We know that substance abuse can affect people of every background and history. Perhaps the picture that comes to mind is that of a homeless drug addict, living on the streets, selling everything they have in order to get their next high. Or those that sell drugs to other people, including children, to support their habit. We know all about the trend for young people to try drugs to be cool, or certain lifestyles where drugs seem commonplace or even expected.

The Unexpected Substance Abuser

But lately new pictures may also come to some people’s minds. These drug addicts may be a little more surprising to some: the affluent housewife who orders her prescription drugs online to support her addiction, the office professional that has been hiding his drug addiction for years, the police officer in the local town.

Public Opinion

Drug abuse affects millions of people each year. In our country there is a stigma about drug abuse, and (perhaps for good reason) many people, especially those that don’t fit the typical drug addict role, spend their lives hiding the addiction. Admitting that there is a problem is embarrassing, and getting treatment for the drug addiction would disrupt their world. More and more today, however, groups are being organized to support these individuals that are struggling with addiction, as well as their families. It is important for them to see that they are not alone, and that substance abuse treatment can give them a new life.

Public Safety Officers

One group of people getting help for drug addiction is that of public safety officers, including police officers, firefighters, and EMT workers. These workers typically sacrifice much for others while performing their jobs, and many are seen as heroes to those they help. So when the pressure of a stressful job leaves these public safety officers turning to drugs or alcohol to ease their mind, it becomes hard for them to admit they have an addiction.

Getting Help

These professionals need help for their addictions just like everyone else does. It is important for more of these public officers who have struggled with drug addiction to come forward and tell their story, and encourage others to get help. Statistics on substance abuse among this group are hard to find, since many public officers suffering with addiction do so in silence. They need to be encouraged to find a substance abuse treatment facility that gives them the help they need.

Perhaps more should also be done to prevent drug abuse among professions that are full of trauma and stress. Counseling should be made available to help officers deal with particularly disturbing traumas. Support groups can be set up for public safety officers to discuss how the difficulties of their job are affecting them. Leniency can be granted to allow time off for mental health evaluation and substance abuse treatment. And in general, the public needs to have an understanding of those suffering from substance abuse, even if it is someone unexpected.

Sources

Substance Abuse Among Healthcare Professionals

Cross, Chad and Ashley, Larry Police Trauma and Addiction Coping with the Dangers of the Job

http://www.cophealth.com/index.html

Most people view police officers, firefighters, and EMT workers as those people that have it together and help others out with their problems. But what happens when it’s the police officer or firefighter that is suffering and in need of help? Public safety workers are constantly dealing with trauma and seeing things that most people don’t have to deal with, and while they are trained for such work, sometimes tragedies become too much to handle.

9/11 and PTSD

A study done after 9/11 showed that one in eight rescue and recovery workers at the World Trade Center suffered from Post Traumatic Stress Disorder. Post Traumatic Stress Disorder (PTSD) is a disorder that is generally caused by experiences of fear or terror. Anxiety is often associated with this disorder, and the cause can be any kind of trauma, such as war, accident, or personal injury. Many people who suffer from it develop family and work problems because of their fear, anxiety, trouble sleeping, emotional stress, and flashbacks. Drug and alcohol abuse are also common results of PTSD.

During the rescue and recovery of the 9/11 terrorist attacks, public safety officers encountered awful sights as they cleared up the wreckage and bodies of victims, including many of their colleagues. It may be natural to think that seeing those sights would cause someone to be filled with anxiety afterward, and turn to alcohol and drugs.

All part of the job?

While 9/11 was the most troubling task rescue workers have had to endure in our country, public safety officers face life-changing trauma every day. Firefighters are constantly putting themselves in danger; many times fearing they will not make it out alive. Police officers have to deal with the bad things people do, and the results of their horrific crimes. EMT workers see and treat injuries and attempt to save lives destroyed by accidents or trauma. Sometimes it is the stress of a few incidents that builds up over time, sometimes it is one tragic or scary event, but public safety officers are at risk for mental disorders such as PTSD, as well as substance abuse.

Bring it into the open

There are things we can do to help our public safety officers, the main one being to shed a light on the subject of mental illness and substance abuse. Since these workers are viewed as being the country’s rescuers and protectors, there is a feeling of pride associated with the job. To admit that there is a problem can be a difficult thing to do. Many workers suffer in silence today, when help can actually be very effective.

Getting help

Help is out there. Once the problem has been identified, PTSD can be treated with intense therapy and sometimes medication. The more time that passes before treatment begins, the worse the effects of the disorder will be. Anxiety will increase, depression could occur, and the risks of substance abuse increase. By talking about PTSD and the fact that real people suffer from it, we can encourage others to get treatment for PTSD.

Sources
Stress Disorder.” ScienceDaily 30 August 2007

McCooey, Paula Firefighter reveals pain to help save others The Ottawa Citizen October 6, 2008

Former firefighter fights mental health stigma Sept. 30, 2008

public saftey, addiction treatment, mental health

How would you feel if your insurance provider told you that the doctors’ visits and treatment costs for your illness were not going to be covered, or that you would have to pay a high deductible? Many people in our country are being told just that, and the reason is that the illness they have is substance abuse. There has long been a view in the world that substance abuse is a choice, or a character flaw, not a mental illness. Things are changing, however, and more and more research is being done on the complexities of the brain and its reaction to substance abuse. People today are beginning to see that while substance use might start as a decision to try something new, it quickly becomes an addiction that can’t be controlled.

Congress approves Mental Health Parity Act

Congress approved legislation last week that would change the way insurance providers handle claims for mental illness and substance abuse. The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 provides “equity in the coverage of mental health and substance use disorders by ensuring that group health care plans do not charge higher co-payments, coinsurance, deductibles, and impose maximum out-of-pocket limits and lower day and visit limits.” Supporters of this measure include many in the House and Senate, businesses, insurance companies, and physicians. However, a few questions remained and until last week, it was uncertain whether or not the bill would pass before Congress went into recess this year. By attaching it to the Wall Street bailout bill, however, Congress was able to pass it quickly.

Help is needed

Help can’t come soon enough for many Americans struggling with drug or alcohol addiction. According to the National Alliance on Mental Illness and the National Council for Community Behavioral Healthcare, mental illness is the leading cause, and substance use is the second leading cause, of disability among adults. Many of these adults are not getting the help they need to recover from their mental illness, and often it is because of the high cost of treatment. Another reason is fear of discrimination from their employer if they do seek treatment.

Equal Coverage for an epidemic

With legislation such as the Mental Health Parity Act, those with a substance abuse disorder can be reassured that their insurers will not be able to set a cap on healthcare coverage for mental illness or substance abuse that isn’t set for other illnesses.

In order to deal with the epidemic of substance abuse, we need more good addiction treatment facilities, more affordable health care to addicts, and more support behind families dealing with substance abuse. Through the passage of this bill, those with addiction should be encouraged to move forward and seek treatment, so that we can work toward decreasing the incidence of drug and alcohol abuse.

Sources

Congresswoman Shea-Porter Hails Passage of Mental Health Parity Act September 24, 2008

Many State Reform Initiatives Are Neglecting Mental Illness, Says Study July 08, 2008

Layton, Lyndsey Congress Approves Mental Health Bill Private Insurers Would Provide More Benefits Sept. 24, 2008

Ault, Alicia Equal Coverage For Mental Health?
Many States Require Parity, and Congress May Order It Nationwide November 6, 2007

Curley, Bob Congress, Bush Approve Addiction and Mental Health Parity Legislation October 3, 2008

A friend of Treatment Solutions Network, Carolyn Jacobson has asked us to help her spread the word bout cervical cancer prevention. This is her latest in the good work that her and her organization are doing to improve the health and lives of women

This year, 11,070 women will be diagnosed with cervical cancer and 3,870 will die of the disease. Women aged 65 and older comprise 20% of all new cervical cancer cases and are 35% more likely to die of the disease versus younger women.

The Women’s Health Task Force of the National Council of Women’s Organizations is launching a new campaign to help older women understand that cervical cancer can affect them and that they may benefit from the same advanced screening technologies as younger women. The Note to Older Women: Ask About Cervical Cancer Screening, Ask About HPV Testing campaign is an online effort that encourages all women to tell the older women in their lives what they need to know.

Visit the Note to Older Women: Ask About Cervical Cancer Screening, Ask About HPV Testing campaign website (http://www.womenshealthtaskforce.org/olderwomen) to learn more and get involved. Here’s what you can do:

1.) Send an e-postcard (http://www.womenshealthtaskforce.org/olderwomen/epostcard) to the older women in your lives and to your friends and colleagues so they can share it with the older women in their lives.

2.) Post the campaign button (http://www.womenshealthtaskforce.org/olderwomen/get_the_button) on your Facebook or other personal web page so others can learn about the campaign and get involved.

Carolyn J. Jacobson
Coalition of Labor Union Women (CLUW)
815 16th St., 2nd Floor South
Washington, DC 20006
202-508-6901 (Direct)
202-508-6968 (Fax)
cjacobson@cluw.org
Cervical Cancer Prevention
does work!
To find out what to do, click here:
www.cluw.org/cervcancer.html

“I don’t have a problem.” “This time I’ll get clean for good, I promise.” “I just can’t do it.”
How many of us have heard statements like this in response to the thought of seeking treatment for substance abuse? How many of us have uttered them ourselves?

You are not alone.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), in 2006, 22.6 million people aged 12 or older were living with substance abuse disorders in the past year, and of that number, only 4 million received some kind of treatment. There are many things standing in people’s way of getting treatment for substance abuse. Shame, financial concerns, mental health problems, denial, past failure; these all can make the thought of turning to professionals for help very scary.

But the statistics are favorable for recovery. People are able to overcome addictions with treatment every day. For those in treatment for alcoholism, the number that have overcome their addiction is as high as 70%.

September is National Alcohol and Drug Addiction Recovery Month, and it allows us as a country to renew our commitment to preventing addiction. Many local organizations have planned activities this month to recognize those who have had the courage to recover from addiction, as well as their families and support providers. This year’s theme is “Join the Voices for Recovery: Real People, Real Recovery,” which emphasizes that recovery is possible and many people who have recovered from addiction have gone on to lead healthy, productive lives.

National Alcohol and Drug Addiction Recovery Month, which is supported by SAMHSA of the U.S. Department of Health and Human Services, also encourages those still struggling with addiction to seek help. These individuals need to be given hope that they too can work to rebuild their lives. There has been and still is often a label of disgrace held by the public for those addicted to substances. Education is the key to helping people understand that addiction is a disease and it will take more than a positive attitude to overcome. The things that will help deal with the issue of addiction are support for treatment facilities, encouragement for the families of the addict, and encouragement and help for the addicts themselves.

Getting help

Families need to be aware of the signs of addiction. Sudden changes in behavior, lying, depression, hostility, and fatigue are just some of the warning signs of drug or alcohol addiction. Once an addiction has been identified, getting a loved one to accept treatment is the first step for families. Finding the right treatment facility for you or your loved one is the next step.

It will be a hard road. The recovery process is long, and it is common to suffer setbacks. But the anticipation of regaining one’s life and joining with others who have been down that road already can give great comfort. That’s what this month is all about.

Royer, David Don’t let shame preclude treatment Columbus Local News September 3, 2008

Scott, “Sonny” NAIC: A voice for recovery Sept. 3, 2008 The Norman Transcript

Romalino, Carly A month for turning clean and sober Gloucester County Times September 08, 2008

http://recoverymonth.gov

Most of us know that alcohol abuse causes conflict and problems in families throughout the country. And you may know that individuals and families spend millions of dollars each year on the effects of the disease of alcoholism. But do we know just how big of an impact on our economy alcoholism has?

When measuring the cost of alcohol abuse in the U.S., we have to consider such things as health services and medical expenses, premature death, loss of productivity, and alcohol related crimes. In total, the U.S. economy loses an estimated $185 billion each year to alcohol-related problems, according to the National Institute of Alcohol Abuse and Alcoholism.(2)

Drunk Driving Costs

Drunk driving is a sensitive subject to many people because so many lives have been affected by this crime. The National Highway Traffic Safety Administration reports that alcohol-related motor vehicle crashes kill someone every 31 minutes and nonfatally injure someone every two minutes. During 2005, 16,885 people in the U.S. died in alcohol-related motor vehicle crashes, comprising 39% of all traffic-related deaths. (1)

Medical and Social Costs

Alcohol inflicts costs in many other ways as well. Alcohol abusers are medically at risk for liver damage, brain damage, and cancer, as well as causing Fetal Alcohol Syndrome in pregnant women. Alcohol is often a factor in homicides and suicides. Crimes caused by individuals influenced by alcohol put a strain on the criminal justice system, and inflict costs for police officers, legal fees, and property repair.

Workplace Costs

Another large portion of the cost to the economy is the impact on employers by their alcohol-abusing employees. Health care costs have already skyrocketed, and because of the increased risk of medical problems with alcoholics, these individuals will incur higher health care costs.

Absences are another issue for employers. Because of poor health, hangovers, or other alcohol related problems, alcohol abusers are more likely to miss work than many of their co-workers.

Finally, loss of productivity is a strain businesses have to manage with employees that abuse alcohol. Even if an alcoholic is present at work and not drinking, their performance at work can often be compromised by hangovers, health complications, lack of focus, or psychiatric issues.

Treatment and Prevention

A smaller portion of the cost on the economy is the money that is spent on the treatment and prevention of alcoholism. Estimates indicate that corporations spend less than 0.1 percent of their total healthcare bill on treatment, but businesses end up paying much more for the consequences of untreated alcohol abuse.(2) New approaches need to be made in order to successfully admit into treatment those affected by alcoholism. We need to keep in mind that alcohol abuse hurts not only the individual or the family, but businesses and society as well. We must encourage alcohol abusers and alcoholics to find the right treatment program for their success.

(1) Effects of Alcoholism and Alcohol Abuse June 2007 Health A to Z

(2) Alcohol Abuse Costing U.S. Economy $185 Billion Each Year Apr 17, 2007

(3) Seven Tools to Lowering the Business Costs of Alcohol Problems Ensuring Solutions to Alcohol Problems

(4) Cray, Dan Alcohol Abuse Saps Nation’s Economy, Researchers Say USC News
05/03/93

Many in the recovery community claim to be “Clean and Sober” But, what exactly does this mean? Clean refers to living without using drugs. Sober is used in the same context. However, the definition of “Sober,” also reveals a path, and a desired character. A path, and character, prescribed and modeled, by the founders of the 12 Step Fellowships. A path, and character, prescribed for spiritual living. Let us begin with the basics. Following is the dictionary definition for “Sober:”
1. Habitually abstemious in the use of alcoholic liquors or drugs; temperate.
2. Not intoxicated or affected by the use of drugs.
3. Plain or subdued: sober attire.
4. Devoid of frivolity, excess, exaggeration, or speculative imagination; straightforward: gave a sober assessment of the situation.
5. Marked by seriousness, gravity, or solemnity of conduct or character. Marked by circumspection and self-restraint.

The first, and second, parts of the above definition are about abstinence. The other three parts describe attributes. The person that displays these attributes is Sober, not just abstinent from chemicals, not just clean. His, or her, Sobriety is manifested in “all their affairs:”This person practices Sobriety, with a capital S.

This Sobriety with a capital S is manifested in the way people live their lives, not in what they say. Sobriety is life lived in the pursuit of simplicity, and “serenity;” a way of life that avoids “excess.” For excess is the way of addiction. Addiction is excess in everything. Excess in using chemicals, and in exaggerated thinking, and behaving. The addict is addicted to extremes, and drama, as much as he, or she, is addicted to a chemical. To incorporate the above described attributes into a Sober character is the antidote for addiction. And, the acquisition of this character is the foundation of recovery. As well as, the goal of any program, or therapy, that seeks to treat addiction.

To counter the addicted character, an addict must be confronted with a person that has developed a Sober character. A person that is capable of modeling what this character is. That is capable of displaying it in daily living. Capable of showing the addict how life can be lived Sober. Modeling for the addict new ways of dealing with the challenges of life from a Sober perspective.

Then, by observation, and practice, an addict begins to substitute old patterns of thinking, and behavior. Through exposure to a Sober character, they can begin to live “as if” they had this character. By ‘faking it, till they make it,” they get a sense of what Sober life is. When their new behaviors begin to yield responses that reinforce them, they become incorporated into a new pattern of dealing with life. Through this process, a new character is formed.

In the process of this new character formation, the presence of a Sober sponsor, mentor, or therapist is fundamental; the presence of a person that personifies Sobriety. If the sponsor, mentor, or therapist has not internalized, and manifest the attributes of Sobriety, all that the addict is exposed to is another role to play: The role of “recovering person.” Because addicts are adept at role playing, the modeling of a person who is clean, but not truly Sober, will invite the addict to create yet another persona, or mask. Recovery becomes a new way to act, speak, and relate to others, without true change, without authenticity.

Many in the recovering world have adopted the persona of a recovering addict. A person can become “clean,” if this is the price that he, or she, pays for sustaining new friendships, lovers, work, or status. For, they now belong to a community where respect, admiration, business opportunities, and popularity are founded on “clean time.” However; such a person is clean, not Sober. This kind of recovery is dangerous. It is dangerous to those who practice it, and for those who are seeking recovery.

A person with “clean time,” regardless of character development, is in a position to be a sponsor, a therapist, or even to run a treatment center. They can be in a position to dictate the process of addiction treatment. They can place themselves in a position of authority. They can be in a position of power. They can be in a position to do harm.

For, without the grounding influence of a Sober character, power, money, and status, become tools of the ego. They become tools for exploitation. They become means that allow the clean, but non-Sober addict to indulge in their addictive character traits. Under the guise of recovery, and “helping,” a clean, but non-Sober person can indulge in drama, chaos, blaming, and self-righteousness. They can exercise control over the lives of others, for self-gratification. They continue to act from the basis of their “defects of character,” even if they are not using chemicals. They harm themselves, and others.

The goal of the 12 Step programs, therapy, and all interventions of addiction treatment, is to “remove” these “defects of character;” not to find a new way to manifest them under the disguise of being “clean.” According to the founders of the 12 Step programs, in order to remove these defects of character, a person must engage in a spiritual path, seek a “spiritual solution.” A spiritual solution that is ancient, and Universal. A spiritual solution that has been taught by every spiritual master in history. This solution is to become free from the “bondage of self.”

What is this “bondage of self?” It is the bondage of a flawed self that the addict has constructed through the process of his, or, her life. Once this self became chronic, the addict constructed a character to protect it, to defend it. But, this self, and character are false. They were constructed as protections, and maladaptive strategies for survival. They cover up the true Self: the Self that was created by a Higher Power. So, every true spiritual path seeks the return to this true Self. Every true spiritual path offers a way, a method, and a program, to return to true living; to return to living life on “life’s terms,” to live Sober.

For, in Sobriety, life is again experienced, as it is. When the false self no longer rules a person, its demands for power, money, status, reputation, excess, drama, etc. no longer rule that person’s thoughts and actions. As a result, the person becomes free. The person is free to enjoy simplicity. Free to recognize the mystical of the everyday. And, through this recognition, a free person can find joy, pleasure, contentment, and fulfillment in the ordinary. They can again embrace life with the joy of a child at play, not because everything is perfect, but because it is all part of life; and life is good enough in its own terms. This is spiritual living. This is Sobriety.

This Sobriety is hard to attain. It is not easy to live Soberly in a culture that is increasingly hysterical. In a culture that prizes image above substance. We live in a culture of hysterical “personalities.” A culture of dramatic, “reality” television shows, screeching religious leaders, flashy gurus, “spiritual guides,” and shocking, instantaneous, psychotherapies. It is not surprising that the development of a Sober character is not a modern, or popular quest. However; for a recovering addict it is the essential quest. Just as it was for the suffering addicts that found their salvation in it, and prescribed it to future generations; as all spiritual seekers before them had done. In order for many to stay clean, many have to become Sober.

J. E. Lesende

Sober Definition From Answers.com

More From Carolyn Jacobson

Sometimes it can be hard to understand addiction. If you have never experienced it, it may be hard to sympathize. Some even wonder why drug addicts can’t quit on their own!

Many drug addicts actually feel this way themselves. Especially in the beginning, they feel that they can quit on their own – that they have complete control and power over their addiction. Either out of shame over their addiction or pride in their will, they try to stop without treatment. Long-term resistance usually is not accomplished in these situations.

Long-term drug abuse has long-lasting and significant effects on the human brain. These problems can continue long after the individual ceases using drugs. This can include the continued compulsion to use drugs as a behavioral effect, despite the well-publicized consequences of the habit.

Realizing that drug abuse has such biological effects can explain why that person has such difficulty maintaining their resistance to drug abuse without proper treatment and rehabilitation. Relapse occurrences are especially more common when these biological effects combine with locations and objects that remind one of their past with drugs, running into people from their drug-using days, or even the stress and pressures of family or work.

The important thing to remember is that all of these can be overcome with proper treatment from a professional. Research supports the notion that even the most severely addicted individual can actively participate in a treatment and rehabilitation program. This active participation is crucial to the success of the treatment and encourages the continued long-term abstinence from drugs and addiction.

With proper help, the drug addicted person learns the appropriate strategies for coping with their addiction and cravings. This includes ways to avoid drugs and prevent relapse, as well as dealing with a relapse if such a thing occurs. Behavioral therapy, including psychotherapy, cognitive therapy, and counseling, can be a huge benefit to an addict learning these strategies and the proper behavior. Treatment can also include medications to combat some of the biological effects, like the ones that were discussed above.

The best treatment programs are tailored to meet the needs of the individual, as factors such as age, race, gender, culture, history of abuse, and type of addiction can all contribute to the variables of the addiction. This can include behavioral therapy, medication therapy, or a combination of both.

The drug addict is not alone, and it is important to ensure them that they are not. Through proper treatment and rehabilitation, they can succeed in overcoming this problem.

If you feel your friend or family member is steeped in a dangerous addiction, staging an intervention can be an effective way to get that person to seek help. The key is it has to be done well. Here are a few tips to ensure that you put together an effective intervention:

Plan it out.

Go to the people around him or and speak to them privately about the idea of an intervention. You want the people closest to him, who care about him, and who he cares about as well. Even if you do not like someone who he cares about, it’s important to let these biases be put aside for the purpose of this. If he doesn’t care about the people confronting him, it won’t work. He has to respect these people, and value their opinions. The threat of these people walking out on him needs to have great impact. Keep the group on the smaller side: no need to invite the whole, extended family. Try to keep the number in single digits, if you can. A more intimate group will be more effective. It also has to be clear that this intervention is a surprise, to keep the addict from avoiding the situation.

Seek additional help.

It may be beneficial to talk to an interventionist, who can guide you through the intervention process and, if requested, be present during the intervention. Having an addiction specialist present can help moderate the group if the group does not know what they are doing.

Prepare in advance.

With or without the interventionist, the group should meet beforehand to lay out how they will approach the addict and what they will say to him. Treatment options should be researched in advance, so that help can be suggested and offered immediately. It may be good for everyone to have a speech or something to say written out beforehand, so that everyone’s impact can be felt on the person. That way, everyone can adjust their speeches if they sound too blaming, rather than loving. The tone of the intervention is extremely crucial. Everyone then also should offer an ultimatum to push the addict to action. It may be difficult to do this for many, but it is one of the keys to an effective intervention. Preparing in advance can also clue in the group to any rejections or resistance that the addict may show towards the group.

Be careful during the intervention.

Keep the atmosphere positive. You want the addict to know you are here to help, not to blame. Also, keep the discussion about “I” and not “you.” By doing this, you are speaking about your feelings, and not pointing fingers. This person will be defensive, so don’t insult or berate him. If the interventionist is there, he can help talk through the objections.

Take immediate action.

Following the intervention, the addict will either admit it or deny it. If he admits it, escort him to his place, help him pack a bag, and take him to a treatment center for admission. If he denies it, unfortunately, the ultimatum’s consequences must begin immediately. Hopefully, the lack of his loved ones supporting him will prompt him to take action in a few days.