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Showing posts with label criminal justice. Show all posts
Showing posts with label criminal justice. Show all posts

Friday, November 14, 2014

Sober Radio to feature alcoholism recovery book Every Silver Lining Has a Cloud



Every Silver Lining Has a Cloud author, Scott Stevens, is Chuck Duncan's guest this weekend on AM1590's Sober Radio. Listen to the broadcast in the Chicago area at 6am CST Saturday and Sunday, stream it at 1590WCGO.com or listen to the podcast later.  The host and guest, both in recovery, talk alcohol and health, alcoholism, sobriety, relapse and recovery as part of WCGO-AM's weekly Sober Radio program.

Visit alcohologist.com for a replay of the Bringing Inspiration To Earth show feature with Scott Stevens. Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus an interview with Scott Stevens on Health Media Now and one at Christoph Fisher Books.  Mr. Fisher is an acclaimed international author from the UK, among his works is the Alzheimer's book "Time to Let Go."  

Sunday, September 28, 2014

The Sobriety :60 - Alcohol, offenders and victims


Alcohol use at the time of the crime is what 56 percent of crime victims, and 37 percent of offenders have in common.  Episode #8 - Alcohol and crime, can be found at http://youtu.be/uVzFw1F9ZHg

Visit alcohologist.com for a replay of the Bringing Inspiration To Earth show feature with Scott Stevens. Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus an interview with Scott Stevens on Health Media Now and one at Christoph Fisher Books.  Mr. Fisher is an acclaimed international author from the UK, among his works is the Alzheimer's book "Time to Let Go."  

Saturday, May 10, 2014

A Mother's Day review of a new documentary on recovering moms

My recent appearance at the REEL Recovery Film Festival in San Francisco coincided with the world premier of the documentary "On Life's Terms: Mothers in Recovery."  I met filmmaker Sheila Ganz afterward, and have nothing but the greatest admiration for the work she has done.  This is a gripping one-hour that's a MUST SEE film on women facing tough odds with an eye on reuniting their families after facing their addictions.
Sheila follows five new moms facing legal challenges and the removal of their children in a criminal justice system too often known for heavy-handedness and mistreatment, rather than compassion and treatment.  The film follows the mothers through gut-wrenching stories, tears, reluctant acceptance, then growth into their "aha" moments... through the years following their program commitment and reuniting with their children.  There's also the draw of old relationships and the pull of old ways of thinking and resentments, even months and years after the moms get clean and sober.  Those moments I believe were intentionally left in the final cut to prove that all of us are recovering, not cured.  I covered my eyes, telling the screen, "DON'T DO IT."
And all this is VERY well done. 
I admit to not having a whole lot of experience with moms and recovery.  This opened my eyes.  I am glad there are resources but never realized until the film just how scarce they are.  There are only 150 mom-oriented programs in the whole country?? When the outcomes are so potentially powerful??
I have strong feelings about women risking the unborn and believe they MUST be accountable.  This film showed they can be without incarceration. Corrections and a punitive justice system do more harm than their (mis)treatment programs claim.  This film shows the positives of diverting young families away from the hostility of a lockup,  It works for the community as well as the offender and MOST IMPORTANTLY the kids.  
We all have a stake in the outcomes for mother and child.  This brilliantly executed documentary shows how it works when restorative justice trumps punitive justice ... and left me inspired to learn more and DO MORE.
You can visit www.onlifesterms.org and follow the film and a remarkable filmmaker on facebook at https://www.facebook.com/onlifestermsfilm.
www.alcohologist.com
Scroll down for the replay of the April 13 Sound Health Options show feature with Scott Stevens. Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud can be found on www.alcohologist.com, plus an interview with Scott Stevens on Health Media Now and one at Christoph Fisher Books.  Mr. Fisher is an acclaimed international author from the UK, among his works is the Alzheimer's book "Time to Let Go."  

Monday, April 21, 2014

Coming to a park, highway or school near you: Powdered alcohol

The U.S. Alcohol and Tobacco Tax and Trade Bureau (TTB) approved a new product Palcohol, powdered alcohol, that can be mixed into a drink or sprinkled on food. Just like powdered soft-drink mixes you dump into a bottle of water to make instant lemonade, buyers will now be able to spike up any beverage.

Seven flavors of the product were approved, including margarita and cosmopolitan.  The company said the product is a solution to the rising cost of liquid alcohol and could become available later this year.

“What’s worse than going to a concert, sporting event, etc. and having to pay $10, $15, $20 for a mixed drink with tax and tip. Are you kidding me?!” a statement from the company initially read. “Take Palcohol into the venue and enjoy a mixed drink for a fraction of the cost.”  The company even suggesting snorting the powder as an alternative use, according to U.K.'s The Independent.

The website later changed its wording and information, according to news service UPI.

“We were caught off guard with the release of some of our labels by the TTB. As a result, people visited this website that we thought was under the radar because we had not made a formal announcement of Palcohol. … Clearly, this site isn’t finished. … More information will be forthcoming," the site said.

California may have seen this day coming as far back as 1978.  Thirty-six years ago the state's tax agency wrote in a provision -- Regulation 2557 -- addressing the taxation of powdered liquor.  This easily-concealed drug of choice may face several tests when it comes to alcoholism treatment pros, public health and safety bodies and, especially, organizations trying to thwart underage drinking.  Also of note:  The TTB approval does not mean the powdered drug has cleared the Food and Drug Administration (FDA).
--from examiner.com (see full article)

Scroll down for the replay of the April 13 Sound Health Options show feature with Scott Stevens. Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud can be found on www.alcohologist.com, plus an interview with Scott Stevens on Health Media Now and one at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK.  
 
SAVE THE DATE:  Scott Stevens will be part of the opening night symposium for the REEL Recovery Film Festival San Francisco.

Monday, March 10, 2014

Treasury finds liquor labels understate alcohol content

Nearly 30 percent of alcoholic beverages were found to have inaccurate labels, putting consumers at risk, according to a March 10 survey compiled by the Alcohol and Tobacco Tax and Trade Bureau (TTB), a division of the U.S. Department of the Treasury. While most beverage alcohol containers complied with U.S. label regulations, on many the booze contained more alcohol than stated and above regulatory tolerances.

The TTB’s Alcohol Beverage Sampling Program (ABSP) is conducted at random every year using products available in the U.S. The 2013 survey sampled 275 distilled spirits, 239 malt beverages and 154 wines. A total of 190 products across all type were non-compliant, 80 of which were distilled spirits. The TTB found 15 instances of spirits containing less alcohol than claimed on the label.
According to bartending trade publication, The Spirits Business, “Not only do such products avoid paying higher rates of excise tax, they pose a threat to consumers who are unaware of how much alcohol they are drinking.” The TTB noted, “The results of our sampling program over the past few years indicate that proofing and gauging of distilled spirits is a problem area for some industry members.”

TTB states it will raise awareness of the issue and develop educational tools to assist distillers “with their gauging skills” using standardized scientific methods.

The mislabeling puts consumers at risk in misleading the drinker about the consequences, health and legal. When a publication suggests that a glass of wine a day may be “safe” (See related article When it comes to cancer, no amount is safe) a glass of wine at 12 percent alcohol is not the same as one at 20 percent. For a person with risk factors for the disease of alcoholism, abstinence is the only sure prevention and maintenance of the disease, but for social drinkers, they may unknowingly be drinking a hazardous amount and a lot more than they intended. Also, when motorists order a mixed drink they think is 80 proof (40 percent) and it is really 100 proof, it could mislead them to believe they would be below the legal threshold for driving, 0.08 blood alcohol concentration (BAC). Scientific studies warn, however, that impaired driving begins at a much lower BAC level.
--from examiner.com, see full article
www.alcohologist.com

Scroll down for the replay of the Dr. Jeanette Gallagher show feature with Scott Stevens. Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud can be found on www.alcohologist.com, plus the interview with Scott Stevens at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK.  
 
SAVE THE DATE:  Scott Stevens will be part of the opening night symposium for the REEL Recovery Film Festival San Francisco.

Tuesday, December 17, 2013

AAA poll: 96 percent against drinking and driving but 20 percent do it anyway

A not-so-surprising disconnect exists between the public attitude toward driving while impaired and the personal responsibility to do something about it.  "No way should THEY drive like that, it's dangerous.  But me?  I'm fine."


“Do as I say, not as I do,” is the prevailing mindset among motorists when it comes to intoxicated driving. The annual American Automobile Association (AAA) survey, The 2013 Traffic Safety Culture Index, was released online Dec. 17. In it, one in five U.S. motorists who drink say they’ve driven at least once in the past year when they thought their blood alcohol concentration (BAC) might have been close to or above the .08 legal limit.

About 19.5 percent said they took the wheel impaired, according to a statement from AAA’s Foundation for Traffic Safety. The percentage is up over the prior two surveys, and contradicts another AAA finding that 96 percent of drivers believe it’s somewhat or completely unacceptable for people to drive when they think they might have had too much to drink.

Intoxicated driving – or drunk driving – killed 10,322 in 2012 according to the National Highway Traffic Safety Administration (NHTSA). The NHTSA figures also represent a year-over-year increase. (See related Impaired Driving Awareness Month alcohologist.com post)

The AAA survey also showed that two thirds of respondents are in favor of requiring new cars to have built-in devices that would test drivers to make sure they are sober before the ignition starts. Similar technology is in use today to monitor those with intoxicated driving arrests and people abstaining due to the disease of alcoholism. About 63 percent approve of lowering the legal BAC limit to .05 from .08. Both measures were among 20 recommendations in a May 2013 report by the National Transportation Safety Board (NTSB) on how to reduce or eliminate drinking and driving deaths.

AAA advises drinkers to stay overnight, designate a sober driver or use public transportation or a taxi rather than get behind the wheel impaired. One out of 10 arrests for all crimes in the U.S. were for Operating While Impaired (OWI), accounting for one out of every 80 licensed drivers. The AAA also revealed its estimate for 2013 year-end holiday travel is 94.5 million travelers, an increase for the fifth consecutive year. The holiday travel season is when alcohol-related travel deaths peak at an average of 48 per day. The average for the entire year is 25 per day.

-- from examiner.com, see full article

www.alcohologist.com

Details on the third literary award for Every Silver Lining Has a Cloud, plus the new radio interview replay is available at alcohologist.com... and please read the new interview with Scott Stevens at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK. 

Wednesday, December 11, 2013

Texan gets probation for murdering four while driving intoxicated: You can't make ice cream out of cow shi


A Tarrant County, Texas, judge was RIGHT in saying a teen who murdered four while driving intoxicated wouldn't get treatment while incarcerated. But the judge was gravely mistaken for punishing the murderer with probation. In Wisconsin, where I grew up, we have a saying: You can't make ice cream out of cow shi... And here's why nobody is making ice cream this week.


First, the case. CBS Dallas-Fort Worth reported a judge sentenced the 16-year-old teenager to 10 years probation for an intoxicated driving crash that killed four people in June. Hollie and Shelby Boyles had left their home to help Breanna Mitchell, whose SUV broke down. Brian Jennings, a youth pastor, was driving past the mother and daughter and pulled over to help. That’s when investigators say the Ethan Couch slammed into everyone. Couch admitted he was drinking and driving. At the time of the crash his blood alcohol was three times the legal limit.

Eric Boyles, a North Texas man who had two family members killed in the crash, walked from the court and tried to speak through the tears. “We had over 180 years of life taken, future life, not 180 years lived, but 180 years of future life taken and two of those were my wife and daughter.”

Defense attorney Scott Brown said, “There is nothing the judge could have done to lessen the suffering for any of those families.” Lawyers had argued that the boy’s parents should share the blame for the crash, because they gave him everything he wanted. The teenager’s attorneys pleaded for a sentence that involved therapy in California, at cost $450,000 a year, rather than years behind bars.

“She [judge Jean Boyd] fashioned a sentence that is going to keep him under the thumb of the justice system for the next 10 years,” Brown said. “And if he doesn’t do what he’s supposed to do, if he has one misstep at all then this judge or an adult judge when he’s transferred can then incarcerate him.”

Eric Boyles didn’t agree with the judge’s sentence or the assertion that therapy is what the young perpetrator needed. The victims families were hoping for closure. “Today could have been a good start at that, unfortunately the wounds that it opened only makes the healing process that much greater and more difficult,” Boyles said.

________

During sentencing, Judge Boyd noted that Jennings would not get the treatment he needed while incarcerated. And that is an unfortunate and expensive truth about the corrections system. I've written a book on it, reported on it, and I have been on the inside as an offender. People can and do get better in corrections' drinking programs, but it is rare. It is not treatment on the inside, it is mistreatment.

No broadly conceived treatment program for offenders exists today. The 12-step-oriented programs are kept at arms' length because of their spiritual leaning, even though their success rate is arguably better than all else.

(Some of the observations that follow come from What the Early Worm Gets, my 2010 book on coerced programs.) Sensory deprivation is the ONLY way for an educated person to avoid the rampant anti-sobriety messages in jail. Forty to fifty percent of the time in jail is spent scheming to get drugs or alcohol into jail, planning to deal or drink or get high on the outside on release day, or glorifying how they used drugs and alcohol (and people). It is a swap meet for bad ideas. This lively chit chat takes place between sleeping and watching cartoons or gambling. One face is worn during the program, and another anti-sobriety face is worn through the rest of the time in the facility.

The library was a refuge of sorts. The library did have several good books on sobriety and alcoholism and recovery. The books were not as popular as the Urban fiction or the hip-hop magazines. For example, Dr. Bob and the Good Oldtimers is a classic Alcoholics Anonymous book. It was checked out only eight times between 1995 and October 2009 and only once from April 2005 to October 2009.
 
Sadly, the anti-sobriety messages also were distributed by the program staff at the jail. They permit offenders who had their probation revoked – even dope dealers and those without any documented need for alcohol treatment – priority access to the taxpayer-funded alcohol programs. These are the same people who failed drug and alcohol tests after already having been released early once! Not once is any priority given to people who actually want to take the publicly funded programs. And that is the crux of recovery: A person has to WANT to change. Coerced treatment is a well-documented failure.

Yet, jails/prisons will always have the required headcount in those programs. Sometimes inmates cannot even get past the waiting list. Are we fixing the right people?

And are we fixing them at all? I struggle with this flawed system because we’re told to be sober by people who have no clue what it is like to be Alcoholic, and we’re told to succeed in sobriety among people who have no intention of embracing it.

We succeed in real recovery when we find a reason—a meaning—in sobriety. In jail- and prison-run programs you’re instructed to be happy when what we really need is a reason to be happy. It’s like having your picture taken. You can be told to say, “Cheese.” But the great pictures are when the smile is one you had reason to wear. You wear a smile when you learn to cope with shame and guilt. Prison works on the premise that you will be shamed into compliance.

In an exit interview the program director for the Corrections alcohol program I was in admitted two things. She said, “This is the only exposure most inmates get for alcohol problems,” and in practically the next sentence added, “On average a person has 13 programs before sobriety.” Not recovery, but sobriety. I don’t think these two facts are unrelated. If they go through 13 programs, you pay 13 times. Could the money be better used in prevention and education outside the fences? 

Corrections is in the role of warehousing humans with varying levels of Antisocial Behavior Disorders. Sociopaths. Dr. Marc Schuckit, author of “Alcohol & Sociopathy: Diagnostic Confusion,” in the Quarterly Journal of Studies on Alcohol, put it this way. “It is necessary to distinguish between the alcoholic who engages in a limited sphere of antisocial behavior and of the antisocial who abuses alcohol as part of his behavior. The process and prognosis of these different varieties are distinct. (Ironically, the issue of Dr. Schuckit’s article I accessed was in a corrections’s own library, stamped, “Bureau of Program Services.” Perhaps they hadn’t yet gotten around to reading the 1973 article, as they make no effort to make such a distinction. Why, because corrections is in the business of warehousing sociopaths. Not in the “treatment” business for a complex medical and biochemical disease like Alcoholism. The judiciary doles out the punishment. The jail’s role isn’t punishment, it is housing those who are being punished.

There's a corrections saying: “You don’t go there for punishment, you go there as punishment.” Corrections is no more equipped to handle real treatment than an auto mechanic is trained as a French pastry chef. They are two different disciplines. And you wouldn’t pay Mr. Mechanic for his cooking. But you are paying billions for ineffective programs run by corrections with your tax dollars with sometimes toxic results.

Couch, the intoxicated driving murderer in Texas, wasn't heading for treatment for an alcohol use disorder.

Now, on to the sentence... no ice cream there either.
_______

As long as the public appetite is in favor of incarcerating intoxicated drivers, should a judge have such wide latitude to dole out an alternative like Couch got: Probation? No. If the public thinks jail sentences are a deterrent for drinking and driving, that is the will of the public. I know several offenders through the course of my work who did not murder a soul or dent a fender and spent time behind bars.

No sentence will bring the dead to life... but someone did kill them. And they call them “crashes” instead of “accidents” because it was no accident. An impaired person decided to drive a one-ton weapon into four people when he turned the key in the ignition... he just hadn't hit them yet.

Do longer sentences act as a deterrent? Not likely. Alcohol-related traffic deaths rose nationwide from 2011 to 2012 according to National Highway Traffic Safety Administration (NHTSA) figures despite a slew of enhanced laws including stricter sentences. And guess what: As awful a place as it is, the environment just is not a deterrent. Not for people who like living that way. It isn’t much of a deterrent for the six or eight percent of us who have alcoholism either because, if we have no fear of drinking ourselves to death, prison isn’t going to scare us too much, either.

That said, the law was broken, and the public said Couch should be incarcerated for his crime, not sent to Lindsay Lohan's treatment center. At a minimum, the families got a really cold, harsh slap in the face with Couch's slap on the wrist.

The Criminal Justice system is full of painters when it comes to jailing and rehabilitating intoxicated motorists. The real world’s treatment process, where there are consenting, active participants in the recovery process is full of eye doctors. A painter lets you see the world as he sees it. An eye doctor will let you see the world as it really is more clearly.

What we're seeing clearly in Texas is no ice cream, but something being spoonfed to the public and the surviving families that smells a lot like cow shi
www.alcohologist.com

Details on the third literary award for Every Silver Lining Has a Cloud, plus the new radio interview replay is available at alcohologist.com... and please read the new interview with Scott Stevens at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK. 

Wednesday, December 4, 2013

10,000 deaths, 100 percent preventable

Bookended by Thanksgiving and New Year's Day – the two deadliest days on the road – is National Impaired Driving Awareness Month. During the entire year, an average of 25 people are killed each day by intoxicated motorists. During the holidays, the average jumps to 45 per day. All are preventable with existing technology.

National Highway Traffic Safety Administration (NHTSA) is a sponsor of the campaign, along with Mothers Against Drunk Drivers (MADD) and the Governors’ Highway Safety Association. In the United States the NHTSA estimates the nearly 10,000 people killed in alcohol-related collisions, represented a third of total traffic deaths. One out of every 10 arrests for all crimes in the U.S. were for Operating While Impaired (OWI), accounting for 1 out of every 80 licensed drivers. The death toll is higher than the previous year, despite tougher penalties and more enforcement.

Most addiction professionals prefer the term “Operating While Impaired” over “Drunk Driving” because often “drunk” is a subjective term, but there's an objective legal standard for impairment. No distinction is ever assessed whether the driver is an alcohol abuser or has the disease of alcoholism: If you are impaired, you are under arrest.

Drunk or buzzed driving is the act of operating or driving a motor vehicle while under the influence of alcohol or drugs while motor skills are impaired. In the United States, the point of impairment is pegged at .08 Blood Alcohol Concentration (BAC). However, studies have demonstrated that motor-skill impairment begins at much lower BACs. Reaction time is 1/5 of a second for an unimpaired driver. With alcohol in the system, reaction time is slowed to 4/5 of a second at .06 BAC. At 60 mph, a second means 88 feet. A fifth of a second is 17.5 feet, 4/5 of a second is 70.4 feet. The Jetta slamming on the brakes in front of an impaired driver is 53 feet closer, reaction-time wise, compared to an unimpaired driver.

The specific criminal offense is usually called driving under the influence (DUI), and in some states driving while intoxicated (DWI), operating while impaired (OWI), or operating a vehicle under the influence (OVI). The first jurisdiction in the U.S.to adopt laws against drunk driving was New York in 1910, with California and others following. Early laws simply prohibited driving while intoxicated, requiring proof of a state of intoxication with no specific definition of what level of intoxication qualified.

The first generally-accepted legal BAC limit was .15. In the US, most of the laws and penalties were greatly enhanced starting in the late 1970s, and through the 1990s, largely due to pressure from groups like MADD, leading to a national standard of .08 as the definition of impairment.

A May 2013 hearing by the National Transportation Safety Board (NTSB) produced ideas for reducing drinking and driving deaths, among the ideas, lowering the limit legal for driving from .08 to .05 BAC. One hundred other countries have lower BAC limits for driving than the U.S. The idea is being debated around the country because the board has no authority to make the recommendation a law.

The last time the NTSB recommended a BAC change, from .10 to .08, it took two decades and the threat of Congress withholding highway funds for the idea to become law in all 50 states. An Indiana state legislator, Senator Michael Crider, R-Greenfield, predicts that is what it will take again. "If you look at the percentile drops, it's a pretty significant drop in the legal driving limit for drunk driving. It's going to be something not necessarily real popular, based on what I saw last time."

MADD, an expected ally of the proposed lower limit, is not behind it, instead focusing on its own three-pronged agenda for reducing impaired driving. The NHTSA also opposes the change to .05. Republican leaders on Capitol Hill say, "Leave it to the states to decide."

The states so far have voiced resistance. The Governors Highway Safety Association, which represents state highway safety offices, says expect push back because, “It was very difficult to get .08 in most states so lowering it again won’t be popular,” according to Jonathan Adkins, an official with the states' group. “The focus in the states is on high content offenders as well as repeat offenders. We expect industry will also be very vocal about keeping the limit at .08.”

The industry, via the American Beverage Institute, expectedly called the proposal "ludicrous."

Wyoming Gov. Matt Mead told the Associated Press he would prefer to increase penalties for drunken drivers, but he is willing to study the recommendation. However, Mike Moser, of the State Liquor Association, said the change could criminalize social drinking. Moser said it makes more sense to crack down on heavy drinkers who are more dangerous behind the wheel, an idea that does not register with a Chicago trauma surgeon who notes impairment begins far earlier than severe intoxication. Dr. Thomas Esposito, chief of the Division of Trauma, Surgical Critical Care and Burns in the Department of Surgery at Loyola University Medical Center, says, "The rationalization by critics that it penalizes the person who only occasionally has 'one too many' or who only drinks 'socially' makes no sense. One too many is just that; it's about impairment, not the number of drinks."

Lab research indicates at 0.02 to 0.05 BAC, the ability to see or locate moving lights correctly is reduced as is reaction time and the ability to judge distance. Even if not obviously impaired, at 0.05 BAC drivers are twice as likely to have a crash as before they started drinking...At 0.08 BAC drivers are five times more likely to have a crash than before they started drinking. Over .08, the crash likelihood jumps to 10 times that of a sober driver.

Highway alcohol-related deaths are 100 percent preventable. Passive alcohol detectors can measure a driver's BAC before starting the vehicle and render it unable to start. If the driver is intoxicated, he isn't driving. Critics claim the technology has not been perfected. However, the technology already exists for the non-invasive technique (see related examiner article), although the public appetite for the device does not.

Mandating these in-car alcohol detectors – the way seatbelts and airbags are required in U.S. cars – was among the 20 ideas the NTSB proposed at the same time as lowering the BAC threshold for drinking and driving. Detroit automakers have been testing in-dash systems since June 2012. The idea was suggested three years ago in the book What the Early Worm Gets as the way to conclusively eliminate all drinking and driving accidents.

“Our goal is to get to zero deaths because each alcohol-impaired death is preventable,” NTSB Chairman Deborah Hersman said. “They can and should be prevented. The tools exist. What is needed is the will.”

In 2011, 9,858 people were killed, 350,000 injured and $132 billion spent as a result of "alcohol-related" crashes. To Esposito's point, such classification does not mean the driver was over the .08 BAC limit, although usually that is the case, only that alcohol was present at the scene or detected on the breath or blood. No determination has to be made regarding level of intoxication, alcohol abuse or the disease of alcoholism but 4 million motorists admit to driving while impaired, according to NTSB estimates.
--from examiner.com (See full article)
www.alcohologist.com

Details on the third literary award for Every Silver Lining Has a Cloud, plus the new radio interview replay is available at alcohologist.com... and please read the new interview with Scott Stevens at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK. 

Monday, October 28, 2013

Relapse and the Symptoms of Sobriety spotlighted in review, author interview and NEW book excerpt

From Christoph Fisher Books, Oct. 27...

Today I have the pleasure of introducing one book particularly close to my heart. We all know people suffering from Alcoholism and/ or dependency issues. I thought I had read and heard it all, but along comes Scott Stevens with his personal experience and sharp journalistic mind to add a valuable contribution to the discussion. Here is my review, an interview and an excerpt from the book.

“Every Silver Lining Has a Cloud : Relapse and the Symptoms of Sobriety” by Scott Stevens is a remarkable book about alcoholism that has busted a few myths for me, taught me a few truths and filled in other gaps in what I thought was comprehensive knowledge on the subject of addiction and alcoholism.
With journalistic precision and competence, Stevens informs his readers in excellent fashion about the correlation between alcoholism and cortisol, a chemical in the body related to stress and stressors. Stevens also brings in psychological aspects and data, statistics and the impact of spirituality and communication on recovery.
I found Stevens’ approach refreshing because unlike other self-help books there is no agenda or one simplifying message about the subject. This is an informed and personalised account of facts that can clarify patterns, help understanding them and shed new light on the subject without trying to force them into a one-trick-pony of a book.
The book includes many great quotes on the matter and should be helpful for alcoholics and those around them just for the inspirational impact of those alone but I also personally related particularly well to the rational journalistic approach interspersed with the personal.
I commend Stevens for his honesty when it comes to his own private experiences and for his talent to chose wisely where to bring the personal into the book in the first place. Here is not a sinner asking for forgiveness, or someone revealing to shock or to accuse. The ‘sobriety’ of his account is most rewarding and probably helps to increase the impact of what is being shared.
I have already passed the book details on to my friends in recovery.

What made you decide to be a writer? Have you always written?
Thanks for the opportunity, Christoph.  I’ve always been a writer.  I had strong influences at an early age.  I was encouraged to read classics and work on composition.  I went into journalism.  That was a trip.  Working in TV, you learn to be precise but brief.  When I left TV for marketing, I continued as a writer.  That was where my passion was.  I continued my journalism as well, working in “emerging” platforms — not so emerging any longer.  A few years ago, when I left my executive career, I continued writing and consulting until my life took one big left turn.  I turned that into an opportunity to help others with my message, my research and my story about alcoholism and recovery.

Could you briefly describe what your reason to write Every Silver Lining Has a Cloud was and what message you are trying to bring across with this book?
I am alcoholic.  In recovery now, of course, but ran my life against the rocks pretty hard at two-liters-a-day-every-day.  As I began recovery I recognized that the people around me struggling were not the same as the experts writing the books about struggling.  The messages we got in recovery were coming from people who lived lives unchallenged by alcohol.

Is it intended as inspiration, self-help or factual information? 
ALL of the above.  Sort of.  I didn’t set out to write something inspirational, only something practical and useful in the same voice as those most familiar with the drama of the disease.  It is flattering that those same people tell me it IS inspirational.  The journalist in me wanted to write an air-tight, well-researched book.  But I lived it, too.

How did you come up with the title of your book?
My first book was What the Early Worm Gets.  I’d always been the early bird. Still am. But I found out what it was like to be on the other end of the food chain.  Flipping around the old adage ‘The early bird gets the worm’ is a feeling many people upended by alcohol find familiar.
Every Silver Lining Has a Cloud is about relapse.  Sobriety was supposed to be the silver lining to the cloud of alcoholism.  When you relapse, you discover that silver lining has a cloud all its own.

How do you come up with your ideas about the structure?
I read a ton of research studies in the course of my reporting.  I know that is NOT how I want my work to read.  I want the facts, but it has to read page to page, not chart to chart.  It’s not a self-help manual for insomniacs… it’s a story for alcoholics and their families...

Read the rest of the interview at Christoph Fisher Books.  Mr. Fisher is an acclaimed international historical fiction novelist from the UK.  Also, please check out the author interview with Scott Stevens on Lucy Pireel's "All That's Written" 10/11/13
 
www.alcohologist.com

Saturday, October 26, 2013

Alcohol use creeps upward when Halloween falls closer to weekend

Spirits, of the alcohol type, are used more frequently when the spirits, of the ghostly type, are out on All Hallows' Eve according to an Oct. 25 report from Alcohol Monitoring Systems (AMS). What's even spookier is that the company monitors compliance for those ordered by courts to remain sober or face potential jail time.
AMS found that criminal offenders and those with pending cases who have their freedom only due to intense monitoring for absolute sobriety violated that condition around Halloween. Drinking violations rise nearly 30 percent when Halloween takes place on Friday or Saturday, compared to just five percent when it happens on a Monday.
This year the holiday falls on Thursday, and drinking rates are expected to rise approximately 25 percent. Drinking during the weekend before Halloween also is expected to jump by the same percentage.
AMS spokesperson Lou Sugo notes for these individuals monitored by his company's electronic anklet every 30 minutes, drinking is a violation, and the consequence often is arrest and jail, making the increase especially startling. "These individuals know they're going to be caught and face consequences. You can imagine the rate of drinking for those who aren't being monitored."
The study looked at data from more than 305,000 offenders monitored since 2003. Many monitored with the anklet are alcohol abusers or have the disease of alcoholism and have been charged with driving while intoxicated.
The AMS statistics mate up with data from the National Highway Traffic Safety Administration (NHTSA). The agency reports more than half of all national fatalities occurring on Halloween resulted from an alcohol-related crash. That's up from one-third of all accidents throughout the rest of the year. NHTSA is publicizing the data as part of their ongoing Drive Sober or Get Pulled Over awareness campaign. Officials caution that sobriety checkpoints will be prominent on Halloween, which has become one of the deadliest days of the year for drunk driving.
Sugo adds, "Drunk people generally make poor decisions, and deciding to get behind the wheel of a car is just one of the potential issues," he adds. Additional data compiled for the 2013 book Every Silver Lining Has a Cloud shows:
  • Two hospital admissions each minute are attributable to alcohol directly, a 65 percent increase over five years
  • 22 percent of the 12 million home-accident injuries in 2012 were alcohol-related
  • 58 percent of fire fatalities have alcohol in their systems, which presumably kept them from fleeing safely
  • 45 percent of drownings are alcohol-related
  • 15.5 percent of occupational injuries are alcohol-related
  • 76 percent of incarcerated men and women claim to have been under the influence while committing their offenses
  • 56 percent of assault victims have alcohol in their bodies
  • A drinker is at a two-and-a-half-times greater risk of a violent death
-- from examiner.com (see full article)
www.alcohologist.com


Also, please check out the author interview with Scott Stevens on "All That's Written" 10/11/13
www.alcohologist.com

Sunday, September 29, 2013

SUNDAY SNIPPET: September 29

Alcoholism is the only disease where successfully getting it into remission relies heavily on paraprofessionals outside the medical community.  When those resources come from within the criminal justice system, the results are statistically below average, as this excerpt from my previous book What the Early Worm Gets begins to point out.


"The professionals and paraprofessionals handling the treatment are critical to the success. And to build that success you need credibility, especially because there are so many paraprofessionals affiliated with recovery. It’s their duty to adhere to a code of ethics simply not embraced in a correctional environment. Knowledge and competence—not necessarily a degree—are required, and trust. Where do those with alcohol problems place their trust? Others who have walked a mile in their shoes. Because you really don't know how it feels to be alcoholic unless you are alcoholic.  A mechanic isn’t a metallurgist even though the material with which he works with is metal. You still need a multi-disciplinary team including medical doctors or psychotherapists, however having someone who is in recovery helping facilitate the recovery process gets better results.


The most important facet of good treatment is alleviating guilt, shame and grief. We look through life’s window which can get coated with a grime of guilt and shame and grief. Those are precisely the three features the criminal justice system uses in its programs to make sure you’re sorry, make sure you know you’re sorry and won’t do it again. Positivity and attitude are the window cleaner that can clean the window of the grimy shame. The criminal justice system doesn't do windows.  They put bars on them. They will work to make sure you don’t forget your shame.


Recovery can be spontaneous. It does happen. However, true rehabilitation is based on Opus Contra Naturam—working against what comes easily— and few people are successful working against what comes easily without help.  Few people are successful for long when that help comes from a corrections environment designed to warehouse people, not provide meaningful treatment."
--from
What the Early Worm Gets, pg. 73
 

Wednesday, May 29, 2013

New .05 BAC proposal for drinking and driving: Too restrictive vs. not tough enough vs. not doable

Drinking and driving arrests could spike, temporarily, while drivers get used to new regulations if alcohol limit is lowered, according to one view of the NTSB's recommended lowering of the intoxicated driving threshold.  Some restaurant owners want what is safest for their customers (so they return), while some are looking at reduced margins if fewer diners imbibe with their meals.  Here's a synopsis of developments in the two weeks since the board suggested the change from .08 to .05, from today's article.
 
 
A May hearing by the National Transportation Safety Board (NTSB) produced ideas for reducing drinking and driving deaths, among the ideas, lowering the alcohol limit legal for driving from .08 to .05 blood alcohol concentration (BAC). One hundred other countries have lower BAC limits for driving than the U.S. The idea is being debated around the country because the board has no authority to make the recommendation a law.
 
The last time the NTSB recommended a BAC change (from .10 to .08) it took two decades and the threat of Congress withholding highway funds for the idea to become law in all 50 states. An Indiana state legislator, Senator Michael Crider, R-Greenfield, predicts that is what it will take again. "If you look at the percentile drops, it's a pretty significant drop in the legal driving limit for drunk driving. It's going to be something not necessarily real popular, based on what I saw last time."
 
Georgia lawmakers are perusing data from an Atlanta Journal Constitution series that showed in 2001, when the state was at a .10 limit, there were 406 alcohol-related road deaths and in 2008, at .08, there were 416. There were fewer motorists in 2001 however.
 
Mothers Against Drunk Driving (MADD), an expected ally of the proposed lower limit, is not behind it, instead focusing on its own three-pronged agenda for reducing impaired driving. The National Highway Traffic Safety Administration (NHTSA) also opposes the change to .05. Republican leaders on Capitol Hill say, "Leave it to the states to decide."
 
The states so far have voiced resistance. The Governors Highway Safety Association, which represents state highway safety offices, says expect push back because, “It was very difficult to get .08 in most states so lowering it again won’t be popular,” according to Jonathan Adkins, an official with the states' group. “The focus in the states is on high content offenders as well as repeat offenders. We expect industry will also be very vocal about keeping the limit at .08.”
 
The industry, via the American Beverage Institute, expectedly called the proposal "ludicrous."
 
Wyoming Gov. Matt Mead told the Associated Press he would prefer to increase penalties for drunken drivers, but he is willing to study the recommendation. However, Mike Moser, of the State Liquor Association, said the change could criminalize social drinking. Moser said it makes more sense to crack down on heavy drinkers who are more dangerous behind the wheel, an idea that does not register with a Chicago trauma surgeon who notes impairment begins far earlier than severe intoxication. Dr. Thomas Esposito, chief of the Division of Trauma, Surgical Critical Care and Burns in the Department of Surgery at Loyola University Medical Center, says, "The rationalization by critics that it penalizes the person who only occasionally has 'one too many' or who only drinks 'socially' makes no sense. One too many is just that; it's about impairment, not the number of drinks."
 
Lab research indicates at 0.02 to 0.05 BAC, the ability to see or locate moving lights correctly is reduced as is reaction time and the ability to judge distance. Even if not obviously impaired, at 0.05 BAC drivers are twice as likely to have a crash as before they started drinking...At 0.08 BAC drivers are five times more likely to have a crash than before they started drinking. Over .08, the crash likelihood jumps to 10 times that of a sober driver. (See the article “What 53 feet means” for more on driver impairment.)
 
Highway alcohol-related deaths are 100 percent preventable. Passive alcohol detectors can measure a driver's BAC before starting the vehicle and render it unable to start. If the driver is intoxicated, he isn't driving. Critics claim the technology has not been perfected. However, the technology already exists for the non-invasive technique (See "Fingerprint scanner lets employers check workers for alcohol"), although the public appetite for the device does not.
 
Mandating these in-car alcohol detectors – the way seatbelts and airbags are required in U.S. cars – was among the 20 ideas the NTSB proposed at the same time as lowering the BAC threshold for drinking and driving. Detroit automakers have been testing in-dash systems since June 2012. The idea was suggested three years ago in the book What the Early Worm Gets as the way to conclusively eliminate all drinking and driving accidents.
 
“Our goal is to get to zero deaths because each alcohol-impaired death is preventable,” NTSB Chairman Deborah Hersman said. “They can and should be prevented. The tools exist. What is needed is the will.”
 
In 2011, 9,858 people were killed, 350,000 injured and $132 billion spent as a result of "alcohol-related" crashes. To Esposito's point, such classification does not mean the driver was over the .08 BAC limit, although usually that is the case, only that alcohol was present at the scene or detected on the breath or blood. No determination has to be made regarding level of intoxication, alcohol abuse or the disease of alcoholism but 4 million motorists admit to driving while impaired, according to NTSB estimates.
-- from examiner.com
www.alcohologist.com

Wednesday, May 1, 2013

Docs, lawyers, judges: Go to AA before recommending it

Frequently, doctors suggest patients who are struggling with alcohol problems should attend AA.  A researcher doesn't dispute the suggestion, but encourages doctors give it a try themselves first, so they know precisely what course of recovery they are recommending, as noted in this examiner.com article I posted this morning.


According to an April 30 news release by The Partnership at Drugfree.org, doctors who encourage patients with alcohol use disorders to attend the 12-step program Alcoholics Anonymous (AA) should try it themselves so they know more about which they speak. A estimated 60 percent of emergency room admissions are alcohol-related and as many as 21 million adult Americans have an alcohol problem.

“Any doctor treating addicted people should go to at least a few AA meetings, so they can discuss it with patients in a knowledgeable way,” says Marc Galanter, MD, Professor of Psychiatry and Director of the Division of Alcoholism and Drug Abuse at NYU Langone Medical Center. “It’s very experiential, and doctors should have a sense of it. They should also learn the steps of AA.”

This could be helpful to doctors addressing one objection often plaguing AA: Is it spiritual? Or religious? Galanter says, “That’s a particular kind of experience that is not necessarily what clinicians would expect. It’s important for them [doctors] to appreciate it, because that’s what their patients will encounter.”

The same recommendation could be made for court officials who dispatch intoxicated driving or disorderly conduct offenders to the 12-step program.

Not all AA meetings are open to visitors, like physicians, who personally do not have a problem with alcohol abuse of the disease of alcoholism. On local listings of 12-step meetings, some will be listed as “closed,” meaning they are only for AA members with a desire to stop drinking. “Open” meetings do not close their doors to participation by non-alcoholics and generally welcome anyone – especially professionals – with an interest in learning more about the program of recovery. If a meeting is not designated as either open or closed, the assumption is that it is a closed meeting.

Galanter's soon-to-be-published research deals only with AA. There are other support groups for those with drinking problems as well. Women for Sobriety is one well-known alternative for women who prefer to recover with other women. Self-Management and Recovery Training (SMART) may be a more suitable secular alternative to those struggling with alcohol who also struggle with spirituality.
-- from examiner.com


Would a physician recommend a medication without knowing or studying its interaction with other things a patient is taking?  Unlikely.  If a patient has strenuous objection to spirituality and a doc recommends AA, he could be recommending a course of recovery with a negative interaction with other parts of a patient's well-being.  AA is the most well-known among support groups, and is often the recommendation of courts and doctors alike when they are faced with troubling alcohol cases.  The recommendation is well-intentioned.  But is it appropriate?  AA is not for everyone. SMART is not for everyone.  And some patients may not be ready (yet) for a course of action at all.  Instead of reaching for the quick solution to get a person out of the examination room or the court, the researcher is spot-on in suggesting that the professional recommendation (or sentence) be experienced in person by the professional first.