. The driver had been drinking continuously for several days after payday.

"An individual on hangover has diminished productivity," says Ngure, forcing other employees to shoulder the burden of performing his duties. While they may often complain, sometimes colleagues will cover up for the hungover person, especially if they were drinking together or hung out together often.

"In ‘one-off’ situations, patience ought to be exercised with the person," says Joseph Vincent Onyango, HR Manager at K-Rep Bank. This is because, even under normal circumstances, anyone is likely to have a bad day in the office for other reasons. "In any case, (some) people report to duty early enough but do not put in as much work." However, if the problem were persistent, "I would firstly initiate an internal counselling process in a bid to rehabilitate the employee."

Most Human Resources departments in this country are geared to deal with people who are drinking on the job or clearly drunk during working hours. David Kiambi, the HR Manager at a leading international company, says disciplinary measures exist to deal with heavy drinking outside work.

"Employees who work in a department that requires handling of machinery are not allowed to report to work in this condition", he says, "as they pose a danger not only to themselves, but (also) to those around them. Any other employee would also be requested to go home and sober up. If this became a habit, then counselling would be introduced. We issue several verbal warnings, followed by two written warnings within a year (before dismissing a habitual offender)."

Dealing with hungover employees — or staffers just tired from a late night out — is more of a grey area. Firstly, supervisors are less likely to notice, and when they do, they are less likely to take it as seriously as being drunk. Even if you don’t feel severely hungover, your cognitive abilities, concentration and technical skills are actually diminished. With inebriation, both you and your employer are at least more aware of it than when hangover.

Part of the problem, according to an article in the UK’s Management Issues News, is that hungover or tired white collar employees are usually not seen as dangerous and want to avoid being penalised for missing a day of work.

"An employee falling asleep at their desk is a lot less harmful than employees falling asleep in front of the wheel of a car, or indeed when operating machinery," says Peter Done, a partner with UK employment law firm Peninsula. "I think we have all been guilty of coming into work (with) a hangover but when it leads to tiredness... then one has to ask whether you should be in work at all."

A survey of more than 2,000 people by Peninsula — cunningly timed to coincide with England’s Euro 2004 match with Switzerland — found that 70 per cent of people in the UK admit to falling asleep on the job, while almost 80 per cent have taken a day off work to nurse a hangover. Peninsula also found that only a quarter owned up to taking hangover-related absence ‘several times’ during their working life, while one in ten said they had only done so once.

Research shows that it is light-to-moderate drinkers — not alcoholics — who cause the most productivity problems. One study in the US found that more than half of all light drinkers, and 87 per cent of light-to-moderate drinkers, cause problems in the workplace. The primary illness that affects these amateur drinkers is the hangover, not the long-term consequences of alcohol abuse, such as inflammation of the liver and heart disease. Chronic alcoholism is responsible for only a small proportion of the total societal cost of alcohol use, the researchers said. They also found that people with hangovers posed a danger to themselves and others long after their blood alcohol levels had returned to normal, suggesting that hangovers could be more insidious than actual inebriation.

Another survey found a positive relationship between the frequency of being ‘hungover’ at work and the frequency of feeling sick at work, sleeping on the job, and having problems with job tasks or co-workers. Drinking at work, problem drinking and frequency of getting ‘drunk’ in the past 30 days were positively associated with frequency of absenteeism, arriving late to work or leaving early, doing poor work, doing less work and arguing with co-workers.

The hangover effect was demonstrated among pilots whose performance was tested in flight simulators. There was evidence of impairment 14 hours after pilots reached blood alcohol concentrations (BACs) of between 0.10 per cent and 0.12 per cent. It was found that pilots were still significantly impaired 8 hours after reaching a BAC of 0.10 per cent.

One of the factors contributing to drinking mid-week is lack of motivation in the workplace. In fact, half of all employees — sober or otherwise — only put in enough effort to keep their jobs (known as ‘The Bare Minimum Effort’). Surveys in the UK have shown 70 per cent of employees are less motivated today than they used to be, and another 80 per cent could perform significantly better if they wanted to. What does all this mean? It means people are unhappy at work, and many overlook the importance of a fulfilling work life. Not only is it important for employees to be content, their happiness is important to their employers as well. Disgruntled employees perform considerably poorly compared to contented ones.

Workplace programmes to prevent and reduce alcohol-related problems among employees have considerable potential. For example, because employees spend a lot of time at work, co-workers and supervisors may have the opportunity to notice a developing alcohol problem. In addition, employers can use their influence to motivate employees to get help for an alcohol problem. However, employers rarely are in a position to prevent their employees from initiating drinking as an off-the-job lifestyle practice, nor do they desire to do so. At the same time, employers want their employees to perform their jobs well and not disrupt or endanger co-workers’ activities. A co-worker’s identification of an apparent alcohol problem should be used to refer an employee for workplace-based assistance.

Peninah, a waitress at a major restaurant in Nairobi, has developed various masking strategies for days when she’s under the weather. After a late night out, she says, she avoids getting close while serving the customers. "I chew lots of mint gums to kill the beer smell", she says, "as well as drinking lots of water to fight the dehydration."

She also makes a point of being very active: in case anyone notices something amiss, she argues, her work rate will surely dispel any suspicions of wrongdoing. She, however, is in a minority as few people have the energy to up their work rate when they are hungover.

If you have to drink during the work week, enjoy the night, know your limits, and if you have one drink too many, try some quick remedies so that you don’t end up staring at ceramic all day long.

Tuesday, May 03, 2005

Federal funding to enhance Drug Court program

Gina Zotti 05/02/2005 Daily Local News

WEST CHESTER -- One of Jeff's goals in life is to never have a job.

That's what he told the adult probation officer who supervises his progress in the Chester County Drug Court Program.

At a recent review in Drug Court, Jeff arrived with a friend who, in the judge's opinion, was wearing a T-shirt that was inappropriate for court.

"I was just thinking about how personal appearance can distinguish you," Jeff told the court after the judge made an example of his companion. "I put on a collared shirt and my glasses to come here today."

Those involved with the Drug Court program should be happy with that step forward for Jeff. The pretrial diversionary program was created to offer intensive help for drug offenders to fight addiction, make lifestyle changes and to offer an opportunity to earn a dismissal of charges. Those eligible for the program must be charged with a drug-related offense, must not be under probation or parole and must never have been convicted of a violent offense.

Now, with expected funding from the U.S. Department of Justice, Bureau of Justice Assistance, the program will be enhanced as participants will have the opportunity to receive vocational training as well -- an aspect Drug Court officials saw lacking in its original program.

The county recently applied for a grant that would bring a total of more than $182,000 to the initiative. It would partner with the nonprofit organization Chester County Opportunities Industrial Council, which would dedicate one of its employees strictly to Drug Court participants.

Participation would be targeted toward individuals like Jeff, officials said, with a goal of not only helping them to kick their abuse issues, but to be a contributing member of society after graduation from the program.

"It makes sense in the development of this program to move forward with this program," said First Assistant Public Defender Nathan Schenker. "Many don't have the skills a lot of us take for granted to find and hold a job."

Common Pleas Court Judge William P. Mahon oversees the Drug Court program. Reviews for participants are held twice a week. Jeff's last name, along with the last names of other participants in this story, has been withheld to protect his privacy.

"People come out of the program with their addiction under control, but have no job and no job skills to give them long-lasting employment opportunities," said Mahon. "The names change, but the problems remain the same."

An independent study by West Chester University professor Mary Brewster showed that 97 percent of those who graduated from Drug Court from March 2004 to March 2005 were employed. Of the 33 graduates, 22 were employed, 10 were full-time students and one was disabled.

During that same period, 33 participants were removed from the program. Of those, only five were employed, 20 were unemployed, seven were under-employed and one was a student.

Don Wyatt, the district attorney's office Drug Court administrator, pointed out one reason he thought the success rates varied.

"People who come through who have a career, they have a lot more to lose," he said.

Jenn Lopez, Drug Court coordinator, added, "In years past, we thought if you get the person off of drugs, the job will fall into place."

Such was not the case. Officials believe this enhancement will change that.

"We hope to get them a skill," said Lopez. "Some sort of certification to use for the rest of their lives."

The requirements included with attending vocational training would be: reporting to an adult probation officer, submitting to drug screenings, appearing at Drug Court review sessions before the judge, complying with a treatment plan and participating in Alcoholics Anonymous or Narcotics Anonymous programs.

Drug Court is split into four phases. Before a participant can move onto the next phase, he must stay clean for 90 days. The program can be completed in one to two years, depending on an individual's progress, with an average completion time of 380 days.

Noncompliance in the program can lead to sanctions, ranging from community service to jail time, and ultimately removal from the program.

Dawn was in the early stages of the program when she appeared before Mahon on Wednesday evening. She was brought in by sheriff's deputies in handcuffs to answer to the judge, who earlier in the afternoon had signed a bench warrant for her arrest.

Dawn told Mahon she had missed her appointment with her probation officer the previous day because she had the flu.

"Or withdraw?" Mahon asked.

"No, I've got the flu," she answered. She said she went to her doctor to get a note to give to her Drug Court probation officer, Bill Kelly.

Kelly, however, took issue with the note she submitted to him.

"Perhaps it was manufactured," he told the judge. "To make the story short, it was forged."

Dawn said a receptionist at the office gave her the note. Kelly then said he spoke with the receptionist, and everyone else in the office, all of who denied that. Dawn insisted that the note from her doctor stated she had been there the previous day, almost to the point of accepting a deal with the judge that if it were found that the note was forged, in addition to her drug charges, she would be prosecuted for forgery.

"I'll just take the blame," she said reluctantly. "I don't want to get her (the receptionist) fired."

"So, if you were OK enough to go to the doctor's office to pick up a bogus note, you could have come here to see Bill," Mahon said. "Dawn, you're not going to get away with much here. We're going to (require a drug-tracing) patch (on) you now."

Dawn responded with a sarcastic "thank you," and Mahon sentenced her to jail for a week.

"They're not bad folks," he said. "They just fowled up and got arrested. This provides the treatment people with leverage."