Friday, March 31, 2006

Drug Court gaining attention

Three Polk County residents got a second chance at an addiction-free life during the second graduation ceremony of the Tallapoosa Circuit Drug Court.

Surrounded by their loved ones, the three graduates of the program received their diplomas from Superior Court Judge Richard Sutton.

The Drug Court program, organized in February 2004, is a 12-month, intensive outpatient rehabilitation program. It follows a strict mission of improving lives and increasing public safety by reducing the amount and frequency of drug related crimes.

The first graduation of the Drug Court program was held in January.

Though only two graduation ceremonies have been held in the local program so far, other counties in Georgia and across the nation have already taken note.

Ed Graves, a Cedartown businessman who serves as chair for the Governor’s Advisory Council for Mental Health, Developmental Disabilities and Addictive Diseases, said that other court systems are looking at the Tallapoosa Circuit’s program as a model.

“The reason they are looking at it is because the drug court uses the Matrix Model of treatment. We are one of the first in this part of the country to use the Matrix,” Graves explained. “With it, we are two years out in front of everyone else.”

The Matrix Model is designed to reverse the chemical changes in the brain that occurred as a result of the drug abuse.

According to Donna Johnson, addiction therapist for Drug Court, the Matrix Method was developed in California about 10 years ago when that state had a methamphetamine epidemic. Followers of the Matrix Method learn to re-program their brain, allowing it to function as if the drug abuse had never occurred. “This method helps heal the brain,” Johnson said. “It has so much to do with brain chemistry. And it works; our retention rate is 89 percent. That’s pretty unheard of.”

The Drug Court program operates with state grant money, D.A.R.E. funds and user fees. Participants in the program pay a $100 fee each month to the program.

Participants in the program are given random drug testing. They must also work full time, earn their GED if needed, attend Narcotics Anonymous or Alcoholics Anonymous twice a week, attend group counseling three times a week and abide by a curfew.

They are required to complete community service and attend Drug Court sessions twice a month.

Graves said the local program was excellent, but stressed a need for other drug-related services. “We need other services for drug recovery. You can’t get in the Drug Court program unless you’ve broken the law. There needs to be services available to people wanting help before they break the law.”

Cedartown Standard

Thursday, March 30, 2006

Binge Drinking Needs Attention

The British culture of binge drinking is storing up dire health problems for the future, a senior nurse has warned.

At the Royal College of Nursing’s 2006 research conference in York, UK, Professor Moira Plant of the University of the West of England, Bristol said she expects liver disease to increase, and develop earlier in life.

Alcohol-related mortality has already risen due to heavy and inappropriate consumption of alcohol at a young age, and among more women than ever before, she said.

"If young women of this age continue to drink in this way, this could present problems for health services in the future as we see a spate of liver disease and other health problems."

Dr Beverly Malone of the Royal College of Nursing said: "It’s about using every health education opportunity to prevent binge drinking habits starting in the first place. That’s where the nursing profession - from school nurses to community nurses and family planning nurses - plays a key role."

Meanwhile a psychiatrist has warned that people from ethnic minorities may need special services to tackle alcohol problems.

Writing in the latest British Medical Journal, Rahul Rao of the South London and Maudsley NHS Trust warned that certain groups have higher levels of alcohol use and resulting health problems.

But stigma may prevent them from seeking help, he said, calling for services to be tailored to the needs of ethnic minorities.

Staff Nurse

Wednesday, March 29, 2006

Campaign launched to highlight binge drinking harm

The Health Promotion Agency has today launched a campaign to highlight the dangers of binge drinking in Northern Ireland.

The campaign aims to inform people that they do not need to be drunk in order to be doing themselves harm, and hopes to encourage people to spread their recommended intake of alcohol across the week.

The campaign will focus mainly on pubs, off-licences and clubs in a bid to persuade people to be more aware of their daily and weekly alcohol intake. Information leaflets, beer mats and paper bags will be used in these premises to draw people's attention to how much they are drinking. A unit calculator wheel is also being made available to help people figure out how much alcohol they are consuming.

It is understood that the agency will also highlight that binge drinking does not just happen in puns and clubs, but in the home too. The Health Promotion Agency defines a binge drinking session is 10 units or more for men, and seven units for women.

A spokeswoman for the HPA today said that over the course of a week, men should not drink in excess of 21 units and woman should not drink more than 14 units.

She said: "Often drinkers pack their drinking into a few sessions at the weekend unaware of the damage this is doing to their health."

It is estimated that one pint of beer, a standard glass of wine and a double of spirits constitutes two units of alcohol.
The HPA spokeswoman added: "Many people associate binge drinking with going to the pub, getting drunk and getting into fights but in fact people who sit at home and unwind over a quiet drink may also be binge drinking and therefore putting their own health at risk.

Binge drinking can lead to liver damage, heart problems, cancer, brain and pancreatic problems. It can also cause high blood pressure, depression, weight gain, reduced resistance to infection, and a lower sex drive.

4NI

Tuesday, March 28, 2006

I'm going back to Alcoholics Anonymous

Paul Merson looks at the shocking image of himself in the Mirror and tells me: "Thanks for saving my life."

The former England player, who has battled drink, drugs and gambling addictions, was pictured on Saturday overweight and boozed up as he celebrated his 38th birthday at a pub.

Yesterday, he admitted: "The tummy, the bleary eyes - that's the worst picture of me I've ever seen. I'm putting it on my wall so I'll see it every day.

"It's opened my eyes. To be honest, it's saved my life. You've helped me - I'm going back to Alcoholics Anonymous.

"As you know, I've been drinking heavily. I'm an ill person. If I don't go to AA meetings, I'm not going to get well. And if I don't get better, it'll only get worse. I know that."

The once brilliant Arsenal, Aston Villa and Portsmouth star - capped 21 times for England - is a serial confessional failure.

He admits his demons, takes action to fight them. Then he goes out and does it again. So is this another false promise?

Merson - who confessed last week "I'm still in a bad place" - replied: "I hope not. I went five years without a drink before."

Correcting himself, he went on: "Well, I had one bad experience in that time when I was with my first wife and went out.

"Then I stopped. So it's just one night in five years that I had a drink. I was dry through all those years at Villa and Portsmouth. I don't know what put me back on it again. I stopped going to AA because I thought I was going to be all right.

"Your head tells you that you're OK and, before you know it, you're back in the same old circle of drink, drink, drink. It's one of those things. One drink is too many and a hundred aren't enough."

So is he going to do a George Best?

Merson said: "I hope not. When I looked at my picture in the Mirror, that's the first thing that came into my head.

"He was a legend but drank his life away. Yeah, it could go that way. No question about it. I don't want that."

Candid enough to admit he has fallen off the wagon, Merson insisted he no longer took drugs or gambled.

He said: "I'm not doing drugs. I did cocaine in '94, but I haven't touched it since. That's 12 years. I want to clarify that 100 per cent.

"As for gambling, everybody knows I had a problem. I was gambling on the internet but went into treatment two years ago. I don't do it anymore. I used to bet big money. But I haven't got money to throw away like I did. If I can't bet and win big, what's the point?" The twice-divorced soccer legend - who has three sons by his first marriage to Lorraine, 36, and twin four-year-old girls from his second marriage to Louise, 38 - also fiercely denied he was in debt.

He told me: "People say I'm financially in trouble. But I've two ex-wives living in very nice houses all paid for.

"I've five children going to private school and live in a nice apartment. I do TV work which I love. I'm not in the gutter.

"I don't owe a penny to anyone. Over the years I've lost a lot of money. But I've also earned money." Millions? "Well, yes." And what about the women? A friend has told the Mirror: "When he's out of his skull, he starts chasing skirt." On his party night at the Old Swan, Stonnall, Staffs, he made embarrassing drunken advances to girls.

Merson replied: "I'm a free man now. I went home on my own from the pub that night. I'm a single lad - not my choice, though it was my fault."

Friends worry that Merson, who hung up his boots after being sacked last month as manager of Walsall, is a "tragedy waiting to happen". He acknowledged the dangers but said he hoped to win through.

Merson, an occasional TV pundit, said: "It's nice that people worry. But, thank God, I've been busy. I enjoy commentating on football and that's the way I want to go."

The star, who lives in a £300,000 flat in Mere Green, Staffs, denied his drinking played a part in Walsall's relegation, blaming his lack of physical fitness.

After being dismissed, he moved to National Conference side Tamworth. But he played just one game before retiring.

He said: "I wasn't very good. I hadn't played for four months and my Achilles tendon was hurting. I thought, 'I don't need it'.

"I couldn't play at my old level, so I thought there was no point carrying on.

"I could have gone out in a blaze of glory when I got promoted with Portsmouth. But I couldn't do it. I love football. I just played until I couldn't play any more."

Merson is now fronting an interactive virtual football academy DVD, which will be launched on May 1.

He is hoping it will be a "big success". But he knows that still lurking inside him are the frailties and fears that can cast him into the hell of that "dark place".

"Am I in danger of slipping back?" he asked. "Well, only time will tell."

Mirror

Monday, March 27, 2006

We all need serenity and wisdom

A dear friend of mine told me this week that he is an alcoholic. I love him so much, and I desperately want to support him, but I have to say I think the way he is handling things is all wrong.

He has tried to break his addiction by withdrawing from everyone who loves and cares for him. He lives his life in fear that one sip will destroy him. But in fact, he is living a half life, turning away from any situation which might make him confront his addiction.

He buries himself in work. He has given up all of the small pleasures he used to enjoy – friendships, hobbies, socialising, even his best friend, in a bid to avoid his addiction. Maybe he thinks he is happy that way, but I don’t believe that. I think it’s a skewed survival mechanism kicking in. Fight or flight. And he has chosen flight.

He won’t talk to me about it – one of his best friends, the one person who always took him at face value, loved him for what he was and never expecting anything from him but to be loved in return.

I want to tell him that the only way he will get through this is to fight, to face his addiction head on, own it and confront it and learn to live with it. And I want to tell him that love isn’t an addiction, it’s a blessing. Love is what helps you to survive. There is no shame in leaning on those who love you, taking comfort from them. There is no shame in needing someone.

You can’t avoid temptation forever, you have to go out into the world and live.

For many alcoholics, the organisation Alcoholics Anonymous is the lifeline that allows them to rejoin the world of the living, to embrace life and cope with the stresses and temptations that life brings them.

Founded in 1935, AA has a membership of more than 2 million. Through a network of friends and supporters, the alcoholic knows that they are never alone, that someone is always there at the end of a phone waiting to ta lk them through a moment of weakness. By operating the sponsor system, the alcoholic always has access to someone who understands things from the inside, who has similar experiences.

An important part of the ethos of this organisation is to own up to your addiction. Regular meetings allow members to tell their story and hear the stories of others, to realise that they are not alone, and importantly, to hear from people who have survived and rebuilt their lives.

Sometimes an alcoholic has to hit rock bottom before they are able to admit their problem and go to AA. It can be very hard to watch those you love going through such pain, but deciding to get help is something very personal, something only the drinker themselves can do.

As much as we love them, friends of addicts can’t force them to accept our help. We have to give them time and space to come to their own conclusions, make their own decisions about how they want to live their lives, and this can be very hard for us to cope with.

Of course, AA isn’t for everyone. Part of the AA twelve step plan for recovery is accepting that there is a higher power and turning one’s life over to God. These are parts which might not sit well with the agnostic or the atheist, but when your life is at its lowest ebb, I think anything is worth a go. After all, the AA offers support, not brainwashing.

I want to end by quoting the Serenity Prayer, which has been adpoted as the traditional end to AA meetings. You don’t have to look at it as a “prayer” if you don’t want to, and you could miss out the word “God” if it offends you. Look at it as a tremendous piece of wisdom, a life lesson that could apply to all of us, not just the alcoholic.

God, grant me the serenity to accept
the things I cannot change,
courage to change the things I can
and wisdom to know the difference.

Recently I've found the courage to change the things I can, but I'm still trying to find the serenity to accept the things I can't. I think I do know the difference, but it's the acceptance that's the hardest part.

dooyoo

Saturday, March 25, 2006

Drinking - Young British Women, Matching And Overtaking Men

Britain's growing binge drinking culture is likely to create future health problems such as liver disease at a much faster rate and younger age than ever before, the Royal College of Nursing's 2006 International Nursing Research Conference will be told this week. The four-day conference kicks off in York today.

Dr Moira Plant, Professor of Alcohol Studies at the University of the West of England in Bristol, will tell the conference on Thursday March 23rd that health professionals are already seeing rising alcohol-related mortality because of heavy and inappropriate consumption of alcohol at a young age.

Dr Plant says changing social norms now allow women to drink more heavily. Young women in the 18-24 age group in Britain are now matching, and in some cases overtaking, young men in their alcohol consumption.

“If young women of this age continue to drink in this way, this could present problems for health services in the future as we see a spate of liver disease and other health problems - health problems which are likely to show up at a much younger age and with a much faster onset than we have seen in the past,” Dr Plant said.

Royal College of Nursing General Secretary Dr Beverly Malone says nursescan helpraise awareness among young peopleabout the dangers ofbinge drinking.

"It's about using every health education opportunity toprevent binge drinking habits startingin the first place. That's where the nursing profession - from school nursesto community nurses andfamily planning nurses -plays a key role andcan educate younger people abouthowbinge drinking can seriously harm theirhealth. We need to change attitudes about excessive drinking behaviour in the young so we can prevent long-term health problems as they get older."

Dr Plant says that with the growth of discount sales outlets in British city centres, alcohol is more affordable than ever before.

“Per capita alcohol consumption is coming down in most European countries*, but the UK is one of the few countries where it's going up. This has serious ramifications for clinical care and the provision of health services in the future,” warned Dr Plant.

Her analysis is part of two international studies which looked at patterns of drinking amongst adults and teenagers in 35 European countries. It also looked at differences in drinking patterns between the Northern EU “binge drinking” countries and the Southern Mediterranean countries.

The Royal College of Nursing's 2006 International Nursing Research Conference takes place at York Racecourse in York from Tuesday March 21st to Friday March 24th. It brings together nurses from diverse clinical and academic settings from around the world and includes workshops, concurrent sessions, poster presentations and fringe meetings.

Visit: man.ac.uk/rcn/research2006 for further information on the conference and research papers presented at the conference.

The multi-country “Gender, Alcohol and Culture: An International Study” (GENACIS) study was conducted in late 2004/early 2005 and included the Czech Republic, Finland, France, Germany, Hungary, Iceland, Italy, the Netherlands, Norway, Sweden, Switzerland, and the United Kingdom. It included comparisons of gender differences in alcohol consumption pattern, level, context and related problems within and between EU countries.

*across all age groups (18-65 & older)

Dr Moira Plant and Prof Martin Plant are the authors of a new book “Binge Britain” which will be published by OUP in April 2006.

Royal College of Nursing

Friday, March 24, 2006

Study shows that the brains of recovering alcoholics who smoke heal slower than non-smokers.

The stereotype of the Alcoholics Anonymous attendee dashing out during breaks for a cigarette reflects a sobering reality: Depending on who you ask, 50% to 80% of alcoholics are smokers, compared to only 23% of the general population, and behavioral studies in the past have shown that smoking and drinking can be mutual triggers—think of the "non-smoking" friend who still bums cigarettes when you're out at a bar.

Now, scientists at the San Francisco VA Medical Center have issued preliminary findings that suggest there are neurological links between smoking and drinking, most notably that alcohol-related brain damage repairs more slowly when a former drinker is also a smoker. The research, published in the March issue of Alcoholism: Clinical and Experimental Research, has important implications for the future of treating alcoholism.

Investigators divided their subjects in recovery into two groups: one of non-smokers and one of smokers. They used magnetic resonance and spectroscopic imaging to assess, among other things, levels of brain metabolites, which are biochemical indications of positive brain function. The tests were run initially during the first week after the subject's last drink and then again a month later. Results of another set of tests, measuring cognitive factors like learning, memory, attention and processing speed, are currently under review at the journal Drug and Alcohol Dependence.
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"The alcoholics who continue to actively smoke during their short-term abstinence from alcohol showed significantly less recovery in biochemical markers of cell membrane turn-over as well as neuronal health," said Timothy Durazzo, a scientist at the Medical Center and the lead author of the study. "And in some areas, the differences were extremely pronounced."

Specifically, Durazzo and his team found that metabolite levels in recovering alcoholics that smoked, already depressed from years of chemical abuse, did not improve as rapidly as levels in non-smoking recovering alcoholics. Other brain biochemicals important for cognition reacted in similar ways.

Emphasizing that his findings were preliminary, Durazzo said he is going to attempt to replicate them with a larger set of subjects. If his theory withstands further trials, there will be two repercussions for the treatment of alcoholics: For one, a new understanding of the chemical interactions between alcoholism and smoking addiction could lead to different prescriptions for alcoholics depending on whether or not they smoke.

"Since our study suggests that there are biochemical differences in the smoking recovering alcoholics, we are questioning ourselves whether they might respond differently to pharmacological agents than the nonsmoking alcoholics," said Durazzo.

Secondly and more immediately, cessation of smoking could be incorporated as part of an alcoholic therapy program, a proposal that Durazzo has tried in vain to communicate to his test subjects.

"I bring up the question to my guys because ethically, I have a responsibility to say, 'Hey look, this is preliminary data but it's pretty pronounced; you may want to consider giving up smoking,'" he said. "They look at me, they say, 'Doc, are you smoking crack? Do you expect me to give up my cigarettes when I've already given up a substance that basically, I've been using for 15, 20 years?'"

Seed

Thursday, March 23, 2006

Easy alcohol access damaging health

Cheap and plentiful alcohol could cause a health crisis reminiscent of the horrors of the 18th century "Gin Lane", a liver expert has warned.

The availability of alcohol "next to bread and milk" in supermarkets and in all-day pubs is damaging health, Professor Ian Gilmore told the annual conference of the British Society of Gastroenterology.

He likened the plentiful sale of cheap alcohol to Gin Lane - depicted in an engraving by the artist William Hogarth. Hogarth showed the rampant alcoholism that afflicted London's streets in 1751 before the Government took control.

Prof Gilmore also accused the Government of "overlooking" the problem of people drinking excessively at home.

He said: "The move in the UK is towards making drink easier to get, when all the evidence says that the rates of alcohol-related health damage is related to increased availability and low price.

"In modern times alcohol has never been cheaper or more available. We are in a time of cheap alcohol reminiscent of Hogarth's Gin Lane. In many civilised countries alcohol is available from separate shops. Here it is next to the bread and milk.

"This easy availability encourages drinking at home, and this is what is driving the damage to health, just as much as binge-drinking in pubs and bars. Government alcohol policy focuses on crime and disorder and is in danger of overlooking those drinking regularly and excessively at home."

Prof Gilmore also attacked alcohol advertising, saying: "Broadcast advertising of alcohol is banned in France, but here there is not even a 9pm watershed to restrict children's exposure to alcohol advertising."

He welcomed tighter policing of laws restricting sale of drink to the under 18s and attempts by the alcohol industry to step back from irresponsibly promoting alcohol.

Prof Gilmore, who works at the Royal Liverpool University Hospital, said the number of deaths from cirrhosis had recently overtaken those in continental Europe for the first time. "The number of deaths from cirrhosis in young people has risen ten-fold since the 1970s," he added.

This is London

Wednesday, March 22, 2006

UK young women 'out-drinking men'

Female binge drinking has been blamed on the "ladette culture" Young women are out-drinking men of the same age in the UK but in no other European country, experts are warning.

Analysis of a Europe-wide study also shows that alcohol consumption in southern Mediterranean countries is falling, but rising in northern Europe.

Liver disease is now seen in younger people, Professor Moira Plant of the University of West of England said.

She will tell a nursing conference on Thursday that alcohol is cheaper and more available than ever before.

Professor Plant, a specialist in alcohol studies, warned that if young women in Britain continued to drink in this way, that they could present problems for the health service in the future.

There are now young women in their late teens and early 20s developing liver damage that in the past was not being seen until the age of 60 or 70

She analysed research collected in a major international study focusing on 12 European countries in 2004 and 2005.

She said: "Britain seems to be the only country in which women are overtaking young men in the 18 to 24 age group."

She said that elsewhere, and in the past in Britain, women tended to drink in a much safer way than men.

Professor Plant said that some of the reasons women used not to drink so extensively was because they feared for their physical safety when they did.

This did not seem to be as much of an issue for them now, she added.

Habits

But she warned there was a delayed physical risk for women associated with the health implications of binge drinking.

"There are now young women in their late teens and early 20s developing liver damage that in the past was not being seen until the age of 60 or 70," she added.

Alcohol abuse is also linked with stomach ulcers, damage to the oesophagus and damage to the brain.

Professor Plant is due to present her findings at the Royal College of Nursing (RCN) research conference on Thursday.

RCN general secretary Beverly Malone said nurses could help by raising awareness among young people.

'Key role'

She said: "It's about using every health education opportunity to prevent binge drinking habits starting in the first place.

"That's where the nursing profession - from school nurses to community nurses and family planning nurses - plays a key role and can educate younger people about how binge drinking can seriously harm their health."

A spokeswoman for campaign group Alcohol Concern said: "Recent trends in women's drinking are certainly cause for concern, and we're pleased that this study shifts the issue away from simply being about alcohol-related disorder and the 'ladette' culture, and actually addresses the real health risks of drinking too much.

"Health professionals have a crucial role to play in educating problem-drinkers about the health problems they could be storing up for the future."

BBC News

Tuesday, March 21, 2006

Orthodox grapple with alcoholism

Peter Gould had his last drink — or, more accurately, his last drinks — on Purim night, seven years ago.

“I drank more alcohol in a day than a human body can handle,” he says, relaxing on a puffy couch in Baltimore in jeans, sneakers and a black knit kippah.

At the time, Gould — not his real name — had been a functioning alcoholic for years, and his body could tolerate a lot of booze. He lists the staggering litany of alcoholic beverages he consumed that Purim, a holiday some Jews mark by drinking to excess:

• three bottles of Amaretto

• two bottles of wine

• one bottle of Champagne

• a fifth of scotch

• a fifth of bourbon.

“And then I drove home with my kids in the car,” he recalls. He made it home fine — after all, he was used to driving drunk.

Gould may be an extreme example, but he isn’t unique.

Alcohol and drug addiction exist in every sector of American Jewry, but addiction and recovery specialists say Gould is part of a growing problem in the Orthodox community — a problem that, because of the pressures and particularities of an observant Jewish lifestyle, has hit the Orthodox community in different and sometimes more troubling ways than other segments of the Jewish community.

“The Orthodox community really does have a need,” said Adrienne Bannon, executive director of Baltimore’s Jewish Recovery Houses, two centers in suburban Baltimore that house recovering Jewish drug addicts and alcoholics. “I thought most of the addicts and alcoholics filling this house would be long-estranged from religion, but it isn’t true,” she says.

Pinchas, who has been sober for 19 years and asked that his real name not be used, is one example of a recovering alcoholic who never gave up on religion.

A Potomac resident, Pinchas said he joined JACS, the Jewish Alcoholics, Chemically Dependent Persons and Significant Others because “when I got sober, I found very few synagogues would hold meetings” for recovering alcoholics, and he wanted Judaism to play a role in his recovery.

“[I thought], ‘I’m Jewish, how do I handle this?’ Because the 12 Steps were written by two Episcopalians and they wrote it from an Episcopalian perspective,” he said, referring to the famed rehabilitation mantra of Alcoholics Anonymous and the two professionals who created it in 1935.

“I almost killed myself,” continued Pinchas, who attends meetings at both groups. “I’d been drinking pretty successfully for about 11 years [and] was living by myself between my junior and senior years in college. I had four things happen to me in a row.”

First, he woke up next to someone he didn’t remember meeting.

Then, in a blackout state, he walked through a floor-to-ceiling glass pane.

Third, he lost a summer job because he missed so much work.

“Then I decided to go to shul,” he said, “and I got kicked out for being drunk.”

Asked if he had noticed an increase in the numbers of Jews he sees at A.A. meetings, which he attends weekly, Pinchas said: “I don’t think there’s been an upsurge, per se, I think the Orthodox community … is not as accepting of the fact that there’s alcoholics or drug addicts in the community. They have more blinders on than the general population.”

He recalled a time when he spoke about his experiences at an Orthodox synagogue, only to have the rabbi ask afterward if he had been adopted, believing, Pinchas said, that adoption was the only explanation for an alcoholic Jew.

But Rabbi Hirsh Chinn of Silver Spring, who has been involved in JACS for more than 20 years, believes that traditional communities are increasingly willing to admit to substance abuse among their members.

“That’s not to say there are more people using now than used to, but we’re more aware of it,” he said.

Asked why this awareness has been rather long in coming, Chinn, who makes a policy of not revealing whether he is merely involved in JACS or is himself in recovery, said, “When you’re a minority within a minority, you don’t want to make yourself more vulnerable ... there’s the expectation, ‘You’re a religious community, you’re not supposed to have these problems.’ ”

But, he said, “Orthodox or not, we’re human, and there are all sorts of pressures.”

Solid numbers on addiction in the Orthodox community are hard to come by, but experts say that anecdotal evidence suggests the problem is getting worse.

“What has opened people’s eyes is that, first of all, there’s been much more talk about the problem,” says Rabbi Dr. Abraham Twerski, founder and medical director emeritus of Gateway Rehabilitation Center, a nonprofit drug and alcohol treatment system in western Pennsylvania. “Unfortunately, there have been several young deaths from overdoses, and these were not covered up and they raised the alert of the community.”

Rabbi Kerry Olitzky, an expert in chemical addiction in the Jewish community and author of Twelve Jewish Steps to Recovery: A Personal Guide to Turning from Alcoholism and Other Addictions, notes that the Orthodox aren’t the only members of the Jewish community with addiction issues.

“Alcohol and drug abuse is about an issue of individuals feeling an emptiness inside of themselves, and they’re self-medicating, trying to fill that hole and get rid of the pain they feel,” says Olitzky, who also is executive director of the Jewish Outreach Institute.

Many communities are making efforts to fight abuse by forming support groups, A.A. and Narcotics Anonymous societies, treatment centers and clearinghouses for referral services. The religious streams also have made efforts to address the issue and inform their constituents about it.

The number of Jewish addicts is proportionally similar to the rest of America, Olitzky says.

Insiders say the Orthodox lifestyle offers another gateway into and cover for addiction: the frequent availability and consumption of alcohol at religious life-cycle events.

Habits developed at these celebrations can eventually lead to alcoholism, observers say.

A person can drink a l’chaim at a morning brit, or ritual circumcision ceremony, followed by another at an engagement party that evening. Later in the week, there may be a wedding, followed by a sheva bracha ceremony, followed on Shabbat by a bar mitzvah reception — and alcohol often is available at each event.

Then there is the increasing popularity of so-called synagogue Kiddush Clubs, which offer shul-goers alcohol during and after services.

Alan Smith, who asked that his real name be withheld, is involved with one of the Jewish rehabilitation services in the Baltimore area and has noticed an increase in the number of observant Jews he sees there.

It’s because “the message [rehab] is sending — you don’t have to break your anonymity, but you don’t have to sweep it so far under the rug that you don’t get clean either,” he said, adding, “It’s a solution to alcoholism that Orthodox Jews have been able to find.”

Smith, who has been clean for more than six years, credits God for his sobriety. “Each morning I wake up and say today’s the day I don’t drink. Today’s the day I’m going to ask God to help me ... it’s God that keeps a person clean, it’s the infinite God, because people fail. God can’t fail. He does things I don’t understand, but he doesn’t fail.”

Washington Jewish Week

Sunday, March 19, 2006

Spanish drinking binge ends in riots

Mass street drinking sessions fuelled clashes between Spanish youths and riot police early on Saturday, leaving 80 people injured and 70 arrested in Barcelona and Salamanca, police said.

Tens of thousands of young people gathered in cities around Spain on Friday night in an attempt to hold the biggest street drinking session or "botellon" ("big bottle"). In the southern city of Granada, police said 25,000 people joined the botellon.

The most serious violence was in Barcelona, Spain's second city, where 68 people, including 37 police, were injured and 54 rioters arrested.

Barcelona police used baton charges and fired rubber bullets to try to control the youth, who had been throwing bottles and cans, according to media reports.

Firemen were called out to 50 blazes as the youths set fire to rubbish containers in the streets. Shop windows were broken and several shops ransacked, media reports said.

The Barcelona event degenerated into pitched battles between police and drinkers in the narrow old streets of the city centre that lasted most of the night.

Police blamed the disturbances on about 200 people who, police said, were out to cause trouble.

Another 12 people were injured and 16 arrested, including an Italian and a German, in clashes in the historic university city of Salamanca, 180 kms (110 miles) northwest of Madrid, officials said.

SALAMANCA CLASH

A government official in Salamanca, Jesus Malaga, said about 2,000 young people gathered early on Saturday and about 100 of them set fire to rubbish containers and litter bins.

A fireman and five police officers were among the injured when people in the crowd started throwing objects, he said.

The "botellon" has become part of city life in Spain in recent years as teenagers, bored at home and too poor to go to bars, bought beer, spirits and cartons of wine from food stores and lounged around in plazas, drinking the night away.

Bombarded with noise, the stench of urine and vomit on the streets, many city councils brought in rules to ban drinking on the street.

Police now patrol many botellon hot spots at weekends, moving along groups of teenagers who mix cocktails with cheap spirits or "calimocho" -- red wine and cola.

Youths rallied revellers by email and SMS messages for "macrobotellones" in 20 cities around Spain on Friday, while authorities pleaded with parents to keep their children under control and warned of the danger of under-age drinking.

Some cities, such as Seville, Granada and Valladolid, allowed the gatherings to take place in designated areas and up to 25,000 people gathered in the southern city of Granada.

"We've never seen anything like this in Granada," a police spokesman said. "There's no doubt that this is the biggest botellon in Spain..."

Reuters 2006

Saturday, March 18, 2006

AA - a solution to the problem

As the debate on the new liquor law continues, the real issue seems to be falling by the wayside. People who have a problem with alcohol, alcoholics, cannot be swayed by stricter laws, harsher penalties or spates in jail.

Alcoholics Anonymous (AA), the most successful programme for helping people addicted to alcohol get over their addiction, makes a distinction between someone who is just a 'heavy drinker' as opposed to an alcoholic.

An alcoholic is absolutely powerless when faced with alcohol and the new liquor laws in Botswana will do nothing to help this person. Their hope lies in understanding their addiction and getting help from organisations like AA.

According to AA, a heavy drinker can drink and get drunk but then, when they see their life is spinning out of control because of alcohol, they can make a decision to stop. On the other hand, an alcoholic has a disease. An alcoholic has an "allergy" to alcohol. Once an alcoholic takes their first drink, they are trapped. Something in their body requires them to keep drinking. Adding to this problem is a mental craving for alcohol so that even if the alcoholic can manage to stay away from alcohol for a time, they will eventually be drawn back to it and once the first drop touches their tongue, the "allergy" kicks in and they are unable to stop.

Since 1935 when Alcoholics Anonymous was established, they have managed to help these alcoholics deal with their disease. Currently, this worldwide programme operates in over 150 countries, including Botswana, where a group meets every Monday at the Roman Catholic Cathedral at 5:30 pm. AA has an estimated 2 million alcoholics around the globe as their members.

How does AA work? AA groups are usually started by a group of long-term AA members who want to help other alcoholics. The organisation is a voluntary one open to all alcoholics. It is an anonymous organisation where members' surnames are not used nor are there any sign-up sheets or roll calls. The members admit that they are alcoholics and they make a commitment to be the victor in their battle over alcohol.

AA advocates complete abstinence from alcohol. Because of the way that the disease operates, alcoholics are unable to drink any alcohol at all. This abstinence is reinforced at meetings where people stand and state for how long they have been sober; be it one day or a thousand days, it is a triumph because as one of their mottos says the fight against alcoholism is taken "one day at a time".

An important part of AA's success is for members to attend meetings. In larger cities around the world, AA meetings are held throughout the day in various public places such as churches and schools. New members are encouraged to attend 90 meetings in the first 90 days. During meeting, members discuss the paths that they have taken to overcoming alcohol. They discuss the damage that they have done to themselves and others in their lives because of alcohol and they discuss the AA programme. This fellowship between alcoholics, many believe, is one of the most important aspects of AA's success.

New members can also decide to choose a sponsor to help them with their individual programme. A sponsor is a person, usually of the same sex as the new member, who has been successfully sober for some time. The new members choose the sponsor for themselves and, if things don't go well, can dismiss him or her and choose someone else. Sponsors need to be ready to offer unlimited time to the new member. Alcoholics in AA are encouraged to speak with their sponsor everyday.

The other important part of AA is the '12 Step Programme'. This 12 Step programme has worked so successfully for alcoholics that many other organisations for other addictions, such as gambling, overeating, and sex addicts have adapted the programme for themselves. The '12 Step Programmed' is based on spirituality that some non-religious people find uncomfortable. AA assures members that they are not religious, but they are spiritual. They believe that most people, even non-religious people, believe in powers greater than themselves. As such, in the 12 Steps they discuss 'A Higher Power'. This higher power could be God, or could be the AA group, a dead relative, a principle or the universe. It is only imperative that the power is outside of the person.
The 12 Steps are:

1. We admitted we were powerless over alcohol- that our lives had become unmanageable.
2. We came to believe that a Power greater than ourselves could restore us to sanity
3. We made a decision to turn our will and our lives over to the care of a higher being as we understood that.
4. We made a searching and fearless moral inventory of ourselves
5. We admitted to our higher power, to ourselves and to another human being the exact nature of our wrongs
6. We're entirely ready to have our higher power remove all defects of our character
7. We humbly asked our higher power to remove our shortcomings
8. We made a list of all persons we had harmed, and became willing to make amends to them all
9. We made direct amends to such people wherever possible, except when to do so would injure them or others
10. We continued to take personal inventory and when we were wrong, promptly admitted it
11. We sought through prayer and meditation to improve our conscious contact with our higher power as we understood it, praying only for knowledge of the higher power's will for us and the power to carry that out.
12. We have had a spiritual awakening as the result of these steps, we tried to carry this message to other alcoholics, and to practice these principles in all our affairs.

The alcoholic slowly works through the steps, trying to be free of alcohol, but also free of any guilt or personality problems that would bring them back to drinking. AA recognises that making restitution to the people that one has wronged is a powerful thing, so asks the recovering alcoholic to make a list of the people that they have wronged because of their addiction and then to try "to make amends" to them.

This combination of having a network of other alcoholics and working the "12 Step Programme" has been successful for many. Research has been difficult to carry out because of the anonymous nature of the organisation, but people around the world speak of their success at remaining sober for 20, 30 or more years by using the AA programme. Many have spoken about how AA saved their lives since most people come to the organisation when they have reached rock bottom.

The current debate around alcohol is one based on a faulty premise. The idea that alcoholics make conscious decisions to drink is wrong. They are suffering from a sickness that gives them no choices. AA offers them a place where they can get their life back under control. In Botswana, the better way to tackle the societal problems associated with alcoholism is by establishing more chapters of AA around the country so that people outside the capital can find a place to get the help that they so desperately need.

Mmegi Online

Thursday, March 16, 2006

Binge-drinking 'will make liver disease soar'

The Health Service is facing a binge-drinking timebomb with the number of illnesses caused by alcohol likely to soar over the next decade, medical experts warn.

Cases of cirrhosis - a disease of the liver - have already increased by 900 per cent in those aged under 45 since 1970.

Doctors say that with alcohol consumption at a 90-year high, this figure will undoubtedly climb still further, landing the NHS with a rapidly escalating bill.

At present, Britons are drinking themselves to death at a faster rate than any other country in Europe.

Should the Government take action? Tell us in reader comments below

In the 1980s and 1990s, cirrhosis death rates for men rose by more than two-thirds in England and Wales, while the number of women dying from the disease increased by almost half.

Many experts fear that Labour's 24-hour drinking laws will fuel the binge-drinking epidemic.

Yesterday, the British Society of Gastroenterology warned of a rising tide in alcoholrelated disease in the coming years.

In a statement to accompany a report setting out a blueprint for the future treatment of gut and liver problems, the society said: "As a nation, we are drinking more than for 90 years and there is a lag between consumption and cirrhosis.

"Already we have seen a 350 per cent increase in cirrhosis between 1970 and 1998, and this figure is 900 per cent for those under 45 years of age.

"It is important to anticipate that the burden from alcohol, not only alcoholic liver disease but also alcohol pancreatitis, is going to increase markedly over the coming decade or more."

Professor Elwyn Elias, the society's president and a gastroenterologist based at University Hospital, Birmingham, added: "There is a 20 to 30-year lag between what people drink and hospitals filled with the consequences.

"Binge-drinking can have a sudden effect, but you can also kill yourself in 20 years, by drinking what some people consider a reasonable amount.

"The evidence is that drinking fell away in the 1930s and 1940s but it's been climbing since the 1960s and there's no sign of a plateau."

The society's report adds that patients with cirrhosis and alcoholrelated complications are already heavy users of expensive hospital resources.

Over the past 40 years, alcohol consumption has doubled in the UK with the rise of the drinking culture particularly noticeable among young men and women.

Almost six million people are thought to be binge-drinkers, consuming more than the recommended weekly units of alcohol in a single session.

Excessive drinking is thought to kill around 22,000 Britons every year. A spokesman for the Department of Health said yesterday that an additional £15million would be spent next year on improving alcohol treatment services and more funding would go into alcohol intervention.

She added: "We know that alcohol misuse costs the NHS around £1.6billion every year and causes health and social care problems for individuals and their families. "We are working hard to take forward the recommendations in our Alcohol Harm Reduction Strategy, which identified a need to get more people treated for their alcohol problems."

Daily Mail

Wednesday, March 15, 2006

Alcohol Concern: It's time for the DoH to invest in treatment

Alcohol Concern says 'it's time to invest in alcohol treatment' to the Department of Health

On the 2nd anniversary of the publication of the government's Alcohol Harm Reduction Strategy, and as the economic and human costs of alcohol misuse continue to rise, Alcohol Concern will today present postcards from across the country to the Department of Health calling for urgent action to address the underfunding of alcohol treatment services.

Leading charity Alcohol Concern will today present over 1000 postcards to the Department of Health, as part of their 'Spend £1, Get £5 Free' campaign, calling for the government to make alcohol treatment the priority it deserves to be.

As the government's own figures show a huge gap in provision of help-giving services for problem-drinkers, Alcohol Concern will be taking 18 campaigners and service-users to the Department of Health to say to the government:
"only 1 in 18 people with an alcohol problem get access to the help they
need: it's time to invest in alcohol treatment".

The charity says that both the economic and the human case for investing in alcohol treatment is strong, with the recent UK Alcohol Treatment Trial showing that every £1 spent on treating people with alcohol problems saves the public purse £5.

Media doctor and practicing GP, Dr Hilary Jones, said: "Alcohol misuse is one of the biggest public health problems facing this country, killing 22,000 people every year and placing an enormous burden on the NHS. I'm pleased to be supporting Alcohol Concern in calling for increased investment to help the millions of people with an alcohol problem, and I hope the government sits up and takes notice of this crucial campaign."

Srabani Sen, Alcohol Concern's Chief Executive, said: "Every year alcohol services help thousands of problem-drinkers turn their lives around, but the reality is that only 1 in every 18 people who need help get access to the treatment they need. Postcards calling for urgent action to address this shocking situation have flooded in from right across the country, and today we are delivering that message to the Department of Health: it's time to invest in alcohol treatment."

Alcohol Concern's campaign highlights the burden that problem-drinking places on the UK's economy and society.
Alcohol misuse costs the economy £18 billion each year and causes around 22,000 deaths. 8.2 million people in England have an alcohol problem, and 1.1 million of them are thought to be dependent on alcohol. Around 1.3 million children are affected by their parents' alcohol problems.

Ms Sen added: "If the government is serious about reducing the damage that alcohol misuse does to individuals, families, communities and the economy, then it needs to act now to make alcohol treatment the priority it so urgently needs to be."

politics uk

Monday, March 13, 2006

`Remember me one day at a time'

One Recovering Alcoholic Dies; One Fears He Should Have Helped More

Diane was a friend of mine, and she drank herself to death, just like that.

We were in alcohol rehabilitation together, a tough, intense 28 days that binds people together fast. I always teased her that she was my favorite little drunk. And she was. She was a delight -- sober, that is, the only way I knew her.

In small group sessions, when the emotional excavations sometimes got too deep, she might cry, or I might. We'd always encourage each other afterward, talking about our addictions and how they've affected us, and those we love.

Diane was sweet and pretty, but perhaps too giving. She always wanted to please others, do things they could do themselves. I recall once counseling her on this, in one of our long talks. I told her, ``Let people do for themselves what they can do for themselves.''

Then, as we approached the door, I said, ``OK, get that for me.'' And she did. I laughed and said: ``No, this is what I'm talking about. I can open the damn door myself!'' She laughed, too.

Diane chose me to ``give her away'' in the ceremony that marks the end of a stay at Saint Helena Hospital -- located, ironically, in the Napa Valley Wine Country -- to which we both went to get dry. At the graduation, all the patients gathered in a circle; Diane and I stood in the middle. I spoke about her, her character and her hope. Then she stood briefly in front of each of the others in the circle before leaving.

It has been two years since that day. And three are dead from that group of about 25. Diane's the latest, at only 43.

Her folks hit it off with my wife at Saint Helena's -- loved ones who, hurting and bewildered, had been watching people they care about slowly kill themselves. Diane's mom and dad are very polite and traditional Japanese-Americans; they loved her hard and she loved them back just as hard.

She said they hadn't known what to make of her illness. They always worried that Diane wouldn't show up for family events, well, because, sometimes she was in no shape. She said her dad would sometimes secretly take the wine bottles out of her garbage can so no one else could see them.

When Diane and I were in rehab, her parents faithfully attended the weekly family groups at Saint Helena's, trying as hard as they could to figure out this disease.

I don't know whether they ever did, but not for lack of trying. It's difficult to ``get it'' if you don't have it. Even after Diane got out of rehab, her mom kept up her attempts to understand. She went with my wife to Al-Anon, the support group for friends and family members of drunks.

A note to remember

Diane wanted to quit, desperately.

She signed my copy of ``Alcoholics Anonymous'' when she was ready to end her stay in rehab. Her note took all of the inside cover. Here's some of it: ``Dan, I'm grateful that we both got messed up at the same time, 'cause we never would have met otherwise. . . . I wish you the best in your recovery. I won't say, `keep in touch,' because I know we'll be seeing each other around town . . . AA meetings, Aftercare, etc.''

Then she added an echo of the AA motto that reminds people to keep their goals small: Don't drink today; then do the same tomorrow. Diane wrote: ``Remember me one day at a time.''

But she unintentionally put herself at risk on her return home. It was something I and others had worried about. She had enough money so she didn't have to work immediately and could stay home while figuring out a new direction in life.

She also lived alone. That can be dangerous for a recovering alcoholic, or any addict for that matter. And not long after she returned from rehab, her boyfriend cut off their relationship.

Then it was just her, the walls, and the wine.

At some point, she took a drink. That can be a deadly slip.

``People forget they have a chronic illness and picking up that first drink is one of the main risks of relapse,'' said Deborah Todd, counseling supervisor for Saint Helena's program. As another counselor there said, some people think after graduating from rehab, it's no longer alcoholism, but ``alcohol-wasm.''

But the pull never fully goes away. In Susan Cheever's biography of AA founder Bill Wilson, she writes that on his deathbed -- after decades of sobriety -- he asked for whiskey.

I still find myself plotting for a drink. What's the harm in a couple of shots after work? Who would know? But it wouldn't stop there. AA tells alcoholics that one drink is too much and 1,000 is not enough.

Avoiding that first drink is at the heart of everything AA does. The meetings with other recovering alcoholics remind you. So does a sponsor, a recovering alcoholic who is available to talk anywhere, anytime.

Drifting apart

After I got out of rehab, Diane and I talked off and on. I got her to go to a few AA meetings, but she didn't much like them -- they were too structured, too repetitive. I got a sponsor; she didn't, but she did enroll in community college. When we talked, she seemed happy, settled, her mind off the booze.

Last fall, I stopped seeing my sponsor but found a new AA group that met on Sunday nights, at a church near both our homes. I called her and tried to get her to go with me.

She didn't. I flaked out a couple of times when we were supposed to meet; she did the same. Then there were a few months of silence -- me caught up in my job and life, not having time to call my friend.

Diane died in early December. She'd drunk herself into a coma and died at a local hospital. I found out weeks later and missed her services.

When Diane and I were still in Saint Helena's, a friend, also a recovering alcoholic, sent me a letter, which I shared with her and others. It said he was splitting his life into 24-hour segments. He said he prays in the morning, and every evening he thanks God that he had that day, remembered that day, lived that day.

Just as Diane said when she signed my book: ``Remember me one day at a time.''

I didn't. I skipped some days. Now I'll never forget.

Mercury News

Friday, March 10, 2006

AA's growing pains evident in revision of its Big Book

( Boston Globe review of the 4th Edition AA Big Book )

Group stresses mission as reason for changing stories

Perennial bestsellers mostly are famous: the Bible, Homer's ''Odyssey,'' ''How to Win Friends and Influence People,'' ''Anna Karenina, ''The Lord of the Rings.'' But not all hot books are famous. Outside its circle of influence, one of the hottest books of the past 60 years is almost unknown.

Its title is ''Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered From Alcoholism.'' But to the millions who live by it, it's known simply as the Big Book.

Written by AA cofounder William G. Wilson (''Bill W.'') with help from cofounder Robert H. Smith (''Dr. Bob'') and other early members, and published in 1939, the Big Book has sold more than 21 million copies. It has been translated into 43 languages. Yet you don't see it in bookstores. They can get the book, but it's usually ordered directly from AA World Services, the publisher. In 62 years, the price has risen, of course: from $3.50 to $5.

Until now, the Big Book had been revised only twice: in 1955 and 1976. Now the fourth edition is just off the press,

and its painstaking revision is a window into the delicacy of tinkering with a book that many people revere as inspired scripture.

AA was founded in 1935. When there were about 100 members, Wilson and Smith decided they needed a text if the movement were to continue to grow. Wilson wrote most of the first 164 pages, outlining the philosophy, principles, and method, and collaborated with Smith and the other members in pulling together the rest of the book, which consists of 42 personal testimonies of recovered alcoholics.

The first edition's stories were mostly by white men, coming out of the world of the teens, 1920s, and Great Depression. But since AA was open to all, other kinds of people began to join: more women, Indians, African-Americans. So in 1955 Wilson revised the book himself (Smith died in 1950), leaving the first 164 pages alone, but substituting many new stories, from a newly varied membership, for old ones. Wilson died in 1971, and several years later the book was revised a second time, by a committee. Again stories were changed, but again the first 164 pages were left alone.

The new edition retains 16 stories from previous editions, including several by the pioneers, and adds 24 new ones. Once again, however, the first 164 pages were left untouched.

Why not revise those pages? As explained by Richard, of Chicago, a trained historian who chaired the revision committee, ''In the culture of AA, you don't mess with the words of the founding members. We had to be clear that the part written for all time was not what we were working on.''

The importance of the Big Book to most committed AA members can hardly be overstated. (It is also used by many other addiction-fighting groups, such as Overeaters Anonymous.) In their various ways, they trust it and they love it.

''When they give it to you,'' says David, 39, of Boston, ''they say, `It's terribly written, and it will save your life.' When you read the first 164 pages, it is unvarnished midcentury prose: clunky, awkward, and quite wonderful, full of phrases you can't imagine anyone writing anytime after World War I, let alone 1939. But underneath the odd wording and clunkiness is this basic message of hope.''

''It really did save my life,'' says Margaret, 43, of Brookline. ''How did they ever put these words together to make it so powerful? None of the stories put me off. I didn't think it was hokey. I soaked it up and identified with every sentence. It grips you if you are an alcoholic.''

While there may be unanimity on the first 164 pages, there is none about the stories. ''When I first got it,'' says Dave, 26, of Somerville, ''I read the stories. Now I don't look at the stories. When I'm in a bad space, I have a harder time relating to them.''

But others have a deep commitment to certain ones. Michael, of Brookline, was crestfallen when it appeared that a classic story, ''Doctor, Alcoholic, Addict,'' had been excluded from the new edition. ''There are two paragraphs about acceptance, on Page 449,'' he said sadly, ''that I read every morning.'' He was relieved to discover that it was only renamed, ''Acceptance Was the Answer,'' and moved (449 is now 417). His bond with that one page is not uncommon. AA members tend to know what is meant by a reference to ''Page 449'' or ''Page 83.''

Revising the Big Book was therefore a dicey affair, though Richard says it helped that the first 164 pages were strictly off limits, however dated their tone, slang, and social assumptions. ''AA is of necessity historic,'' he says. ''Without that, there is a risk of amnesia about what went on before, of devaluing this sense of experience.'' Leaving the first part untouched means that every new member in a sense meets Bill W. and Dr. Bob personally.

But in the committee, there was no consensus on the stories, which constitute 80 percent of the book. So the committee decided to research Wilson's writings to find out his attitude toward the book - much as constitutional scholars dig into what James Madison or John Adams meant by ''high crimes and misdemeanors.''

They found, says Richard, that ''Bill always saw the book as organic and dynamic, never locked in. The book was not for those of us who were already here. That was cold water for many. People who had been in AA for 30 years said, `But you can't take out that story - it's my favorite.' But we had to say, `We don't care. You're sober now. We need to change it for the new people.''' Even so, most of the oldest stories in Part One, ''Pioneers of AA,'' were kept, including ''Dr. Bob's Nightmare'' and ''The Keys to the Kingdom,'' by a former flapper of the Roaring Twenties.

The new revisers decided to invite the fellowship (1.4 million members in the United States and Canada) to submit stories. More than 1,200 stories came in, and over a year's time they were winnowed to 24.

One criterion for the new selections was greater diversity, although Richard said the AA way of saying that was ''a broad cross-section of sharing.'' He says, ''AA today is younger, more female, more brown and black, more gay.'' The new storytellers include several American Indians (although an older Indian story, ''Join the Tribe!,'' written in painfully stereotypical dialect, was dropped), Jews, African-Americans (including a pioneer), a gay man and a lesbian, and several young people.

Some AA members have an exaggerated reverence for the book, including those known as ''Big Book Thumpers,'' who believe that in it are the solutions to all life's problems. Some call it AA's Bible, which Richard, speaking only for himself, resists.

''Some members see it as divinely inspired,'' he says. ''They believe that Bill was given this book not through his intellectual discovery, but as a delivered text. Some have come close to putting Bill and Dr. Bob on a pedestal: Whatever they said is the literal truth. The book is an esthetic and a guide. Those who want to turn it into a literal manual of life move it in a direction distant from life.''

About a million copies of the Big Book are distributed each year in English alone, and the growth of Alcoholics Anonymous is accelerating worldwide. ''AA is meant to be for humankind, not bounded by people in New York or Akron,'' Richard says. ''In the last 20 years it has spread quickly in cultures very different from our own. In India, AA is poised to become a huge phenomenon. In the next few years,the majority of AAs may be Asian.'' In that event, the fourth edition of the Big Book may have a much shorter life than its predecessors.

Globe

Thursday, March 09, 2006

Story of AA's birth founders in Act 2

In telling the story of the founders of Alcoholics Anonymous, ''Bill W. and Dr. Bob" avoids most of the pitfalls of biographical drama.

First, it feels like a real play, not a TV movie. As written by a local husband-and-wife team, Dr. Stephen Bergman (a.k.a. novelist Samuel Shem) and psychologist Janet Surrey, it has a flair for detail and character development. And as staged by director Rick Lombardo and set designer Anita Fuchs, it inhabits an imaginative and unique theatrical world of its own, another step forward for the New Repertory Theatre's use of its new Arsenal Center for the Arts space.

The set is framed by large slanting panels that look like window blinds; sometimes they segment the action, sometimes they open it up. Lombardo's staging creates a sense of real movement across the '20s and '30s. There's nothing the least bit static as the action shifts quickly from bars to apartments to hospitals, with excellent jazzy accompaniment from onstage pianist Todd C. Gordon.

For all the creativity in staging, though, dramatic license only goes so far when telling this story. A major problem flattens the second act: The characters of Bill Wilson and Bob Smith, at least as portrayed here, were more dramatic figures when they were drunk than sober.

This, of course, doesn't take away from their accomplishments. It just so happens that their best theatrical moments take place in the very nicely developed first act of ''Bill W. and Dr. Bob."

Bill W. is the mover and shaker of the two. He throws himself headlong into whatever he's doing, whether it's celebrating, despairing, getting sober, or sermonizing. The entire cast is quite strong, but Robert Krakovski shoulders the biggest load as the alpha dog of the characters.

Meanwhile Patrick Husted is equally adept at capturing the quieter sorrow and sweeter nature of Dr. Bob, whose drinking brings him out of himself but creates a monster in the process.

Rachel Harker and Kathleen Doyle fully inhabit their roles as the long-suffering wives, while Marc Carver and Deanna Dunmyer play a variety of parts with aplomb.

Both principal characters hit bottom in the first act. Krakovski gives you the sense that Bill is a time bomb waiting to go off. Will the business deal gone bad lead him back to the bar? Will the next drink be the fuse that ignites him?

He hooks up with Dr. Bob toward the end of the first act, and as they keep each other sober, they discover that talking to another alcoholic is far more effective than talking to a wife, clergyman, or doctor.

Could this be the key that unlocks the door for all alcoholics, along with a belief in some power outside oneself?

Yes it could, but the second-act search for the right formula is not dramatically interesting. The only sense of conflict is that Bill's evangelism threatens to ruin his marriage, but it's never very clear how it's salvaged. Dr. Bob and his wife grow so earnest that you're tempted to slip some gin into their tonic to bring some life back into their personalities.

And as the story forsakes drama for biography, the production grows tiresome. Carver runs out of ways to differentiate all the alcoholics he's playing. The set, centered on the Akron, Ohio, home of Dr. Bob, grows dull. Even the musical riffs from Gordon recede into the background in the second act.

By the end of ''Bill W. and Dr. Bob," it's apparent how important the two men were in shifting the diagnosis of alcoholism to a disease and establishing AA and its 12-step program to deal with it.

But good deeds and good drama aren't the same. Their second act was a success in reality. Bergman and Surrey need to find a way to make it a success onstage.

The Boston Globe

Wednesday, March 08, 2006

Barred from school

Hundreds of children have been barred from Kirklees schools for drugs and alcohol offences in the past five years.

Figures show that 316 young people have been either expelled or excluded from their classes for substance misuse.

Some of the cases include:

* A seven-year-old girl barred from her primary school for three weeks for a substance misuse incident.

* An 11-year-old boy being excluded from his middle school for a week following a dinnertime drink binge.

* A 15-year-old who took a airgun into school as well as using illegal substances.

* A 16-year-old who was spotted dealing class A drugs - a category which includes cocaine, heroin and crack cocaine - to two other pupils. He was suspended for more than eight weeks.

Of the 316 incidents, only 15 students, all at secondary school, were expelled completely.

In one incident, an 11-year-old boy took a haul of weapons and fake drugs kit into school and was sent home for three days.

In another school a boy aged 13 was sent home for one day for extorting money from other students and being accused of drug dealing.

Ten of the incidents involved children of middle and primary school age.

The majority of these incidents involved the use of alcohol.

In one, a 10-year-old had been drinking at lunchtime before displaying "inappropriate" behaviour to fellow students .

He was barred from class for five days.

Kirklees school improvement officer Graham Hofman said both positives and negatives could be taken from the figures.

He said: "I am positive about the changes over the years.

"Schools are now more willing to ask for support and are more willing to say they may have an issue."

Mr Hofman said schools co-operated more with agencies such as Drugsense and the police to help tackle the problem.

But he added: "The ideal situation would be that kids aren't using illicit substances."

Mr Hofman said he believed the situation in Kirklees was average for the majority of towns around the country.

He added: "Parents need to be aware of what they can do.

"They can find out about drug issues through national helplines, such as Frank.

"If they have children at primary school they should take the opportunity to take part in the SPICED education programme which educates kids about such issues.

"The more information parents have the better prepared they will be."

ic Huddersfield

Denise: Curly helped me beat the bottle

Former Coronation Street star Denise Welch has told how she beat alcoholism thanks to the help of her friend, actor Kevin Kennedy.

The Cheshire-based actress says she turned to Kennedy, who played Curly Watts in the soap, when she realised drink was controlling her life. The turning point in Denise's life came when he introduced her to Alcoholics Anonymous last July.

"I've been sober for seven months now. But I wouldn't have managed to do it without Kevin's support," said Denise, who played landlady Natalie Barnes.

"I thought drink relieved my feelings of stress and depression. But I was blacking out so much I couldn't remember any of the supposed fun I'd had.

"I finally realised drink was controlling me, so I made the decision last July to get sober.

"I called Kevin and he and his wife Claire helped me every step of the way."

AA

She told Reveal magazine: "It's hard to walk into an AA meeting and confess to being an alcoholic when you're well known.

"But I've also had incredible support from my husband Tim and my family."

Denise has been married to Auf Wiedersehen Pet's Tim Healy for 16 years and they have two children, Matthew, 17, and Louis, five.

Kevin Kennedy quit drinking after the tragic death from alcoholism of his friend Kevin Lloyd, who was best known as Tosh Lines in The Bill.

He paid tribute to Denise's achievement, saying: "She has done all the hard work.It's not a question of saying 'You must do this or that'. I've not had a drink for coming on eight years, so if you want to know something, the person to ask is someone who has been through it.

"She asked me some advice, which I freely gave, because she's a pal. She's done very well and I'm very proud of her."

Manchester Online

Sunday, March 05, 2006

Alcoholism in clergy a problem

Episcopal Bishop Chilton Knudsen can sympathize with her church’s first openly gay bishop, who is being treated for alcoholism. Knudsen herself needed alcohol treatment 21 years ago after becoming the first woman to lead an Episcopal congregation in Illinois.

“There is a particular kind of stress people are under when they are the first,” she said. “Being a clergy person is a stressful job — and any disease process latent in our bodies is going to be exacerbated” when an extra level of scrutiny is added.

Bishop Gene Robinson of New Hampshire announced in February that he had sought treatment.

While Knudsen, who now lives in Maine, believes other high-pressure vocations — doctors, for instance — face similar problems, the Rev. Dale Wolery of the Clergy Recovery Network says religious denominations that accept social drinking wind up with more alcoholism among clerics.

“But where the church culture is not open to (drinking), the resistance to getting help is more profound,” so seeking treatment and managing recovery is more difficult, he added.

Religious professionals often have high expectations of themselves and are viewed with high expectations by others, said Wolery, an independent Baptist minister based in Joplin, Mont. When they can’t live up to those ideals, that can lead to alcohol abuse, he said.

“The core of the addictive process is shame,” said Wolery, who has aided between 200 and 300 clerics with alcohol problems.

Gail Gleason Milgram, education director at Rutgers University’s Center for Alcohol Studies, says all executives, including bishops, have a special problem because “the higher up one becomes in an organization, the more difficult to confront the behavior” and tell the boss that help is needed.

Local clergy have another temptation. “They might come and go at their own schedules. They don’t punch a clock,” she said. So it’s easier for them to cover up the problem, say avoiding appointments before 10 a.m. because they’re hung over or after 4 p.m. so they can resume drinking.

The Rev. Nancy Platt of Augusta, Maine, an alcoholic who became sober before joining the Episcopal priesthood, is active in the Recovering Alcoholic Clergy Association — an Episcopal group with 350 active members including one or two bishops.

Platt says the clergy have three special challenges: parishioners’ demands of them and their families, low pay relative to other professionals with graduate training and the requirement of dealing continually with peoples’ problems.

With bishops, “it’s harder, and it’s a lot harder than it used to be.” For one thing, they need a certain reserve with clergy to avoid favoritism so “they have few friends for support unless they have fellow bishops. ... It really is the same with many CEOs, and yet you must be a pastor and mentor. That’s not an easy tension.”

Robinson’s sexual orientation has meant he’s dealt with the most intense sort of scrutiny: becoming a sign of hope for some in the gay community and a flash point for debate in both the Episcopal Church and the international Anglican Communion, of which it’s a part.

Still, Platt said, Robinson has two advantages — full support from the region’s bishops and the church’s excellent medical coverage. In the wake of Robinson’s announcement, she says, “I would hope the entire church would take a look at its alcohol use, and abuse.”

Platt said that after Knudsen became bishop in 1998, alcohol was no longer served at clergy gatherings. “It just sort of happened” without any policy proclamation, she says, and New Hampshire priests should now consider doing the same.

Knudsen, who participated in Robinson’s consecration in 2003 and knew privately for the past few months about his struggle with alcohol, said she didn’t want to get into details about his problem.

“In the tradition of Alcoholics Anonymous, the anonymous part reminds us we never tell any story but our own, so it’s his story to tell,” Knudsen said. It’s “important for people like Gene in the public spotlight not to become the poster child on this issue, too. He needs some privacy.”

In her own case, she said, “some people who loved me spoke to me very directly about their concerns, and I listened and took the action they asked,” beginning with two weeks in a rehabilitation center and intensive outpatient treatment. Likewise, she said, Robinson “listened well to those of us who spoke with him.”

She said he must now make aftercare a priority. Is Knudsen still attending 12-step support meetings? “You bet I am. It’s lifelong for most of us.”

Times Leader

Saturday, March 04, 2006

Alcoholics Anonymous

#Description#

Perhaps the best-known support group in existence, AA has over 2 million members worldwide. Anonymity is "...the spiritual foundation of our Fellowship and assures our members that their recovery will be private." Alcoholics Anonymous is a charitable self-help group for all members to share their experiences in a confidential environment for the mutual benefit of overcoming alcoholism. The Group's meetings offer a safe and confidential forum for recovering drinkers to share their experiences and receive mutual support and commendation. Attendees are encouraged to follow the AA's Twelve Step program. Information on local group meetings is available on 0845 769 7555 or from the AA website.

#Activities#

AA members and AA service committees traditionally work with outside organisations to provide more information about AA's methods. AA has printed material that of benefit to anyone working with alcoholics, e.g. Health Care Professionals, Prison and Probation Professionals, Treatment Facilities Professionals, Media and News Professionals or Employee Assistance Professionals.

#Material#

Magazines

'Share' is published monthly in the UK and 'Roundabout' is published monthly in Scotland.
These magazines serve as a "meeting between meetings" for AA members. Written by AA members, the magazines set out to provide inspiration and support for recovering alcoholics. The publications also provide information on AA groups and events. Each edition has an advertised monthly theme e.g. My Best Day Sober.

Net Doctor

Friday, March 03, 2006

12-step programs still prove good.

Great news for the people on treatment waiting lists, for the addicts still out there and for friends and families affected by substance abuse and the disease of addiction. There is an answer! The answer is right under our noses, in our own communities. There are no waiting lists. Everyone has access to it. You don't need insurance. As a matter of fact, it doesn't cost a thing.

This treatment has been around for more than 70 years and has an estimated 2 million members in more than 180 countries. Alcoholics Anonymous is free and available to everyone. And for the many who are addicted to drugs, Narcotics Anonymous is available at no charge. NA has been in existence for at least 50 years and can be found in 116 countries.

AA and NA are fellowships of men and women recovering from their addiction by sharing their experience, strength and hope with each other. The only requirement for membership is a desire to stop drinking and using. AA and NA are not allied with any sect, church, organization, institution or politics. The primary purpose is to stay clean and sober and help other alcoholics and addicts achieve a clean and sober life. A drug addict may attend an AA meeting and an alcoholic may attend an NA meeting. Both meetings address the problems of, and solutions to, addiction.

Anonymity is of the utmost importance in AA and NA. If people attending the meetings don't feel safe there, they won't come. So it is imperative that anyone attending a meeting does not disclose whom they saw or what they heard there.

Many people today seem to be under the impression that recovery can't happen unless you go to rehab or a treatment center. Going to a treatment center is not a prerequisite for getting clean and sober. There are thousands of people who have recovered from addiction without having gone to a treatment center. In Alcoholics or Narcotics Anonymous no drugs are dispensed to help the addict through withdrawal or cravings. If something has been prescribed for withdrawal, it is still permissible to attend AA and NA meetings. However, the agony of a chemical-free withdrawal can serve as a much needed impetus to staying clean and sober. Most addicts who have fought their way through withdrawal never want to experience it again. In the long run, a chemically unaided withdrawal leaves the addict chemically dependent on nothing. The addict has shaken, vomited, hallucinated and cried his or her way into a new beginning.

If addicts do use a detox and/or treatment center, it is imperative they have support when they leave the center. Many addicts and alcoholics find it impossible to stay clean and sober on their own.

Alcoholics or Narcotics Anonymous is a "we" program. We understand like no one else can. We help each other recover, we offer the love and support an addict needs to stay clean and sober one day at a time, for a lifetime.

In the rooms of AA and NA we have found understanding, hope, unconditional love, laughter, forgiveness, honesty, freedom and a spirituality that pulled us towards recovery even when every cell in our bodies cried for a fix. We have been blessed with a second chance at everything. Dreams we had but could never achieve while we were using are now made possible every day that we stay clean and sober.

For concerned community groups wondering what they can do, open your schools and churches to AA and NA, Alanon and Alateen meetings and then attend the appropriate meetings. Alateen and Alanon meetings offer incredible support for the families and friends of alcoholics and addicts. Offer to have clean and sober dances, support recovery meeting houses.

For those families who are currently struggling to get their loved ones into treatment, go to Alanon or Alateen. Become aware of your own behavior and attitudes towards using drugs and alcohol. Work the steps yourself and see what it does for you. Encourage your loved one to attend AA or NA meetings until a bed becomes available to them.

For the addict hoping to recover, when you are desperate enough, while you are waiting months for a bed in a treatment center, come try AA or NA. We'll be there waiting for you. We will love you through the darkest days of your life.

Bangor Daily

Thursday, March 02, 2006

Warning that cuts in services will force problem-drinkers onto the streets

Alcohol Concern will today issue a stark warning to ministers that cuts to residential services for alcohol misusers could force problem-drinkers onto the streets.

Leading charity, Alcohol Concern, will today write to ministers for health and housing to outline their concerns that proposed cuts to residential services for substance misusers will lead to further homelessness, relapse and criminal behaviour.

A snap survey by the charity has found that at least 20 residential projects supporting those with alcohol problems currently funded, in part, by the government’s Supporting People initiative, expect to lose a significant chunk of their funding in April as a result of local Supporting People spending reviews. Alcohol Concern has already received reports from many working in residential services who say that their only option will be to close from April.

Don Shenker, Alcohol Concern’s Director of Policy and Services said:

“We are extremely worried to hear that many help-giving services across the country could be forced to close due to lack of funds. They provide a lifeline for some of the most vulnerable people in our society, and any closure of, or reduction in, provision of residential services for problem-drinkers will no doubt force many onto the streets.”

The charity pointed out that around half of those people who sleep rough are thought to be dependent on alcohol, and that of those people who require treatment for a drink problem, only 1 in 18 get the help they need.

Mr Shenker added:

“There is already a devastating gap in provision of treatment services for problem-drinkers, and the closure of residential services for those who are most vulnerable will make a dire situation worse. We are calling on the government and local decision makers to act urgently to fill the gap that the withdrawal of Supporting People funding will create in this critical area.”

Alcohol Concern

Helping them say goodbye to the bottle

Thiruvananthapuram: In medical terms, alcoholism is a progressive illness for which there is no remedy or treatment. For thousands of alcoholics hooked to the bottle, this would mean no escape from addiction.

But Alcoholics Anonymous (AA) thinks otherwise. The fellowship claims that its programme of action has helped to wean many an addict away from the bottle and help him lead a sober and meaningful life.

A network of AA groups has been active in the city for years. Three of these fellowships, namely the Big Book Study Group, 12 and 12 Group and Trivandrum Sunday Group, have come together to organise a joint convention here on Friday and Saturday to popularise the programme. The convention will be open to the public on the second day.

According to an AA press release, medical intervention through hospitals or de-addiction centres normally depends on withdrawal medicines to help alcoholics recover from their drink problem. But in most cases, the absence of a support mechanism results in a relapse.

The group believes that it is possible to reverse the effects of alcoholism on the body and the spirit. Its programme of action involves a 12-step method of recovery supported by regular group meetings and peer support. The programme is free of cost and supports itself through contribution from members.

The convention includes speaker meetings, a marathon session, newcomers' workshops and Al- Anon participation.

The Hindu