Tuesday, February 28, 2006

AA forum tackles role in changing world

More than 100 members of Alcoholics Anonymous from western and northern Canada met on the weekend to celebrate their sobriety.

Winnipeg was host to a regional forum held every eight years, and topics included how to keep the support group's original 12-step program working in a world that's constantly changing.

"It's one of North America's most successful social movements," said Leonard Blumenthal, chairperson of AA's general service board in New York.

Blumenthal, a former director with the Alberta Alcohol and Drug Abuse Commission, said he got involved with AA because it works.

The voice of experience is key, said Blumenthal, who was once an alcohol treatment counsellor.

"Get them talking to someone else in recovery," said Blumenthal, who is not an alcoholic. "I'm convinced it's what works in the long term."

Since it was started in the late 1930s in New York, AA has spread to 180 countries. The organization has more than 1.5 million members in North America alone. The program has recently spread to Mongolia, Bahrain, China and Cameroon.

London Free Press

Driver who killed boy, 6, to be released on parole

A drunk driver who ran over a young boy as he was playing on a sidewalk in front of his home is scheduled to be released soon.

Andre Sweeney was three times over the legal blood-alcohol limit when the truck he was driving struck and killed 6-year-old Kevin Lavallee on May 29, 2001.

Lavallee had been playing on the sidewalk in front of his family's home in Massueville, a rural town about 90 kilometres northeast of Montreal. Sweeney's truck jumped the curb and the boy was crushed underneath its wheels.

Sweeney pleaded guilty to impaired driving causing death on March 27, 2002, and was sentenced to serve six years and four months in addition to the time he had served awaiting the outcome of his case. As part of his sentence he is also prohibited from driving a vehicle until 2012.

On Sept. 21, 2004, Sweeney was turned down for both day and full parole because two National Parole Board commissioners determined he had only just begun to address his problem and that releasing him posed too serious a threat to society.

In 2004, he underwent a psychological evaluation and was found to have a severe dependence on alcohol.

But in the National Parole Board's most recent evaluation, carried out as Sweeney approaches the two-thirds mark of his sentence and his statutory release date in May, he was found to have shown marked improvement.

According to a summary report on the evaluation, Sweeney has been open to solving his problem with alcoholism since the start of his sentence.

While incarcerated, he completed a dependency program and passed two urinalysis tests. Over the past year, he was granted escorted leaves and used them to attend Alcoholics Anonymous meetings where he spoke to others about how he killed Lavallee.

To the people who have been following his progress, Sweeney's testimonials at the meetings represent a "significant evolution" for a person who had trouble expressing himself in the past.

Sweeney told the parole board that when he is released, he has a job in maintenance lined up and plans to continue attending AA meetings.

Because of the progress, the parole board granted Sweeney day parole before he reaches his statutory release date. He will be required to live in a halfway house where Correctional Service Canada will determine if he can be released on weekends.

The Montreal Gazette

Saturday, February 25, 2006

Child Care Needs Keep Poor Addicts From Treatment

The problem of how to care for children while undergoing addiction therapy may keep many poor or homeless addicted parents from getting the help they need, a new study shows.

"For many of these people, I would guess that it was simply a problem of where to put the kids when they went to AA. For others, entering into treatment might stand in the way of pursuing employment and other responsibilities they would have towards their children," explained lead researcher Dr. Stefan G. Kertesz, an assistant professor of preventive and general internal medicine at the University of Alabama at Birmingham.

His team published its findings in the March issue of Medical Care.

Experts estimate that more than 22 million Americans suffer some sort of addiction. While research on middle-class populations has shown that people are strongly influenced by family members, and by their own perception of the consequences of substance abuse, there's been little research on poorer populations. This includes the homeless, where the consequences of addiction can be especially harsh.

"Our basic premise is that there's good evidence that addiction treatment can play a helpful role in the resolution of addictive problems, but a lot of people who need treatment don't seem to get it," Kertesz said.

"The study makes the assumption that drug abuse is a relapsing disease, and that if people don't get treatment, they are constantly relapsing," added Jerry Flanzer, health science administrator at the U.S. National Institute on Drug Abuse, which helped fund the study. "This is costing our society a great deal of money."

Any number of reasons may explain why people don't get the treatment they need, including lack of availability of programs.

But this study aimed to identify key personal factors blocking addicted individuals from joining mutual self-help groups such as Alcoholics Anonymous and Narcotics Anonymous.

The prospective study followed 274 people addicted to cocaine, alcohol or heroin.

The participants were identified in a short-term detox program in Massachusetts, and were followed closely for the next two years. Individuals were about equally divided between cocaine, heroin and alcohol addiction, and most used more than one substance. Some 60 percent experienced homelessness during the follow-up period, and 22 percent were chronically homeless.

Not surprisingly, people who spent time with other addicts were less likely to get treatment, the researchers found. And -- in keeping with data on middle class substance abusers -- poorer addicts were more likely to get treatment once they perceived major negative consequences stemming from their addiction.

"It's not how much you use," Kertesz added. "It's how severe you perceive the consequences of drugs and alcohol to be."

The finding seemed to jive with what addicts themselves said. Sara, a recovering substance abuser currently serving time in a New Mexico jail, said her tendency is to seek treatment when she hits an "emotional rock bottom."

Hitting this psychological low may have nothing to do with having your kids taken away or losing your home, added another woman in recovery, Lulu.

However, caring for children did seem to be an important factor in whether or not addicts sought treatment. Study participants who lived with their children were half as likely to obtain treatment or attend meetings.

The problem is a simple one: "You have to balance immediate responsibilities with long-term health, and that balance can be extremely difficult if you have a strong duty towards your children," Kertesz said.

"There's a clear message that men are also affected greatly by involvement in the family and particularly by whether they have children," Flanzer added. "This has real policy implications."

The findings do seem to point to some practical ways to increase access to treatment, Kertesz said.

"I take care of patients in an inner city hospital, and doctors and nurses can feel a real sense of futility and despair in engaging patients with medical complications of alcohol or drugs," he said. "We need to realize that people who are poor who need addiction treatment are trying to balance that need against other issues in their lives that could be very important, and this can include children. We need to find out about these problems."

HealthDay News

Thursday, February 23, 2006

Allow a safe place for addicts to recover

In Florence, there is a situation similar to that which occurred in Covington when Transitions wanted to place a Recovery Center for homeless alcoholics and other drug abusers there. People reacted to the idea emotionally and fearfully because they didn't know what was to go on in the facility and didn't understand how much a center would benefit their communities. I hope this will help allay their fears.

The only people going into a Recovery Center are homeless or near-homeless alcoholics and other drug abusers who have displayed a sincere desire to get away from drugs. They get off the street and into a residential facility when they have the opportunity to become straight, clean, sober and into continuing recovery. Residents receive 24/7 supervision, a positive community atmosphere, health care, dental care, recovery training, mentoring and continuing support. They won't be wandering around communities as they do now.

All center residents must complete the Alcoholics Anonymous and Narcotics Anonymous 12-step program and a 26-step Recovery Dynamics program. Each resident is tested to be sure the steps are being achieved. Residents become part of a positive community where they are taught to be accountable to themselves, each other and their communities. Residents further along in the recovery process monitor and help those behind them.

The program would not cost Florence or Boone County taxpayers anything. Funding comes from federal programs and some state programs.

Gov. Ernie Fletcher wants to build 10 all-men or all-women centers in Kentucky. They will be modeled after the Hope Center in Lexington and the Healing Place in Louisville. Both helped hundreds of men and women get into recovery and to lead productive lives.

There are too few residential facilities. Many addicts end up in jail because they can't get the help they need. People who are unable to get help lose hope, which increases the risk of deaths by suicide and overdose. Within a year, two alcoholics passed out and froze to death in Covington. That is inexcusable.

All communities have alcoholics and drug addicts. But not all have the opportunity to do something positive to help them. I hope Florence doesn't miss the opportunity as Covington did. Lives depend on it.

Edward L. Smith Jr. is a member of the Northern Kentucky Mental Health/Substance Abuse Regional Planning Council.

The Enquirer

Wednesday, February 22, 2006

I'm not an alcoholic: Sailor

New South Wales and Australia wing Wendell Sailor has scoffed at the suggestion he has a drinking problem.

Sailor, who was involved in an alcohol-fuelled nightclub incident while in Cape Town with the Australia last August, was drunk and disorderly again in the same city with the Waratahs last Friday night.

He has received a one-game suspension and a fine for being involved in a scuffle with a bar patron, but that is the least of his problems.

The former rugby league star's Test career is in jeopardy as rugby officials determined to stamp out bad behaviour have the power to terminate his lucrative contract.

Sailor arrived home in disgrace yesterday from the Waratahs' tour of South Africa.

When asked at a media conference at Sydney airport yesterday whether he had a drinking problem, Sailor said: "I'd laugh at that.

"I don't drink that much ... not to the extent that it is going to worry me, (and) not that I'm an alcoholic or have a drinking problem.

"I probably should have (known better) but that's a good part of me, thinking you can go out and have a couple of quiet ones. It was only a couple of hours. It wasn't like a massive one- or two-day drinking binge.

"But it was enough to do some damage, not just to the province but to the union and obviously my teammates and my family and friends, who have been big supporters of me.

"It is not a good feeling at the moment. I love what I do, but I'm not too impressed with myself at the moment."

Sailor may not have a drinking problem, but drinking has certainly given him problems.

With the Australian Rugby Union and NSW Rugby Union to hold a code of conduct hearing into his latest misbehaviour in Cape Town, Sailor's career is in the balance.

Sailor is looking at anything from a 28-day suspension to the termination of his contract.

Wallabies coach John Connolly has made it clear he will not tolerate off-field misbehaviour.

"I haven't thought too much about that," Sailor, who rubbed his hands nervously during the media conference, said.

"I've heard John Connolly say he wants to get it right on and off the field. I can understand that.

"I suppose at the back of my head it is worrying, but I haven't spoken to Knuckles.

"At the moment I've got a squad of 30 blokes at the Waratahs I've got to prove myself to again."

Sailor suggested he would look to curb his exuberant personality in the future.

"I'm a pretty outgoing person," he said. "I'm pretty outspoken. I just need to come back a little bit on some of those things. I like to think I'm a pretty mentally tough person.

"I'll go to training tomorrow and know I'll have to work hard to get back to where I am but I know there's no guarantee of me being back in the 22.

"People are talking about Test jerseys, you might not play Tests again. If I don't, I've certainly had a very enjoyable career.

"At the same time ... (Waratahs coach) Ewen McKenzie took a massive risk with me. He was told he shouldn't sign me and he did, and he was happy when I came here. I've let him down."

Greg Martin, a former Test fullback and now a Fox Sports rugby commentator, suggested yesterday that Sailor's future may be limited to Super 14 rugby.

But former Wallabies coach Bob Dwyer last night was stunned at the punishment the Waratahs meted out to Sailor, describing it as harsh.

"If what I read is right then I think New South Wales have overreacted," Dwyer said. "The punishment doesn't fit the alleged crime.

"Of what I know of Wendell Sailor, he has a very, very good reputation. The Wendell Sailor I know is positive, disciplined, and punctual.

"I had him as a player on a Barbarians tour of the UK and his behaviour was exemplary, however I do recall a previous incident with another motorist.

"But, in saying that, I believe what happened in South Africa to be totally out of character for Wendell."

Queensland coach Jeff Miller described Sailor's latest off-field fallout as a "shame", saying his emotional state on the night could have been affected by his treatment from Reds fans during his first game at Suncorp Stadium since leaving the state last year.

"I know that he's struggled after his game up here at Suncorp," Miller said.

"He took that to heart where he probably shouldn't have. He should've realised that it was all mostly said in good fun. So it is a shame that he's followed it up with that. I'm sure it did (affect him)."

Fox Sports

Monday, February 20, 2006

Programs target revolving door

By the time he was in high school, Albert Barber was a heavy drinker.

He drank cough syrup when he couldn’t get his hands on anything else.

Heroin was next. When he reached his 21st birthday, Barber was addicted to anything and everything he could get his hands on.

He spent 14 years inside prisons in four states after being arrested on drug-related charges. But even after he was released from prison, his habit was still going strong. Having spent most of his adult life addicted to drugs and alcohol, Barber didn’t know how to function without them.

“The problem lied in my thinking,” Barber said. “I had to go through a change.”

The 56-year-old man is an example of a typical offender. He had been abusing drugs longer than he had been sober, and he didn’t understand how life without drugs worked. Locking him up prevented him from harming others, but it didn’t change his way of thinking.

At a time when the recidivism rate includes more than half of the offenders, officials are realizing that simply locking up offenders does little to help them learn from their mistakes. They have begun trying new approaches to keep the numbers down.

In Lake and Porter counties, they are taking another look at the punishment process, analyzing the prisoners to make sure they are targeting all of their problems, and pressuring the offenders and ex-offenders to talk about their issues rather than simply passing through the system.

It was through these methods that Barber finally kicked his habit.

The approaches used in Porter and Lake counties vary. In Porter, officials are trying to analyze the offender as a whole, treating every risk factor. In Lake County, offenders and ex-offenders are urged to meet and mingle, openly discussing their problems in and out of prison, leaning on each other for support.

But in both instances, the idea is the same.

“It’s a more holistic approach,” said Amesha McDonald of Porter County’s PACT, a community corrections-based agency that provides offender services.

That, too, is the goal of a new in-jail program.

Sheriff Roy Dominguez has announced plans to use state money from the misdemeanant fund to underwrite an educational program for inmates.

The Community Orientation Re-entry Program will provide about 50 prisoners this year with schooling and job training for the final three months they are incarcerated at the facility and for the first nine months they are free.

The program will be administered by Edgewater Systems for Balanced Living at a cost of $4,500 per inmate per year.

The statistics

The problem of how to condition offenders on how not to re-offend has been a long and steady battle, with reoffenders appearing in staggering numbers. In 2002, the latest statistics available, 41 percent of state parole discharges were returned to jail or prison, according to the U.S. Department of Justice. The state of Indiana doesn’t formally track its recidivism rate because when people cross state lines, county lines and division lines, it’s hard to keep track of everyone. But Mark Murphy, director of operations for Lake County Community Corrections, estimates that about 70 percent will return.

There were 24,244 adults incarcerated in Indiana last year, according to the Indiana Department of Correction. Ninety-nine percent of those will be released eventually, but if nothing is done to curb the turnaround, the battle will never end.

That’s why Murphy decided to create a program in which ex-offenders, like Barber, to lean on each other for support, returning to the correctional facility to discuss their problems. Many people may assume that when a group of ex-offenders meet once they’re out of prison, they will get into trouble, but Murphy had more faith in the inmates. He also realized how easy it would be for offenders to go back to bad habits. When they leave prison, they typically return home to situation similar to the one they left.

So Murphy realized he would have to teach the offenders how to think about their actions before acting. They need to listen to stories of offenders in order to understand how bad habits begin, he said.

Positive Impact

Together, the group of about three dozen men — some white and Hispanic, but the majority black — don’t look any different than those attending a mundane after-work meeting. They gather in a circle on Tuesday and Thursday evenings, wearing jeans and T-shirts. But the fact that they’ve all served time yet are returning to the correctional facility to talk is a rare feat. Some haven’t been out longer than about a month, but they faithfully come back, using each other to support their decision to become clean.

“I saw a need for this,” Murphy said. He began the program in 1992, but it quickly disappeared when he switched jobs and worked for the Sheriff’s Department for eight years. He returned to Lake County Community Corrections five years ago, and his group, Positive Impact, has been back in full force since May.

They meet twice a week in the recreation room at the facility. Most of the men are ex-offenders, but Murphy also invites current offenders who reside in the building to attend as well. Notices about job openings are announced, and fliers about the positions are distributed to those who haven’t found themselves a career yet.

Sometimes a pastor or an inspirational speaker will attend to speak before the group. Sometimes it will be a representative from Narcotics Anonymous or Alcoholics Anonymous. But at the end of the meetings, the men have a chance to speak, to share their stories about their problems. While the meetings are voluntary, the men surveyed said they would never miss a session.

Barber said he comes twice a week in addition to his Narcotics Anonymous meetings and his full-time job as an HIV/ AIDS counselor at the Edgewater Systems for Balanced Living in Gary. On a recent Tuesday evening, he attended the Positive Impact meeting wearing a preppy blue-and-white sweater, pressed pants and shiny black shoes. When he spoke, he spoke loudly, his voice echoing like that of a minister. He had a story to tell and he wanted to speak so others would listen.

“Once upon a time when I was locked up, a seed was planted,” Barber said. “I realized I had a problem with drugs. But it didn’t happen like that,” he said, snapping his fingers to emphasize his point. “It’s an attitude problem. You have to do something different.”

Once Barber figured out how to help himself, his mission became to help others who were lost, who didn’t know how to pull themselves out from under the allure of drugs.

“At one time, I was part of the problem. Now, I take pride in being part of the solution,” he said. Barber was sitting at the front of the meeting circle, taking on the role of a voluntary role model for the other men who were recently released. While Murphy was the creator of the group, he sat on the outskirts of the circle, letting the men take the lead and focus the direction of the meeting on whatever topics they need on a given evening.

Charles Blacknell, a 41-year-old from Gary who spent the past 20 years in prison, wanted to talk about his freedom and the temptations that could come along with it. He’s been out for six months, and while he embraces every second of freedom, he said it could be difficult.

“It’s a weird transition,” he said. “I ain’t got nobody breathing down my neck telling me when to eat, sleep and go to the bathroom.”

Dealing with the transition is one of the primary goals of the group.

“The longer you’ve been incarcerated, the longer it’s going to take to prepare them,” said Robert Hinojosa, executive director of Lake County Community Corrections. One time, Murphy put a phone in front of a man who was recently released.

“He didn’t know what to do,” Murphy said. “He had been incarcerated so long, he had only seen rotary phones.”

That’s why the correctional facilities pressures the inmates to attend the Positive Impact meetings. There, they can speak with recent releases about what’s next.

But even with the help, it’s hard.

Jeff Carew, 45, of Munster was released from jail two months and one week before he spoke publicly about his problems.

“What I was and what I still am is a drug addict and an alcoholic who chooses today not to use,” he said. And while he said he always will be an addict, he grasps onto the support of his friends, the other ex-offenders, to convince him to stay sober.

“I gotta remember that it would be very easy for me to be back in a place like that or worse if I decided not to think anymore,” Carew said. “But Positive Impact gives someone a ray of hope — just knowing the fact that there was people who cared.”

Key concepts

Yvette Salinas, parole supervisor for the Indiana Department of Correction in Gary, said the program follows a key concept.

“It’s not all about punishment,” she said.

While the offenders usually did something very wrong to land them in prison, Salinas said it’s their thinking process that put them there, not their desire to do the crime.

“You get an understanding of the years and years and years that they’ve been thinking wrong,” she said. “Someone might say, 'I just got paid and I just worked really hard for two weeks. I should be allowed to go out to the bar and spend my money that I made.’ ”

Salinas explains to them, “It should be your right to save money. If you ask an offender when they were the happiest, it’s not going to be when they were strung out on drugs and alcohol.”

That’s why McDonald of Porter County is working with PACT to create a new program to help the offenders. Currently, judges typically recommend programs to help offenders target a specific problem. For example, someone with a domestic violence history will receive anger management classes. But that doesn’t help much if the offender also has a drinking problem that isn’t being treated.

So PACT is creating an assessment program whereby offenders will be evaluated to determine their host of risk factors. If the evaluation reveals that the offender is an alcoholic who is violent and has a poor peer influence, PACT can help him with all his issues.

“The obvious goal,” McDonald said, “is to reduce their level of risk to reoffend. We’re increasing public safety.”

Post-Tribune

Sunday, February 19, 2006

Waiting until dark doesn't mean no alcohol problem

When Gene Robinson announced last week he had checked himself into an alcohol treatment center, it came as a shock to all except his family and closest friends. Considering the scrutiny he had been under since becoming the first openly gay bishop in the Episcopal Church, it was remarkable that Robinson had been able to keep his problem a secret. But Robinson, like millions of Americans, was apparently an after-dark alcoholic.

I first heard about after-dark drinkers when my college roommate and I discovered we had something in common - an alcoholic parent. My father was a binge drinker who might remain sober for months between bouts of incapacitation and hospitalization. We never knew when he'd be drunk or sober.

My roommate's mother, on the other hand, was utterly predictable. While she never drank during the day, when 5 o'clock rolled around, she'd pour a cocktail and knock them back until she passed out later that night.

My roommate actually envied me. At least every now and then my father would act like a normal dad. At least a few of our family vacations and holidays went unspoiled. At her house, every night was hell.

Many after-dark alcoholics, like my roommate's mother, don't believe they have a drinking problem. After all, they drink mostly at home between 5 and midnight. In the morning they get up and go to work. They raise families and pay taxes. They get the grocery shopping done; they put dinner on the table at night.

But the truth is, after-dark alcoholics can't fully participate in their own lives. They avoid joining clubs or volunteer organizations that might require them to attend evening meetings. They zone out in front of the television because they're too drunk to read a book or stitch a quilt. They make phone calls and send emails that they'll later regret.

Worst of all, they neglect their kids and spouses. They're too drunk to help with homework, to play board games, to oversee baths and tooth-brushing, to read before bed. Too drunk to rub a spouse's sore back, to plan a summer vacation together, to talk seriously about a child's troubles at school. In an emergency, they're useless. Should a child tumble down the stairs, or spike a 105 fever, they can't assess the seriousness of the situation, never mind drive to the hospital.

One problem with after-dark drinkers is that their alcohol dependence can increase so gradually they don't recognize they have a problem. The body's response to alcohol changes with regular drinking. The drinker needs more and more alcohol to feel relaxed and happy.

What started as a habitual glass of wine with dinner can, over the years, expand to cocktails before dinner, followed by a full bottle of wine, followed by a nightcap. Indeed, Gene Robinson, in the letter he wrote to his diocese explaining that he had entered alcohol rehabilitation, spoke of his "increasing dependence on alcohol."

Help is available

If you're a drinker, ask yourself honestly if alcohol ever interferes with your life. In a nighttime emergency, could you drive a child to the hospital? Do you get crabby if you can't have that glass of wine at 5? Do you argue with your spouse over trivial matters after drinking? In the morning, can you recall the night before? Do you sometimes go to bed without brushing your teeth? Do you ever wake up feeling hung over?

If you find yourself answering yes to these questions, you may one day find yourself a full-fledged alcoholic.

It doesn't need to get that far. People who are physically dependent on alcohol need medical intervention to detoxify and then the long-term help of a counselor or a support group to stay sober. But those who have simply gotten into the bad habit of tossing back a few too many every night can adjust their alcohol consumption on their own before it ever comes to true physical addiction.

Some people can make up their minds simply to cut back and stick to it. Medical experts recommend that women consume no more than one drink a day, men no more than two. And one drink doesn't mean a 24-ounce tumbler of wine - that means five ounces of wine, one 12-ounce beer or one light cocktail.

If, despite your best efforts you can't stop drinking, it's time to have a talk with your doctor, to get yourself to a support group, or into counseling. Twelve Step programs like Alcoholics Anonymous work well for some, but others find their emphasis on confession and a "higher power" off-putting. Other programs are available, such as Rational Recovery and SMART Recovery.

Want to avoid groups all together? Cognitive behavioral therapists have had great success treating problem drinking, while some people are helped to curb their drinking with a course of anti-depressants.

We should all be grateful to Gene Robinson for being so forthcoming about his problems with alcohol and bringing attention to the quiet epidemic of secret alcohol abuse.

My father died of his alcoholism at the age of 48. Lisa's mother died in her 50s from breast cancer, a disease linked to alcohol abuse. They both left behind sad, confused spouses and children.

Let's hope that in the wake of Robinson's confession, many people change their drinking habits and save their own families that kind of grief.

Concord Monitor Online

Friday, February 17, 2006

New chapter in a life that rose from the ruins

Harriet Vyner was brought up at Fountains Abbey and seemed to have an enviable future ahead of her. The extraordinary events of a life that has included heroin addiction and a spell in prison are charted in her new novel. She talks to
Jill Armstrong.

Harriet Vyner was born to lead a life of privilege.

The early part of her childhood was spent at Fountains Abbey, the family's estate which is now owned by the National Trust and is a World Heritage Site. When she was eight, the family had to leave all this behind. Her father had got into severe financial difficulties due to a combination of bad business deals and gambling, and the estate was sold to North Yorkshire County Council.

They downsized to a house in Sussex and life was still fairly affluent by most people's standards.

Trust funds were set up which meant that Harriet and her two sisters would not have to work.

Looking back on that time now, Harriet believes it would have been much better if she had had the discipline of having to earn her living. As it was, by the time she was 16 she was drinking quite heavily and taking speed. By the age of 20, she had moved on to heroin and her life was spiralling out of control. A prison sentence in Holloway was to prove her salvation. "I haven't taken drugs or anything for 20 years almost," says Harriet, who is now 46.

In recent years, she has found a new and absorbing career as a writer and she has become quite a workaholic. Everything about her life has changed for the better.

Some of what went before has formed the basis for a novel, Among Ruins, which tells the story of Laura whose father gambles away the family's estate in one night. After they move, she continues to be haunted by an incident that happened on the estate. Later, she embarks on an affair with a famous artist and then her life takes a turn for the worse as she slips into heroin addiction.

The first time Harriet went back to Fountains Abbey was about 10 years ago. "I was curious to see how I felt about it. Then I wondered what the effect of such a place, that combination of man-made and natural beauty, would have on an impressionable child, especially if she suffered abuse in the same place." The visit sowed the seeds for the novel she would eventually write, using some of the extraordinary events that happened in her own life.

She can't recall being upset at having to leave their home at Studley Royal: "As children you just accept what is happening. We went to stay in Scotland at our grandparents' house and then Mum said we were going to move to Sussex. I didn't mind. We moved to quite a nice house and we had quite a bit more freedom, because nanny left."

Harriet still has no idea why she started to drink so heavily. "I don't know... but I did have a tendency to be over-sensitive. It helped not to be sober when I was a teenager."

It all got serious quite quickly. She began experimenting with speed and then cocaine. She was in her early 20s and living on her trust fund and as the addiction took hold, her life became increasingly squalid.

She and her boyfriend at the time were also supplying friends and she thinks her neighbours in Chelsea alerted the police, who burst into her flat one night and arrested them both.

"We were breaking the law and I accept that. I might be dead if that hadn't happened or worse, still carrying on, which would have been dreadful. Something dramatic had to happen. Everyone was in despair about me. The least of my problems was going to be prison."

While she was waiting to go to prison Harriet agreed, under protest, to go to a treatment centre.

It was the best thing that could have happened to her. "I knew that I was in big trouble and I needed help. I suddenly realised what the alternative would be and I got so scared and depressed. I gave it a go and from that moment I felt happiness and relief for the first time. I haven't wanted to take drugs or drink since then." She still goes to Alcoholics and Narcotics Anonymous meetings.

After that, Holloway did not seem too bad. She was sentenced to 30 months, reduced to 10 on parole. On her first night, one of the other prisoners lent her a book. When she opened it, out of it fell some heroin on some silver foil. "I put it back. I just wasn't interested. The treatment had been such a complete success."

Her prison sentence passed quite peacefully but when she came out she felt depressed, and several years slipped by when she did very little.

Then a friend from what she describes as "the old days", Brian Clarke, asked her to work with him on the screenplay for a film about Albert Pierrepoint, one of Britain's last hangmen. The film came to nothing, but Harriet had gained some confidence and with his help she received a commission to write a book about the art dealer Robert Fraser, called Groovy Bob: The Life and Times of Robert Fraser. Since then she has also been working with the musician Jools Holland on his autobiography. She is a friend of his wife Christobel.

When she was 18, Harriet had embarked on an affair with the painter Lucian Freud who was then nearly 50. In her book, she writes with some detail about the affair between Laura and a painter called Christopher Kovel who is also much older.
She maintains her relationship with Freud bore very little resemblance to what happens in the book. The affair lasted for a year or so but they continued to be friends afterwards, and he painted her.

"I wanted to make more of the affair in the book, and I only have very happy memories of my affair with Lucian."
His daughter Bella, the fashion designer, is a good friend and Harriet has helped her with the charity she set up for Palestinian children, called The Hoping Foundation.

Early on in the book, the character Laura experiences a horrific incident which again mirrors something that happened to Harriet soon after the family had moved to Sussex. She was about nine and had jumped on her bike to go down to the woods because she'd heard there were gipsies about. There were no gipsies, just three men camping. She went off with one of them to collect wood and he sexually assaulted her.

"I don't know quite what he did but I knew it was something very disturbing and he'd taken my clothes off. He led me further into the woods and nearly strangled me and when I came to he was crying. We walked back together and I said I would swear on the Holy Bible not to tell anyone."

She never said anything to her parents until years later, and they were horrified.

"I was surprised by the strength of their reaction. I had buried the whole thing... but those weren't the days of going to the police about everything." And in those days the children did not see very much of their parents because for most of the time they were in the charge of a "very strict and rather horrible" nanny.

Harriet's parents divorced when she was about 20 and her father is no longer alive. Her mother, to whom she has dedicated the book, has been completely supportive about it.

For Harriet, life is more settled now than it has ever been. She is happy with her partner, Garry Cooper, who is an actor and has a teenage daughter. They divide their time between her London flat and his home in Hastings and she is now working on another novel.

They met at a Thanksgiving party at the home of Brian Clarke, who has been something of a catalyst in her life. Garry, who is from Hull, told her that his favourite place in the world was Fountains Abbey, so that is where they went for their first date.Yorkshire, so far as Harriet is concerned, is enchanting and she would love to move back heresome day. In the meantime, she and Garry are hopingto book up for a weekendat Fountains Hall, nowfully restored by the National Trust, where two luxury apartments can be rented, one of them named after the Vyner family.

Among Ruins by Harriet Vyner is published by Faber and Faber

Yorkshire Post

Thursday, February 16, 2006

'I drank away 10 years of my life'

The road back from alcoholism is strewn with obstacles, as Huddersfield's Gary Westwell discovered when he decided to stop drinking. Now he wants to help other problem drinkers and has published a devastatingly honest account of life as an alcoholic.

At His alcoholic worst Gary Westwell was drinking a minimum of 14 cans of Special Brew a day.

"That was my survival drinking, it was maintenance level," he says.

"I would still go out in the evening and have a few pints as well."

He had got to the stage where his GP told him he was literally killing himself. Spells of detoxing, in and out of hospital, weren't working and he knew he had to finally take responsibility for his behaviour. "No-one else could do it for me," he says.

Today Gary (45) calls himself a "non-drinking alcoholic" because he understands that even though he has been dry for over a year now he will always be an alcoholic.

A former psychiatric nurse and senior social worker, Gary drank away 10 years of his life - five of them drinking to a seriously harmful level.

He lost his job, damaged his personal relationships and put his health at risk. His story, which he tells with unswerving, warts- and-all honesty in a self-published paperback The Road to Becoming an Alcoholic and the Way Back, is an ugly one. But it's not rare.

"People used to think that alcoholism was a problem that affected poor people but it affects everyone. A lot of professional people are trying to hold down jobs while drinking. Lots of people have a drink problem. It's not a question of quantity it's whether you need to drink, however much that is," explained Gary.

In his case he is unclear as to why social drinking became problem drinking.

Although he lived the rock and roll lifestyle in his early twenties, as the drummer with rock band The Prisoners, Gary says he felt that his drinking at that time was no more or no less than any other young man of the times. Nor can he blame his upbringing or any traumatic event in his life.

But there can be no doubt that once he'd embarked on life as a heavy drinker it rapidly became a serious problem. "I was seeking solace," he says. In his book he admits that every time something went even slightly pear-shaped he reached for a bottle.

Drinking, he says, killed his marriage, alienated his friends and affected his children, who are now aged 14 and 12. His daughter once made a scrapbook to remind him of what he stood to lose by drinking. The covering letter implored: "I have made this scrapbook for you so when you feel like you want a drink you can look through it, and it will hopefully help you not to drink. So please read this, because it is so important that you don't ever drink because you end up drunk and hurting your family."

As Gary is quick to point out, alcoholics hurt the people who love them, as much, if not more, than themselves.

He has nothing but praise for his partner, Maureen Brook, who met him when he was steadily drinking himself to death. "She accepted me as a person and had faith in me," he says.

His mum too, he believes, is deserving of a special mention for the way she continued to care even when her son had sunk about as low as he could get.

Gary's book is a fairly short account of his descent into alcoholism. "It was a therapy thing. I wanted to encapsulate what I'd done so that I could put it behind me," he says. As he began the slow process of recovery, moving towards abstinence, he decided that he could share his experiences with other alcoholics and their carers.

To that end he has set up a counselling service, Empathy Support Services, for the alcohol dependent and their families.

Gary has managed to turn his life around - he is now in his second year of a law degree at Huddersfield University - and has been fortunate to escape without any major health problems.

Footballer George Best was not so fortunate. But Gary believes that is because the former sportsman simply didn't want to recover. "He must have realised what he was doing but he didn't want to change. You have got to want to do it for yourself. Everyone will keep telling you what harm you are doing to yourself and that you should give up but you just think that you can get away with it.

"Eventually your drinking becomes a downward spiral; your faculties go and your memory disappears. In the end I was having fits and had high blood pressure but the alcoholic will always say that they haven't got a problem," explained Gary.

He knows only too well how crafty and deceitful an alcoholic can be. He knows all the tricks and excuses, which is why he thinks he will be able to help others.

Huddersfield Daily Examiner

Wednesday, February 15, 2006

How Guinness helps alcoholics at The Priory to beat booze

A horse called Guinness has a new role in life helping people with drug and alcohol problems to overcome their addictions.

Equine Assisted Psychotherapy (EAP) is being used for the first time in a clinical setting in England by the Priory Hospital, north London.

The private centre that provides a range of mental health services began using the treatment six months ago, first in addiction group therapy and with patients with eating disorders. It is now planning to extend it to adolescents with a wider range of problems.

Dr Neil Brenner, the medical director at the hospital, said horses were a "wonderful tool" in helping patients get through to their emotions very quickly.

"We find working with horses can provide a very solid basis for recovery," he said.

The hospital has joined forces with a local riding school, which provides Guinness, an 18-hand shire horse, Fred, Bilbo, other horses and Shetland ponies, for the hour-long sessions.

Watching a demonstration of the horses and therapists at work yesterday was Monty Roberts, the inspiration for the best-selling book The Horse Whisperer.

"As a young adult I was told that this approach was crazy. Then, nothing like this had appeared on the face of the earth," he said. Now I am sitting here among academics who have studied the theories and found them to be sound."

Mr Roberts, who lives near Santa Barbara, California, was physically abused as a child. "Horses and children are flight animals. I used horses as my therapy, running away with them, learning from them, hiding with them," he said.

Yesterday a disparate group of journalists and Priory staff were put through their psychotherapeutic paces with unco-operative Fred and a much more amiable Bilbo, with some of the tasks the same as those given to patients in group therapy.

Working as a team of 12, one task was to persuade the horse, without touching the animal, to jump a small fence.

In another, with only one person in a group of three allowed to speak and the other two allowed only to use one arm each, the task was to catch the horse, put on a head collar, lead it, take off its blanket and put on its saddle.

Horses, Dr Brenner said, have small brains but relatively large limbic systems, the part of the brain that is involved with emotion.

This is said to be one reason why they are empathetic with humans, when treated in the right way.

Dr Brenner said: "There is something about a horse that gives it an ability to communicate with us. They read people very easily, they know when we are happy or sad. Horses don't lie, they set boundaries, they have defined roles within herds.

"In a era when immediate gratification and the easy way are the norm, horses require people to be engaged in physical, emotional and mental work - a valuable characteristic in all aspects of life."

Horses also have the ability to mirror human body language. A frustrated patient is not going to find the horse is co-operative.

Steve Cole, the addiction treatment programme co-ordinator, said he was planning a clinical evaluation of the therapy over the next year.

Telegraph

Tuesday, February 14, 2006

My Name Is Bill: Bill Wilson--His Life and the Creation of Alcoholics Anonymous

Alcoholics Anonymous proclaims itself the largest self-help movement in the world. With the fall of Communism, its integration into hospital rehabilitation therapy and court sentencing, and the adoption of its twelve-step programme for addictions ranging from chocolate, through cocaine, to sex, AA can only get bigger.

Once associated with sad old men in church basements, the fellowship has become chic. Two critically admired confessional best-sellers ("drunkalogs", in AA speak) currently testify to the fellowship's power to save: James Frey's A Million Little Pieces and Augusten Burroughs's Dry. Both authors loyally bear witness that "It Works!" — the slogan that is ritually chanted, after the Serenity Prayer, at the end of meetings. Given AA's twelfth tradition ("Anonymity is the spiritual foundation of all our traditions, ever reminding us to place principles before personalities"), it is impossible to know how well it actually does work. You cannot do market research in AA because no questions are asked and groups keep no register. Since its inception in the mid-1930s the fellowship has boasted a success rate as high as 75 per cent. Hospitals which have incorporated AA as patient treatment claim much lower figures. In the meetings I have attended over the past twenty years, I would guess around 15 per cent of those who come through the (always open) door eventually "make it".

In one sense it clearly does work in that, unlike innumerable other temperance movements, AA is still with us, seventy years after its foundation. Paradoxically, it is what AA does not do which explains its survival. It eschews the accumulation of money or power, prohibits individual leadership and, as its sixth tradition enjoins, never "endorses, finances, or lends the AA name to any related facility or outside enterprise". AA has no treasury, no L. Ron Hubbard, no skyscraper in Manhattan, no lobbyists in Washington.

Susan Cheever is firmly of the "It Works!" party. She too has written her "drunkalog" (Note Found in a Bottle). Cheever encountered resistance from AA purists on the grounds that a biography of Bill Wilson would be putting "personalities before principle". But her justification for plucking AA's co-founder from anonymity is that he matters too much to be left there. "Bill Wilson's ideas", she asserts, "have entered the common consciousness and changed how we define being human in a way certainly as powerful as the ideas of Sigmund Freud or Thomas Jefferson."

Wilson's life is well known and Cheever adds relatively little to the large outline. He was born in rural Vermont in 1895 to parents who promptly divorced. Having flunked out of college and married early, he became a Wall Street broker and drank his way through Prohibition, by the end of which he was a constantly relapsing alcoholic. In 1935, in Akron, Ohio, he met Robert Smith ("Dr Bob"), another alcoholic. The two men concluded that "only drunks can help drunks", and experimented with the group techniques that eventually congealed as AA. The movement had difficulty getting off the ground until a 1941 Saturday Evening Post article attracted a great deal of attention. Throughout life, Wilson resolutely declined any personal credit or fame and, in 1955, transferred what leadership function he had to a governing council — claiming only to be "just another recovering drunk". He died in 1971.

In Cheever's analysis, AA is a synthesis of "five or six philosophical streams". One derives from the Vermont small community "town meeting". Horatio Alger is also in there somewhere. Much of AA's apparatus comes from Frank Buchman's Oxford Movement. The twelve steps derive from that movement's six tenets. The emphasis on publicly confessed "surrender" (see AA's first step, "We admitted we were powerless over alcohol") is a clear OM borrowing. Where AA deviates from the Oxford Movement is that it does not cosy up to politicians (notoriously Hitler), or publicly woo celebrities and donors.

Cheever lays formative stress on AA's discovery of the "disease concept" of alcoholism. It exculpates alcoholics, enabling them to see themselves as sick rather than sinful (something that George W. Bush's favoured "faith-based" centres are currently seeking to reverse). Is AA therapy or (as its critics persistently allege) a cult? Carl Jung (another founding influence) wrote in a letter to Wilson in 1961 that: "alcohol in Latin is spiritus and you use the same word for the highest religious experience as well as for the most depraving poison. The helpful formula, therefore, is spiritus contra spiritum". It is the religion in AA that saves you, Jung believed, rather than the treatment that cures you.

Personally, Wilson had a lifelong attraction towards mysticism and junk religion. He was drawn — by its ritualism not its theology — to Catholicism, and contemplated conversion. In later life, he flirted with Gerald Heard's and Aldous Huxley's West Coast Vedanta and took LSD with the two expatriate gurus. He was an ardent spiritualist, going through life with AA's Big Book in one hand, and a Ouija board in the other. In his house he had a basement "Spook Room" where he would communicate with the dead.

Cheever's portrait of Wilson is generally reverent, although she parts company with those messianists who, as she says, see him as a man "chosen by God to carry a message". In the second half of her book she goes further and pastes some disfiguring warts on the patriarch. Despite his victory over drink, Wilson remained incurably addictive. He chain-smoked himself into terminal emphysema. Even on his deathbed, he puffed incorrigibly as he suffocated. Although he drank nothing for the last thirty-seven years of his life, he always craved the stuff. As he lay dying, and semidelirious, he repeatedly demanded whisky. The request was prudently denied by his faithfully attentive disciples.

"Anyway you look at it", Wilson wrote in 1951, "it's a problem world." His most troublesome problem was sex . He was serially unfaithful to his long-suffering wife, Lois — a woman whose complaisance, as Cheever says, "seemed to constitute a disease of its own". Despite his programme's insistence on "rigorous honesty", Bill W. lived a lie. He had innumerable affairs and a long-term mistress with whom he contemplated eloping to Ireland (the scandal would probably have destroyed Alcoholics Anonymous). Susan Cheever's final judgement is unblinking but forgiving: "Bill Wilson never held himself up as a model: he only hoped to help other people by sharing his own experience, strength and hope. He insisted again and again that he was just an ordinary man". An ordinary man who nonetheless did one extraordinary thing.

John Sutherland's authorized biography of Stephen Spender was published last month. He is Emeritus Professor of English at University College London, and the author of Last to Drink LA, 2001.

Powell's Books

Monday, February 13, 2006

Booze and Britain

For as long as I care to remember, and probably beyond, the people of Great Britain have had a dangerous and obsessive love affair with booze.

If you visit any large British city on a Friday or Saturday evening, you will quickly realise that the ‘National Sport’ of Britain for many is to drink copious amounts of alcohol in a short space of time. Often resulting in the extreme loss of inhibitions and rational control, and leading to inane, dangerous and often shameful illegal behaviour.

This passion for drunkenness seems to have grown in the past 10 years, especially in the young of Britain, and has led to the tabloid media coining the phrase ‘Binge Drinking’ to describe this behaviour.

The plain and simple fact is that Great Britain has a Nation-wide issue with alcohol abuse by the young, and recently following pressure from police, health services and the general public, government officials finally had to acknowledge the existence of a problem.

To see this phenomena at its very worst you need only take a short plain ride to one of the Mediterranean resorts renowned for British drunkenness. From Southern Spain to the Islands of Greece, entire seaside holiday resorts have mutated to cater for the booze hungry Brits that come each summer for all night drinking binges that often include casual unprotected sex with strangers and violence between gangs of young men. Once a Med holiday resort gets a reputation in Britain for bars and nightlife, it will soon expand into a sprawling town incorporating hundreds of drinking holes and fast food joints, along with huge all night discos. Entertaining thousands of Britons every year.

The habitual behaviour of a Brit holidaying in such a resort is military like in organisation, constructed to maximise drinking capabilities. Sleeping takes place between 6am until about 2pm. Then down to the beach to eye up the opposite sex and obtain a suntan. Between 5pm and 7pm its time to find somewhere to eat your dinner. Because many Brits are creatures that crave home comforts there will be a multitude of ‘British’ pubs and restaurants serving home-style fayre, along with hundreds of fast food joints. Dinner consumed its back to the hotel to spruce yourself up. By 8pm you are hitting the first bar and wont see your bed again until dawn has broken.

The British have over the past 20 years developed a unique reputation amongst the natives of these warm Mediterranean countries. If you sit and talk to the locals they will tell you that the British are like no other nation when it comes to holidays. Its drink, sex and fast food all the way. Many locals are baffled by the amounts of alcohol consumed, and shocked by the levels of promiscuity and violence. Naturally, although often not the business of choice or preferred fate for these seaside towns, the locals will cater for this never ending booze thirst as it proves to be a lucrative business, despite all the drawbacks.

Back in old blighty Tony Blair, Prime Minister of Great Britain, and his government cabinet colleagues, are faced with not only the acceptance of this chronic problem, but also the hunt for a solution. I recently had first hand experience of a large British town centre after 10pm. I can inform you that being in that environment with my wife and child was an experience I would not repeat by choice. I was whiteness to violence, vomiting and sexual proposition in the short trip I made for essential medical supplies.

So after long and diverse discussion and debate in the House of Commons, a new law was finally passed to try and put an end to the undesirable environment created by ‘binge drinking’. The new law revolves around the concept that because British bars and pubs can only open for certain hours of the day, British drinker’s consume alcohol faster to get drunk before bars must close by law. The solution passed through the commons is to change the hour’s bars and pubs are licensed to open. Bars in Britain can now apply to get a license to open 24 hours a day. The idea behind this new law is two fold. First if the bars in your local town are open all night, there is no rush to get drunk before the infamous ‘closing time’ & last orders, so people can drink slower, or maybe even drink less in a more relaxed enviroment. Secondly, because all bars used to all close at the same time, all the drunken people leaving them poured out onto the streets at the same time, creating an environment of violent and extreme behaviour. As a knock on effect it is also hoped that going overseas to drink all night will become less of a novelty for Britons. Because all night drinking will be available within Britain, and thus the over exertions of all night drinking, sex and violence by Brits on holiday will become less frequent.

So far it’s early days in the new environment created by these new laws. Only a handful of bars and pubs have been granted the all night licenses, but police are already reporting a fall in ‘anti-social’ drunken behaviour.

There is no doubt that in Britain it has long been a tradition to work hard all week, then get to Friday night and party hard too. I don’t think anyone would begrudge the people of Britain, young or old, a good time and freedom of expression. However when it makes our Town and City centres ‘no go areas' and puts a huge strain on our police and medical services it is not acceptable. If this new law begins to reverse the recent tide in extreme and undesirable behaviour, the people of Britain may yet again be able to enjoy their city centres at night once more.

American Chronicle

Sunday, February 12, 2006

American Pilot Arrested In UK, Suspected Of Drinking

An American Airlines pilot was arrested in Britain on Saturday on suspicion of being drunk before a scheduled flight to Chicago, the airline said.

A statement by the airline said the crew member was a relief pilot on the Boeing 767-300 with 198 passengers, meaning he was a backup to the captain and first officer. The crew member was not identified.

He was arrested on suspicion of being under the influence of alcohol after reporting for duty at Manchester Airport, the carrier said. A court appearance was scheduled for Monday.

American said in a statement it was investigating and would not provide additional details.

"Our primary concern is for the safety and comfort of our passengers and crews," the airline said. "American Airlines has strict policies on alcohol and substance abuse and holds its employees to the highest standards."

Flight 55 was due to arrive in Chicago shortly after 4 p.m. local time, three hours late. The plane was scheduled to stop in New York to supplement the crew.

Airwise News

Saturday, February 11, 2006

Women 'at more risk from drink'

Women suffer more brain damage from drinking alcohol than men, scientists have revealed.

They absorb booze more quickly which leads to their brains wasting away at a faster rate.

Campaigners said the findings were alarming in light of the growing binge-drinking culture among women.

Researchers carried out CT scans on the brains of 76 alcoholic men and women from a patient treatment programme and on 82 healthy people.

Prof Karl Mann said: "We confirmed greater brain atrophy [wasting away] in the alcoholic women and men compared to healthy controls.

"Furthermore, the women developed equal brain-volume reductions as the men after a significantly shorter period."

The results supported previous studies which found women drinkers suffered mental impairment, liver disease and heart damage earlier than men, even when they drank significantly less.

Alcohol Concern said: "The findings need to be viewed in light of the fact women are drinking more and more. In that context, they are very worrying."

The proportion of women in Britain who knock back more than the recommended limit of 14 units a week soared from ten per cent in 1988 to 17 per cent in 2002 - a 70 per cent rise.

Women aged from 16 to 24 are particularly prone to binge drinking, with half cramming their weekly consumption into one to three days.

The research at the University of Heidelberg in Germany was published in the journal Alcoholism: Clinical and Experimental Research.

Daily Mail

Thursday, February 09, 2006

Booze Violence Down After Police Crackdown

The drop in booze related violence is the result of a police crackdown not the relaxtion of licensing laws, experts claimed today.

Home Office figures released today show that serious violent crime was 21 per cent lower in the final three months of last year than during the same period in 2004.

The Government's licensing minister said the predictions liberalising the drinking laws would lead to an upsurge in crime had been disproved by the Home Office figures.

But a spokeswoman for the alcohol misuse agency Alcohol Concern said the figures could be down to the police crackdown launched when the laws were introduced.

She said: "The Government are saying the reductions are down to the licensing laws but it's because of the crackdown."

The Alcohol Misuse Enforcement Campaign was used by police to tackle drunken behaviour in the run up to Christmas last year.

But ministers consider the police figures as statistically significant because a similar crackdown happened in 2004.

Alcohol Concern said it welcomed the new figures showing a reduction in underage sales and alcohol-related crime, but also warned that much more needs to be done to turn around the UK's dangerous drinking culture.

Geethika Jayatilaka, Alcohol Concern's director of policy and public affairs, said: "It's great that these figures show a reduction in the number of establishments caught selling alcohol to underage drinkers over recent weeks, but there is still a long way to go.

"Selling alcohol to under-18s is against the law - it's as simple as that - and the fact that there are still a significant number of underage sales is unacceptable.

"The drinks industry cannot be allowed to rest on their laurels now - they have to keep striving to put an end to illegal sales once and for all.

"We're also pleased to see indications that there has been a reduction in alcohol-related crime, however it is vital to ensure that this good work continues beyond the period of the latest crackdown and this means that these tough measures have to go hand in hand with a more pro-active approach to tackle the root causes of binge-drinking and prevent incidents of crime occurring in the first place.

"That must involve better alcohol education at every level and a focus on identifying individuals whose drinking is causing a problem and ensuring they get the support they need to deal with it.

"And, crucially, we need to see a genuine commitment from right across the drinks industry to maintaining the highest standards of responsibility when they're selling alcohol."

Life Style Extra

Tuesday, February 07, 2006

City cocaine addicts offered self-help to kick the habit

Cocaine addicts in Edinburgh are being offered the chance to get themselves off the drug with the launch of a new AA-style self-help group.

Cocaine Anonymous Scotland (CAS), which is modelled on Alcoholics Anonymous, has targeted the Capital in light of the growing appetite for the class A drug.

The extent of Edinburgh's cocaine problem was laid bare last week by an Evening News investigation which uncovered traces of the drug in two-thirds of the city's top bars and clubs.

The tumbling cost of cocaine has seen it become the drug of choice for growing numbers of young clubbers and drinkers. Despite a perceived clean and glamorous image, cocaine can be highly addictive and NHS statistics show the number of people admitted to hospital in the Lothians due to the effects of cocaine abuse has increased tenfold over the last six years, rising steadily from two to 22.

Support group CAS, which was established in 2000, will hold its first meeting for addicts in the Capital next month.

A spokesman said: "Our meetings have mainly been in the west coast but drugs workers in Edinburgh have been telling us for a while that there is a need for our services there. Cocaine Anonymous uses a tried and tested way of helping people to tackle their addiction by facing up to it with the help of others battling the same problems.

"Our meetings are about the recovery process because although cocaine can start out as just a party drug, getting addicted is quite easy. You see the consequences of cocaine addiction at our meetings with people who have lost their jobs, wives and homes because all they could think about was taking cocaine."

The News found evidence of cocaine in eight out of 12 pubs and nightclubs across the city centre where tests were carried out in toilets using field test kits made by United States manufacturer NIK and used by the FBI.

Special wipes turn blue when they come into contact with traces of cocaine and our investigation team found traces on the backs of seats and the tops of toilet-roll holders - commonly used as surfaces from which it is snorted.

Drug workers have said the price of a gram of cocaine on the city's streets has fallen in the last six years from £90 to just £35, meaning it is no longer the sole preserve of high-earners.

John Arthur, of the drugs counselling group Crew 2000, said: "We think this a great idea and long overdue. Cocaine abuse is without doubt a growing problem and for people who are struggling to cope with their cocaine use it will be a great step.

"We've already referred people to the Glasgow meetings before so it will be great to have something in Edinburgh to complement the range of support services that already exist. The anonymity is also important because people don't want their addictions flagged up for all to see, so it means that people from all walks of life can attend the meetings."

Edinburgh's anti-drugs chief Tom Wood, who last year warned a line of cocaine was now cheaper than a glass of wine, said: "This is a very positive development because CAS is a good organisation and is similar to Alcoholics Anonymous in that it encourages people to give up by themselves. The strength of the people around you is also important in these meetings because they know what you are going through."

Scotsman

Age of Addiction

Though alcohol consumption has steadily decreased over the past decade, the number of alcohol support groups has grown.

There are approximately 80 facebook groups at the University with the word "addict" or "anonymous" in the title. Take "Kimchi Addicts," for example, or "Alcoholics Not So Anonymous," whose group page boasts: "Our primary purpose is to stay drunk and help other alcoholics to avoid sobriety."

Oh sure, fake therapy groups are all fun and games on the facebook, but start searching for addicts in the rest of cyberspace and one soon finds sites for Sexaholics Anonymous and Lip Balm Anonymous -- 12-step programs populated by real, live, addicts ... sort of.

According to Lenny Carter, crisis management coordinator of Counseling and Psychological Services (CAPS), there are more undiagnosed addicts -- alcoholics, in particular -- at the University.

"People say, 'Well, I'm not an alcoholic because I only drink once a week,'" he said. "If you look at the clinical criteria, the person has pretty serious consequences. One example might be someone who, frequently when they drink, they have behavioral problems and are out of control."

However, according to Sociology Prof. Joe Davis, alcohol consumption is steadily decreasing. The rate of self-professed addictions, however, is at an all-time high.

"We've expanded the notion of addiction from a kind of physiological dependence to this notion of a 'process addiction' -- that you could be addicted to the process of acquiring the thing or the substance," Davis said. "That radically expanded the scope of things that fit within addiction or were described as addiction: over-shopping, over-caring for pets, biting your nails, craving romance, being promiscuous."

University students today consume less alcohol than they used to, Davis said.

"Nobody at U.Va. would say there's more drinking now than there used to be," he said.

Davis added that the national use of hard drugs has decreased in recent years as well. He attributed this development to increased "surveillance" by parents and adults in an age where pressure to succeed is extremely high.

"There's more pressure on parents and on kids," he said, citing instability and competition in social and economic spheres. "You don't have the kind of single career, or at least the career with the same company. We have a higher divorce rate. There's more pressure to succeed and parents are more anxious for their children and manage them to steer a pretty clear course."

Davis said this translated to greater parental involvement in their college-aged children's lives.

"Since about 1999 [college] admissions boards have noticed that parents are a lot more involved in their kids' college experience -- even calling teachers about grades and keeping in touch with kids through cell phones," Davis said. "There's a shorter leash there, related to anxiety."

He suggested that such pressures can have a homogenizing effect.

"We have this pathologizing of certain personalities," he said. "There's a certain model personality type that everyone's sort of forced toward."

At the University, this may contribute in part to students' unwillingness to get counseling, according to Carter.

"People are often reluctant to seek help," he said.

Carter described the rate of alcohol dependency among Americans as "shockingly high" -- around 10 percent.

CAPS psychiatrist J. Anderson Thomson Jr. said he, too, believes people underestimate the prevalence of addiction in society.

"It's not just limited to people who end up on skid row," he said. "Substance abuse is widespread in our society, and many people who suffer from addictions on the surface appear to be functioning at an adequate level."

Davis, however, said that such criterion is a new development.

"The term alcoholic has become narrower," Davis said. While it used to connote moral failing, today many view alcoholism as a disease, not a behavior, he said.

"According to the disease model, you can be an alcoholic and never have taken a drink," Davis said.

While Davis attributed the overall decrease in alcohol consumption to the increased interaction between parents and children, he said the popularity of support groups like Alcoholics Anonymous may be due to a breakdown of family relationships.

"Friendship and community networks are thinner," he said. "People tend to have more recourse to things like support groups to deal with that [which] they might have dealt with previously through extended family."

Davis added that the Internet has fostered interactions between "addicts" -- often creating their own surrounding sub-culture.

"The Internet has facilitated a lot of communication between people who presumably might never have come in contact with one another," Davis said.

The effect can often be to foster self-destructive behavior, he added, citing "pro-ana" Web sites which have built virtual communities of people who view anorexia as a lifestyle choice.

Carter conceded that not all those who drink heavily in college are destined for alcoholism.

"Lots of college students use tremendous amounts of alcohol [and] in spite of that they turn out okay later in life," he said.

The long-term effects of periodic alcohol abuse are still being studied, he added, citing possible correlations between Alzheimer's Disease and binge drinking.

According to Carter, the abstinence-only approach of addiction groups like Alcoholics Anonymous is unique to American culture.

"If you look at some of the European studies, there's more this idea of reduction control rather than abstinence," Cater said. "There is a huge controversy" regarding which approach is more effective.

Carter added that he believes the success rate of either approach really depends on the individual.

The Cavalier Daily

Monday, February 06, 2006

Alcoholism and Drug Dependence Are America’s Number One Health Problem

The cost and consequences of alcoholism and drug dependence place an enormous burden on American society. As the nation’s number one health problem, addiction strains the health care system, the economy, harms family life and threatens public safety.

Substance abuse crosses all societal boundaries, affects both genders, every ethnic group, and people in every tax bracket. Scientific documentation defines alcoholism and drug dependence as a disease that has roots in both genetic susceptibility and personal behavior.

THE SCOPE OF THE PROBLEM

* There are more deaths and disabilities each year in the U.S. from substance abuse than from any other cause. 1

* About 18 million Americans have alcohol problems; about 5 to 6 million Americans have drug problems. 2

* More than half of all adults have a family history of alcoholism or problem drinking. 3

* More than nine million children live with a parent dependent on alcohol and/or illicit drugs. 4



THE CONSEQUENCES

* One-quarter of all emergency room admissions, one-third of all suicides, and more than half of all homicides and incidents of domestic violence are alcohol-related. 5

* Heavy drinking contributes to illness in each of the top three causes of death: heart disease, cancer and stroke. 6

* Almost half of all traffic fatalities are alcohol-related. 7

* Between 48% and 64% of people who die in fires have blood alcohol levels indicating intoxication. 8

* Fetal alcohol syndrome is the leading known cause of mental retardation. 9



THE COST

* Alcohol and drug abuse costs the American economy an estimated $276 billion per year in lost productivity, health care expenditures, crime, motor vehicle crashes and other conditions. 10

* Untreated addiction is more expensive than heart disease, diabetes and cancer combined. 11

* Every American adult pays nearly $1,000 per year for the damages of addiction. 12



SO, WHAT CAN BE DONE?

Like other diseases, addiction can be overcome with proper treatment, prevention and more research. By increasing access to care, the costly toll on society and the burden it places on families can be reduced. Research shows conclusively that successful prevention and treatment leads to reductions in traffic fatalities, crime, unwanted pregnancy, child abuse, HIV, cancer and heart disease. Treatment reduces drug use, improves health, improves job performance, reduces involvement with the criminal justice system, reduces family dysfunction and improves quality of life.

The Comprehensive Assessment Treatment Outcomes Registry Data in Ohio have documented dramatic results in decreasing occupational problems, including the following reductions after treatment:

* Absenteeism decreased by 89%
* Tardiness decreased by 92%
* Problems with supervisors decreased by 56%
* Mistakes in work decreased by 70%
* Incomplete work decreased by 81% 13

Additionally, a California Study found significant decreased health care costs from before to after treatment in:

* Hospitalizations for physical health problems (-36%)
* Drug overdose hospitalizations (-58%)
* Mental health hospitalizations (-44%)
* The number of emergency room visits (-36%)
* The total number of hospital days (-25%) 14

Americans increasingly recognize that alcoholism and drug dependence is a disease with consequences that affect both physical and behavioral health. Diagnostic and treatment services have changed in recent years and modern treatment, when adequately provided, enables a great many people to recover and rebuild productive lives.

It is important that the public be aware of evidence generated by scientific inquiry, clinical evaluation and clinical experience. The evidence demonstrates that treatment for alcohol and other drug abuse works. Treatment not only saves lives, it also saves dollars that would otherwise be spent in other areas of medical care and social services. For every dollar spent on addiction treatment, seven dollars is saved in reduced health care costs.15

The National Council on Alcoholism and Drug Dependence is dedicated to fighting the stigma and the disease of alcoholism and other drug addictions by providing education, information, help and hope to the public. NCADD advocates prevention, intervention, and treatment through a network of 97 affiliates across the United States. For more information, visit: www.ncadd.org.

Alcoholism and drug dependence are treatable and millions of people achieve recovery.


SOURCES

1. “Substance Abuse: The Nation’s Number One Health Problem,” Institute for Health Policy, Brandeis University, 1993.

2. “Substance Abuse: The Nation’s Number One Health Problem,” Institute for Health Policy, Brandeis University, 2001.

3. Position Paper on Drug Policy, Physician Leadership on National Drug Policy (PLNDP), Brown University Center for Alcohol and Addiction Studies, 2000.

4. Ibid.

5. “Sobering Facts on the Dangers of Alcohol,” NY Newsday, April 24, 2002.

6. Position Paper on Drug Policy, Physician Leadership on National Drug Policy (PLNDP), Brown University Center for Alcohol and Addiction Studies, 2000.

7. National Highway Traffic Safety Administration, Annual Report, 1992.

8. “Substance Abuse: The Nation’s Number One Health Problem,” Institute for Health Policy, Brandeis University, 1993.

9. E. Abel, “Incidence of Fetal Alcohol Syndrome and Economic Impact of FAS-Related Anomalies,” Drug and Alcohol Dependence, 1987.

10. “Substance Abuse: The Nation’s Number One Health Problem,” Institute for Health Policy, Brandeis University, 2001.

11. Ibid.

12. The National Drug Control Strategy, The White House, 1997.

13. Ohio Dept. of Alcohol and Drug Addiction Services, New Standards, Inc., St. Paul, MN, 1994.

14. Gerstein, et al, “Evaluating Recovery Services: the California Drug and Alcohol Assessment,” Sacramento, 1994.

15. Ibid.

Compiled 6/02

National Council on Alcoholism and Drug Dependence

Sunday, February 05, 2006

Goodbye, Animal House: fraternity drinking has to stop, say colleges

Celebrated in film in Animal House and in person by George W Bush, the drink-fuelled excesses of life in fraternity houses have long been regarded as a rite of passage for young American men.

In his days at Yale, the drinking prowess and social skills of the future leader of the Western world helped him to become a president for the first time when he was elected to head Delta Kappa Epsilon, a frat house renowned for its raucousness.

However, college authorities are cracking down on the traditional American ritual of campus drinking binges after a series of alcohol-related deaths, accidents and fights.

They are introducing tough curbs on drinking as the results of such alcoholic over-indulgence by inexperienced young drinkers are often no joke. At Coastal Carolina University in South Carolina, officials last week suspended the Pi Kappa Alpha fraternity after two students ended up in comas with alcohol poisoning after a weekend party.

When spring term began on Tuesday, students at the University of Massachusetts (UMass) in the genteel New England town of Amherst were greeted with a raft of restrictions on alcohol consumption in its halls of residence. The university has been alarmed by the popularity of drinking games as it tries to shake off the stigma of a 2003 riot by several hundred drunken students who turned over cars, lit fires and threw bottles at police after a baseball game.

"Alcohol abuse is an enduring problem," said UMass spokesman Ed Blaguszewski. "It turns up in different ways and drinking games seem to have taken on a greater prevalence in recent years."

The new rules prohibit gatherings of more than 10 students in a room where alcohol is present and ban all drinking games - particularly the popular "beer pong" in which players attempt to knock over each other's cups with table tennis balls and losers must knock back drinks as a penalty.

The wild world of fraternities was lampooned in the 1978 film Animal House with its toga parties, road trips and food fights. The chant "We can do anything we want. We're college students" was the war cry of a drunk and disorderly bunch led by Bluto Blutarsky (played by the late John Belushi). Such antics were also a feature of campus life for Mr Bush, according to fellow Yale alumni, one of whom claimed that the future president "majored in beer drinking". Mr Bush is now teetotal.

However, the private setting and secretive culture in which such drinking thrives can also make it lethal when it goes wrong.

In one notorious case, the family of Daniel Reardon reached an undisclosed settlement with the Phi Sigma Kappa fraternity after suing it over his son's death after a drinking ritual. Other fraternity members had put the unconscious 19-year-old University of Maryland student in a closed room and said they would look after him, but called an ambulance only when he stopped breathing.

When Lynn Gordon Bailey, an 18-year-old University of Colorado freshman, died from an alcohol overdose in late 2004, it prompted the state legislature to give immunity to anybody drinking illegally who calls the emergency services to help a drunken friend. He was found in the Chi Psi fraternity house with obscene sexual comments scrawled across his face after a party.

National fraternity leaders have now stepped in and urged students to call for help if a drinking sessions spirals out of control. "One of the biggest problems out there is students are afraid to call for help," said Geoff Brown, who runs alcohol-education projects for the North America Interfraternity Conference. "Our groups are taking a more pro-active posture these days."

Mr Bush turned teetotal at 40. But it may well have been his memories of his hell-raising student days that prompted him to reveal last year that he was enjoying reading I Am Charlotte Simmons, by the best-selling American author Tom Wolfe. The novel is the racy chronicle of a country girl at an Ivy League university, where excessive drinking and frequent sexual encounters are a way of life.

Wolfe, one of the sharpest literary observers of contemporary America, clearly doubts that the new restrictions will curb campus drinking. "I pass along one historical note," he told the Sunday Telegraph in an e-mail. "It was WORSE in the US in the 19th century."

Binge drinking is rife throughout many British universities whose bars and student unions continue to offer low-price alcoholic drinks.

Excessive drinking is also glamourised by several student societies, including Oxford University's Piers Gaveston Society, which is notorious for its secret, debauched parties.

Jamal El-Shayyal, a member of the National Union of Students executive committee, supported the introduction of similar drinking restrictions at British universities.

"Introducing some kind of alcohol threshold would be a very positive move," he said.

"The binge drinking culture, especially among students, is getting out of hand and some kind of limitations would be a good way to address that."

Telegraph

Saturday, February 04, 2006

Can you tell when you're over the alcohol limit?

Half the drivers tested for drink driving in Croydon over the Christmas period were arrested for being over the limit or failing to give a sample, a recent Croydon Advertiser story revealed.

The average for the capital was one in 10 drivers arrested, making Croydon one of the areas where arrest rates were highest.

Of course the easiest way to make sure you are not caught out is not to drink at all.

But some people will still insist they can down several drinks and be sober enough to drive home.

So how easy is it to gauge when you have gone over the limit?

On a busy Saturday night we asked 11 revellers how intoxicated they thought they were.

We then revealed our secret weapon, a Home Office-approved breathalyser, which we used to find out how good their guesses were.

Many of the 11 tested over-estimated alcohol concentration.

But five of them guessed they would score less than they did.

The legal driving limit is 35 micrograms (mcg) per 100 millilitres (ml) of breath, which translates as 80 milligrams of alcohol per 100ml of blood.

Rob Weston, of Grant Road, Addiscombe, thought he would score 30mcg, but his breath was recorded at nearly double that at 52mcg.

Back at work this week the 24-year-old civil servant said: "It will probably make me think about how much I'm having. It's a bit of an eye-opener."

Rob, who correctly identified two pints as enough alcohol to take most people up to the legal driving limit, added: "Maybe I might have thought I was clear, but obviously not.

"I started drinking at about 5.20pm and stopped at 7.30pm. I didn't start again until I got to the pub at about 9.20pm.

"I had had an hour off and 20 minutes sleep as well, so maybe that was a factor in my estimation. Normally I'm pretty good. I don't drink and drive. It must be to do with my size and things like that."

Sgt Jim McTiernan, a Met Police Liaison Officer for Drink and Drug Driving, said this was a common mistake.

He said: "That's the classic example. You can't estimate it, no matter what you think. Your own personal view of things is not a good judge.

"We have to advise people not to drink and drive at all.

"The rate at which alcohol leaves your system is fixed for each individual. It makes no difference if you're asleep. And black coffee doesn't lower the rate, either."

As for the eight people who over-estimated what their result would be, or whose scores seemed unusually low for the amount of alcohol they had consumed, Sgt McTiernan said this was because the body was still absorbing the alcohol.

He said: "If someone comes out of the pub and it's been an hour since they had their last drink the alcohol level would still be going up. So the rating you get half-an-hour later would probably be more."

A spokesman for drink addiction support and advice service Alcohol Concern said: "It's certainly reflective of a wider issue, because it's very difficult to judge how many drinks take you over the limit for drink driving.

"Obviously that depends on all kinds of different variables, which is why the message we always give, to be sure you're not over the limit, is not to drink at all before you drive.

"Small amounts of alcohol in your blood stream can be enough to reduce your reaction time."

ic Southlondon

Disulfiram and Carbimide

Disulfiram and Carbimide help patients achieve high rates of long-term abstinence

Studies investigating the long-term outcomes of alcoholism treatment are rare and inconsistent.
A nine-year study in the Alcoholism: Clinical & Experimental Research investigated the occurrence of abstinence, lapse, and relapse among chronic alcoholics while exploring the role that "alcohol deterrents" – specifically, Disulfiram and Calcium Carbimide – may play.

Results indicate that alcohol deterrents can help achieve an abstinence rate of more than 50 percent.

" Although up to 30 percent of patients may claim to be abstinent two to three years after treatment," said Hannelore Ehrenreich, at the Max-Planck-Institute of Experimental Medicine in Germany and corresponding author for the study, "objective laboratory data indicate that only six to 20 percent of patients are abstinent two years after therapy. These results reflect therapists' clinical experience that alcoholism is a chronic and relapsing disease … similar to other chronic conditions such as hypertension or diabetes, and should be accepted as a disorder that requires long-term or life-long treatment. This study is the first report on supervised, long-term administration of alcohol deterrents, with a focus on the psychological rather than the pharmacological action of alcohol deterrents."

Alcohol deterrents seem to be more widely accepted and used in Europe than they are in North America, said Colin Brewer, research director of the Stapleford Centre in London. " I have co-authored a study showing that the three 'Anglo-Saxon' countries examined – the U.K, U.S. and New Zealand – had the lowest use," he said. " Furthermore, a recent U.S. study showed that addiction specialists prescribed Disulfiram or Naltrexone for fewer than 15 percent of their alcoholic patients. Conversely, Disulfiram use is certainly common in Spain, Portugal, Germany, Austria and Scandinavia."

Researchers analyzed data gathered from 1993 to 2002, when 180 chronic alcoholics were consecutively admitted to a two-year comprehensive integrated treatment program called the Outpatient Longterm Intensive Therapy for Alcoholics ( OLITA ).
Carefully prepared and supervised intake of Disulfiram or Calcium Carbimide is a major component of the program.
Given that an earlier study showed that 30 OLITA patients achieved higher abstinence rates than case controls in other programs, the authors wanted to extend their investigation to all 180 patients for seven years following treatment, with a specific focus on the role of Disulfiram or Calcium Carbimide in relapse prevention and maintenance of long-term abstinence.

" We found an abstinence rate of more than 50 percent among the patients studied," said Ehrenreich. " Long-term use of alcohol deterrents appeared to be well-tolerated. Abstinence rates were better in patients who stayed on alcohol deterrents for more than 20 months as compared to patients who terminated intake at 13 to 20 months."

Ehrenreich said that the data imply a psychological rather than a pharmacological action of alcohol deterrents. " First, the longer the intake, the more likely is a patient to stay continuously abstinent even after termination of alcohol deterrents," she said. " Second, the dose of alcohol deterrents is as irrelevant as the experience of a subsequent reaction for alcohol deterrents to be effective. Third, sham-alcohol deterrents are as efficient as Disulfiram or Calcium Carbimide, provided that the use is repeatedly explained and continuously guided and encouraged."

" The psychological role that alcohol deterrents may play in relapse prevention is one of the most interesting aspects of the study," added Brewer. " These results support the theory that prolonged abstinence achieved with Disulfiram automatically leads to the consolidation of the habit of abstinence. Practice makes perfect. The longer people abstain, the longer they will abstain. In addition, deterrent drugs clearly do deter. Supposedly deterrent drugs also deter but they only deter because there is a real pharmacological reaction. The analogy here is with speed cameras. We know that inactive cameras also deter but only because drivers can't know they are inactive unless they put them to the test. In both contexts, people are reluctant to make the experiment."

Although alcohol deterrents are the focus of this study, said Ehrenreich, other treatment components of the OLITA program are just as important, and help to explain the psychological role that alcohol deterrents play in relapse prevention. " These include strict abstinence orientation, high frequency short-term individual contacts, supportive, non-confronting counselling, therapist rotation, emergency service and crisis interventions, social re-integration, long-term treatment and subsequent life-long check-up visits, as well as a concept that recognizes 'alcohol relapse' as an emergency," she said. " Related to this relapse model, we developed what we call 'aggressive aftercare,' consisting of therapeutic interventions to immediately interrupt beginning, and prevent threatening, relapses. Patients who miss a therapeutic contact are contacted through spontaneous house visits, telephone calls or mail to continue therapy or to restart abstinence."

" Supervision may seem labour-intensive," observed Brewer, " but if the labour is already there, as it is in the clinic, or if one can involve family, workmates or probation services in supervision, as should be routine, it needs no extra resources. Supervised Disulfiram may be particularly effective in patients who have not responded to conventional treatments. We urgently need an effective Disulfiram implant, for the same reasons that Naltrexone implants have been developed. There should also be more trials of probation-linked Disulfiram, since alcohol-related crime is a very important issue. This study suggests that if alcoholic offenders take Disulfiram regularly, even reluctantly, they will not get drunk if the dose is adequate. That should revolutionize the management of such offenders. Similar trials with Naltrexone in heroin-related offenders have been very effective with no negative results."

" Our results support a major clinical implication," said Ehrenreich, " that severe alcoholism is a chronic and relapsing disease. Only long-term treatment, followed by life-long attending of check-up sessions and self-help group participation will guarantee long-term recovery. Supervised intake of alcohol deterrents can easily and successfully be integrated into a comprehensive and structured outpatient long-term treatment program. The strategy of deterrence works if therapists disengage from the emphasis of pharmacological effects of Disulfiram and make full use of the psychological actions of this drug."

Source: Alcoholism: Clinical & Experimental Research, 2006

Xagena Medicine

Friday, February 03, 2006

Public confusion over safe drinking

The public are still confused about sensible drinking messages in the UK, researchers have said.

With growing concern about the ill-health and public disorder caused by binge-drinking, a poll of shoppers found many did not use alcohol labelling to help monitor their drinking.

The survey, published in the British Medical Journal, questioned 263 supermarket shoppers in Edinburgh.

Researchers Jan Gill and Fiona O'May, from Queen Mary University College in Edinburgh, asked the shoppers about their knowledge of sensible drinking messages and awareness of alcohol labelling.

The Department of Health advises that men drink no more than 3-4 units of alcohol per day, and women should drink no more than 2-3 units.

A 175ml glass of red or white wine contains around two units, while a pint of ordinary strength lager also has two units.

The survey found that most of those questioned were able to define roughly what a unit of alcohol was - only 14% of women and 16% of men were unable to give a response.

But there was poor knowledge of the recommended daily guidance.

Only 8% knew that women were limited to 2-3 units and 5% knew that men were limited to 3-4 units a day.

Only 25% of women and 19% of men said they used the unit system to monitor their own personal drinking.

This is London

Thursday, February 02, 2006

Don't trust quick fix solution


Shetland drug and alcohol workers have warned islanders to think twice before signing up to rehabilitation programmes offered by Narconon Scotland.

They said support and rehab programmes were available locally and it should not cost £6,000 to kick the habit, as the organisation suggests.

Narconon has an international network of drug rehab centres, sponsored by the Church of Scientology. There are two in the UK, one in West Linton, Peebleshire, and the other in East Grinstead, West Sussex.

Mike Gallant, of the Community Drugs Team (CDT), said: "It is essential that people take local expert advice before believing everything they hear and read.

"People having problems controlling their alcohol or drug use often have very different needs, and there's no such thing as a 'quick fix'. This particular programme may be good for some people, though there are many other ways of getting help to help yourself."

Jenna Leask, from the Alcohol and Drug Development Office at NHS Shetland, added that help could be available to pay for detoxification and rehabilitation.

She said: "If you contact the Aftercare and Resettlement team on Lerwick 696698 they can assess you with a view to getting funding. They have all the information to help you decide what's right for you, including residential treatment outwith the islands if necessary.

"Shetland Alcohol Support Services (SASS), the CDT and your local NHS health centre can also offer other help, including access to a specialist detox nurse, alternative therapies, practical assistance and counselling."

Mr Gallant added that his main concern was that Narconon might not be quite what they appear to be.

"They're heavily supported by the Church of Scientology, and the BBC TV programme 'Watchdog' did an investigation of them. The results of that are available on the BBC website.

"Of course people may be desperate for help, but I'd urge people to think again if they're believing there's a magic pill out there to fix everything - if anyone knows that's not the case, it's someone with a drug or alcohol problem!"

The Shetland News

Cheryl stopped drink help

Michael Barrymore opened his heart last night about his battle with the booze — and told how during his marriage wife Cheryl refused to accept he was an alcoholic.

The Celebrity Big Brother runner-up also revealed he repeatedly told her he was gay but she remained in a state of denial about his sexuality.

Barrymore, 53, said: “She just wouldn’t have it. She would say, ‘No, you’re not. Don’t be stupid.

“She was the same about my alcoholism. I would wake up with the hangover from hell, or after a really drunken binge, smelling of alcohol, with the shakes, and say to her, ‘I am an alcoholic, I have a problem.’

“And again she would adamantly say, ‘No you haven’t.’ She just wouldn’t accept any of it. She just was in denial about it all.”

Barrymore and Cheryl — who died of cancer last April — were married for 22 years. She was his manager until their divorce in 1997 — and the star described her as his “rock”.

But the comic said of Cheryl’s attitude to his demons: “She was doing what she thought was best for me but in fact it was probably the worst thing she could have done.” He explained:

"She was being protective but it meant that for years I didn’t seek help for my drink problem and that I had to live a lie when it came to my sexuality. Without realising it fully, Cheryl was stopping me from becoming ‘well’ by having tre