Monday, December 31, 2007

Hospitals admit 500 binge drinkers a day

An epidemic of binge drinking has fuelled a dramatic increase in the number of people being hospitalised after drinking to excess, The Daily Telegraph can disclose.

The number of alcohol-related hospital admissions has increased by almost a third in just two years as 24-hour drinking laws and the greater availability of cheap alcohol lead to increased consumption.

More than 500 people a day are now being admitted to hospitals in England after drinking too much.

In some parts of the country excess drinking is the cause of almost one in 20 hospital admissions.

The figures come just two weeks after official statistics showed that nearly 13 million Britons were drinking too much because they did not appreciate the increasing strength of alcoholic drinks or the trend for larger measures.

The latest figures obtained by The Daily Telegraph are part of official data recording alcohol-related admissions to NHS hospitals in England. They show a 31 per cent rise in just two years.

In 2003/04 there were 147,659 admissions to English hospitals where alcohol was diagnosed as a cause.

In 2004/05 there were 170,130. In 2005/06, the year when 24-hour drinking laws were introduced, the total reached 193,637 - the equivalent of 530 admissions every day.

Based on data from the Chartered Institute of Public Finance and Accountancy, these admissions cost the NHS almost £90,000 a day - or more than £32 million a year.

Alcohol accounts for 1.5 per cent of all hospital admissions but the binge-drinking problem is more acute in certain areas.

The Central Liverpool Primary Care Trust recorded alcohol as a cause of 4.7 per cent of all admissions. In total, 3,085 people were treated in the trust's hospitals last year because they drank too much.

The Department of Health figures were placed in the House of Commons library during Parliament's Christmas break.

The figures cover only those cases where people suffered health problems related immediately to their consumption of alcohol. Violence and accidents related to drunkenness are not included.

Conditions recorded on admissions forms included "mental and behavioural disorders", "alcoholic liver disease" and the "toxic effect of alcohol".

The admissions figures are further evidence that increases in heavy drinking are having serious health consequences.

Data obtained by The Daily Telegraph earlier this month showed that 6,517 people died of excessive drinking in England last year - a rise of almost 20 per cent rise in five years.

Experts say increasing rates of problem drinking are linked both to the liberal drinking laws Labour introduced in November 2005, allowing clubs and bars to open 24 hours a day, and the aggressive promotion of cheap alcohol by supermarkets.

The big chains routinely sell alcohol more cheaply than water and Gordon Brown has promised action against shops whose promotions encourage harmful drinking.

Alison Rogers, the chief executive of the British Liver Trust, said: "The combination of cheap prices, easy accessibility and the rolling back of barriers to consumption - including the removal of aisle restrictions in supermarkets, the 24-hour licensing laws and the licensing of garages - all combine to send the message that drinking 'anytime, anywhere, anyplace' is acceptable and normal.

"The Government needs to be less soft on the alcohol and retail sectors.

"If we continue to adopt a very 'softly softly' approach to the issue of alcohol it will be at a horrendous health, social and economic cost."

Dr Guy Ratcliffe, the medical director of the Medical Council on Alcohol, a charity, said easy access to alcohol was having disastrous consequences for Britons' health.

"There is good evidence that the price of alcohol impacts on consumption," he said.

"Alcohol is very easily available, particular in off-licences and supermarkets. The big supermarkets look on alcohol like any other commodity, and there is a question about whether alcohol should be treated differently. We are seeing significant liver disease even in the late teens."

Only last week, figures showed that more than 4,000 children under 14 had been admitted to hospital over the past three years after drinking too much.

Wine drinkers - and women in particular - are also considered at risk as the strength of the average bottle has increased from nine per cent in 1978 to 12.5 per cent.

Earlier this year, figures showed that one in four ­couples in some affluent areas were regularly consuming "hazardous" levels of alcohol.

The Department of Health said that its new "alcohol harm reduction strategy" should start to redress the harmful effects of excess drinking.

A spokesman said: "This includes a campaign to raise awareness of units of alcohol, ensuring that sensible drinking messages appear on alcoholic drinks labels and action to tackle under-age drinking."

Telegraph

One in 10 ski while drunk

More than one in 10 skiers admit they have hit the slopes while drunk, a UK survey showed today.

About 11 per cent of people who ski or snowboard said they had hit the slopes after drinking alcohol, while one per cent admitted they had skied or snowboarded while very drunk, according to insurance firm InsureandGo.

One in five people who admitted they had skied under the influence of alcohol said they had had an accident, and one in 25 said they had caused serious injury to either themselves or someone else.

Dr Guy Ratcliffe, medical director of the Medical Council on Alcohol, said: "Alcohol makes people less inhibited, which in turn can make them more prepared to take risks.

"In ski resorts, where people are often drinking at lunchtime and then returning to the slopes, there are obvious dangers that could be caused by over-confident people taking more risks than they usually would.

"Alcohol can also inhibit your reaction times, so the combination of over-confidence and slower reactions is of real concern in an environment which is already dangerous enough if not properly respected."

Younger people were most likely to ski while they were drunk, with 17 per cent admitting they had been skiing after drinking alcohol.

But InsureandGo warned people they could invalidate their travel insurance if they had an accident as a result of being drunk.

Perry Wilson, managing director of InsureandGo, said: "Being drunk on the slopes is dangerous, and if you injure yourself or somebody else as a result of this, you may invalidate your insurance cover.

"This could mean that as well as nursing broken bones, you may also have to pay for a hefty medical bill yourself."

Daily Telegraph, Australia

Sunday, December 30, 2007

Hangover From Hell

Boozy Brits are set for the worst New Year hangover ever – thanks to new super-strength beers flooding the UK.

In the past 12 months potent foreign brews have taken the country by storm.

Supermarkets are now stocking strong overseas lagers such as 11% Kasteel Blonde, 10% La Trappe Quadrupel Strong Ale and 9% Chimay Blue.

And the new arrivals have proved a huge hit with drinkers who are lapping up the powerful imports.

But the lethal ales are set to leave Brits more worse for wear than ever on New Year’s Day as we are not used to handling the strong tipples.

Frank Sooden, spokesman for Alcohol Concern, said: “Shop-bought alcohol is now more affordable than ever. As a result alcohol at home is replacing pub culture.

“At the same time we have seen a migration away from low alcohol to stronger alcoholic drinks.

“The problem is people don’t realise how many units are contained in these new drinks.

“Because of this there will be very few people in the country who avoid the dreaded New Year’s Day hangover.” Morrisons, Tesco, Sainsbury’s and Asda are all cashing in on the craze for beers with alcohol contents pushing 10%.

Other dynamite imported drinks include 8.7% Hoegaarden Grand Cru, 8% King Cobra and 7.5% Meantime India Pale Ale.

And there are also a host of home-produced beverages following suit, including 9% Hog’s Back A Over T, 7.2% Brakspear Triple, and 6.3% Adnams Broadside Strong Original.

Even ordinarily-brewed import beers have upped the ante with alcohol contents regularly topping 5%.

But the success of the super-strength potions is now facing a backlash from ministers who fear they are damaging the country’s health.

MPs are campaigning to raise tax on beers with a particularly high alcohol content to try to stop customers turning to the dynamite drinks.

Ian Gilmore, president of the Royal College of Physicians, said: “It’s an obvious observation that drinks are getting stronger.
“There are many more of these designer beers and lagers around.

“People need to be aware that if they do drink to excess they lose control and run great risks, including getting the next-day hangover.”

Daily Star

Police seize 1,200 pints from teens

Police seized more than 1,200 pints of alcohol from children within a month, shocking figures out today show.

In a snapshot of underage drinking in just three Welsh counties, the drinks the youngsters were caught with include 768 pints of beer, 147 pints of cider, 104 pints of wine, 144 pints of alcopops and 43 pints of spirits, as well as 35 illegal fireworks.

The Home Office figures show these pints seized by two Welsh police forces added up to nearly a fifth of the total amount of alcohol seized from under 18s by 21 police forces across the UK between October 8 and November 5.

That UK total amounted to 6,500 pints, or nearly 3,700 litres.

But youth workers warned last night that the new statistics were unlikely to reflect the true extent of underage drinking in Wales as a whole.

Worryingly, they said it was becoming the norm rather than the exception because of the easy availability of alcohol, while police said underage alcohol consumption was sometimes known about by parents.

During the Home Office-funded campaign, police used new powers under the Violent Crime Reduction Act 2006 to disperse groups where alcohol-related crime or disorder was suspected and focused on weekends, the half-term holiday, Hallowe’en and bonfire night.

Officers and community support officers in Swansea, Caerphilly and Blaenau Gwent visited underage drinking hotspots – often turned into no-go areas for residents during the evenings – and targeted alcohol-induced anti-social behaviour.

The Government said the campaign was part of a wider commitment to address alcohol misuse through effective education and tough enforcement.

This summer more than 3,000 off- licences, pubs and clubs across the UK were targeted in underage test purchase operations by police and trading standards officers, with alcohol being sold to 15% of children in 9,000 test purchases.

Ifor Glyn, of the Swansea Drugs Project, said the organisation dealt with at least 400 under 18s a year with drinking problems.

“The alarming thing with these figures is, if they’ve caught this many children drinking, how many have they not caught?” he said. “Alcohol is everywhere and in a way it’s our own fault. It’s very attractively marketed and you can tell that adverts are aimed at young people.

“There are so many dangers linked with underage drinking. Firstly, there’s the medical dangers like choking on vomit and the damage that binge drinking can do to developing organs.

“Then there are social dangers like violence, anti-social behaviour, problems at home, missing school, spiked drinks and drink-driving accidents.”

Mr Glyn said alcopops made alcohol more palatable, although they were not necessarily exclusively targeted at young people.

But ChildLine founder and TV presenter Esther Rantzen has this year repeatedly called for the banning of alcopops, saying, “I don’t know how the companies who churn out these sweet alcoholic drinks to seduce children are getting away with it. I really do not know how they can sleep at night. If I had my way alcopops would be taken off the supermarket shelves and banned for good.”

A report by the helpline charity said alcohol was frequently cited as a reason for pregnancy among the 5,000 children – three out of four of whom were 15 or under – who called the support service to discuss pregnancy.

The report said children felt pressured into having sex as young as 12. They often used alcohol as a means of overcoming their reluctance to participate, and sometimes found themselves pregnant but unable to remember having sex because of the effects of drinking.

Supt Colin Jones of Gwent Police said, “It would appear that those who do become involved [in underage drinking] have ready access to alcohol, and we are trying to make them and their parents aware. There are obviously cases where parents do know.”

Home Office Minister Vernon Coaker said, “This campaign was designed to bring to bear the full range of police tools and powers to tackle the harm caused to individuals and communities by underage drinking. It will not be the last.

“Quite simply, we will not tolerate drinking in public by under-18s or anyone else where it leads to anti-social and intimidating behaviour. Confiscation complements our efforts to tackle the supply of alcohol to children. The enforcement of underage sales law has hardened dramatically in recent years and I know that many alcohol retailers have raised their game and now routinely apply ‘Challenge 21’ criteria to anyone who looks underage.

“The Government remains committed to working with the police and local authorities to use every measure at our disposal – both coercive and co-operative – to make sure everyone over the age of 18 can enjoy alcohol safely and responsibly.”

Chris Allison, the Association of Chief Police Officers’ lead on alcohol and licensing, said, “This campaign was one of a number that have been undertaken to deal with the negative effects of alcohol.

“Significant work has been done on the issue of underage sales and this campaign sought to use the tactic of confiscation to help prevent the drink-fuelled crime and anti-social behaviour that we witness up and down the country.

“The police service will continue to work with our partners to deal with these types of issues and will make use of all of the powers we have available to us.”

Western Mail

Saturday, December 29, 2007

Avoid that extra drink Girl!

Study shows that women executives are more susceptible to drinking problems than their male counterparts, but you can fight that…

Today’s Bangalore has more women who are game to try out the vodkas and the tequilas while compared to the men. The men prefer their favourites, mostly beer and whiskey.

The women are the ones who’re always ready to step ahead and grab the first drink at the team outings and more often than not, the extra tequila shot.

While this sounds cool and exciting, this can lead to a drinking problem too, and there can be many reasons for it.

The ‘A’ world

Women executives are more likely to develop an alcohol problem than junior staff, a study by University College, London, shows.

They are also more inclined to turn to alcohol than men in similar grades, according to researchers at the college.

The two main reasons cited for this were the glass ceiling and the emerging drinking culture.
It is said that it is the stress of trying to compete with men for executive roles that’s to blame. These findings are published in the journal Occupational Environmental Medicine.

The problem might not be that grave in India though, experts say, but they do not deny chances of this either. “Today, the techies have a lot of money but very few avenues to spend it. So drinking at a club is a ready choice.

Also, considering the stressful nature of the job, drinking is an option for relief. But it is usually lesser likely that a woman will end up with drinking problems, when compared to her male counterparts. But the work pressure coupled with the pressure at home cannot rule it out,” says B Kapur, consulting psychiatrist, Lake Side Hospital.

Saying ‘NO’

So how does one stop herself from falling into the vicious trap? “The answer is simple. The executives today are required to attend cocktail dinners and meetings, but this is the place they should use to test their will power.

If they feel that they are getting drawn to a drinking problem, then they can try to fix it by saying no to a drink at such a do. No one will force you since it is an official event. This can help you get over that first hurdle,” says Aditi Shankar, counsellor.

“Drinking, especially in women can be more hazardous than in men. They cannot deal with binge drinking or alcohol beyond a certain limit. Heart problems, problems with their digestion and inability to cope with weather change are just problems that can be seen on the tip of the iceberg.

If a man needs to be careful about his drink, a woman needs to be doubly careful,” says Dr Rukmini Prakash. So the next time you step out to that bar with colleagues or friends, do keep in mind the consequences of that extra drink…

Mid-Day

4,000 children admitted to hospital in three years after drinking too much

More than 4,000 children have been admitted to hospital over the past three years because they drank too much.

The figures show the extent to which binge drinking has taken a toll on the nation's young people.

Another study earlier this year showed that girls aged between 11 and 13 are consuming almost double the amount of alcohol that they were seven years ago.

The hospital admission figures obtained by the Liberal Democrats show that 4,368 under-14s have needed drink-related medical treatment in England since 2005.

Some of the youngsters were treated in casualty departments while others had liver disease, a condition which does not usually develop until middle age. Growing numbers are being sent to rehab clinics.

The figures, released by the Department of Health following a parliamentary question, found that the North West was the hotspot for pre-teen drinking.

The region was responsible for a quarter of the hospital admissions in the 12 months from April 2006. Oxfordshire, Hampshire, Berkshire and the Isle of Wight saw the least admissions.

Norman Lamb, LibDem health spokesman, said: "This is a frightening sign of how out of control the binge-drinking culture in this country has become.

"Our children should be waking up to Santa on Christmas morning rather than an overflowing A&E department. Problem drinking starts at an early age, yet the Government is failing to focus its resources on the young who are seriously at risk.

"Our young people simply cannot wait this long. As well as causing chaos in A&Es on Friday nights and antisocial behaviour, irresponsible drinking results in serious long-term health problems.

"A fresh look at tackling the growing problem of excessive drinking is long overdue. A good start would be cracking down on those shops that sell alcohol to underage children.

"We also need to consider putting a halt to supermarkets selling drinks at rock bottom prices, with no thought as to the knock-on effects."

Frank Soodeen of Alcohol Concern said: "There are more than 800,000 children below the age of 15 drinking regularly in the UK. Many of the young people who drink at hazardous levels require a depth of support simply not available in the current system.

"We are sleepwalking into a public health crisis if young people drink from an earlier age and start to drink more.

"The problem clearly starts from a very young age and we need to start focusing on these children.

"Otherwise we will see more and more older children sprawled on street corners."

Last month, the Alcohol Health Alliance unveiled statistics showing that 21 under-18s are admitted to hospital every day for the effects of binge drinking.

It said children as young as ten were receiving specialist counselling and residential rehabilitation. More than half are female - raising fears of a growing "ladette culture."

Figures from the National Treatment Agency show that the number of under-18s in alcohol programmes has risen from 4,781 in 2006 to 6,707 this year.

Professor Ian Gilmore, of the Royal College of Physicians, said: "It's inappropriate for young pop stars, looked upon as role models for young people, to be celebrating or boasting about their misuse of alcohol.

"Unless we can stop this heavy drinking culture among young girls, we're more likely to see women with serious liver disease at a younger age in the future."

Daily Mail

'Impulsivity' gene appears to arouse alcoholism

Bay Area researchers probing the brain for genetic factors behind alcoholism found one more piece in the complex puzzle of the condition, according to a study published this week in a leading neurology journal.

Scientists with an Emeryville-based research center run by the University of California, San Francisco, found that a genetic variation, which produces lower-than-normal levels of the feel-good brain chemical dopamine, were strongly linked to impulsivity — one of the hallmarks of alcoholism.

"That's the major finding of this study," said Dr. Howard Fields, a neurologist and one of the study authors. Fields works at the Ernest Gallo Clinic and Research Center, focused on the biological basis of alcohol and substance abuse. The article was published Wednesday in the Journal of Neuroscience.

"With this gene variation, you have almost double the chances of being impulsive," Fields said. Dopamine is a neurotransmitter that induces pleasurable feelings and is sometimes called "the courier of addiction," since many disorders, such as alcoholism and narcotics abuse, are linked to a powerful urge to create a "dopamine rush" by imbibing or injecting.

With this finding, neurologistscan keep refining their targets for developing drugs that might ultimately help alcoholics kick the habit, Field said.

"There won't be a pill that can cure alcoholism," Fields predicted. "But there will be a pill you can take that, in combination with psychosocial strategies (like Alcoholics Anonymous programs), will make alcoholism much more manageable."

But Stanton Peele, a New Jersey-based social psychologist and author of the 2007 book, "Addiction Proof Your Child," among several other books on addiction, noted that researchers have long sought in vain for an effective treatment for alcoholism and have few tools in their arsenal. The paucity, he believes, is because value systems, not biological factors that lend themselves to medical treatment, largely determine why some people drink so heavily as to disrupt their lives.

"Values — both as taught to kids and as young people mature — are the main preventatives to and antidotes for addiction," Peele said.

He pointed to the fact that a 2006 survey on substance abuse from the Department of Health and Human Services shows that heavy alcohol use among U.S. adults decreases with age, from 15.6 percent of 18- to 25-year-olds to 1.6 percent aged 65 or older. Heavy drinking is defined as five or more drinks in one setting on at least five occasions during the past month.

Genetics can't explain that rate of decline, Peele said, but changing values can. As people leave behind the excesses of youth and settle down to raise families and launch careers, meeting those responsibilities takes precedence over succumbing to an urge to let loose, he said.

Fields, the neurologist, responded that, "it's always a combination of genetics, your (present) situation and your previous life history. These things are not mutually exclusive," he said.

"That's why some behavioral programs, like Alcoholics Anonymous, can be very successful," Fields said. "Because they change your situation, they change your peer group."

But for others addicted to alcohol, he said, that's not enough, and they slip back into old destructive habits.

The study published this week added to hopes that stimulating dopamine production in alcoholics might prove effective in ending their cravings, at least for those with a deficit in dopamine levels.

The researchers used magnetic resonance imaging to scan the brains of 19 study participants, who had an average age of 29. Nine reported they had been alcoholics but no longer drank, a group the study authors called "abstinent alcoholics." The other 10 reported no history of substance abuse.

Of the 19, roughly half had a genetic variation that led to lower rates of dopamine production, compared with the other participants.

About one-third of the U.S. population has this genetic variation, added Charlotte Boettinger, a behavioral neuroscientist and lead researcher of the study.

The brain scans found that those with the genetic variant had nearly double the rates of impulsive behavior, measured by asking participants to choose between receiving a sum of money — in one test it was $80 — immediately, or waiting a month to receive $100. Those requesting the immediate payment were deemed impulsive. A number of studies report that a majority of alcoholics exhibit impulsive behavior.

"We found a genetic link to important decision-making behavior," said Boettinger.

"I'm hopeful that (this study) adds data to the argument that there are brain mechanisms that contribute to alcoholism," Boettinger said.

Inside Bay Area

Friday, December 28, 2007

Shame of Scotland's child drunks

The shocking extent of Scotland's under-age drinking problem is revealed today by a Scotsman investigation which has found police have arrested children as young as ten for being drunk in public. More than 2,000 children have been arrested for being drunk and incapable in the past five years.

Primary-school pupils have been discovered in the street after drinking so much alcohol that they are completely out of control.

Rather than being taken home to their parents or educated about the risks they are taking, these children are being arrested.

Last night, alcohol awareness campaigners and politicians expressed their shock at this new dimension to Scotland's dangerous drink culture. Front-line workers said the under-age drinking problem was worse now than a decade ago.

One leading charity warned against "criminalising young people unnecessarily", but added that it was essential that laws were enforced.

Meanwhile, the head of NHS 24, the out-of-hours health service, said the phoneline had received reports of eight-year-old children making themselves ill with alcohol.

In the past five years, more than 2,000 children have been arrested for being drunk and incapable in public. Of these, at least 34 were 12 years old or younger.

However, the figures only hint at the full extent of the problem, as many more cases will not reach the arrest stage, with youngsters instead being taken home or warned by officers.

Over those five years, the country's biggest police force, Strathclyde, arrested 1,475 under-age drinkers, 30 of whom had not even reached their teens. The youngest was just ten.

Frank Soodeen, of the agency Alcohol Concern, said: "Beyond the harm they may be doing to their still-developing bodies, young people who drink heavily while unsupervised are more likely to have sex (they later regret], incur an injury or get into a fight.

"Without criminalising young people unnecessarily, licensing laws and regulations should ensure age restrictions are effectively enforced. Training should be provided to staff selling alcohol to help them deal with under-age drinkers."

The Association of Chief Police Officers in Scotland said it backed all forces' attempts to crack down on under-age drinking, but insisted enforcement was only one of a series of measures taken.

Assistant Chief Constable Maureen Brown, who represents the association on youth-related issues, said parents and carers had an important role to play.

She said police used enforcement and education to combat the problem, and worked with health, education and social- work agencies to "ensure the balance is struck between enforcement of the law and the need to inform young people and their parents or carers of their responsibilities, and the dangers associated with alcohol".

The figures, obtained using Freedom of Information legislation, show that, in the Grampian region, 113 under-age drinkers were arrested, with the youngest aged only 12.

Some of the most high-profile and tragic instances of child drinking have occurred in the force area over recent years.

Just before Christmas 2005, police discovered two 13-year-old girls passed out, hypothermic and suffering acute alcohol intoxication on a pavement in the affluent commuter town of Westhill, near Aberdeen.

A picture of one of them, sprawled in the back of a police van, was widely circulated as shocking evidence of Scotland's under-age drinking shame.

Inspector Dave Smith, the force's substance misuse co- ordinator, said each case involving a drunk child would be dealt with on its own merits, prioritising the interests of the child.

He explained: "If it's a one-off, we would look into that and see if it's worth charging someone that young."

Insp Smith said the figures showed there had been a general increase in dangerous drinking throughout the country. He added that, in his experience, "young people are becoming more involved with alcohol than they did previously".

"The prevalence of it has probably increased and the age group has decreased," he said. "Alcohol is more available. It's cheaper than it's ever been.

"What we are told and are finding is that a lot of young people drink at home, some probably with their parents' consent."

George Crooks, clinical director and chief operating officer of NHS 24, said the worst of the under-age drinking problem was dealt with by the ambulance service and hospitals' accident and emergency departments.

However, he said the helpline had been contacted by terrified parents unsure of how to cope with drunk children as young as eight.

He said: "Usually the parents are very anxious and wonder what to do. They are shocked and very concerned. They often blame themselves."

Dr Crooks said the figures showed a "very worrying trend" and it was clear that children were drinking for effect, rather than taste.

Bill Aitken, the Scottish Tories' justice spokesman, said the figures "demonstrate the need for urgent action, particularly on the part of the licensing boards".

He said that while the youngsters had to take some personal responsibility, he believed they bought the alcohol from off- licences where staff knew they were under-age, and "anyone who is irresponsible enough to sell drink to youngsters should lose their licence".

The Association of Convenience Stores, a campaigning group for local shops, admitted its members had a role to play in dealing with the crisis, but insisted children obtained alcohol from other sources as well.

Shane Brennan, a spokesman for the group, said: "Whilst retailers have a responsibility they need to fulfil better, to just blame the retailer isn't going to solve the problems for the future."

Scotsman

Effects of alcohol poisoning

Just about anyone who has attended a too-rowdy party knows the scene: Someone begins drinking and doesn't know when to stop. Rambunctious behavior, slurred words, an uneven gait and sometimes even unconsciousness follows.

While drinking in moderation can be pleasurable, drinking too much can lead to alcohol poisoning, a severe and potentially fatal reaction to an overdose. Too much alcohol can shut down parts of the brain that control the gag reflex (which prevents choking) and breathing, says McRae Williams, an emergency-room physician at Greater Baltimore Medical Center.

What is alcohol poisoning?

As far as I know, there is no formal definition for alcohol poisoning. The law tries to define it in terms of being able to drive a car, but it is not like there is an alcohol level that signals poisoning. It is a gray scale. Drinking too much alcohol in a short period of time can cause alcohol poisoning.

What happens when a person has alcohol poisoning?

Alcohol is basically a solvent, so it travels through all membranes and has affects on almost everything. It has a global affect on the brain. It affects balance and coordination. It affects the speech center, so it affects how you talk. It has very specific affects on the hippocampus, so people can be just conscious enough to do things but can't remember them, and that is called blacking out. Someone with alcohol poisoning can eventually stop breathing. If a person has a lower respiratory rate, that is a sign of poisoning. If they are in really bad shape, and they are vomiting, they run the risk of aspirating the vomit and dying from that. And alcohol can affect one of the most primitive parts of the brain so that the brain forgets to breathe.

If you're at a party and someone has had a lot to drink, how do you know when to call for help?

If you are worried about someone, bring them to the hospital. We are always happy to take a look at them. But the most practical answer to this question is that as long as the person is still ambulatory and capable of communicating, they are probably OK. Cut them off from drinking and watch them for awhile.

Signs of trouble might include confusion, loss of consciousness, vomiting, seizures, slow breathing or hypothermia [which includes low body temperature and bluish skin color]. If a person is unresponsive or has some of these symptoms, call a professional.

How much alcohol can cause poisoning?

There is no set amount. A beer an hour -- that is what your body is capable of digesting. The way people really get alcohol poisoning is drinking large amounts of alcohol in short amounts of time: chugging, beer bongs, contests.

Can someone sleep off alcohol poisoning?

No, a danger is that even after a person passes out, he can continue to digest alcohol so that even if a person is unconscious, alcohol in the stomach can continue to be absorbed into the bloodstream.

What is the treatment for alcohol poisoning?

I watch them. I make sure they are breathing and have a gag reflex so if they vomit, they cough and don't choke. We use a pulse oximeter, which measures the percent of oxygen in hemoglobin and counts the respiratory rate. As long as the oxygen level doesn't fall, we let them sleep for three or four hours. At that point, they are no longer becoming more intoxicated, and if they have family to come get them, we send them home. Otherwise, I wait and send them home in the morning.

But for people who are way too intoxicated and don't have the gag reflex or a normal respiratory rate or oxygen level, we intubate them [pass a tube into the trachea to help the patient breathe]. We leave the tube in until the blood alcohol level comes down significantly. This generally involves a stay in the intensive care unit.

Is there anything you'd like to add?

That, generally, minors are terribly poor judges of a person's condition. The person who makes a decision [about whether to take the person to a hospital or call 911] should be an adult and should be sober. You don't make good judgment when you are drunk. And when in doubt, come to the hospital. We can always send them home; and if there is a problem, we can keep them in the ER.

Baltimore Sun

Kiddie rehab

Jamie likes to share a litre bottle of vodka with a few friends most nights of the week. He doesn't think he's got a problem, but he gets angry when he can't have a drink. He is only 14.

His mum Louise, 47, says: "Jamie thinks it's OK to drink and smoke cannabis. He can't see the long-term problems."

He is being treated by Young Addaction in Liverpool. It is the largest project in the UK for helping under-18s with drink and drug problems and has nine centres across the UK.

Binge-drinking is increasingly rife among children - some as young as eight.

There are 1,000 under-14s in rehab-double last year's number - and 6,707 under-18s undergoing treatment.

Louise and the staff at Young Addaction have tried everything to stop Jamie.

She has had to physically stop him leaving the house to buy booze and watched as he vented his frustration by smashing things up.

"I shadowed him for three weeks at one stage," Louise says, sadly. If he went to the toilet I'd wait outside. If I didn't, he'd be in the park again with his mates."

Family support officer Christine Campbell, 40, says: "We used to be shocked by the 13-year-olds we saw but recently we've starting seeing children as young as eight or nine.

"If you abuse your body before it's even had a chance to develop, the damage can be so much worse."

Young Addaction youth worker, Gemma Burgess, 24, works at the city's Alder Hey Hospital in a clinic for young people who are hospitalised by their drinking.

She says: "We get children here who've drunk a bottle of vodka in the street and collapsed coming into have their stomachs pumped. Sometimes we see the same children two or three times."

Alcohol Concern says over 800,000 under-15s drink regularly and in the past year 5,281 children were hospitalised - 60per cent of them girls - for serious illnesses seen in alcoholics.

As Professor Roger Williams of the Institute for Hepatology, University College London, explains: "The number of under-18s admitted to hospital has gone up 15per cent in the last decade, and deaths from cirrhosis are rising, with people in their20s being treated for liver failure."

This week PM Gordon Brown has announced plans to curb "unacceptable drinking behaviour" by clamping down on the UK's cheap and easy alcohol culture and fining parents of young binge drinkers.

Christine says: "Alcohol is cheap and easy to get. Older people say: 'What harm will it do? We all did it.' But we didn't. We had a lager or wine at 15 or 16, but children are drinking spirits now."

With support and parenting help over the last 12 months, Louise now feels she and Jamie are making progress. "If I hadn't got him help here, I would've ended up depressed and he would be out on the streets."

Hard Facts

Over 6,700 under-18s are being treated for alcohol problems - that's 40 per cent more than last year.

The Department of Health plans to spend £24.7million tackling binge drinkers and under-18 drug users in the next year.

Mirror

Thursday, December 27, 2007

A time of little cheer

The London telephone service of Alcoholics Anonymous is the self-help organisation's busiest line in Europe, dealing with 1,000 calls a week throughout the year. So the volunteers must be inundated right now? Think again.

Christmas and New Year can be fraught festivals for social drinkers ... did I really say that? ... Who's he? ... Never again!. It's different for alcoholics. There's no way they're going to reach that vital point of personal surrender, not when they can more or less pass for normal for a couple of weeks.

Everyone has known a few alcoholics. They themselves are the last to know. They're the ones who say they can take it or leave it, but they always take it. With mind set on the next drink, then food, sex, safety, all the basic instincts, recede into oblivious and irresponsible indifference.

Yet most alcoholics are not nasty pieces of work. They tend to live and love deeply - and experience great confusion and despair as to why they can't take a few simple drinks with impunity, like so many others can. (AA says its members are not bad people trying to get good; they're sick people trying to get well.) The combination of a mind saying you can drink and a body saying you can't is a powerful and baffling condition. When you suffer from alcoholism, outright denial often becomes the only way to stay sane.

Under pressure from loved ones (or the law) they'll say that "this time it will be different ...", that they'll cut down, change drinks, give up on Fridays, give up in February, read up on it, see a counsellor. Under pressure, most will say anything. They just can't or won't accept that, for them, one drink's too many and twenty is never enough.

This week the pressure and the spotlight have shifted on to the social drinkers.

The AA phones are open 365 days a year. London takes about one in five of AA calls in the UK. At normal times of the year around 70 alcoholics a week reach the end of the line in the capital and admit they are powerless over booze. Yet the numbers reaching their personal rock bottom last week and this week will be close to single figures.

The phones will still be busy. Anguished families and friends will clamour for advice ... and be advised to contact Al-Anon, the sister self-help fellowship which is made up of those who have survived someone else's drinking.

There will be many hundreds of calls, too, from members of AA, particularly those facing the stress of their first New Year sober. They will get the reassurance, support and information they need from the phone volunteers, who are members themselves. Their timely message to callers, drunk or sober is: if alcohol costs you more than money, 'tis the season to be wary.

Guardian

Teen drinking, anger a bad mix

High school seniors who drink alcohol to cope with anger or other problems already show a risky pattern of alcohol use that could continue later in life, a study reports.

More than three-quarters of seniors say they have experimented with alcohol, so the findings may not help prevent alcohol use in high school, says researcher Lori Palen of Pennsylvania State University. But such research might help identify high-risk teens before they develop a severe problem, says Zili Sloboda of the international Society for Prevention Research.

The findings in the December issue of the journal Prevention Science raise important questions for parents, especially during the holidays, Sloboda says. Some believe teen drinking is OK with adult supervision. But parents may not realize the teen brain is not fully developed and is especially vulnerable to alcohol's effects, she says.

Palen and her colleagues studied 1,877 high school seniors nationwide; 32% said they drank mostly for the thrill of it, and 15% said they used alcohol to relax. Another 36% said they drank just to experiment. Teens might experiment with all kinds of things, including alcohol, but they're not necessarily developing worrisome habits such as daytime drinking, Palen says.

A smaller group, 18%, said they drank for multiple reasons, including an inability to deal with frustration or anger. This group did show problematic behavior around alcohol: They were more likely to get drunk during the day, possibly during school hours. They also said they got drunk frequently; many had started to drink by sixth grade.

"There are a number of kids who start using alcohol early and use alcohol to deal with psychological problems," Sloboda says. Such teens might not listen to prevention messages that stress the dangers of alcohol. But these same kids might stop risky drinking habits or stop drinking altogether if taught more effective ways to handle frustrations, she says.

USA Today

Wednesday, December 26, 2007

Juvenile drug court program addressing growing need

According to court officials, there are 24 juveniles enrolled in the Knox County Juvenile Drug Court Program for various drug-related crimes. This represents the highest level of participation at any one time since the program’s inception.

Created by Juvenile Judge James M. Ronk in March 2001, the drug court program was designed to specifically address the intervention needs of the growing body of Knox County teens exhibiting addictive or potentially addictive drug-related behavior.

“Throughout the time I’ve been judge, there have been teen drinking parties and smoking marijuana,” said Ronk. “[At the time], I wasn’t happy with our response. We were looking around for evidence-based programs that offered the opportunity for more effective interventions.”

That same year, the Ohio Supreme Court established its own office to assist local communities in establishing drug court programs. The first drug court program entered Ohio in 1995; today there are 28 juvenile courts throughout the state and nearly 2,000 programs nationwide.

According to officials from Coshocton County, their juvenile drug court program has graduated 22 youths since its inception in December 2002. There are three youths currently enrolled. Dan Wallace, court program administrator for Morrow County, said that Morrow’s juvenile program began in April 2001 and has processed approximately 100 teens since then, with 14 currently enrolled.

“It’s the best thing we’ve found to help combat recidivism,” said Wallace.

The Knox County program accepts youths ages 14 to 18 and was designed, according to a mission statement, “for those juveniles who have been involved in criminal activity and are identified as having a significant drug and alcohol problem.”

Melissa Body, adolescent program coordinator for the Knox County Freedom Center and liaison to the drug court program, called the high number of youths in the program an identification issue.

“It’s not so much that [it’s more of a problem],” said Body. “It’s that we’re identifying kids more. We really try to intervene before there’s a big problem. We choose kids that we feel have potential and they’re headed down the wrong path.”

The court proceedings are unlike any other program in the judicial system. To enroll a child in the program, parents are required to co-sign a contract. Juvenile Magistrate Jeffrey C. Williams said it’s a way to hold parents accountable for their children’s behavior.

“If [we determine] the parent is not actively participating in the child’s recovery, he or she could be held in contempt,” said Williams. “We’ve had parents show up for [weekly] court intoxicated before. Once, it happened twice, and he was found in immediate contempt and went to jail.”

“Parents are required to set a standard in their home. Drugs or alcohol present hinders their recovery from their addiction. Kids have asked for their parents to be [drug] screened, too,” said Program Administrator Angie Webb.

Williams said parents usually end up getting the help they need after watching their child’s progress through the program.

Drug Court Probation Officer Misty Jenkins said the court program is an intensive probation intervention.

“It’s not just sanctions but rewards [for good behavior],” she said. “We’ve found that five positive rewards to one negative sanction is the ratio when [the child’s] behavior begins to change.”

Participants are required to undergo individual and group counseling, home inspections, routine court hearings, 150 hours of community service, scheduled exercise regiments, monthly family activities and a variety of other conditions that vary from child to child.

“It’s based on the idea that these families are not always educated in how to interact with each other,” said Webb. “We teach about them about doing other things than are drug related.”

Webb added that the scheduled family activities include picnics, planting trees, an annual chili cook-off, basketball and soup kitchens. Without a doubt, she said, the favorite this year was pumpkin carving.

“I don’t think any of these kids have ever carved a pumpkin,” said Webb.

Sanctions are handed down for any number of offenses, including missing school, missing a random drug test, missing a scheduled solo or family activity or violating curfews. A sanction could be anything from writing essays to an evening in Podville, forced bike riding, house arrest, community service or detention.

As far as rewards go, well-behaved candidates receive “drug court bucks” to be reimbursed later in the program for extra privileges or prizes. According to one court official, volunteers from the community have donated prizes such as sports equipment or movie tickets on which youths can redeem their bucks.

Williams said sanctions are catered to the individual.

“We try to take a holistic approach to the kids,” said Williams. “We look at the whole kid, the whole family.”

At a recent weekly drug court hearing, one 16-year-old boy who had been missing school was warned by the judge that each day he missed would result in one day’s detention and he would have his guitar taken away.

The nine-month program consists of four separate phases, each varying in the intensity level of supervision. A new enrollee is required to attend court once per week, but by the final phase may only need to show up once per month. Throughout the nine months, all enrollees are subjected to drug and alcohol testing several times per week.

“We’re always looking for a new viable alcohol monitor,” said Jenkins. “We found the ankle bracelet was ineffective. Now we have breathalyzers installed on their home telephones and we can actually see a picture of them breathing into the tube. We try to be as vigilant as we can be.”

Jenkins added that they are now able to track the real-time whereabouts of any child through the GPS chips installed in their cell phones.

Body said that in the early days of the program, youths were usually admitted to the program for repeated probation violations related to alcohol and marijuana.

“In the last six months, [prescription drug abuse] has become more of a problem, even with kids already in the program,” she said.

Recent studies conducted by several universities and the Department of Justice have shown that adolescents who successfully complete the program are less likely to commit future crimes and are more likely to stay clean over the years. A DOJ study conducted in Pennsylvania concluded that drug court graduates had a rearrest rate of 5.4 percent, versus a 21.5 percent rearrest rate among the control group. A Southern Methodist University study concluded that for every dollar spent on a drug court, $9.43 in tax dollar savings were realized over a 40-month period.

Special Agent Rich Isaacson of the Drug Enforcement Agency said his agency was in favor of the court program.

“We’re not going to just arrest our way out of the drug problem,” said Isaacson. “We need to look at it from a holistic approach.”

“Overall, I’m happy with the program,” said Ronk. “I’m convinced we’re having a positive impact on these kids. By definition, kids make mistakes. We hopefully plant some seeds that eventually come to fruition. That’s true with about everything we do.”

Webb said the level of success was relative.

“Any time you’re dealing with juveniles you have to judge success differently,” she said.

“When a parent and kid sit down and look at you and say ‘My kid wouldn’t be alive today if it weren’t for you,’ we call that a success,” said Jenkins. “In the long term, it’s also a real bargain for our community. We give the kids that period of time to give their brain a chance to develop normally as opposed to substance abuse.”

“I wish we could expand to take on kids who are at lesser risk [of addiction],” Ronk added. “Like every other agency, we’re limited by financial and human resources. We hope to add another probation officer soon so we can positively impact even more kids.”

For Jenkins, her definition of success is simple.

“I don’t have a dead kid yet,” she said.

Mount Vernon News

Tuesday, December 25, 2007

Relapse fears

The holidays can be a stressful time for everyone — making sure the shopping lists are checked off, traveling, budgeting, time management. But, for people recovering from addiction, the holiday season can be especially difficult.

Karen Chacon, an instructor for drug and alcohol prevention classes at the High Desert Child Adolescent and Family Services Center, said that many people relapse around this time of year.

“When I was out there drinking, I just hated the holidays. But after a few drinks, all the guilt would set in,” said the manager of the central office for Victor Valley Cities Alcoholics Anonymous, who, due to an anonymity clause in A.A., chose not to give his name.

For many recovering alcoholics, it is hard to balance avoiding places where alcohol is served and spending time with family and friends.

Noon on Christmas Eve marks the beginning of the marathon meeting period for the local chapter of Alcoholics Anonymous, when there will be three local meetings that run continuously from Christmas Eve through Christmas, pausing only for half hour breaks.

In the Victor Valley, there are normally 166 meetings each week, according to the local manager.The manager of the central office for Victor Valley Cities Alcoholics Anonymous has been sober for 18 years, but still clearly remembers how he handled holiday stress during his drinking days.

He would avoid holiday parties to sit at home and drink, sometimes with a drinking buddy, to forget his problems.

When he was newly sober, he said he avoided places where alcohol was served.

“It was a good excuse to drink earlier in the day time, and to have a few more drinks.”

A local woman and member of Alcoholics Anonymous in Apple Valley has been sober for 17 years. She describes the pressure around holidays, including Christmas and the 4th of July, as a major obstacle in her recovery.

“The hardest part when I was getting sober, and for all of the new people, is the pressure from families — this feeling that we have to be with the family to celebrate Christmas,” she said. “Those people drink, and they start making fun of us because we don’t, and then we get drunk.”

Chacon said that one factor for the increased relapse rate is that people tend to travel and may not attend their usual meetings or support groups.

But, one of the perks of Alcoholics Anonymous, the Apple Valley A.A. member said. is that she can attend Alcoholics Anonymous meetings wherever she travels to, and can always take advantage of an environment where there is not the pressure to drink.

Victorville Daily Press

Taking aim at alcohol abuse

In order to reduce Wyoming’s alcohol abuse problem and the law enforcement and social issues that accompany it, policy makers have to stop treating the symptoms and focus on prevention.

That’s the message being spread among key leaders in five Wyoming communities selected as pilot projects for Communities in Action, a new initiative by the Wyoming Association of Sheriffs and Chiefs.

“We’re kind of the front line, but we’re not necessarily the solution,” said Byron Oedekoven, executive director for WASC. Stakeholders have to set the tone together.

The initiative has now been launched in the five communities selected for size, location and the level of commitment offered by the chiefs of police. Casper, Gillette, Rock Springs, Douglas and Powell have sponsored forums for policy makers and will develop, implement and track strategies to cut down on underage drinking and adult alcohol-related problems.

Each city will receive $10,000 from WASC for police overtime to fund some of those strategies, such as party patrols and source investigations to determine where kids are getting alcohol. If communities need more funding, that will be made available, initiative manager Ernie Johnson said.

Through a separate grant from the state Department of Revenue’s liquor division, $10,000 worth of home alcohol test kits will be distributed in communities. The kits are available for parents who want to test their children for alcohol and drugs at home, without initially involving law enforcement.

Over 16 months, each community will track what actions it takes and how those work out. Ideally, the pilot successes will form a model other Wyoming communities can adopt to decrease underage drinking and alcohol-related problems, Johnson said.

At the same time, Johnson urged state lawmakers to overhaul state statutes during an interim study. Among other items, the WASC would like to see more clear definitions of possession and consumption; mandatory responsible beverage server training; penalties for over-service; and higher consequences for people found guilty of driving under the influence with exceptionally high blood-alcohol levels.

Along with diversity in size and location, each of the five pilot communities has its own particular needs. For example, 83 percent of all arrests made in Gillette in the past six months involve alcohol, Johnson said. Rock Springs is facing complications resulting from the energy boom.

Early intervention

In Casper, Chief Tom Pagel said the alcohol problem among adults and juveniles is unacceptably high.

“The picture and the problem get even greater than the alcohol use when you look at the way juveniles or anyone make bad decisions,” he said. Alcohol use tends to lead to criminal behavior and risky sexual behavior.

“When you deal with youth alcohol issues, it is a much bigger picture than a kid just having a beer,” he said. “And almost any study will tell you that the earlier and stronger intervention you have in youth activity, the more successful you will be in impacting future behavior. We know we have to do this early.”

As a pilot community, he wants to focus on early intervention by using diversion officers to monitor first-time juvenile offenders. Pagel said money from a foundation is going to fund a coordinator for community service for young offenders, offering an opportunity for kids to actually make a positive difference in their community. The police department and partners are also seeking ways to involve youth in getting the anti-drinking message out, and to offer alternatives such as dances.

But at its roots, Pagel said, is the teamwork involved. He has social service agencies, law enforcement, educators, the justice system and more on board.

“It’s not a police problem, it’s not a school problem, it’s not a court problem,” Pagel said. “It’s a societal problem. There has to be good commitment, and they all have to coordinate their efforts. That’s when we can make the difference.”

 

Keeping up

In western Wyoming, Rock Springs is booming. In 2002, the police department fielded 32,000 calls for service. So far this year, the department has recorded 72,000 calls -- compare that with the Casper Police Department’s 60,000 calls. And that’s 20 to 30 percent more calls than Cheyenne police receive, with double the number of officers, Rock Springs Police Chief Mike Lowell said.

The problems go beyond high call volumes, he added. Recent compliance checks at bars and liquor stores revealed a 50 percent failure rate, even with advance notification of the checks. In one instance, someone sold alcohol to an underage customer with two uniformed police officers in the building. He’s frustrated with the apparent lack of progress in changing community norms.

“This is just nonsense,” Lowell said. “All this work and effort we’ve been putting in, and we haven’t done anything.”

He believes the best tool his community has is diversion for juveniles.

“The answer is to get them at the first offense and put them through a program that is particularly onerous,” Lowell said.

With Rock Springs as a pilot community, Lowell is coordinating with municipal judges to fund a diversion officer to follow juvenile cases. Kids don’t yet realize the future ramifications of DUI or other charges on college applications, resumes and more, Lowell said. He’d like to give young offenders a chance to set things right by offering consequences followed by, on completion, wiping citations off their records.

Lowell is also investigating mandatory carding rules, which many local liquor dealers support, he said.

Star Tribune

Monday, December 24, 2007

When road to recovery goes through campus

James Jones developed a drinking problem in high school that became so severe he ended up forgoing a college scholarship at West Virginia University and entered a treatment program. He now counsels other young people struggling with addictions.

James Jones' first shot at college ended before it began.

In August 2004, days after his freshman orientation at West Virginia University, he went into treatment for a drinking problem that had grown so all consuming he walked away from an engineering scholarship without taking a single class.

An even lower point came months later as the young man, by then in an orange jumpsuit and shackles, was escorted into a courtroom in his hometown of Weirton, W.Va. Arrested for petty larceny, he locked eyes briefly with his sobbing mother, from whom he'd stolen his late grandmother's diamond to feed his addiction.

"I couldn't bring myself to say anything, so I just walked past her," said Mr. Jones, then 18. "I had used up all the 'I'm sorrys.' "

His downward spiral, it turns out, was short-lived. Now sober and earning solid grades almost halfway to a bachelor's degree at Penn State University's Beaver campus, Mr. Jones is part of a largely invisible group of college students often left out of the discussion of campus drinking.

By some estimates, at least 25,000 college students nationwide are in the early stage of recovery from alcoholism. Many thousands more, including Mr. Jones, whose last drink was in January 2005, have made it even further, reaching their second year of sobriety and beyond.

For them, pursuing a degree means a daily test of resolve in a setting where making friends often revolves around getting drunk.

"They're in one of the toughest environments you could imagine to stay sober, and yet they're succeeding," said Amanda Baker, an assistant director of the Center for the Study of Addiction and Recovery at Texas Tech University. "It can be a very lonely existence because the way you socialize is different, and yet you're forced to keep one foot in that environment."

Mr. Jones, who is now 21, said it's unrealistic to wall himself off from campus peers who drink, so he occasionally attends parties and accompanies friends to off-campus clubs. But he also knows he can never drink himself. He learned that lesson painfully when, after an initial attempt to get sober, he started drinking in moderation and relapsed within a month.

"I know how fast I can fall," he said.

At his worst, he was downing a fifth of liquor a day, and, when the high wasn't strong enough, he supplemented it with 80 milligram tablets of the painkiller OxyContin.

It drove this once high-achieving high school senior off Weir High School's baseball team the year it took the state championship. It even put him on the streets briefly after his mother said she would not tolerate his behavior in her house and he walked out.

These days, as he strolls the Penn State campus, a baseball cap turned backward, it's hard to envision him as once so desperate he pawned a family heirloom -- his mother's necklace set with the wedding diamond worn by his late grandmother.

Now studying psychology, Mr. Jones completed treatment at Gateway Rehabilitation Center, and the center later hired him part-time to help counsel young people facing similar addictions.

He said he hopes that by speaking openly he can show others "that your life isn't over. Things do get better." He said he feels gratitude both for the opportunity to touch other people's lives and for his own second chance.

"The way I look at it is I went through a rough period," he said. "I'm not ashamed of who I am."

His mother, Gale Jones, a nurse at Children's Hospital in Pittsburgh, said she and his stepfather feel blessed by their son's rebound. "I'm so very proud of him," she said.

Fighting for recognition

Experts say that for all the focus on alcohol in college and all the emphasis on combating binge drinking, relatively little is known about student alcoholics who are in recovery. Though some schools are showing more interest in their needs, very few campuses offer dedicated programs such as recovery housing for students.

Rutgers University pioneered the concept of recovery housing two decades ago, experts say. Today, a handful of others offer it and about 15 campuses have full-blown recovery programs.

The small number of schools is due partly to a reluctance to commit funding and partly to the difficulty gauging demand, since students in recovery won't necessarily approach the campus counseling center or even acknowledge their situation to peers.

An institution's image also comes into play, said Andrew Finch, executive director of the Association of Recovery Schools, a group whose members have dedicated recovery programs for alcohol and drug abusers.

It's one thing for a college to tell parents their child can live in a dorm where everyone pledges to abstain or to help Alcoholics Anonymous hold campus meetings. It's another thing for a college to openly market itself as an institution with specialized programs for alcoholics.

"I've even been told by a college administrator that there was some hesitancy among his administration to build programs for recovering students because the image would be 'Oh, you must really have a problem,' " said Dr. Finch, a Vanderbilt University professor.

That's a shame, he and other advocates say, because problem drinking is everywhere.

In fact, one in five full-time college students nationally, ages 18 to 22, needs treatment for alcohol abuse or dependency, according to a special analysis of data conducted this month for the Pittsburgh Post-Gazette by the federal government's Substance Abuse and Mental Health Services Administration. The finding is based on 2004-2006 surveys of 16,000 of the estimated 8.2 million full-time college students in that age group.

Many of those were facing a problem long before they arrived on campus. In fact, nearly 6 percent of individuals ages 12 to 17 ought to be in treatment for an alcohol problem, the federal agency says.

Ms. Baker said her center's estimate of 25,000 students in early recovery is likely a conservative one. Even so, the government said most who need help aren't seeking it.

Neil Capretto, medical director at Gateway, said those who do undergo treatment need support, including peers who can insulate them from temptation.

"Most relapses happen in the first year," he said. "Of those, most happen in the first 90 days. And of those, most happen in the first 30 days."

For Gary Mahoney, 27, sober since 2002 and working on a bachelor's degree at the University of Virginia, pressure these days has less to do with alcohol's allure than with whether and how to tell others on campus he is in recovery. One time he tried in class.

"I got really uncomfortable," he said. "The second it came out of my mouth it felt like I was from Mars."

At large social gatherings, he tries to have at least one person with him who knows he's in recovery, helping him to avoid the sort of pressure he felt when classmates and a professor at an end-of-semester reception unwittingly kept urging him to toast with champagne.

He benefits from a group of students, staff and faculty who meet twice monthly to discuss their recovery, but he wishes colleges did more to raise awareness that people like him are part of the campus population.

"It might remove some of the stigma," he said. "Maybe people would be more likely to seek and receive the help they need."

Sinking to the bottom

Sitting in the campus library at Penn State Beaver, Mr. Jones talked about his new career goal of counseling young people. He said some of those with whom he works at Gateway remind him of himself, struggling with image problems, in denial about their addictions and, in some cases, trying to get back into school.

"You can actually see these kids change, from the time they get there," he said of those in treatment. "Some of them change for the worse once they're there, but the majority of them, you can just see their outlook improve. It's an awesome feeling."

He reassures them by using a most striking example -- his own.

He was 5 years old when his father, a steel mill foreman who also had a drinking problem, died of a pulmonary embolism linked to alcohol use. James' mother watched helplessly years later as alcohol began to claim a second family member, a bright teenager who for most of his high school career brought home A's and B's and earned admission offers from WVU, Pitt and other schools.

Mr. Jones said his drinking at first seemed like a normal high school diversion, something he and friends did on certain weekends. But he began to crave the feeling of acceptance it provided.

By his senior year, he was drinking daily and in growing quantities, switching from beer to rum. He smoked marijuana. He abused prescription pills.

And he changed friends.

"We would get drunk before school, or use drugs before school, or leave early and get alcohol, one or the other," he said. "I got to a point where I felt -- and this is horrible -- that I had to be high or drunk to go to school."

Some mornings, he'd awake feeling so sick and achy from the previous day's binge that he'd swig alcohol from a bottle hidden in his room.

And his grades fell. He bombed physics and calculus. His mother later learned that he wasn't showing up for class. She said she underestimated the problem.

"I was alert to alcohol," she said. "I really didn't know a lot about drugs."

His baseball coach at Weir High, Bob Rosnick, said the trouble involving James didn't square with the polite teenager he had known since middle school. "I didn't see it coming," he said.

When James came home drunk or got high in the house, his mother would lay down the rules, finally telling him to leave after he ignored her warnings about getting high in her home.

"I was going crazy. I was sick. I was losing weight," she said. "I was beating myself up, saying 'What did I do wrong?'"

The teenager was anguishing, too. He wanted to believe things would improve once he got to college. But instead of joining peers on campus, he entered 133 days of residential treatment at Gateway weeks after graduating high school.

He came out clean, but started using again and in less than a month was consuming so much he went into his mother's bedroom one day looking for something to pawn. Mrs. Jones said the hardest decision she made was pressing a charge of petty larceny after confronting her son about the stolen necklace and other jewelry.

"James," she told him. "That was grandma's wedding ring."

He went into rehab at Gateway a second time, and now says he's grateful his mother loved him enough to be tough on him when he needed it.

He said friends of people abusing alcohol or drugs have a similar obligation not to look the other way, even if it's an uncomfortable thing to raise.

"Anyone can drag somebody to a car and drop them off at their apartment, but you're enabling them by helping them not get into trouble so they can do it again," he said. "You definitely have a responsibility to say something ... something like, 'I don't know if you remember what happened last night, but it's definitely not OK.'"

Pittsburgh Post-Gazette

Sunday, December 23, 2007

Doctors may soon offer what alcoholics need (if not what they want)

Addiction medication and sage advice could be dispensed from a physician's office.

British songstress Amy Winehouse, who croons "no, no, no" to rehab, has a lot of American company this time of year -- both in her heavy-drinking ways and her unwillingness to spend weeks in a specialized facility to get sober.

But experts say there may be new hope for rehab refuseniks like Winehouse and an estimated 5.7 million alcoholics in the United States who are not in treatment -- hope that could be as close as the family doctor.

New research and a growing arsenal of medications have set the stage for a major shift in the treatment of alcoholism, from specialized clinic to the "primary care office setting," the Journal of the American Medical Assn. reported in its Dec. 5 issue.

But if the promise of "office-based" treatment of alcoholism is to become a reality, the nation's 337,000 general-practice physicians -- and the systems within which they work -- will have to undergo some transformation themselves, addiction experts say.

Doctors must overcome their reluctance to broach the subject of drinking and learn how best to intervene when they suspect alcoholism. Medical practices may need to add staff to help counsel recovering patients. And insurance companies and federal insurance programs will need to be persuaded to reimburse patients for medication that can be costly and to pay physicians for taking on a new role in patients' care.

Several new drugs are making office-based treatment a realistic prospect. In April 2006, a monthly injectable form of the drug naltrexone won approval from the Food and Drug Administration. Marketed as Vivitrol, the new formulation of a long-available drug can be started after only four days of abstinence and appears to cause less nausea than pills taken daily -- features that make it easier for patients to start and stay on the treatment. It joined two other medications approved to curb alcohol cravings.

Evidence is growing for the effectiveness of these and other addiction medications, such as the anti-convulsive drug topiramate, which, although not FDA-approved for this purpose, is also widely prescribed off-label to help alcoholics stay away from drink. And more FDA approvals for drugs that treat alcohol dependence are on the horizon.

At the same time, studies published this year underscored the effect that a few frank words from the doctor can have on patients whose drinking appears to have become excessive.

These developments could be the "tipping point" into a new era of alcohol treatment, says Mark Willenbring, director of treatment and recovery research at the National Institute on Alcohol Abuse and Alcoholism. With new confidence in their powers of persuasion and new pharmaceutical tools in their black bags, primary care physicians -- who have been notoriously shy of confronting patients about their drinking habits -- may grow more willing to flag an alcohol problem, offer medication and dispense advice during routine office visits, Willenbring says.

In turn, as patients grow more confident that they can curb their drinking without the time, expense and stigma of a stay in a clinic, more will likely step forward for help.

Parallel with depression

"In many ways, we are with alcoholism where we were with depression 30 years ago," Willenbring says. As a new generation of antidepressants came to market in the early 1980s, physicians on the front lines of patient care grew more attentive to the signs of depression and more willing to treat it. Patients with protracted bouts of blue mood turned to their family doctors for help in increasing numbers.

In the process, depression was transformed from a highly stigmatized mental illness that was rarely treated before a suicide attempt or outside a psychiatric hospital to a condition for which 80% of patients turn first to a general medical practitioner.

A similar shift in the treatment of alcohol-related disorders won't happen overnight, Willenbring says. But with 19.5 million Americans thought to have alcohol-related disorders in 2006, and only 1.6 million getting specialized treatment, he says, "we have to start thinking creatively about how to provide more accessible, appealing and creative options" to encourage patients with drinking problems to get the help they need before they hit the skids.

Experts warn, however, that as general-care physicians armed with medications shoulder a greater role in treating alcohol dependence, patients and public officials must ensure that the sickest patients do not suffer in a rush to treat alcoholism more economically.

In that regard, not all experts see depression treatment as an encouraging example. Medication has worked wonders for many depressed patients. But a study published in 2001 found that only about one-quarter of depressed patients seeing a general practitioner got appropriate care. Meanwhile, insurance companies keen to reduce spending for depression care have limited patients' access to costly psychotherapy, despite studies showing that patients improve most when such therapy is paired with medication.

As anti-alcoholism drugs show gains in effectiveness, many fear that insurance companies and federally supported programs will rely largely on medications and the brisk medical management of primary-care doctors.

That, they fear, could deny alcoholics who need the extra support of intensive rehabilitation the care they need to quit.

"You'd have to be naive not to be a little concerned that that will happen," says Mitchell Karno, UCLA's alcohol treatment researcher.

Doctors, too, will have to make changes if this new era of "office-based" alcohol treatment is to become a reality, experts say -- and some aren't convinced that the changes will easily happen.

"It's a vision that has some benefits to it, but it's not a done deal at this point," says Richard Rawson, associate director of UCLA Medical School's Integrated Substance Abuse Programs.

Rawson observed one crucial obstacle when he tried to launch a pilot program in which U.S. primary care doctors would screen patients for risky or excessive alcohol use and provide "brief interventions" intended to get those with problems to quit or reduce their alcohol consumption.

In all, the prescribed screening and intervention initiative would have taken physicians 10 minutes, Rawson says. He approached five institutions in an effort to recruit support.

"What we hear over and over again is, 'Look, we have seven minutes to do whatever it is we're going to do. To take five minutes to do screening and then another five to do a brief intervention on this one dimension of health problems is just not in the cards,' " Rawson says. "I don't think we're at a point where we can just dump it all in the laps of primary care docs."

Rawson adds that in addition to physician training, other things would also have to change to account for the new demands -- such as systems of payment, insurance reimbursement and the office structure of general care practitioners.

Another obstacle experts see: Doctors are generally wary of challenging patients in matters that involve emotionally charged personal habits such alcohol consumption as well as smoking and obesity. And patients, in any case, almost always lie about their habits.

Physicians frequently hesitate to raise the question unless a patient is showing clear evidence of alcohol-related damage -- including impaired liver function, high triglycerides or bloated red blood cells. "It's like, 'Don't ask, don't tell,' " says New York internist Dr. Steven Lamm, who has successfully treated a number of patients with medication, including the monthly injectable version of naltrexone. That's especially been the case, he adds, because of the perceived paucity of medical treatments they have to offer. "What are you going to do about it? Send them to Alcoholics Anonymous?" he says.

Change is in the air

In the new climate, such reluctance might change.

As pharmaceutical companies launch new drugs -- and new marketing campaigns for them -- doctors will grow more assertive about raising the issue, says UCLA geriatrician Dr. Alison Moore, who sits on a panel at Willenbring's NIAAA that reviews the effectiveness of alcoholism treatments.

But, Moore adds, in addition to writing prescriptions for new drugs, physicians also had better learn new scripts for how to talk to patients about their alcohol problems and where to refer them if they need more help than a pill or an injection can provide.

"They're better than nothing," Moore says of the available medications. "But I don't see them as wonder drugs." They don't work for all patients, and even when they do, patients frequently relapse, she adds.

A new era in alcohol treatment may also bring new definitions of sobriety, as well, experts say. Programs such as Alcoholics Anonymous, as well as most of those who treat alcoholism, have always drawn a clear line between sober -- completely abstaining from alcohol -- and alcoholic.

As alcohol treatment grows more accessible, however, a wider range of patients -- including those who are not alcohol-dependent, but who endanger their health by drinking to excess -- are expected to come forward for treatment. For these patients, support groups like Alcoholics Anonymous may be less relevant than newer groups such as SMART Recovery and Rational Recovery, less ubiquitous than AA, which emphasize a goal of moderation in drinking.

In January, the NIAAA will launch a print- and Web-based self-help program called "Rethinking Drinking," aimed at a wide range of drinkers, including those with what Willenbring calls "a mild form of alcohol dependence."

The emergence of these alternatives to AA is certain to reignite a long-running debate over what goals alcoholism treatment should embrace. And it will likely spark efforts to define more broadly the range of patients who have a drinking problem, as well as those who could benefit from preventive or early treatment.

UCLA's Mitchell Karno says that patients and their family doctors will likely work out their own solutions. "People will seek out the level of treatment that's going to match their need," Karno says -- whether it's eight weeks in rehab, or a pill, an encouraging word from the doc and a self-help book.

Between strict abstinence and a safer level of drinking, Karno says, "it will be up to physicians and patients to choose how they're going to negotiate that tension."

Los Angeles Times

Doctors say government needs to implement tougher alcohol laws

Leading doctors feel that measures to curb alcohol drinking through education have failed and that the government must adopt tougher laws to curb binge drinking in the country. Suggested measures include banning alcohol, increasing its price and barring its widespread distribution.

Dr Ian Gilmore, President of the Royal College of Physicians and Dr Nick Sheron, a liver specialist at Southampton University Hospital said that alcohol had become a major public health concern and attempts to change public behavior by encouraging quitting were not working.

"How many more lives will be damaged by alcohol in the UK before our governments decide to tackle the problem with measures that are likely to work?" the doctors asked in the Christmas edition of the British Medical Journal.

They added that the deaths linked to alcohol use were in fact more than those caused by a combination of breast cancer, cervical cancer and MRSA. In 2003 alcohol was lined to over 22,000 deaths and 150,000 hospital admissions.

"Between 780,000 and 1.3 million children are affected by their parents' use of alcohol - 30 to 60 per cent of child protection cases and 23 per cent of calls to the National Society for the Prevention of Cruelty to Children about child abuse or child neglect involved drunken adults," they argued.

The doctors also said that the UK government would be benefitted by following the actions of erstwhile Russian President Mikhail Gorbachev, whose alcohol policies saved an estimated 1.2 million lives.

Earth Times

Saturday, December 22, 2007

Binge drink blues

Oldham is a booze-ridden borough with a staggering 41,000 binge-drinkers said to be regularly consuming hazardous or harmful levels of alcohol.

New figures released exclusively to the Advertiser by health chiefs paint a disturbing picture of alcohol abuse, including increasing numbers of women and children being hospitalised.

As the festive period gets under way, the borough’s director of public health, Alan Higgins, has warned that unless something is done now alcohol consumption will keep rising, devastating families and the wider community, and putting a crippling strain on our local health resources.

His comments come in the same week that Oldham coroner Simon Nelson issued a stark warning about the fatal dangers of both binge drinking – following the death of a young father of three from the area – and drink driving, after another young dad died behind the wheel.

Mr Higgins said alcohol misuse is being fuelled by easy and cheap access to drink.

He warned: "The problems associated with alcohol misuse have ramifications for the health and wellbeing of individuals as well as society generally. The increased risks associated with binge drinking are accidents and alcohol poisoning. However, men are more prone to be victims and perpetrators of violence and violent offences. There are also increased risks of sexual assault attached to binge drinking.

"Another devastating effect is the social cost of excessive drinking with family relationships breaking down. Excessive drinking can lead to a spiral of health, emotional and social damage.

"We need to take action to encourage people to drink sensibly or we will continue to see an increase in the number of serious health problems and alcohol-related deaths."

Oldham Primary Care Trust estimates that one in three 16 to 64-year-olds in the borough fits the profile of a binge drinker.

The majority are men under 25, but the numbers of different ethnic groups and women falling into the danger zone is on the rise.

A recent report on alcohol-related harm from the Association of Public Health Observatories found Oldham to be significantly worse than the rest of the country in 14

14 out of 22 indicators including alcohol specific deaths, deaths from chronic liver disease, alcohol attributable deaths (female), under 18 alcohol-specific hospital admission and harmful drinking.

A separate study in October named and shamed our borough as the seventh worst place in the UK for binge-drinking.

The consequences of this kind of abuse are serious – long-term health problems such as liver disease, circulatory diseases and cancer, as well as increased risk of accidents, alcohol poisoning, and alcohol-related violence and sexual assault.

Alcohol is also a substantial contributor to the current obesity epidemic, both nationally and locally, which puts health services under even more strain.

At the Royal Oldham Hospital A&E department 40 per cent of those attending arrive with injuries linked to alcohol, and according to Mohammed Zahir, consultant in emergency medicine, those numbers are rising. Alarmingly, the biggest rises are attributed to girls under the age of 18 and women in general.

In May, 2006, the Advertiser revealed that Oldhamers are literally dying for a drink, with the average number of months being taken off local lives as a direct result of alcohol having doubled between 1995 and 2004. Men reduced their life expectancy by nearly a year and women by nearly eight months.

Oldham Primary Care Trust says it is working with Oldham’s Drug and Alcohol Action Team to revise its alcohol strategy for the borough and there are plans afoot to expand alcohol services into local GP surgeries and the courts.

However, all health professionals agree that prevention is key – and to achieve that it will mean individuals taking more responsibility for their own actions.

Mohammed Zahir said: "Our advice, as always, is that if you are going to drink, then drink sensibly and be aware of the risks, particularly in the run-up to Christmas and New Year."

Oldham Advertiser

How AA helped them chuck the bottle

Nanu, 32, a salon owner from Ahmedabad, finally overcame the biggest challenge of his life - kicking his 20-year-old addiction to liquor. He is one of those bravehearts from this ‘dry state'.

"What started as a recreational drinking session with my friend at the age of 14, became an addiction. I could not think of a single day without my regular dose of alcohol which I used to start taking from early morning till late in the night. I did not care about my family and society," recounts Nanu.

But joining Alcoholic Anonymous (AA) changed his life within three years. Nanu was one of the participants at Friday's convention of AA held at Gandhinagar.

AA is a US-based fellowship of men and women, who come on a common platform and share their experiences and problems regarding alcohol addiction. "Ahmedabad has around 80,000 alcoholics or even more but only 14 have approached us to help them quit alcohol," says Pushan of AA. "We know there are many alcoholics who need serious help despite Gujarat being a dry state. We have to encourage them to help themselves kick this habit."

Another AA member Devendra, 43, recounted how liquor ruined his life. "In front of my own eyes, I saw my thriving business getting ruined. I used to drink 15 quarters a day. What started with big brands of alcohol ultimately lead me to drink country liquor." "Here it is available 24x7. Prohibition is only fuelling the problems, making it more attractive for the people," he said. Devendra quit the habit 18 years ago after getting in touch with AA.

Puja Pushkarna, a clinical psychologist at Apollo Hospitals, said, "On an average, we get two to three cases of serious alcoholism from the city for counselling sessions. Habitual drinkers do not approach us either due to fear of stigma attached to it and even if they arrive there is a police fear for them."

Pushkarna, who is working in this field for the last 10 years, said, "Serious alcoholism cases have seen a jump of 10-15 per cent in Ahmedabad. AA has certainly helped in the recovery programme."

Times of India

BSF fights a drinking problem

Imagine a tipsy "jawan", armed to the teeth, deciding to get a little "happy" with the trigger inside the barrack. Or a platoon of soldiers, deployed on a patrol, actually tottering along the international border.

To pre-empt any such situation, the Border Security Force has decided on some "sober" action for its alcohol-prone sentinels — both officers and jawans. The Assam and Meghalaya Frontier of the BSF has sought the help of the Alcoholics Anonymous Service Centre to counsel its personnel who have hit the bottle.

Although BSF hasn't disclosed the extent of alcoholism among border guards, it's safe to assume that it's serious because the force has cut off the supply chain of booze to border observation posts (BOPs).

"BOPs are operational sectors and we can't have drunken personnel manning these sensitive forward posts," said BSF inspector general P K Mishra, adding that liquor would be provided only during "barakhanas" — army parlance for a community feast — and when the men go on leave.

Inaugurating the two-day counselling session here on Friday, Mishra made a passionate appeal to the rank and file to shun the bottle and leave behind the "disease" of alcoholism.

Observing that alcoholism was earlier deemed a "disciplinary problem", which was sought to be curbed by exemplary punishment, the IG said such an approach did not yield results. "From now on no vindictive punishment will be given. We shall identify the reasons behind jawans taking to excessive drinking and then send them for regular counselling by experts," he said.

Times of India

Friday, December 21, 2007

A 12-step path, a lifetime's journey

Adherence to AA discipline can take decades

V. joined the fellowship of Alcoholics Anonymous in Grande Prairie when she was 38, a drinker who endured life between binges, who showed up at work hungover or called in sick on days she couldn't manage even that.

Nearing bankruptcy, trapped in an abusive relationship and socializing with street people, V. drank to cope, until the night she came home drunk from a Christmas party and swallowed a bottle of Aspirin.

She joined AA while in treatment, and was assigned a temporary sponsor, a former prostitute and single mother half her age, sober for a year.

"Here she is, with a background like that, and here's me, successful career woman with no children," V. says.

"She took me out for coffee and with tears in her eyes she stared me right in the eyes and said, 'I am going to do everything in my power to stop you from drinking.'

"I burst into tears. This little slip of a girl with a little four-year-old she's trying to raise on social assistance, and I thought, 'She's going to help me?' And she did."

V., now 51, has been sober for 13 years.

AA was born in Akron, Ohio, in 1935, when Bill W., a New York stockbroker, met surgeon Dr. Bob.

Newly sober through the help of an Episcopal clergyman and looking to help other drunks stop drinking, Bill sought out Dr. Bob, a local MD with a drinking problem. In Bill, the surgeon came "face to face with a fellow sufferer who had made good."

It would take more than four years to produce 100 sober alcoholics through the three original founding groups in Akron, New York and Cleveland.

Today, AA spans the globe, with groups from Angola to Yemen, including 4,874 in Canada with more than 95,000 members.

Worldwide, AA is helping more than two million problem drinkers stay on the wagon.

The only price of admission to the fellowship is a desire to stay sober, and to help others stay sober, according to AA literature.

There are no fees. The "Twelve Steps" ("We admitted we were powerless over alcohol -- that our lives had become unmanageable") and "Twelve Traditions" ("Our common welfare should come first; personal recovery depends upon AA unity") are recited aloud. A speaker might be introduced, or if at a "closed meeting" for alcoholics only, members might read from "the Big Book," the basic text for AA and a record of the personal stories of recovering drunks. Stories, frustrations, struggles and victories are shared.

Members have their own vocabulary ("I am a grateful alcoholic"), and meetings end with three simple words: Keep coming back.

The things that help hold members together are the secrets. Knowing they can't drink like other people. Knowing they can't have "just one." Bottoming out and blackouts and rationalizations and lies. Alcoholics whose lives have become unmanageable. Alcoholics sick of drinking, feeling terrible and hiding.

"AA is a self-help program that is available to people 24/7," says Paul Welsh, director of Rideauwood Addiction and Family Services in Ottawa.

"They are delivered by folks who have been through it, who can recognize warning signs that the person might not recognize themselves.

"It's also very forgiving. You don't get thrown out for using alcohol and drugs. There is an understanding that recovery is very, very challenging and very difficult, and that people make mistakes, and that's forgiven and you're welcomed back into the fold. And you keep on going.

"Family members and friends and employers are not always therapeutic. People do get reactions of anger and shame when they fail, and they need a safe place to go, and they need it quickly."

Welsh says addiction is the most complex health problem facing Canadians, a disease whose causes are often rooted in childhood trauma -- abuse, neglect or violence -- and are reinforced as addicts age.

Studies have found that AA helps members stay abstinent over the long term.

David T., an Ottawa public servant is 35 years sober, but still attends AA meetings regularly, reads AA literature and listens to the tapes. Born and raised in Saskatchewan, the son of an alcoholic father, he stopped drinking at 22, because he knew if he didn't, " I would end up in jail, on skid row, or dead."

AA is built on abstinence, an idea that can be unthinkable. But telling alcoholics they can learn to control their drinking is like suggesting a heroin addict can learn to shoot up only socially, says Dr. Graeme Cunningham, associate clinical professor of psychiatry and director of the addiction division at Homewood Health Centre in Guelph, Ont.

"This is not a personal bias," says Cunningham, himself a recovering alcoholic. "The science clearly shows you are addicted to a chemical, that the brain changes to develop the phenomenon of a craving, and that the change is permanent."

In the mid-'80s while a fellow at the former Addiction Research Foundation in Toronto, Cunningham assisted with a controlled-drinking program.

He says men would arrive with their drinking diaries and describe having had two beers on a Saturday night as they watched the hockey game, or a single shot of whisky on a Sunday, because they were bored.

Cunningham says he'd leave the clinic, walk over to the nearby Silver Dollar tavern, where he'd find "the controlled-drinking boys ... pounding back beers.

"There is no place for controlled substance abuse in addiction. Period."

For V., who was so paranoid when she was drinking that any time there was a knock at the door she thought it was the police, AA worked its changes gradually.

"People talk about life-changing events. But there were no burning bushes. There were no 'Aha' moments -- 'OK, now I know how to be sober.'

"It's a process of osmosis. The more I hung around the people of AA, the more I tried to work the steps, the better I got.

"Until one day, I was laughing again. I had hope. I was looking forward to the future."

Edmonton Journal

Over-30s 'ignore alcohol advice'

People in their 30s and 40s are worse than those in their 20s at sticking to their drinking limits, a poll has suggested.

A survey by YouGov found almost half of 30 to 50-year-olds confessed to drinking too much at times.

Once past the age of 30 the body loses muscle and water and gains fat - making the effects of alcohol more pronounced.

The poll was commissioned as part of a government campaign to encourage responsible drinking over Christmas.


You often hear people saying they feel worse after drinking the older they get - as you age, the body isn't as good at dealing with alcohol

The government is warning people that drinking often at home could cause problems within 10 years of starting.

One in three of the 30 to 50-year-olds surveyed said that drinking too much had wrecked a night out for them at least once in the past year, and 44% said they hadn't learned to stick to the recommended number of drinks.

Drinking strategy

Dr Sarah Jarvis, a GP, said that it was important for the over-30s to limit their alcoholic intake over the Christmas period.

"You often hear people saying they feel worse after drinking the older they get - as you age, the body isn't as good at dealing with alcohol."

She offered advice to help older people to drink less during the Christmas party season.

"To help you stick to your limits, you might want to try agreeing a limit with a friend, following one alcoholic drink with a soft drink, or taking time out from drinking for another activity."

A spokesman for Alcohol Concern echoed this advice: "As a person gets older, less body water and more fat in the system means alcohol stays in the blood stream for longer, which helps explain why people often experience the effects of heavy drinking more than they might have done if younger .

"However young or old, a hangover is your body's way of telling you that you've had too much the night before.

"The surest way to enjoy Christmas drinks with none of the baggage is to stick to the recommended daily limits."

Professor Ian Gilmore, president of the Royal College of Physicians and Chair of the Alcohol Health Alliance, said: "This research shows that binge drinking and hangovers are not just a problem for younger drinkers.

"Many people underestimate the amount of units they are drinking because drinks have been getting stronger, and glasses larger, over the past couple of decades - a small glass of wine can now be two units, and large glasses three to four units.

"People over 30 should be aware that their body is less likely to cope with the after-effects of alcohol, think carefully about the weekly amount they are drinking and stick to the safe limits so as to avoid alcohol-related disease."

BBC News

Thursday, December 20, 2007

Booze Puts 42,000 Scots In Hospital

Number Of Under-15s Needing Treatment Soars By 10 Per Cent

Nearly 42,000 Scots landed in hospital last year because of drink related illnesses.

And the number of kids under 15 who needed hospital care for problems linked to alcohol rose by almost 10 per cent.

The official figures will add to calls for tougher controls on booze.