Monday, October 31, 2005

Zero tolerance crackdown on binge-drinking troublemakers

A CRACKDOWN on Christmas boozing is planned as part of the Government's drive to curb binge-drinking.

A police campaign called The Party's Over in Newcastle has led to dramatic falls in drunken assaults.

Now ministers want every police force in the country to copy the "zero tolerance to drunkenness" programme over the festive season.

Under the programme, police arrested and locked up drunks before they got into trouble.

They also targeted loud revellers, using old fashioned "disorder" laws, either arresting, fining or sending them home.

Booze was confiscated from youngsters and on-street drinking bans enforced.

Northumbria Chief Constable Mike Craik said his "total policing" crackdown led to 18 per cent falls in serious assaults and a nine per cent drop in minor assaults.

Mr Craik said: "We knew that being drunk played a big part in people getting into fights and worse trouble later in the evening. By locking them up before that stage, we have been able to cut disorder dramatically and lower the volume of assaults." Home Office Minister Hazel Blears told the Mirror she wanted to see the programme copied across England and Wales. She said it was a "brilliant" campaign, adding, "It is literally zero tolerance. We need to do this right across the country.

"I am saying to the police, 'You have a range of powers. You have to be out in the towns and cities prosecuting people and issuing fixed penalty notices'."

Police were already planning a Christmas crackdown on alcohol-related crime hotspots.

A similar summer blitz in 25 areas led to hundreds more arrests and on the spot fines being handed out.

Chris Fox, president of the Association of Chief Police Officers, said: "In the run-up to Christmas, we will be stepping up activity right across the country to combat this growing problem of drink-related violence."

The plan comes after latest figures showed thuggery on the streets still rising despite Government crackdowns on antisocial behaviour.

More than 318,000 violent crimes were recorded in the three months to June.

Almost half of those were fuelled by alcohol, say Home Office experts.

By Bob Roberts Deputy Political Editor ~ The Mirror ~ 31 October 2005

Sunday, October 30, 2005

Alcohol ban 'plan for transport'

Passengers could be banned from drinking alcohol on all public transport under plans drawn up by the Government.

The Prime Minister's advisers have apparently proposed the tough measure as part of a crackdown on binge drinking.

It is designed to stop drunken yobs terrorising passengers on buses and trains. But it would also stop ordinary travellers enjoying a drink with their meals.

According to reports a ban would be likely to apply to domestic flights as well. The plans are reported in both The Sunday Telegraph and The Sunday Times.

According to the newspapers the proposal has been drawn up by Tony Blair's "Respect Unit". It is apparently one of several policies aimed at tackling binge drinking and anti-social behaviour.

Advisers have also proposed introducing respect "sheriffs" so each community had a "visible local figure accountable for respect".

A list of 40 proposals includes moves to allow councils to seize the private homes of people convicted of serious anti-social behaviour offences.

Other plans include a new offence for parents of truanting children found on the streets and creating "acceptable behaviour zones" on unruly council estates.

The newspapers say the alcohol ban has the strong support of British Transport Police but faces opposition from some Government quarters.

The plans were reportedly drawn up at a meeting at Chequers last month chaired by the Prime Minister and attended by a range of officials including the controversial anti-social behaviour "tsar" Louise Casey.

This is London 30 October 2005

On the front line of binge-drink Britain

Police in Newcastle are pioneering new techniques to reclaim the streets from drunken, brawling revellers ahead of 24-hour opening. Mary Braid spends a night on patrol with PC Lee Madison and the booze squad.

Another raucous night in one of the world's top-10 party cities. At 8pm revellers are already out in their tens of thousands, doing their bit to ensure that Newcastle's reputation as a binge-drinking paradise - and stag and hen night heaven - does not slip.

In the CCTV room down at Market Street police station, the middle-aged male operator is still smiling at the sheer cheek of a dozen young women - presumably rather merry - who ran down Percy Street a few nights ago with their breasts bare and pink fairy wings attached to their backs.

For connoisseurs of drunken high spirits, Newcastle is the place to visit. And from the bank of screens before him, relaying pictures from every club-filled city-centre street, the CCTV controller has a ringside seat on what is quite a circus.

Binge-drinking has towns and cities across the UK in its thrall - to the dismay of almost everyone except binge-drinkers. In Newcastle's particular case, the trend is exacerbated by a long-established culture of hard drinking. The redeveloped city centre and quayside are filled with hundreds of pubs and clubs.

The hostelries are so densely packed that the inebriated are never more than a few steps from the next pub. Such convenience is a little piece of heaven when you are drunk.

But at the bottom of the Bigg Market there's a makeshift memorial that might be expected to sober the party spirit. It's just a few bunches of flowers tied to some railings but it marks the heartbreak of the family of local man Gary Cornish, killed in a closing-time stabbing last year.

"It's just very sad," says PC Lee Madison, 35, pausing briefly by the flowers on his evening city centre beat while young women in skimpy skirts, and men out hunting in packs, quickly pass by.

It's been five months since PC Madison's boss, Northumbria Chief Constable Mike Craik, declared that "the party was over" in Newcastle. With more than 8,000 people arrested in the city last year for alcohol-related offences, Craik promised to "reclaim the streets" for those too frightened to use them. He vowed to attack drunkenness, disorderly behaviour, and booze-fuelled violence.

In case anyone had any doubt about the kind of behaviour Craik was talking about, he showed images from camcorders taken on patrol by his officers. There were fight scenes (involving both men and women), teenage girls lying sozzled and vulnerable in the street, and even a couple having pavement sex.

Police efforts were shifting "upstream", Craik promised, and officers would be encouraged to come down early and hard on anyone looking for trouble while out on the booze. At the same time, pubs would be pressed to be more responsible with offers that encourage binge drinking.

"The campaign started us meeting and greeting," says Madison. "We visited hotels where the girls for the hen parties were staying. We told the women to go and enjoy themselves and get drunk if they liked, but to keep out of trouble."

Madison and his colleagues also met drinkers coming in for a night on the town as they arrived at bus and railway stations - some already tanked up - to explain the new rules. A huge advertising campaign made it hard to argue that the new tough line was a surprise.

The hotel and bus station visiting ended after the four months' summer campaign but will resume in a few weeks when the new 24-hour licensing laws take effect, along with a second phase of "the party's over" campaign before Christmas.

Meanwhile, Madison and other officers are continuing to ensure that where there is bad behaviour, the police are there to stamp down hard and fast. A by-law that makes drinking on the street illegal within the city centre is now strongly enforced. Anyone caught urinating is cautioned, spot-fined or arrested. And there are early arrests at the first sign of drunken disorderly behaviour.

With "upstreaming", according to Assistant Chief Constable Kevin Mathieson, there is always that worry that you will "denude" the street of officers to deal with more serious crime. But "the party's over" campaign did produce results.

During the four-month summer clampdown, arrests for disorder rose 72 per cent on 2004 and arrests for drunkenness 31 per cent. Meanwhile, serious assaults fell by 18 per cent on the previous year and minor assaults by 9 per cent, bucking the national trend.

Madison says behaviour has improved since the summer and approves of the booze crackdown. How does he feel about dealing with drunks? "Drink seems to turn some people into monsters," says the officer, strolling past a pub, which, despite pleas for responsible trading, is offering "Two WKD for £3" and "vodka and Red Bull jugs for £10".

"You see people four hours after you arrest them, when they have sobered up in the cells, and they are different people. We try not to judge people or to take it personally. But it is hard to think like that sometimes when they are struggling, spitting and swearing."

Those struggling, spitting and swearing are as likely to be female as male. There was a time when only a few of the 14 police cells under Market Street police station were set aside for females, but a rise in the number of female arrests for booze-fuelled crimes means more cells for the girls.

Early on in their shift, Madison and two other colleagues arrest a man in a club who was wanted for failing to make a court appearance. As he is handcuffed and loaded into the back of a police van it is a tiny young blonde - about 5ft and 7st - who tries to stir it up with the arrested man's muscular 6ft 2in brother. "What the fuck are they doing?" she shrieks. "I wouldn't let them do that." Later, an officer a few streets away arrests two drunk sisters - 21 and 25 - brawling outside a club.

As the sisters are rounded up for their visit to the tiny, coldly Victorian, Market Street cells, Madison is kept aware of events through the earpiece that connects him with the operator in the CCTV room.

The all-seeing eye is reassuring and at the same time unsettling. Local heavy drinkers certainly notice - and detest - its power. The CCTV operator, who is a civilian, not a policeman, refuses to be photographed. He has been threatened four times, including once with a knife, by people charged with a crime after being caught on his cameras. "I just don't tell people what I do," he says.

Madison doesn't have that luxury. He's out there on the beat in his green luminous jacket - "visible to reassure the public" - and he's strict. Two Chinese men, on a break from a restaurant kitchen, are dismayed when they are stopped by Madison right under a sign that says they cannot drink in the street. They are even more dismayed when he tips their beer on the ground.

Madison tries to keep it friendly whether he is confiscating booze or being accosted by half a dozen women from Swansea on a hen night who insist on trying on a policeman's helmet. He laughs a lot at the high spirits and madness around him. And when he says he loves his job you believe him.

The public - even the drunken public - profess to be on his side. "I think the taxi rank marshals are a great idea," shouts one lad, referring to new plans to police taxi queues. "The fights are always when you are waiting for taxis." His encouraging words are somewhat undermined when we meet him later nursing a nasty cut to his eye. He seems to have been in some kind of fight.

"Can I just say that I feel safer in town with more policemen around," says a rather hefty and tipsy young woman, draping herself so tightly around Madison that you suspect she has a thing about uniforms. As he extricates himself, Madison keeps smiling.

It's on the late shift - 10pm until 5am - that humour can wear a little thin. Out on van patrol, Sergeant Alex Graham-Scott says that in the early hours stupidity really kicks in. Like the case of the woman who emerged from a Quayside club at 1am a few weeks ago and decided it was time for a dip in the Tyne.

"Her boyfriend tried to stop her and then when she had dived in and got into difficulties he had to dive in after her," says Graham-Scott. "He said later that the strong current would have got them if someone had not thrown them a rubber ring."

Queuing - whether for the remaining clubs, kebab vans or taxis - often sparks trouble. The police and the CCTV man monitor every queue closely and tonight there's a new one to watch. Up at the Gate Centre, hundreds of people are waiting to get into a new Aspinall casino where Abi Titmuss is the star of the opening night along with celebrity cad James Hewitt, two blonde girls on stilts and a band that has just been thrown out of the X Factor.

Does Graham-Scott not worry that 24-hour licensing will only extend the agony of his long late shift? Apparently not. "I went through the first change of licensing hours 16 years ago," he says. "And longer hours did actually improve order. I'm expecting crowds will disperse over a longer period and not everyone will want a taxi at the same time."

But as Newcastle prepares for the second pre-Christmas phase of "the party's over", Kevin Mathieson is more negative about the impact of the looming licensing revolution. "We have concerns about the new hours that we will be required to police," he says. "We think they will stretch our resources."

Mathieson says it would have made more sense to have the right infrastructure, such as late night/early morning transport - in place before the legislation was introduced.

Mathieson is not alone in his reservations. Geethika Jayatilaka, of the pressure group Alcohol Concern, says: "This is not going to be the silver bullet to stop the drinking culture. Even in the short time this Act has been discussed, the concerns about alcohol misuse have got worse. The law needs to be enforced properly.

"Part of the responsibility sits with the Government in making sure that police on the ground have got the resources they need. But part of it is with the pub owners. They have to make sure they are not going to have irresponsibly cheap drinks promotions. Pub staff need to be given the support and training they need to say, 'No, I'm not serving you,' to drunks."

The pub trade itself isn't convinced the Government has got it right. "This law isn't what the trade wanted," says Caroline Nodder, editor of drinks trade magazine, The Publican. "We asked for total flexibility so there would be no set licensing hours. But the new law still improves things. At the moment people know drinking time is short so they rush straight to the pub after work. They don't go home, get changed or have anything to eat. They have to get as much down their necks as possible. That's causing all the problems in the city centres. Hopefully the new law will stop fights in kebab shops and taxi queues. It's a cultural change so it will take time, though."

Whether liberalised licensing laws wipe out what the police have achieved in Newcastle remains to be seen. But its gains cannot afford to be squandered. Despite the drop in violent crime achieved by Craik's campaign - and the adoption of the strategy by other forces this Christmas - there was a return to the bad old days last weekend when drunken fighting broke out in the Bigg Market after Newcastle United had played Sunderland. There were 50 arrests, cramming the cells at Market Street and other Newcastle police stations.

The war is not yet won and no one would want legislation that added to the burden of battle.

The Independent ~ 30 October 2005

Friday, October 28, 2005

Study: Binge drinking, sexual assaults mix too often

By Mallory Moore ~ KY Kernel - Campus News ~ 10/27/05

Heavy drinking and sexual assaults are more likely to go hand in hand, according to a recent study.

According to a study at Indiana State University, 40 percent of male students play drinking games to take sexual advantage of their opponents. Another 30 percent play because they're trying to get their opponent drunk enough to have sex, and 20 percent said they assaulted an opponent after a drinking game.

Binge drinking, which is defined as four or more drinks in one sitting for women and five or more drinks for men, occurs when playing these games and is a problem at UK, according to Meg Quarles, a student affairs officer for the UK's Alcohol Health Education Program. Quarles cited a statistic that 49 percent of UK students admitted to binge drinking in the last two weeks.

Perhaps more disturbing is that UK is not alone in these numbers, she said.

"That's right on the national average (of all universities for binge drinking)," Quarles said. "We're right there with all of the other four-year universities."

Students may have varying reasons for binge drinking and some believe nefarious motives aren't involved.

"I guess to escape," said political science senior Taylor Sawyer. "There's no valid answer. Everybody drinks for different reasons."

Pharmacy junior Megan Chase participates in drinking games, but said she is cautious about how much she drinks. She plays with people she knows well, and often members of the same sex.

"If you don't know how to control yourself, then it's a problem," she said.

Quarles said she blames the media in part for influencing this college behavior. She also said the term binge drinking is moving toward "dangerous" drinking.

Binge drinking can cause problems such as hangovers, run-ins with authorities and bad grades due to not going to class, Quarles said. Focusing on negative consequences will hopefully open students' eyes to the serious nature of this problem, she said.

Acting UK Police Chief Kevin Franklin said responsible, low-risk drinking can prevent many negative consequences. Students believe they are "10 feet tall and bullet-proof," he said, and that attitude leads them to participate in high-risk behaviors.

"(That attitude) puts them right there in the high-risk category and opens (them) up to the possibility of assault or unwanted sexual advances," Franklin said.

Other alcohol-related accidents are just as dangerous. According Franklin, 29 percent of the 18-24 age group are killed in car accidents in Kentucky, and roughly a third of those accidents are alcohol-related.

Franklin also said positive peer pressure is an effective way to stop things before they escalate.

"The No. 1 (means) to help people not do bad things is their peers," Franklin said.

Several groups at UK are spreading the word about smart decision-making.

The student organization the Genesis Group focuses on student safety in the Greek organizations by offering designated drivers for students who have been drinking. College Alcohol Use Students Education peer group is another campus-wide organization with a goal to prevent drinking-related harm. That group supports drinking abstinence, while also providing students with information about different low-risk drinking behaviors.

Quarles said more students should step up and help others.

"I'd love to see more students get on board."

Thursday, October 27, 2005

Under-25s in denial over binge drinking

Half of men and third of women exceed guidelines
Most believe it will not affect their health

James Meikle, health correspondent ~ The Guardian ~ Thursday October 27, 2005

Nearly half of young men under 25 are binge-drinking when they go on a night out - as are more than a third of women in the same age group - according to a survey.

Most do not keep track of what they drink and insist they are not binge-drinkers. Many think it will have no effect on their health.

Overall, a quarter of adults are involved in bingeing sessions, with one in three men and one in five women drinking at least double maximum recommended daily intakes on such evenings. Two thousand people were interviewed in August for Bupa Wellness, part of the private health group, with questions focusing on bingeing sessions.

The government's definition of binge drinking is one in which women drink, in a short time, at least six units - three glasses of wine or six spirit measures.

It is eight units, four pints of beer or eight spirit measures, for men.

The latest warning, with the suggestion 47% of young men and 35% of young women are bingeing, is published less than a month before licensing laws allow more flexible pub opening, a move critics fear will make things worse.

However ministers, who yesterday met supermarket representatives over a plan to crack down on underage drinkers by ensuring under-18s are not sold alcohol, insist extended police powers should mean less drink-related disorder.

Eight in 10 people in the Bupa survey said they did not keep track of how much they drank while out and a defiant one in six thought longer opening hours would help them drink more. At least one "hangover" day off work a year was admitted by 15%, with some taking up to five days.

Peter Mace, medical director of Bupa Wellness, said: "Drinking limits are not as easily defined as they once were. There is no such thing as a standard drink any more.

"A pint of beer or glass of wine is served in a variety of strengths and sizes so it's confusing for people to know exactly how much is safe to drink.

"What is clear is that people who storm the bars or who drink excessively at home on a regular basis will face serious health issues in the years to come."

People were not asked about their normal drinking habits during a week or year. The Portman Group, the industry-funded body promoting "responsible drinking", recently revealed one in three young women said they had been sexually assaulted after getting drunk on a night out and women were more likely to be involved in fights, arrested or cautioned by police.

Kate Winstanley, the Portman policy director, said the Bupa figures were worrying and credible.

"Industry is doing its bit. We have persuaded all our member companies and many others to unit label products." These reflected increased alcohol strengths.

The group also ran a Drink Aware website. "When you can go and buy as much as you want and drink it in your sitting room, there does need to be an element of personal responsibility."

Solicitor Philip Hyde, author of a new book, Local Authority Alcohol and Entertainment Licensing, suggested new powers could actually shorten pub hours in town centres.

"Entertainment districts like Soho (and similar districts up and down the country) which have a central role in our tourism industry, rather than being given a fresh lease of life, could actually be stifled by local authorities with nimbyist tendencies."

11m Brits are Binge Drinkers

Docs warn of booze time bomb

By Lyndsay Moss ~ The Daily Record ~ Oct 27 2005

ONE in four Brits are binge drinkers, leaving Britain facing a health "time bomb", researchers have warned.

Eleven million adults down twice the recommended level of alcohol a day.

But two thirds insist their diet is healthy and four in 10 believe their habit has no effect on their health.

The study by BUPA Wellness also reveals both confusion and denial, with almost one in three men and one in five women drinking at least double the advised amount on a night out.

Worryingly, 69 per cent believe they are not binge drinkers, and six in 10 are not concerned about how much they drink.

With more liberal licensing laws, the UK is facing a health time bomb, say experts, whose findings are based on the responses of 2000 adults.

Eight in 10 drinkers currently do not keep track of how much they drink on a night out, and a defiant one in six believe longer opening hours would actually encourage them to drink more.

Not only are they risking their health - binge drinkers are also costing their employers.

One in six drinkers admit to having at least one "hangover" day off work every year, with some admitting to five.

BUPA Wellness medical director Dr Peter Mace said: “Drinking limits are not as easily defined as they once were. There is no standard drink any more.

"A pint of beer or glass of wine is served in a variety of strengths and sizes, so it is confusing for people to know how much is safe to drink.

"As our research shows almost half of drinkers are baffled by Government advice on safe drinking limits, we believe the Government needs to take steps to reduce the confusion “There is a gap in information being provided for drinkers and a need for education to stem what is fast becoming a serious health and social problem for the UK."

The study reveals that almost half of men aged between 18 and 24 are binge drinkers.

More alarming still, 83 per cent of these do not keep track of how much they drink on a night out.

About27per cent of young men aged between 18 and 34 say longer opening hours would encourage them to drink more and a quarter admit they have a job and lifestyle that encourages regular drinking.

In the survey, 29 per cent of men - which would represent 6.3million in the population - said they drank more than four pints.

And 20 per cent of women - representing 4.6million - drink more than three glasses of wine.

That means 10.9million people could be binge drinkers.

Binge drinking is classed by the Government as drinking twice the recommended guidelines in a day - six units for women and eight for men.

This is the equivalent of having three glasses of wine or six measures of spirits or more for women and four pints or eight measures of spirits or more for men, on a single night out.

Wednesday, October 26, 2005

Police target teen drunks

icSurreyOnline ~ Oct 25 2005

POLICE are cracking down on underage drinkers hanging around in parks and causing antisocial behaviour in Caterham-on-the-Hill.

Officers have been patrolling late into the evening and have been shocked by the number of youngsters they have seen out after dark.

Many of the teenagers hang around in groups in parks and around shops in the Raglan Precinct area of the town.

Police have also seized large quantities of alcohol from the youngsters, some of whom are as young as 14 years old.

But the main concern for police is the teenagers being out after dark with alcohol.

Steve Cochrane, Caterham neighbourhood specialist officer, said: "We are coming across groups who are drinking alcohol as late as 1am. They are aged from 14 and 15."

He said the problem with drunken youngsters is sporadic across the town.

"There is an influx of under-age drinking in The Village on Friday and Saturday evenings.

"We have seized quite a bit of alcohol from a couple of 14 to 15-year-old groups."

He said there are still a few incidents at the Raglan Precinct, in Chaldon Road, Caterham-on-the-Hill.

However, the problems there have been dying down because the police neighbourhood team has been working hard to tackle the problems.

PC Cochrane urges parents to find out what their children are doing in the evenings.

Alcohol Disorders Set to Rise if Drinking Laws Relaxed – Leading Addiction Expert

University of Ulster Online~ 25 October 2005

Twenty-four hour licensing will only exacerbate the culture of binge drinking here – a leading addiction expert warned today.

Professor Martin Plant was speaking at the first in a series of Science and Society lectures, organised by the University of Ulster, which aim to make science more accessible to everyday life.

Professor Plant warned that research in countries including Iceland, Australia and the Republic of Ireland has revealed extended bar opening hours lead to a marked increase in alcohol-related deaths such as from liver disease as well as other problems like on-street fighting and violent crime.

Recent research undertaken by Professor Plant, who is based at the University of the West of England, also shows teenagers in the UK and Ireland are among the heaviest drinkers in Europe and that teenage girls are binge drinking more than boys.

“The UK and Ireland are among a number of countries with a centuries-old culture of drinking heavily in a short space of time,” said Professor Plant.

“In other countries, like France and Italy, drinking alcohol is spaced throughout the week and often accompanied by a meal. This means young people learn to drink in a more civilised way.

“There is also an increase in the amount of girls and young women who binge drink. The figures show that 29 percent of 15-16 year-old girls admit to routinely drinking five or more drinks in a single session, compared to 26 percent of boys. The ladette culture had lost its stigma and women are quite happy to go out drinking together. The rise of the ladette has produced a new, powerful spending group for advertisers to target and a disproportionate amount of alcohol advertising is spent trying to get women to drink.

“Irresponsible pub promotions should be banned and the government’s plan to liberalise licensing hours is extremely ill-advised.”

Professor Plant said the Government was keen to set targets in other areas of health but shied away from setting ones to cut unhealthy drinking.

Tuesday, October 25, 2005

Smoking worsens alcohol-related mental deficits

By Charnicia E. Huggins ~ Reuters ~ Mon Oct 24, 2005

NEW YORK (Reuters Health) - The poorer mental function seen among alcoholics, many of whom also regularly smoke cigarettes, may be partially due to the long-term effects of nicotine, new research suggests.

"People who are also smokers are at a much higher risk," Dr. Jennifer M. Glass, of the University of Michigan's Addiction Research Center, told Reuters Health.

In her study, "cigarette smoking was negatively related to IQ and thinking," she said.

This finding may seem counterintuitive, since many smokers attest to feeling more alert and focused after smoking. Indeed, research shows that improved mental functioning is one of the immediate effects of nicotine exposure. Chronic smoking, however, is known to have the opposite effect.

Studies show that up to 87 percent of alcoholics smoke cigarettes, compared to less than 30 percent of the general United States population. Yet, few studies have looked into cigarette smoking as a factor that might explain the cognitive deficits reported among alcoholics.

To investigate that association, Glass and her colleagues examined brain function among 172 men from the same community, including 103 men who abused alcohol.

The team found that men with higher scores on the lifetime alcohol problems scale (LAPS) and those who reported a higher number of pack-years of smoking (i.e. packs of cigarettes smoked per day times number of years) both had lower IQ scores and lower scores on a test of global proficiency.

The proficiency test took into account the speed and accuracy with which the men were able to perform on a battery of tests including those that measured short-term memory, verbal reasoning and mathematical reasoning.

Upon further investigation, the researchers found that smoking predicted poorer global proficiency even more strongly than alcoholism did. Their findings were published online before publication in Drug and Alcohol Dependence.

Smoking also appeared to be independently associated with weaker verbal and visual-spatial reasoning, the study indicates.

Thus, though smoking did not account for all of the decreased neurocognitive functioning observed among the alcohol abusers, it did seem to account for some of the effects, the report indicates.

The reason for the observed associations is unknown, and the researchers did not investigate the "cause and effect story," Glass said, but she speculated that the diminished cognitive ability among smokers may be partly due to some mechanism involving a restricted flow of blood and oxygen to the brain.

Based on the current report, Glass said, "if you need another reason to quit smoking, it's a good potential one to add to the list."

'Britain's Youngest Boozers' Documentary to Feature Therapeutic Options From Aspen Education Group

Aspen Education Group ~ Monday 24 October 2005

Leading U.S. Therapeutic Education Company Reveals How Wilderness Therapy Can Help Curb Underage Drinking

Unique wilderness therapy treatment options to help curb underage drinking will be featured on ITV1's upcoming documentary "Britain's Youngest Boozers," airing 25 October 2005. The treatment therapies are offered by U.S.-based Aspen Education Group, America's leading provider of therapeutic education programs that improve the quality of life for underachieving children, young adults and their families. The documentary will profile the experiences and successes of a teen sent to SUWS of the Carolinas, a wilderness education program in North Carolina, on the East Coast of the United States.

"It was a constant worry of never knowing what was going to happen the next day, because it was very volatile," said Linda, the mother of Sherrie, one of the teen drinkers featured on the programme. "If Sherrie lost her temper, she would thump the walls, she would break things, she would argue with her siblings, and not go to school. We admitted Sherrie to a U.S. wilderness therapy program called SUWS of the Carolinas, where she was immersed in a positive, goal-oriented environment and participated in individual and group therapy. SUWS of the Carolinas nurtured Sherrie, and within a month she had blossomed into a more self-confident, happier girl."

"We work with students who typically have self-esteem issues, which are then translated into behavioural or emotional problems such as alcohol and drug use, defiant behaviour, or depression," said Shawn Farrell, senior instructor at Aspen's SUWS of the Carolinas. "We use the wilderness to challenge teens like Sherrie and to take them out of their comfort zone. While Sherrie learned wilderness skills, she learned other life-long lessons such as patience, preparation and problem-solving techniques, which she was able to bring back to her home environment in the U.K."

"Binge drinking affects young people worldwide," said Elliot Sainer, chief executive officer of Aspen Education Group. "We're pleased to participate in a documentary that will raise awareness about teen drinking and the important role the therapeutic education industry plays in saving families and changing lives. This documentary will demonstrate to U.K. families that there is help and hope available to them."

SUWS of the Carolinas is a licensed wilderness therapy program for students 11 to 17 years of age who are suffering from low self-esteem, family conflict, substance use, defiance issues, attention deficit disorder, and other emotional and behavioural problems. Utilising outdoor experiences and peer interaction in combination with individual and family therapy, SUWS of the Carolinas helps to positively change the lives of these young people.

Aspen Education Group operates 31 therapeutic education programs across the United States. Aspen's programmes offer a combination of education and therapy or counseling for young people who have demonstrated behavioural or learning issues that interfere with their performance in school and their relations with peers, family and friends. Aspen's offerings range from short-term interventions to long-term programmes, and include a variety of settings, including: wilderness therapy/outdoor education, boarding schools, residential treatment, and weight-loss programmes.

Granada Television, responding to the alarming surge in underage drinking in the U.K., produced "Britain's Youngest Boozers" to explore questions of why U.K. youth are binge drinking and to provide insights from parents, therapists and health professionals.

Saturday, October 22, 2005

One-in-three 15-year-olds 'are binge drinkers'

One-in-three 15-year-olds 'are binge drinkers'

Ann Cahill ~ Irish Examiner ~ 22/10/05

A THIRD of 15-year-olds are binge drinking almost every week, topping Europe's list of most experienced teen drinkers.

Irish girls between the ages of 15 and 16 years are the heaviest drinkers in a survey of 30 countries, including the US.

The study, carried out for the Institute for Alcohol Studies in the UK, questioned the teenagers about their drinking habits during the previous month.

A third of the girls and 31% of the boys claimed they had been binge drinking three times or more during the last month.

Irish youths were second only to the Dutch where 37% of male teens said they had been drinking almost weekly when queried during 2003.

Binge drinking is usually defined as having five or more drinks in a row for boys and four or more for girls.

Dublin Fine Gael TD and MEP, Gay Mitchell described the findings as disturbing.

"The amount of Irish teenagers overindulging on a regular basis is a major concern. The abuse of alcohol by our young people is alarming," he said.

The figures released by the British institute also show that during 2004 young Irish men aged between 18 and 29 years drank an average of 18 litres of pure alcohol. This is equivalent to 1,800 bottles of beer or 70 bottles of spirits such as vodka or whiskey.

It is double the average figure for young French men in the same age bracket and higher than Britain, Germany, Italy, Sweden and Finland.

Young Irish women aged from 18 to 29 years were drinking considerably less than their male counterparts but still consumed far more than women of the same age in other countries.

The institute calculated that they drank eight litres of pure alcohol during 2004 which is the equivalent of 80 bottles of wine or 28 bottles of spirits or about 480 bottles of beer.

This is four times the average figure for French women of the same age and again Irish women drank more than their contemporaries in Britain, Germany, Italy, Sweden and Finland.

"The future implications for society as a result of underage drinking and alcohol abuse, particularly among the under-25s, is approaching chaotic levels. Alcohol is closely connected with a large number of accidents, with 40% to 60% of all deaths in Europe being attributed to alcohol consumption," said Mr Mitchell.

He believes the answer is to provide more youth facilities such as the BASE facility in Ballyfermot where young people can have a choice of alternative attractions, such as music and computers.

Research into the effects on young people of binge drinking shows they are more likely to miss school, fall behind in studies, are more open to suffering mental disorders including compulsiveness, depression or anxiety and to early deviant behaviour.

A US study found binge drinkers consider themselves to be moderate or light drinkers.

Friday, October 21, 2005

Five-year ASBO man jailed for attacking ex

icSurreyOnline ~ Oct 20 2005

A YOUNG Redhill man banned from fighting and drinking in public has been put behind bars for eight months after punching his ex-girlfriend.

Marcus Gorringe, 20, had been slapped with a five-year ASBO last year which also barred him from entering any Sainsbury's branch in Surrey.

Gorringe, of Colesmead Road, was locked up after knocking his former partner to the ground as she fled the Hatch pub, Shaw's Corner, when he came looking for her.

Gorringe, who appeared before Guildford Crown Court for sentence on Thursday had earlier admitted the breach, common assault and causing criminal damage by smashing three double glazed windows.

Matthew Pascall, prosecuting, said on June 21 Maria Smale was in the Hatch pub with friends when she became aware of Mr Gorringe and feared there would be trouble.

Mr Pascall said: "She left abruptly and started to cross the road, stepping into the path of an on-coming car.

"The driver was able to stop and Miss Smale apologised for walking in front of him. At that point Mr Gorringe went up to the driver and started to pick a fight but nothing really ensued.

"He turned and punched Miss Smale in the face with a clenched right fist and knocked her out before running off."

Miss Smale was given a lift home to Reigate and Banstead Housing Trust accommodation in Doods Road, Reigate. As she approached she saw him running away and as she got closer she saw three double glazed windows had been smashed.

The court heard the police were called and Gorringe was apprehended in a rear garden at a property close to the woman's address. The damage to the windows of the property was valued at £220.51.

Mr Pascall said Gorringe had been before the courts on 17 previous occasions and been dealt with by way of non-custodial sentences.

But on December 29 2004 he received a anti-social behaviour order in addition to a sentence totalling four months for assault causing actual bodily harm, common assault and shoplifting.

The court heard the conditions of the ASBO meant that Gorringe was prohibited from l[20ac]Drinking in public in Surrey l[20ac]Threatening or using unlawful violence towards anyone in England and Wales l[20ac]Entering any Sainsbury supermarket within Surrey.

Greg Tee, defending, said his client had already spent 114 days in prison since his arrest - the equivalent of four-months.

Mr Tee said: "He has a terrible drink problem which has been going on since the age of 12. He is sorry for what he did and it does seem he wants to draw a line and put this behind him.

"He knows it is not going to be easy and he has been attending various courses in prison, not least Alcoholics Anonymous."

Judge Michael Addison, sentencing, said: "The fact of the matter is you have an appalling record for your age for misbehaviour and drunkeness.

"You have been given chance after chance, treatment after treatment and paid not the least attention."

Gorringe was sentenced to four months' detention in a young offenders' institution for the criminal damage and common assault concurrent.

He received eight months for the breach of ASBO which was to run concurrent to the other terms.

Alcohol campaigners back photo mum

The Daily Mail ~ 20/10/05

Campaigners against under-age drinking have backed a mother who tried to curb her teenage daughter's binge drinking by handing out her picture to local pubs and off-licences in a bid to stop her being served.

Julie Clifton, a 43-year-old single mother from Worle in Somerset, became so concerned about her 16-year-old daughter's drinking that she visited more than 30 premises in the town and the neighbouring resort of Weston-super-Mare.

She told the owners her daughter Alex was underage and should not be served alcohol. She provided each shop with a photo of her in case she should come in to try to buy a drink.

Ms Clifton said her actions had proved a great success and have had a big impact in reducing Alex's drinking habits.

She said her daughter started binge drinking aged just 15 with friends in local parks before going off to nightclubs in Weston-super-Mare. But she decided to take action after Alex told her she planned to get "smashed" as part of her 16th birthday celebrations.

She said: "I went to about 30 pubs and clubs in Weston-super-Mare and off-licences in Worle High Street and left a photo of my daughter with the manager of each one. I thought it would be more of a deterrent than just telling her not to drink alcohol."

Despite initially feeling embarrassed about the photo campaign, Btec college student Alex said her mother's actions had brought about positive results.

She said: "I was a bit annoyed that my mum spoiled my birthday but also a bit proud of her because she must care about me to do this.

Campaigners against under-age drinking welcomed Ms Clifton's actions.

Helen Symons, spokeswoman for Alcohol Concern, said: "We are very worried about the availability of alcohol to under-age drinkers. The law about serving under-age drinkers is clear and it's time the Government started enforcing it and licensees started sticking to it."

Wednesday, October 19, 2005

24-Hour Drinking 'A Disaster' For Northern Ireland

University of Ulster ~ 18 October 2005

The introduction of 24-hour drinking into Northern Ireland would be a 'recipe for disaster', according to University of Ulster addiction expert Victor Robinson.

Mr Robinson, a lecturer in the University’s School of Nursing, said: “I’m petrified at the potential consequences for Northern Ireland if 24-hour drinking comes to Northern Ireland,” he said. “Our psyche is not equipped to handle the 24-hour availability of alcohol.We are not a Mediterranean people, and have not been socialised into the respect for alcohol those cultures have.

“In my judgment, 24-hour availability of alcohol in Northern Ireland will mean the introduction of 24-hour bingeing, not a new age of temperance and moderation.”

In the recent past, he said, there was a high percentage of people in Northern Ireland who did not use alcohol at all - in large part because of religious beliefs.Catholic society had the Pioneer movement, while the Temperance movement was strong among Protestants.

“But those times are behind us: alcohol and drug use is increasing in Northern Ireland.

There is an increasing trend for young people to drink alcohol, and for women to drink. Of course, women always did drink, but today their drinking is more public and visible.”

Alcohol and addictions present major challenges for Northern Ireland society, said Mr Robinson.

“The UK is anecdotally known as the ‘binge drinking capital of Europe’ - and binge drinking is on the increase throughout Northern Ireland.We need to find ways to affect people’s psyches, to interrupt the habits and behaviours that make them decide when and how much they drink.

“We are almost breeding young people to drink heavily from the word go.There are many reasons for that - and the cultural norms and mores of our society are prominent among them.

“It may take a generation before we can successfully change the psyche, to readjust people's thinking to appreciate that alcohol is not to be gorged: it's not for bingeing.”

He was concerned that not enough attention was being given to the challenges of alcohol in our society.

“Drugs other than alcohol are the sexy issue at present, and consequently, less attention is paid to the fact that we live in an increasingly alcohol-saturated society.

“Drugs are more of a public health priority, because the consequences of drug misuse are HIV AIDS, and blood borne diseases like hepatitis. These cause serious concern to our Department of Health, who must be seen to be doing something about the issue.

“But it’s reactive: there's little proactive about it - so to a certain extent, alcohol misuse takes a back seat.”

Yet, said Mr Robinson, alcohol-related disease is a major drain on NHS resources, According to recent figures, around 40% of acute hospital beds in Northern Ireland were being blocked by people who misuse alcohol.

And the lecturer said that Northern Ireland has changed its attitude to the treatment of alcohol misusers toward what he termed a ‘harm reduction’ approach.

"Whereas in the past it was 'Put up your hands and admit that your are an alcoholic', today we accept the reality that people will drink: and from that, premise, we can develop strategies and tactics to reduce the harm that might come about as a consequence of that drinking.

“The important thing is to ensure that there is a menu of options available, and that clinical intervention teams should be aware of those options and assess each individual to deliver the most appropriate intervention for that person.

“But in the condition Northern Ireland is in today in terms of alcohol misuse, the introduction of 24-hour drinking would be a disaster whose effects could take a generation to undo.”

Sunday, October 16, 2005

Thorburn sheds light on alcoholism’s myths

By John Davis ~ Sunday, October 16, 2005 ~ The Decatur Daily

Alcoholism: The very word evokes images in everyone's mind. Most of us envision an alcoholic as a drunkard who cannot function in society, whose very awareness of his surroundings is a blur. We might believe that all "alcoholics lack willpower" or that if a person is an alcoholic he will be an unsuccessful loser, or come from a bad family.

In each case, we would be wrong, for the disease of alcoholism is subtle, destructive and can afflict any family.

Doug Thorburn, founder of nonprofit PrevenTragedy, is a writer and public speaker who seeks to identify and thus help alcoholics through public education. He hopes thereby to help society come to grips with this devious and most dangerous of diseases.

He begins by identifying alcoholism as a disease. Its origin is as elusive as cancer, and no one blames a cancer victim for lacking "willpower."

Indeed, alcoholics can be masters of deception, for they sometimes hide their disease for years behind a facade of any number of ruses meant to confound those who would make them leave their world of self-medication. In each case, the disease will gradually become more and more pervasive until the alcoholic comes to desire alcohol more than his possessions, his job, his family, his very self-respect. What causes this?

Rather than battle the drug itself, Thorburn argues to look to the person. "Just say no" is the DARE concept for the approach to treatment of drug abuse. Rather, Thorburn says "Just say no" makes it appear as if the problem of alcohol is "out there" and willpower will overcome it. No, for the alcoholic, it will not.

Rather he suggests, look to the person. If he or she is one who will sacrifice anything to drink, who will use any manipulation to extract means to get alcohol, to maintain an alcoholic lifestyle, then intervention is needed. Alcoholism, a disease that must be treated, did not come about by poor upbringing, bad character, sin, lack of willpower or other stigmas of society. It came about because some one-tenth of the American population is afflicted. Alcoholism can be generational, from father to son, or skipping one sibling to appear in another, even reappearing when one family marries another.

Alcoholism is a reality that must be faced. No alcoholic goes quietly into rehabilitation. Usually he goes kicking and screaming after being confronted with loss of job, loss of family, even loss of life caused by a DUI. What keeps an alcoholic trapped in his sickness is when those around him fail to acknowledge what they see is happening. Alcoholics are "covered" by those who think they are doing right by not allowing them to pay the price of their bad behavior.

Examples are: hiding DUIs, allowing debts to be "taken care of," covering for why they missed work, hiding physical abuse of others and not admitting there is a problem in a "good family."

Once these myths are overcome, then reality can be faced. An alcoholic can be identified for the ill person he is, and treatment can commence. Rehabilitation can only come when myths are overcome, when no one lies to protect the alcoholic.

Then, and only then, can a procedure for recovery begin. That recovery can take a lifetime, and it can come with any success only through initial rehabilitation in a medical facility, and then through a group support apparatus such as Alcoholics Anonymous.

Thorburn notes the success of AA in helping those who have this ailment, which requires identification, acceptance iof its reality, treatment and lifetime recovery process.

Friday, October 14, 2005

Alcoholics Anonymous and treatment seem to work best together

13-Oct-2005 ~ University of New Mexico

* People with alcohol-use disorders who want to change their drinking habits tend to choose self-help groups, such as Alcoholics Anonymous (AA), or treatment.
* New findings indicate that individuals who participate in professional treatment and AA together are most likely to achieve remission.

Most clinical studies examine individuals either during or immediately following treatment. A study in the October issue of Alcoholism: Clinical & Experimental Research tracks individuals for 16 years who have first acknowledged their alcohol-use problems and then chosen Alcoholics Anonymous (AA), treatment, or both. Findings indicate that people who become involved in both AA and treatment fare better than those who obtain only treatment.

"We know that self-help groups, such as AA, contribute to better alcohol-related and psychosocial outcomes," said Rudolf H. Moos, senior research career scientist for the Department of Veterans Affairs Health Care System in Palo Alto, California, and corresponding author for the study. "For example, patients with alcohol use-disorders who participate in AA, and those who attend more meetings and/or participate for a longer time, are more likely to be abstinent and to maintain remission up to five years after an episode of professional treatment than patients who are not involved or less involved in such groups. Affiliation with AA also is associated with more self-efficacy and problem-solving coping skills, and better social functioning, which are linked to better alcohol-related outcomes."

Moos and his colleague(s) wanted to further examine the even longer-term outcomes of AA and treatment, and how they might interact with one another. "In the current study, we wanted to find out whether individuals who participated only in AA in the first year after initiating help-seeking (and did not obtain professional treatment) achieved outcomes comparable to those of individuals who participated in AA and also obtained professional treatment. We also wanted to find out whether individuals who participated in AA in the first year achieved better long-term outcomes."

Researchers surveyed 362 individuals (193 females, 169 males) who had initial contact with an alcoholism treatment system for their alcohol-use disorder. Study participants were asked about their subsequent participation in AA and/or treatment, as well as their alcohol-related functioning, at baseline (initial contact) and then again at one, three, eight and 16 years later.

"One, individuals who enter AA relatively quickly after initiating help-seeking, either alone or in conjunction with treatment, are more likely to participate in AA in the subsequent 15 years and participate in AA more frequently and for a longer duration," said Moos. "Two, a longer duration of participation in AA is associated with a higher likelihood of continuing remission up to 15 years later. Three, individuals who obtain professional treatment and participate in AA in the first year after initiating help-seeking are more likely to achieve remission for up to 15 years later than are individuals who obtain professional treatment alone. Finally, individuals who have achieved remission but who discontinue participation in AA are at increased risk for relapse; individuals who have not stopped drinking and who discontinue participation in AA are more likely to continue drinking."

"These findings are consistent with previous studies of AA," said William R. Miller, Distinguished Professor of psychology and psychiatry at the University of New Mexico. "As we already knew, drop-out from AA is high. Nevertheless, involvement in AA during, and in the few years after, treatment is associated with better long-term outcomes. An additional 10 to 20 percent were in remission, which is a large and clinically meaningful difference. Of those who do not attend AA during treatment, many don't [ever] go, and if they do, [their] delayed entry to AA is associated with less benefit. In sum, there are good reasons to encourage people to get involved with AA while they are still in treatment."

"These findings emphasize that initial and subsequent episodes of participation in AA can have long-term effects on the likelihood of remission of alcohol-related problems," said Moos. "They also emphasize that counselors in information and referral centers and clinicians in substance use treatment settings should make every reasonable effort to enable individuals with alcohol-related problems to enter and continue to participate in self-help groups such as AA."

"Are these better outcomes due specifically to AA?" asked Miller. "We can't be sure. In general, the more actions people take toward their own recovery the better they do, whether it is attending treatment, going to AA, or faithfully taking medication. It is an impressively consistent finding, however, that people who go to AA during treatment have better outcomes. I do not believe that anyone should be required to attend AA, but certainly treatment providers and programs should be seriously encouraging patients to give it a try. Both treatment and AA seem to add something, and the people with the best outcomes are those who get involved in both. In short, AA is not a replacement for treatment, and treatment is not a substitute for AA."

Moos and his colleagues will continue to investigate the benefits of AA. "One of our future projects will try to identify individuals who can achieve abstinence or remission after professional treatment without participation in AA," he said. "Even though participation in AA has substantial benefits, these benefits do not necessarily accrue to all types of individuals; it is important to specify the characteristics of individuals who may not need to join AA in order to overcome their alcohol-related problems."

Thursday, October 13, 2005

Colette needed help not an ASBO

Blackpool Today ~ 12 October 2005

THE devastated family of a bright young solicitor whose life was blighted by drink today said she was failed by the
authorities.

Colette Cowap became the first lawyer in the UK to be given an Anti-social Behaviour Order after a string of alcohol-related incidents.

Yesterday, just four days after the interim order was imposed by police, the 38-year-old was found dead at her St Annes home.
She was found by her father Bryan, 68, who today hit out at those he said should have helped his daughter.
He said: "Colette was such an intelligent, witty child, and so well loved.

"We had tried to help her so many times, but she always said the vodka was her best friend and she couldn't give up.
"She needed help, but there was nothing for her – social services were useless.

"Colette used to go to the Parkwood unit at Blackpool Victoria to dry out, but they stopped taking alcoholics two years ago.
"If she was on drugs there would have been people falling all over themselves to help her, but people don't understand about alcoholism. She needed help not an Asbo. I think that pushed her over the edge."

One of four children, Miss Cowap had suffered with a drink problem for 10 years.
The graduate of Manchester Metropolitan University and Chester Law College had been drinking in a garden shed at the family home in Dobson Avenue on the day she died.
It was there Colette's distraught father found her.

After being handed the Asbo last Friday, Miss Cowap was told she could not drink alcohol in a public place, use taxis or "loiter" in the accident and emergency unit or grounds of Blackpool Victoria Hospital.

The former legal high-flier was terrified of the consequences, according to sister Julie, 29.
She said: "She didn't want to go to prison so she wasn't going out. She was so vulnerable and people would take advantage of her. She had lost everything, how was an Asbo supposed to help?

"The bottom has fallen out of my world, we loved her so much. I'll remember her as such a charmer. She was so quick and could turn anything into a comedy, everybody loved her.
"Colette had such a good heart and would do anything to help anybody, but couldn't help herself."

The family are still waiting for the results of a post-mortem which should establish how Miss Cowap died.
It is believed she may have suffered a heart attack, but a post-mortem has yet to be carried out. A coroner's inquiry will also be held to establish what led to Miss Cowap's death.

A Lancashire Police spokesman said: "We can confirm there are no suspicious circumstances surrounding Miss Cowap's death."

Tuesday, October 11, 2005

Binge drinking – the facts

The Herald ~ October 11 2005
The UK government advises that men drink no more than three to four units a day and women no more than two to three. But the system is confusing – a drink does not equate to a unit.
A large glass (250ml) of red wine at 12% is three units, a small glass (125ml) 1.5 units and a bottle of the same wine contains nine units. A pint of Stella Artois (at 5.2%) comes in at three units, a small measure of Famous Grouse is one unit and a Bacardi Breezer is 1.4 units.
Consumption in the UK is in the top 10 in the world for alcohol consumption per head of population and more than 90% of the Scottish population aged between 16 and 74 drink alcohol.
Men and women in England drink more frequently than those in Scotland, but Scots are more likely to exceed daily benchmarks. In Scotland, according to latest government figures, the average weekly consumption for men age between 16 and 64 is 19.8 units and women 7.4 units.

Binge drinking
Binge drinking happens across all ages, but is more visible in young men and women out on a Friday and Saturday night in Scotland.
The increase in the number of children drinking has also caused alarm. Just under half
of 15-year-olds and a third of 13-year-olds report drinking alcohol in the past week.
Young people (aged between 16 and 25) are drinking more, with the average consumption now at 23.4 units for men and 10 units for women in Scotland.

The cost
Binge-drinking is estimated to cost the Scottish economy more than £1bn each year. Alcohol problems cost Scotland an estimated £1.1bn per year in terms of the NHS, social work, police, emergency services and the wider economic and human costs.
Each year, there are almost 2000 alcohol-related deaths in Scotland – more than five a day – and about 10% of all accident and emergency admissions are rooted in alcohol abuse.

Crime
A recent United Nations report said Scotland is the most violent country in the developed world. It showed that more than 2000 Scots are attacked every week – almost 10 times the official police figures.
Figures published by the World Health Organisation showed Scotland has the second-highest murder rate in Western Europe.
Of 451 murder victims in Scotland between 2000 and 2003, 50% were drunk at the time while almost half of 598 suspected killers over the same period were also drunk.

How we compare
A recent survey found that Canadian men and Swedish women were the worst binge drinkers in volume of alcohol consumed.
Overall, the heaviest drinkers are Danish men and women, who most often consumed six or more drinks on one occasion.
But men and women in the United Kingdom have the highest annual frequency of heavy drinking (defined as drinking a bottle of wine or the equivalent on one occasion), and people in France the lowest.

Saturday, October 08, 2005

Some stats about Alcoholics Anonymous

The Times Plus ~ Friday, October 7, 2005

One of the questions most often asked by professionals about Alcoholics Anonymous is "How effective is A.A.?"

A.A. does not keep track of individual members or do case studies, and its members remain anonymous, making that question a difficult one to answer. While many outside of A.A. have conducted research into the question, the only statistical information available from A.A. about itself are anonymous surveys of the A.A. Fellowship, which have been conducted by its General Service Office every three years since 1968. These surveys offer an overview of current trends in membership characteristics, with the purposes of sharing information about A.A. membership with professionals and giving A.A. more information about itself so members can better help suffering alcoholics.

Rresults of the 2004 random membership survey were recently published and provide a snapshot of the A.A. Fellowship. The 2004 questionnaires were distributed last summer to 714 A.A. groups in the U.S. and Canada. More than 7,500 members, old and young, participated in the survey. A full 50 percent of respondents had been sober more than five years (up from 48 percent in 2001); 24 percent for one to five years; and 26 percent less than one year.

More than 8 percent of the respondents were under 30 years old, with 1.5 percent under 20, and 4.8 percent over 70. The average member is 48, has been sober more than eight years and attends about two meetings a week.

Findings reveal that professionals play a key role in steering active alcoholics to A.A. -- 39 percent of respondents said they had been referred by a health-care professional. Additionally, 64 percent said that before joining the program, they had received some type of treatment or counseling -- medical, psychological, spiritual -- and 74 percent of those same members said it had played an important part in guiding them to A.A. Moreover, some 65 percent said they had received some type of treatment or counseling after coming to A.A.; and 84 percent of those same members said it played an important role in their recoveries.

Other survey results confirm the staying power of some positive and interesting trends tracked over the past decade. The percentage of women in A.A. -- which climbed sharply from 22 percent in 1968 to 35 percent in 1989, then dipped to 33 percent in 1996 -- has held steady in the mid-30 percentile and presently stands at 35 percent of membership.

Members' occupations continue to cover a broad spectrum and reflect statistically insignificant changes from the last survey: retired, 14 percent; self-employed/other, 11 percent; manager/administrator, 10 percent; professional/technical, 10 percent; skilled trade, 9 percent; laborer, 6 percent; health professional, 6 percent; sales worker, 5 percent; service worker, educator, clerical worker, student, all 3 percent; homemaker and transportation workers, each 2 percent; craft worker, 1 percent; and disabled (not working) and unemployed, both 6 percent.

Friday, October 07, 2005

Ankle bracelets that detect the presence of alcohol could be used

James Loewenstein ~ 10/06/2005 ~ Daily and Sunday Review

Towanda - The Bradford County Probation Department is recommending that the county begin using a type of ankle bracelet that detects whether an offender has consumed alcohol.

Bradford County Commissioner Doug McLinko said the use of the ankle bracelets would further reduce the overcrowding at the Bradford County jail. The bracelets would be used by non-violent offenders convicted of DUI, he said.

The ankle bracelets, which are called Secure Continuous Remote Alcohol Monitor (SCRAM), can be used as an alternative to incarceration, said Tom Schuster, chief probation officer for Bradford County.

"They can be used in conjunction with electronic monitoring," where an offender wears a separate type of ankle bracelet that ensures that he remains confined to his home, he said.

"The purpose of this (SCRAM ankle bracelets) is to attempt to get offenders to make a lifestyle change," Schuster said.
For example, a judge could order an offender with an alcohol abuse problem to wear an alcohol detection bracelet for 120 days, and attend alcohol counseling and Alcoholics Anonymous meetings, he said. "If he could stay clean and sober for 120 days, maybe he'll stay clean and sober for the rest of his life," he said.

The ankle bracelets are manufactured by Alcohol Monitoring Systems Inc. of Highlands Ranch, Colo. Schuster said. At the request of Bradford County Judge Jeffrey Smith, a sub-contractor of Alcohol Monitoring Systems - Mid-Atlantic Monitoring of Scranton, Pa. - recently gave a demonstration of the SCRAM bracelets to Bradford County officials.
Offenders wear SCRAM ankle-bracelets 24 hours per day, Schuster said.

"Through the contact with the skin and perspiration, it is able to detect the presence of alcohol," he said.
The eight-ounce ankle bracelet automatically tests for the presence of alcohol in the perspiration at least once every hour, according to Alcohol Monitoring Systems' Web site.

Each day, the bracelet "downloads" the data on the amount of alcohol in the offenders' system by sending a radio signal to a modem, which is attached to the offenders' telephone, Schuster said.

The modem then transmits the data by a telephone line to a computer operated by Alcohol Monitoring Systems, or a subsidiary of the company, he said.

The Bradford County Probation Department would be notified by fax the next day if someone consumed alcohol while wearing the bracelet, he said.

Tampering with the bracelet, such a removing it or placing a substance between the skin and the bracelet, would also be detected by the SCRAM system, he said.

Currently, random alcohol tests for offenders on parole or probation often do not pick up on the use of alcohol, because it is flushed out of the system so quickly, he said.

Offenders would pay the cost of leasing the equipment and the cost of the monitoring, which would total $8 to $10 per day, he said.

The county would not be involved in paying for the use of the system, he said.

Mid-Atlantic Monitoring of Scranton, Pa., would bill the offenders directly for the costs, he said.

If an offender failed to pay the costs, Mid-Atlantic Monitoring would notify the county and the county would take appropriate action, he said.

The use of the SCRAM bracelets would need to be approved by the Bradford County Court judges and the county commissioners, he said.

Nancy Schrader, chairman of the Bradford County commissioners, said she was very interested in finding out more about the bracelets, and any costs the county would incur. She said she had not been at the demonstration of the ankle bracelets because she was on vacation. Attempts to reach Judge Jeffrey Smith for comment on Wednesday were unsuccessful.

Cutting into alcoholism

Kick the habit. Drugs could hold the key to sobriety

By Darla Carter ~ Thursday, October 6, 2005 ~ The Courier-Journal

In an ideal world, there would be a way to make all alcoholics stop drinking and never go back to hitting the bottle.

No one has discovered such a cure-all, but that hasn't kept researchers from trying to find effective therapies.

The result is a small but growing cadre of drugs to treat alcohol-dependent people, who sometimes need more than a 12-step program to achieve success, said Raye Litten of the National Institute on Alcohol Abuse and Alcoholism.

The institute, which is part of the National Institutes of Health, is fostering medication development by funding research.

"We'd like to get a menu of treatments out to practitioners that they could use, that if one treatment strategy doesn't work, then they can rely on another one," said Litten, associate director of the Division of Treatment and Recovery Research at the institute also known as NIAAA.

Although drugs have been available to treat alcohol-dependent people for more than 50 years, many people, including some doctors, don't know about them despite recent advancements in the field, Litten said.

The drugs on the market are disulfiram (Antabuse), naltrexone (ReVia) and the latest, acamprosate (Campral), which was approved by the U.S. Food and Drug Administration last year. They're often used in combination with other assistance, such as counseling.

For some people, medication has a really "big impact," Litten said. For others, "it doesn't do anything."

That's a potential deterrent to getting physicians to prescribe the medication.

Doctors "may feel that because it doesn't work for everybody that it doesn't work at all," although in some cases they're just not aware of the drugs, Litten said.

Recently, the NIAAA, pharmaceutical companies and other interested parties have taken steps to bring attention to the drugs, and the increased visibility may help to draw more alcoholics in for treatment and get more physicians active in treating alcoholics.

Last week at a media briefing by the Community Anti-Drug Coalitions of America, former FDA Commissioner Dr. David Kessler noted, "There's a large population of persons with alcohol-use disorders in this country -- some 18 million; the majority never receive any kind of help and only a minority are successful in resolving their drinking problems."

If patients become aware that medication is available, "they may go and ask their primary-care physician about it," Litten said in a phone interview.
A revised guide

To educate doctors and mental-health clinicians, the institute recently issued a revised guide for handling drinking problems in patients that includes more substantial information about drug options. It also addresses other issues, such as how to screen patients and how to handle those who don't follow through on referrals.

"In updating this guide, we wanted to make it easier for clinicians to screen patients," NIAAA Director Dr. Ting-Kai Li said in a July news release.

The guide also discusses how the available drugs work and their positive and negative effects.

Antabuse, the oldest of the approved drugs, is designed to deter people from drinking by making them sick. But newer drugs use different powers of persuasion.

A new generation of medications has been researched over the past 15 years or so that reduces people's "urge or craving or desire to drink" instead of making them ill, Litten said.

They include Campral, which is the first treatment to hit the market in about a decade. It was approved by the FDA in July 2004 and is used to help prevent relapses. In three trials, "Campral increased abstinence rates when used with psychosocial support or counseling," according to Forest Laboratories, which markets the drug in the United States. "Abstinence rates were up to three times higher in Campral-treated patients than in placebo-treated patients."

Naltrexone, which is used to maintain sobriety, is said to reduce alcohol craving and consumption and block the euphoria associated with drinking. It is available as a daily pill, but may be sold in a once-a-month injectable form called Vivitrex soon. The injectable form is under FDA review with a decision expected by year's end, Litten said.
Complexity of alcoholism

Several other drugs, including the anticonvulsant topiramate and another drug called baclofen, also are being studied for their potential to help the alcohol-dependent.

Greater understanding of the brain and its circuitry is helping to fuel the search for new therapies. "There are exciting new findings in (the) basic neuroscience of addiction," said Kessler, dean of the School of Medicine at University of California, San Francisco. There's an "increasing number of molecular targets to aim at" and increased potential for drug treatments.

The fact that no super cure has been found speaks to the complexity of alcoholism, Litten said.

There are biological, psychological, social and cultural components to the condition, and everybody who suffers from alcohol dependence is different, "which is probably one of the reasons why we don't have a magic bullet or magic cure for alcoholism," he said.

The latest drugs provide an alternative to Antabuse, which has had a less-than-perfect track record.

In the past, "several studies (on Antabuse) have really questioned whether or not it's more effective than a placebo, so it's not widely prescribed anymore at all," said Dr. Robert Anthenelli, an associate professor in the psychiatry department at the University of Cincinnati and director of the Tri-State Tobacco and Alcohol Research Center.
'Two big old pills'

Louisville psychiatrist Dr. Bill Barclay, who is affiliated with the University of Louisville and Norton Psychiatric Center, said he's seen people play with Antabuse, stopping at times so that they can drink. Also, "I had a patient many years ago who was proud of the fact that he had developed a tolerance and had worked his way up to drinking six beers a day while he was taking it."

Though Barclay has only been prescribing Campral since the spring, he said he's had some "striking successes with it," but noted "you've got to take two big old pills three times a day."

Barclay said he's pleased to have such drugs among his options for helping patients, and he hopes to see additional ones become available.

The NIAAA is funding about 50 clinical trials on medications, Litten said, and that could help lead the way to new and possibly better drugs to help alcoholics and special populations, which include those who have a second condition, such as schizophrenia, depression or cocaine dependence.

Researchers also are trying to figure out who will best benefit from these kinds of drugs.
Ideal candidates

Anthenelli is leading a NIAAA-funded trial involving the antidepressant citalopram.

"We're using it off-label for the treatment of alcoholism," and "looking at a particular gene that regulates serotonin function … and wondering or questioning whether or not this gene influences how people respond to the citalopram," said Anthenelli, who's affiliated with the Cincinnati Veterans Affairs Medical Center. It may affect whether the drug works on a person and what side effects are experienced.

Such trials are needed because right now, "It's very difficult for us to determine who's going to respond to a drug," Litten said.

Barclay said he's found that a person's mindset is important in achieving success when taking a drug for alcohol dependence.

The person has to be "motivated to change," he said, meaning "they've contemplated the fact that they need to make changes and they're ready to act."

But "nothing works for everybody," he said. "AA (Alcoholics Anonymous) is wonderfully successful for some people. Individual counseling and various approaches have been used successfully" and these drugs "also have benefit and are useful for some people."

Jay Davidson, president and chief executive officer of The Healing Place, a Louisville program for overcoming alcohol and drug addiction, said he sees the FDA-approved drugs as "good tools" for people who've been abusing alcohol briefly, such as less than a year or two.

But The Healing Place serves longtime users, and "we don't use any drugs" because "even if it did stop them from using alcohol and drugs, it would not resolve the problem because we would not be addressing the (person's) underlying behavioral issues," Davidson said.

Through approaches, such as peer role modeling, his program helps people "learn what behaviors are causing them to be restless, irritable and discontent" and motivates them to change.

Wednesday, October 05, 2005

The miracle of recovery

Nancy C. Wooten ~ Times and Democrat ~ Wednesday, October 5, 2005

Dan, a local counselor in the substance abuse field, ushers his clients into that harsh light of the morning-after and helps them see a beautiful life ahead.

He's learned that recovery from alcohol or drug addiction is nothing short of a miracle and knows of what he speaks. Dan (not his real name) is himself recovering from alcohol and cocaine addiction and has been sober for 13 years.

Dan's story

A teen during the 60s and 70s, Dan had his first drink when he was 11. Every time after that, when he drank, he got drunk. He drank for the effect, not for social reasons. In high school, he drank heavily on the weekends. He can remember saying he'd never do drugs, but he did.

"As a child, I always felt different from other kids, not accepted," he said. "I had low self-esteem, which is characteristic of many alcoholics. Alcohol and drugs made me okay. It gave me friends, but they were the problem."

From an early age, he had blackouts. He lost a marriage, a home, custody of a child. Constant emotions were fear, anger, resentment, self-pity, doubt, hopelessness.

"Through recovery, I've come to understand compassion, love, caring," he says. "When I went into treatment, I went for 30 days to Charter Rivers and then to a halfway house in Georgia. There I was introduced to Alcoholics Anonymous' 12-step Program.

A.A. requires faith

What makes A.A. work is that it is a spiritual program, not a religious one, he said. People of all faiths are welcome but those who accept the 12-steps acknowledge a higher power on whom they must depend to recover. They cannot do this alone.

"Alcoholics are bankrupt not only physically and emotionally, but also spiritually. At A.A., they meet sober people who share freely with newcomers on how they came to be sober."

A.A. started in 1935, and Narcotics Anonymous followed in 1955. They use essentially the same 12-step program, he says.

"A lot of A.A. members have both problems," he said. "The lack of power is our dilemma, but we have to find a power greater than ourselves that can help us with the addiction."

Announcements about A.A. meetings at the Alano Building and in Orangeburg churches can be found in The Times and Democrat's "Regional Calendar."

The road to recovery

Alcoholics usually come to recovery at Tri-County Alcohol and Drug Abuse in four ways: 1) They go to jail or "seek treatment" because it is required by a probation officer or a pre-trial intervention program; 2) They get a drinking and driving violation and are referred to an Alcohol and Drug Safety Action Program; 3) Friends or family get sick of dealing with them and bring them there; 4) They admit to themselves that they need help and come on their own.

"The common thread is those who do recover decide they want this for themselves," Dan said. "Honesty, open-mindedness and willingness are three spiritual principals that are indispensable."

Counseling

If a client is resistant, Dan lets him look at how alcohol or the drug of choice has affected his life and determine whether the client thinks he has a problem. He has to make this decision on his own before he can take any action, Dan said.

Drinking is a learned behavior, and so is recovery. Alcoholism is a disease, but it is a treatable disease.

Loved ones

What loved ones can do is to take care of themselves by attending Al-anon or Narc-anon meetings. "They can stop providing for them with money, car, home, job, help, whatever — quit enabling them," he said. "You'll lift them off their bottom for them to help themselves."

"If someone is 17, you can make them go for treatment, but if they are adults, you can't force them unless they are suicidal or homicidal."

"Drinking and drugs are a lifestyle; recovery has to be a lifestyle," Dan explains. "The recovered have to hang out among that culture. They need sponsors, other recovered addicts they can talk to. And they need the 12 steps.' The solution is of a spiritual nature.

Relapse

"Relapse is dangerous, but part of the recovery process," he said. "A lot of people don't realize that what we're dealing with is a deadly disease.

"We see 40-year-olds who started with us at 15 and still have the mentality of a teenager but the body of a 40-year-old," he said. "To recover, they have to show up, grow up, own up.

"For me, it's like I have lived two different lives, the hell of addiction, and now the miracle of recovery," he said. "Recovery is by far the best gift I've ever been given.

Tuesday, October 04, 2005

Where stars go for rough treatment

Telegraph ~ 03/10/2005

Early starts and baggy clothes are just a couple of the indignities celebrities endure in rehab at the Meadows clinic, says Chloe Rhodes

A stay at the Meadows, the rehabilitation centre where Kate Moss is allegedly beginning her detox, couldn't be more unlike the picnic in a luscious green field that its name suggests. The patch of land that it occupies in the high Sonoran Desert, an hour north of Phoenix, is remote and arid, and the regime it operates is as unforgiving as the Arizona sun.

The £2,000-a-night centre, which is officially registered as a Level I Psychiatric Acute Hospital, specialises in addictions, behavioural disorders and psychological conditions. Treatment is based on a 12-step recovery programme, which was adapted by Pia Mellody, a counsellor and nurse whose father was one of the first to benefit from the original 12-step system developed by Alcoholics Anonymous.

The Mellody method focuses on identifying and dealing with the causes of self-destructive behaviour, which often means retracing events far back into childhood. It's an intensive process, and a gruelling one. Most addicts stay for five weeks, during which time they work with a primary counsellor, have spirituality and nutrition counselling, and recreational or art therapy, attend small group sessions, lectures and community meetings, and watch educational videos.

Tara Palmer-Tomkinson, who tackled her cocaine addiction at the Meadows in 1999, said of the rigorous routine: "We were kept very busy. We got up at 5.30am and would be practising tai-chi by six. Then there was meditation, which was followed by prayers. Each day, I also attended group therapy, saw a doctor, a therapist, a family therapist, a shrink - the lot. They take you apart, like a car, and then put you back together again."

For Moss, who is notoriously guarded about her private life, the enforced group activities and regimented days may take some adjusting to. But peer support and interaction are central to the Meadows's brand of healing, and the clinic's strict confidentiality policy means that celebrities can speak openly without the fear of their demons becoming public knowledge.

This is, perhaps, what has made it such a haven for struggling stars. Two years ago, Elle Macpherson spent time at the clinic when she was suffering from postnatal depression; Ronnie Wood checked in to dry out before the Rolling Stones' current tour, while Halle Berry's ex-husband, Eric Benét, has been treated for sex addiction there.

But its high-profile guests can expect no special favours. The emphasis on group support is so strong that patients often share a room with others; no exception is made - whatever your name.

Meal times are also communal. One patient who attended the clinic for depression, gives an account of a typical lunchtime: "I was eating when a small, bespectacled man leapt on the table behind me and, banging his fork for silence, shouted: 'I am a powerful man in recovery, yes I am.' No one looked in the least surprised, and the whole room answered with great passion 'Yes, you are.' "

The road to recovery is rough, and there's no hint of luxury to ease the ride. The compound consists of a series of low-rise buildings and is surrounded by a high fence, which is patrolled by security guards. There is a pool, but it is ringed by high railings to prevent suicide attempts, and patients are allowed to swim only in the presence of a lifeguard. Contact with the outside world is limited; there are no televisions, and magazines, newspapers and mobile phones are forbidden.

Drugs and alcohol are banned, naturally, but so are caffeine and sugar, and smoking is prohibited except in an area known as "the pit".

There is also a strict dress code. T-shirts have to be loose, trousers baggy, and even underwear must be as utilitarian as possible.

When Kerry Katona went to the Meadows to recover from depression, Palmer-Tomkinson gave her some tips: "You can't wear revealing clothes because of the sex addicts. Instead, you wear big bras, big pants and baggy tops. You're taught to respect others' addictions."

For Katona, who spent much of her childhood in foster homes and refuges, the revisiting of her early experiences was distressing, but vital. "I have poured it out," she says. "They spent several days chatting to me about what might be causing the depression, about my past, my history. They needed to get right back to the beginning to get me better."

If Moss's decision to go into rehab is motivated more by the need to rebuild her reputation than a true desire to beat her habit, and if she is just after a rest and a break from the paparazzi, she's in the wrong place. The Meadows makes no secret of its firm outlook. Its guide for patients proclaims: "We are here to work on the serious business of finding our way to living healthier lives." It looks as if Moss is serious after all.

Monday, October 03, 2005

New look at dangers of drinking in pregnancy

Celia Hall, Medical Editor ~ Telegraph ~ 03/10/2005

A review of research on the effects of drinking during pregnancy has been launched as evidence mounts that even small amounts of alcohol can damage an unborn baby.

Results of the Government's study, expected early next year, could change the advice given to pregnant women that a couple of small drinks a week is a safe drinking level.

With teenage girls overhauling boys in their drinking habits and binge drinking commonplace in young women, concern is growing over the consequences for the next generation.

Full-blown foetal alcohol syndrome (FAS) causes a range of problems including facial abnormalities and mental impairment and affects one in 1,000 babies, say American researchers.

But the more subtle, foetal alcohol spectrum disorder (FASD) may pose a greater problem. It is 10 times more common but "massively" under-recognised and under-diagnosed, say doctors.

The guidelines in Britain are that pregnant women can drink one or two units, equivalent to one or two small glasses of wine or single measures of spirit, once or twice a week. But advice in America and Canada is now to avoid drinking at all.

Dr Fiona Adshead, the deputy chief medical officer for England, said: "It is vital that public health messages are based on sound evidence.

"That is why we have commissioned a research exercise on the effects of alcohol on developing foetuses.

"This will review the available evidence on the effects of low-level alcohol consumption during pregnancy."

In Britain's Streets of Booze, a documentary on BBC1 each morning this week, Dr Adshead says pregnant women should always avoid getting drunk but that the modest drinking advice would change if the evidence showed that the guidelines were out of date or no longer sustainable.

A survey by the Department of Health in 2002 found that 61 per cent of women reported drinking during pregnancy.

Dr Raja Mukherjee, a psychiatrist and specialist in FASD at St George's Hospital, south London, who deals with patients who were damaged by their mother's drinking, said that he recommends not drinking at all in pregnancy if a woman can avoid it.

"There have been very few studies in the UK and it is hard to give a figure for the prevalence of foetal alcohol spectrum disorder," he said. "I suspect it is massively under-recognised."

Alcohol affects the front parts of the brain and Dr Mukherjee believes that the brain of the foetus is more likely to be damaged when a woman drinks regularly.

"The brain might be able to compensate for one hit, but begins to sustain damage when the same area is hit repeatedly," he said.

Subniv Babuta, the BBC programme's producer, said: "FASD and its effects are not widely known in this country so it is important that awareness is raised."

Full FAS is characterised by small babies, malformed faces or bones, defects of the heart and other organs and learning disabilities.

FASD children would fail to reach their full potential. The babies might be born small, and stay small, might develop more slowly than average and not sleep well.

A 20-year-old with FAS would have the emotional maturity of a six-year-old.

Helping them beat the bottle

The Hindu ~ 03/10/2005

CHENNAI: "God grant me the Serenity to accept the things I cannot change...Courage to change the things I can and Wisdom to know the difference."

This has been the prayer of Alcoholics Anonymous (AA), which on Sunday focussed on the Special Group of Greater Chennai Police Personnel. The group, which works for the recovery of policemen addicted to alcohol, celebrated its second anniversary on Gandhi Jayanthi.

With his eyes reflecting pride, joy and thanksgiving, a policeman who quit a 21-year habit, narrated the change AA brought about in him.

The daughter of another policeman said: "My father did not care to know in which class I was studying. But AA changed his life and he is busy trying to admit me to the best college."

"Nearly 70 per cent of them in Chennai die prematurely and drinking-related stress is a major cause," R. Nataraj, Commissioner of Police, Greater Chennai said.

A volunteer from Al-Anon, a women's group affected by alcoholism, said that she had decided to end her life rather than live with her alcoholic husband. But after he was drawn into the fold of AA, she was able to handle the situation better, thanks to Al-Anon. The Police Commissioner was presented with `Alcoholics Anonymous', second largest sold book only after The Bible and translated into 140 languages. The meeting concluded with a birthday song for 10 persons who quit drinking one year ago.

Sunday, October 02, 2005

Ministers to review alcohol research group

Cathy Newman ~ Financial Times ~ October 1 2005

Ministers are to respond to concerns they have been "captured" by the licensing industry by overhauling a government-sponsored group that carries out research on the impact of binge-drinking.

The Department for Culture, Media and Sport is expected to remove the Portman Group, the industry body, from the government-sponsored Alcohol Education and Research Council after a row about the influence that drinks producers have over studies on alcohol misuse.

The government has been accused of caving in to industry pressure over its decision to give the go-ahead for 24-hour drinking, the biggest relaxation of licensing laws for 90 years. The Tories say the new laws, which come into effect at the end of next month, will exacerbate binge-drinking and alcohol-related crime.

A senior Whitehall insider told the FT last night: "We are reviewing the council. That will mean the Portman Group coming off it. We think that it's wrong to accuse Jean Coussins [chief executive of the Portman Group] of not having been independent, but given the overall public concern about alcohol there's probably a better mechanism that can be arrived at. We're recognising that the council needs to be seen to be totally independent."

Last night, the government announced a review of the organisation. The council's website described studying the causes of binge-drinking and the role of the industry as a "priority".

It wants to explore the role of "marketing activities in encouraging excessive alcohol consumption, particularly in young people", and "how the UK drinks industry interacts with the government".

Some medical experts represented on the council fear that its studies could be undermined by the involvement of the Portman Group.

A Downing Street study into alcohol misuse was criticised as a sop to drinks companies. Theresa May, shadow culture secretary, said last night: "Everybody, from the medical profession to the police, are concerned about the consequences of the binge-drinking culture in the UK."

The Portman Group was set up by leading drinks producers in 1989 to promote responsible drinking. Noel Olsen, council chairman, welcomed the review, saying he hoped "in future, scientific and medical knowledge on alcohol policy, together with the lessons that can be gained from overseas, will play a greater part in government policy on alcohol".

Russia's 1-Step Program: Scaring Alcoholics Dry

By Peter Finn ~ Washington Post Foreign Service ~ October 2, 2005

MOSCOW -- Svetlana, a 32-year-old self-described alcoholic, had managed to stay off the booze, but one day two years ago she just had to have a drink. This time she sat down by the phone so she could call an ambulance, then took a sip from a bottle of beer.

"I was very afraid," said Svetlana, who fully expected to asphyxiate when just one swig of alcohol hit her bloodstream. She only hoped that she would have time to make the call and that the ambulance crew would be able to revive her.

"I was absolutely sure something terrible would happen to me," she recalled.

Three months earlier, Svetlana had been "coded" -- a catchall term for a Russian method of treating alcoholism that essentially involves scaring the living daylights out of the alcoholic. Dating to the former Soviet Union, it involves the manipulation of the alcoholic's psyche to create the belief that alcohol equals death.

In Svetlana's case, that was induced by mild hypnosis followed by injection of a temporary but powerful drug that could attack her respiratory system. Before the drug kicked in, the doctor gave her a little vodka to taste. She became dizzy and had difficulty breathing before the doctor stepped in with some oxygen to revive her.

The injected medicine, the doctor said, would stay in her system. "I've coded you for a year," he said, according to Svetlana. "And if you drink in that time, you will die." He insisted that she sign a release form saying he would bear no responsibility for her death should she drink within 12 months.

"I believed him, because we had all heard stories about people who were coded and died when they drank," said Svetlana, who didn't want her last name published because she said her co-workers didn't know she was an alcoholic.

In the last 20 years, hundreds of thousands of people in Russia and other countries of the former Soviet Union have been coded against the desire to drink. But some doctors fear that the increasing sophistication of the population and the use of the technique against other addictions, such as gambling, are draining the method of its essential ingredient: the power of suggestion.

Russian chat rooms now buzz with discussions about its fallibility, and Web sites offer methods to test whether a coded alcoholic has been administered a placebo or a real drug that can cause violent illness when mixed with alcohol. "Knowledge about unsuccessful coding is spreading, and faster than it ever has before," said Alexander Nemtsov, a psychiatrist at the Moscow State Scientific and Research Institute of Psychiatry. "But we still don't have the alternatives to replace it."

Alcohol abuse, marked by binge drinking, has soared to all-time highs in Russia. More than 50,000 people die annually from alcohol poisoning, compared with about 400 annually in the United States, according to Russian researchers. It is not unusual for Russians to consume one