British consider alcohol price increase

In this week's edition of The Economist, one of the standout articles was about a parliamentary health committee convening to discuss raising the prices on low-end alcohol. According to the article, many of the low-end alcoholic beverages are sold at incredibly low prices, as well as significantly discounted when purchased in bulk. From the article: "Using research from Sheffield University, the committee argued that a floor of 40p for a 10ml unit of alcohol—enough to push the Sainsbury’s cider up to £3.36—would save 1,100 lives per year. A floor of 50p would save 3,000, it said. Medical associations and the police all want to see drink get more expensive too."

As we've touched on before, the British have a long history of binge drinking, especially among the younger adults. British cases of cirrhosis are on the rise, while all over the rest of Western Europe cases of cirrhosis are on the decline. What's interesting to see is the fact that, per-capita, their consumption is the eighth-highest in Europe; however, according to the World Health Organization, a whopping 12% of the British population are non-drinkers.

Now normally, a bill like this would get a lot of negative feedback from the already-struggling pub industry; however, a raise in the low-end liquor industry wouldn't directly affect them as most drinks served in bars aren't THAT low end. So hopefully we'll see a stabilzation in the low-end market, helping slow alcohol consumption in the lower-end markets. Scotland, on the other hand, is working to introduce a "social responsibility" fee for bars and other liquor sales places, presumably to put those funds toward treatment and education programs. I hope that we see an uptick in this area; alcohol sales tax SHOULD go towards rehabilitation services for those in need- after all, their legal drug causes all sorts of damage to individuals and families. Perhaps a price increase will slow consumption of liquor in the UK; at any rate, it's a start, and one can hope that treatment options are made more readily available to those in need.

In other news, TLC announced today that they would be premiering a new series called "Addicted" this March, featuring interventionist Kristina Wandzilak of Full Circle Intervention and author of the book, "The Lost Years." I'm excited for this show- I know that the journey through addiction will be presented well, and can only increase awareness to the help available out there. I'm happy that this seems not only to focus on intervention, but also on the "life stuff" that follows the exit from a treatment center. Once again, the more awareness of resources available, the better- if this show helps one person seek treatment, then I qualify it as a success.



Here's a video of Ms. Wandzilak from ABC:



Here's something funny.

As per usual, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you this week.

Back for 2010

After a much-needed two-month writing sabbatical (due to work reasons, writers block, etc.), it's good to be back in 2010. Lots of stories to cover this year. First and foremost, thanks so much to AllTreatment.com for naming my blog one of the best of 2009! (Congrats as well to my friend Adi Jaffe at All About Addiction who also had his blog listed as one of the best). Had a great end to 2009, helping a number of people find their way to treatment and start the journey of getting well, and spent much needed time with family and friends over the holidays. One can only hope the holiday experience was as relaxing for everyone else. As we know, the holidays can be a difficult time for families that have been ravaged by addiction; for those of you who need help, please ask for it! Asking for helping is the only way to get it.

One of my new favorite reads during the end of 2009 and the beginning of 2010 is Joe Schrank's Core Company blog, covering lots of different topics around addiction. Schrank isn't afraid to share his opinion, which can seem grating to some but we at Addiction Tomorrow find it fairly refreshing to see someone speak their mind. His 2009 recap column brought up a number of different issues, mostly documenting the numerous "celebrity" drug and alcohol deaths, which seemed to be higher this year than in years past. Although, it may just be that the 24/7 news/gossip channels and blogs have been paying more attention this year. Obviously, Michael Jackson's death in June sparked the greatest awareness (We blogged about it numerous times, starting here.) Jackson's overdose brought to light the abusive natures of overprescribing doctors, enabling family members, and what fame can do when left unchecked. A tragic end for one of the most interesting figures of my lifetime.

For current events, the healthcare debate has been raging all year and preliminary voting looks like things are in for a change. But we will see; as with all things government, time will tell how much reform is actually put in play.

A very interesting article on the Americanization of mental illness was in the New York Times this weekend. Check it out; some interesting perspectives on how mental illness is diagnosed around the world. One of the most interesting segments of the article spoke about a specific form of anorexia that occurred in Hong Kong; Dr. Sing Lee, a psychiatrist in Hong Kong saw a few patients who simply expressed that their stomachs always felt bloated, instead of the usual Western diagnosis of fat phobia. What Lee saw after the death of one of his patients was what made it very interesting- it seemed that his patients who suffered from disordered eating patterns turned their OWN SYMPTOMS into the more widely-accepted Western views. “Culture shapes the way general psychopathology is going to be translated partially or completely into specific psychopathology,” Lee says. “When there is a cultural atmosphere in which professionals, the media, schools, doctors, psychologists all recognize and endorse and talk about and publicize eating disorders, then people can be triggered to consciously or unconsciously pick eating-disorder pathology as a way to express that conflict.” This is definitely worth a read.

Here's one of my favorite videos, from Dr. Kevin McCauley:



Here's a great video on healthcare reform from Robert Reich, professor of Public Policy at UC Berkeley and former Labor Secretary under the Clinton administration:




Here's something funny.

As always, connect with me on LinkedIn and follow me on Twitter. Become a fan of the blog on Facebook. And see you later this week (I promise!)

Len Bias and the War on Drugs

After watching the amazing ESPN documentary series' "30 for 30"'s latest episode, "Without Bias," I was struck by the impact Len Bias' death had on awareness of the dangers of cocaine, and on the drug laws. For those of you who don't know, Bias was a standout basketball player for the University of Maryland (check out highlight footage here). Bias was often compared to Michael Jordan, who we all know is the best basketball player that we've seen- his potential was through the roof. In fact,Celtics scout Ed Badger told the press at the time, "Len Bias is the closest thing to Michael Jordan to come out in a long time." Bias was drafted number two overall by the Boston Celtics at the 1986 NBA draft, and the following day went and signed a 1.6 million dollar deal with Reebok shoe company for an endorsement. That evening, Bias returned to the Maryland campus to spend time with his former teammates- and started to use cocaine. Around 6 AM that following morning, Bias started to have trouble breathing and went into seizure. After paramedics were called, Bias eventually succumbed to a cocaine overdose.

A month later, a Maryland grand jury returned indictments against Bias's friend Brian Tribble for possession of cocaine and possession of cocaine with intent to distribute and Bias's Maryland teammates Terry Long (possession of cocaine and obstruction of justice) and David Gregg (possession of cocaine and obstruction of justice). All were found not guilty, although Tribble was later convicted of an unrelated cocaine trafficking charge.

The aftermath of Bias' death stretched out into the legal system. The Narcotics Penalties and Enforcement Act was supported by both parties and enforced stronger prison sentences for smaller amounts of drugs. From a Washington Post article: "From 1954 to 1976, it fluctuated between 20,000 and 24,000. By 1986 it had grown to 36,000. Today it exceeds 190,000 prisoners, up 527 percent in 20 years. More than half this population is made up of drug offenders, most of whom are serving sentences created in the weeks after Len Bias died. "

So is Bias to blame for our current terrible prison and "War on Drugs" situation? The laws that were passed in the wake of his death have bled into a terrible problem in their own right. PBS Frontline did a great timeline on the War on Drugs, talking in specifics about the consequences of Bias' death. We can only hope that the mandatory minimum sentences that were established can be replaced by treatment options for people who are struggling with addiction. Bias also brought a new level of awareness to the dangers of cocaine- in a way, he may have saved some lives with his example. That, we can hope, will be his legacy.


Here's a preview of the 30 for 30 episode. Check your local listings for the full show.



Click here for something funny.

Sorry for the prolonged absence! But it's good to be back. Come and connect with me on LinkedIn and follow me on Twitter. Become a fan of the blog on Facebook. And we'll see you shortly.

A cocaine vaccine?

A Time Magazine article this past week spoke about the success of early trials of a cocaine vaccine. The results, although only mildly successful, seemed to point towards the idea that a vaccination against addiction could be something viable in the fight to get people well. ABC news posted a video talking with Dr. Marvin Seppela, medical director of Hazelden, about the potential effects of something like this happening. The vaccination is built to damper the "high" users obtain from using cocaine, and therefore, scale back the level of craving.

Dr. Nora Volkow, director of the National Institute on Drug Abuse (or NIDA), has mentioned that vaccinations against addiction are one of the institutes "...top priorities." NIDA is also working on a similar vaccination towards nicotine addiction. However, an interesting fact in the article: "About 25% of the study participants did not produce cocaine antibodies when vaccinated. In about half of these cases, researchers think smoking crack was the problem." This seems interesting, since it looks as though the vaccination would only alter the affects of powder cocaine users. As is widely known, crack cocaine causes far more severe effects among addicts, so it will be interesting to see if they find a way to combat the effects of crack addiction.

One of the more interesting points, made near the end of the article, was that the vaccine would need a number of consistent "booster" shots to keep up the effects of the vaccination. Dr. Volkow says that more than likely, the best use for the vaccine would be as a mode of relapse prevention, as opposed to a new method of abstinence. Since most addicts do require a form of aftercare, such as a 12-step group, this can be used as an additional tool to help support recovery and sobriety. In the spirit of the blog, being named Addiction Tomorrow after all, we're looking forward to seeing additional research and options for addicts to get well. This is encouraging, and hopefully we can get another tool in the toolbox to fight this battle.


Here's a great video about the myths of addiction.



Here's something funny.

As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you this week.

The Bridge To Recovery

For those of you who are avid readers, I apologize for the lack of posting for the last couple of weeks. I've been on the road for work and haven't had access to wireless internet. Here's the first of a few updates.

I spent a long weekend in Bowling Green, KY doing a referent weekend at The Bridge to Recovery, a residential treatment center with a focus on codependency. With tracks starting a 14 days and going up through 90, The Bridge can do treatment like I've never seen, focusing almost solely on family members of addicts as well as addicts themselves. Carol Cannon, one of the founders and a pioneer in the field of codependence (and published a couple of books, most notably "Hooked on Unhappiness") provided one of the best definitions of codependence I've ever heard:

“Codependence is the pain in adulthood that comes from being wounded in childhood, which leads to a high probability of relationship problems and addictive disorders in later life.”

With a huge focus on trauma and codependency, I was really impressed with The Bridge. This was also an amazing weekend to be there, as it was both the 35th anniversary of The Bridge AND the retirement celebration for the founders, Paul and Carol Cannon. I got the opportunity to meet and speak with alumni from all the back in the late 80s, and really got a feel for the work that they were doing. In addition, Dr. Stephen Grinstead of Addiction Free Pain Management , who also works with Terry Gorski doing Relapse Prevention training, told his story and lead a workshop on "Identifying and Managing the Inner Saboteur." He took the clients through his workshop, as well as the visitors (like myself), staff, and alumni. A really powerful experience to do some difficult group work and look at how denial manifests in our daily lives. Also got the opportunity to hear stories from Josie Ramirez-Herndon and Dr. Jeff Seat over the weekend, a truly great experience.

Overall, a fantastic visit. I wouldn't hesitate to send a family member to treatment at the Bridge, and I'm looking forward to doing some work with them in the future. Such a diamond in the rough; it's weird to think that they've been around for 35 years and yet are not really known about on the West Coast. Hopefully we can spread the word; long term treatment for family members of addicts can only provide a healthier, more supportive network for people trying to maintain their recovery.

Here's a video about The Bridge to Recovery:



In the next blog: my trip to Nashville.

Here's something funny, Will Ferrell's video about health insurance.

As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you tomorrow.

How are Mexico's drug laws affecting us?

As I mentioned in a recent post, drug violence in Mexico has been escalating to a disturbing degree, from affecting tourism numbers to actually seeing hitmen invade a Mexican treatment center and brutally kill people trying to get well. This does not bode well for the Mexican-American border, nor for the Mexican citizens as well. An article in the New York Times today talked about the new laws decriminalizing small amounts of marijuana and harder drugs in Mexico. Good questions brought up here- will US citizens go across the border for easier access to drugs? How will the Obama administration react? And how will this policy affect the Mexican citizens?

A variety of experts chimed in on this. One, Tony Payan (a political science professor at University of Texas-El Paso) mentioned that the new law was designed simply to combat the rampant police corruption- i.e. police demanding bribes to let people off for small possession charges- and NOT to curb violence. However, I really liked his viewpoint on this, quoted here: "it is a solid first step to pave the way for 1) distinguishing between drug use and drug abuse 2) paving the way for fully medicalizing abuse, that is, reinforcing the idea that we should treat drug addicts much as alcoholics and offer them help instead of prison time, and 3) focusing state resources on the production, trafficking and distribution networks." This is what we, vocal opponents of the US drug war, have been saying for years- that we should be going after the big drug kingpins and allow users better, and more comprehensive, access to drug treatment as opposed to putting them in jail.

I was, however, disappointed to see the response from Calvina Fay, executive director of the Drug Free America Foundation. She states: "Drug users are not innocent. They support the vicious drug cartels. Without their demand for drugs, the supply side has no purpose." However, this has been the response of government entities for the last 30 years, and we've made almost no progress. This is like comparing abstinence only education vs. comprehensive sex education. There will ALWAYS be demand for drugs- addiction will not go away if we someone slam the channels of drugs shut. People will find something new to be mind-altering- maybe even the internet- to fill the void. So we should be focusing more on the education of "what-happens-if" instead of "just say no."

Here's a breakdown of the new decriminalization laws:



Here's something funny.

Be sure to check out Writers in Treatment, a great new nonprofit organization in Los Angeles looking to help struggling artists get well. They'll be hosting an event here in LA co-sponsored by Hazelden; as more details emerge I'll post them. A great cause, and we're glad to see someone supporting them.

As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you this week.

Internet Addiction and Treatment

There has been a lot of talk in the news lately about internet addiction and treatment. The Chicago Tribune posted an article this morning about reSTART, an internet addiction treatment center in Seattle. The website talks about different signs and symptoms associated with internet addiction, such as neglecting friends and family, obsessing over the computer and internet, and failed attempts to control behavior. Although internet addiction isn't classified in the DSM as of yet, there are well-chronicled tales of people with addiction to games such as World of Warcraft. In Chicago, Linda Lewaniak, director of the Center for Addiction Medicine at Alexian Brothers Behavioral Health Hospital in Hoffman Estates, said that while research on the subject is scant, "we've had steady growth in this area. We're now seeing enough people to have its own group."

So what's the deal? Are people TRULY addicted to the internet? I think when we start to see consequences such as lack of social activity, lowered productivity in the workplace, and feelings of craving for the internet, we may actually have a real problem on our hands. I'm glad to see someone addressing this; Dr. Hilary Cash, the executive director at reSTART, has been doing research in this field for years, and sees a huge developing problem among our youth. She has helped lead the research and bringing about a 12-step program for internet gaming addicts. This will be an interesting field moving forward; I'm interested to see where this leads, as we're just at the beginning stages of research- and at the problem.

From the Tribune article:
At Rush University Medical Center, which also treats patients at its Center for Compulsive Behavior and Addiction, Dr. Louis Kraus said it's important to recognize that these activities are often intertwined with other underlying issues, such as depression and social anxiety.

"It's great that people are looking at this and the impact it's having," the child psychiatrist said, "but we still don't have clear scientific basis for what kind of treatment approach will offer the best outcome."

In other news, Pfizer, the world's largest research-based pharmaceutical company, was recently slapped with a $2.3 billion fine for falsely advertising and marketing drugs for purposes they weren't intended for. They were slapped with the fine following a guilty plea towards one felony count to settle federal criminal and civil charges that it illegally promoted its Bextra painkiller and other drugs. What hasn't been brought to light is that this is Pfizer's FOURTH settlement over false advertising. We need to reign in these companies before they start to do more harm than good. Hopefully the health care reform will lay out some rules and regulations that will impose stiffer penalties on companies that promote products illegally.


Here's a video by Dr. Hilary Cash talking about internet addiction:



Here's a GREAT video from Robert Reich talking about health care reform. Please be sure to take the 2 minutes to watch this one:



Here's something funny.

As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you this week.