Catching up...and succession planning

Hi everyone, it's been entirely too long.

I've spent the time in the last few months that I haven't been blogging doing lots of interesting things. I've attended a bunch of conferences (NAATP, West Coast Symposium on Addictive Disorders, and the Moment of Change Conference, to name three), visited a number of treatment centers, and met a lot of new professionals in the field. I've gotten to see a new addiction news and culture website launch (www.thefix.com) and another of my favorites (www.allaboutaddiction.com, run by Dr. Adi Jaffe) gain some steam as a solid research-based blog.

Mostly, I've spent my time thinking about the future of the field of addictive services. At all of these conferences, the number of clinicians and administrators in the addiction field under 35 is frighteningly low. Personally, I'm concerned about this, and at the West Coast Symposium (mentioned above) there was a concerted effort to bring together the wisdom of the current leaders to the newer members of the field. A mentoring lunch was held, with tables featuring such leaders as Rob Waggener, CEO of Foundations Recovery Network and Dr. Andrea Barthwell, former Deputy Director for Demand Reduction at the Office of National Drug Control Policy and currently the owner and director of Two Dreams Outer Banks, as well as other researchers and clinicians.

In my experience, this has been the first true effort by the addiction treatment community to spread their thought leadership to the next generation of treatment providers. A good idea all around, as the field needs that wisdom to continue moving the work forward. As a young leader in the field, I almost feel partially responsible for helping this message get to my generation of addiction professionals. Thanks to C4 Recovery Services for taking the bull by the horns and helping to get the process started. If anyone has any ideas on how to continue our work, suggestions are welcome.

For something funny, check this out:

Between Two Ferns with Zach Galifianakis: Will Ferrell from Will Ferrell

Follow me on Twitter, and connect with me on LinkedIn. Become a fan of my blog or my company on Facebook. And see you later this week.

The Social Network

After finally seeing "The Social Network" today (and yes, I know this makes me a "late adopter"), it really got me thinking. How different has our culture become since the launch of Facebook in 2004? For those of you who've read my blog in the past, you'll know that I'm relatively plugged in to Facebook, Twitter and LinkedIn.

The interesting thing is the level of connectivity. Back in 2007, Alice Mathias wrote an opinion article lamenting the "Facebook generation" and the general lack of connectivity and how things are changing as a result of the constant online exposure. "Facebook purports to be a place for human connectivity, but it’s made us more wary of real human confrontation," Mathias says in the article. And now with the Blackberry, iPhone, etc., people are in more constant contact and connected all the time. Is this really a good thing? On one level, those who work in high-pressure jobs that require realtime responses and crisis-level action (i.e. pagers for doctors) it seems like a smart concept. But for those who simply like to have access to their network at all times, this can actually be a problem. In the New York Times this summer, an article appeared talking about teens that had serious academic consequences as a result of their compulsive behavior around Facebook. From the article, "As many as 1 in 8 Americans suffer from problematic Internet use, according to researchers at Stanford University in California." Those are crazy high numbers, although if we look at general addiction stats, those seem to fall in line.

So what to do? I know I personally check Facebook a couple of times a day, not to mention Twitter and LinkedIn and the constant vibration of texts and emails. My coworkers and I joke about "phantom vibrations," or when you think you feel the vibration of your phone and your phone isn't even in your pocket. We call this a joke, but it's not really that funny. How connected is TOO connected? That's for you to decide. If your workplace has started the migration to social media, you may already be responsible for being responsive 24/7. Another exercise in boundaries, I suppose. It will be very intriguing in the next few years to see what kind of consequences arise from compulsive access. How do you match up?

And now, here's something funny.

Be sure to check out my company, Ferguson Behavioral Health Consulting.


- Posted using BlogPress from my iPad

Location:S Barrington Ave,Los Angeles,United States

New Updates and Upcoming Posts

Thanks for sticking around, for those of you who still follow the blog, love the old content, and like the things we've written. In 2010, a lot has happened in the addiction and recovery field that we need to comment on, and due to some new twists and turns, the posting has (to say the least) fallen off a little bit. We'll be back with a vengeance, and with some new features. So here we go.

In February of this year, I launched a new company, Ferguson Behavioral Health Consulting. After working in the field for the last few years, I decided it was about time for me to take a little risk and go out on my own. Needless to say, it's been a lot of work. So, with the support of a few key people (namely Jaywalker Lodge, PCH Treatment Center, and Safe Harbor Treatment Center for Women), I was able to incorporate my love for seeing people get to the appropriate treatment provider as well as branding and outreach relations. You can also follow my new company on Twitter and be a fan on Facebook.

So this year, along with commentary on what's happening in the news of addiction (look for a post regarding our friend Lindsay Lohan over the weekend), I'll also be writing about events I attend, interesting speakers, and revolutions in the industry. As part of the broader scope of addiction recovery, I hope that together we can continue changing lives and helping people get better. Let me know if you have any suggestions about anything you'd like to see or see more written about.

Here's a video from one of my consulting clients, Jaywalker Lodge:



Here's something funny:

Pacey-Con with Joshua Jackson from Joshua Jackson

What I've been reading: Imperial Bedrooms by Bret Easton Ellis

What I've been watching: Louis C.K.: Chewed Up

What I've been listening to: State Radio- Us Against The Crown

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

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 addiction rehab 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.

Hitmen Murder Rehab Patients

On Wednesday night, approximately a dozen hitmen swarmed into a drug rehab center in the city of Ciudad Juarez, Mexico. Execution style, they lined up the patients and killed 17 of them. This treatment center, on the Mexican and U.S. border, seems to be an attempt to send a message to the two governments that the crackdown on Mexican drug trafficking isn't going to work. Mexican president Felipe Calderon announced in 2006 that he'd be going directly after the cartels- who haven't exactly responded well.

In a little-covered aspect of the story, the drug cartels have been specifically targeting drug treatment centers. The cartels seem to be hunting down their rivals, or looking for new recruits to join in the fray. Over a thousand people in Ciudad Juarez have died this year as a result of drug-related violence. Even with thousands of police and federal agents swarming the city, these cartels are obviously still able to function relatively successfully, albeit with a large amount of bloodshed.

Bottom line here: War on Drugs: FAILING. Need a new solution. We may not be able to fix Mexico's problem, but by putting more treatment resources in the hands of our citizens. Without creating a police state in Mexico, we can't really help them. So how do we help ourselves? By putting plans in place to help people struggling with drugs, and getting rid of laws that force non-violent drug offenders into jail instead of treatment, we can provide an on-the-ground solution here at home. I've posted this before, but Walter Kronkite posted a great article about the failure of the war on drugs here in the US. If we want to export help to other countries, it needs to be a message of help, not a punitive message. "Give me your tired, your poor,
Your huddled masses yearning to breathe free..." Let's not forget that we're here to be a safe haven.

Drugs are a threat that make all borders meld together, a scourge that we can't take care of on our own. Latin America, and ESPECIALLY Mexico, absolutely need to develop some workable communication between themselves, the United States and the European Union. We need a workable solution to the war on drugs. As the lives of 17 drug addicts trying to get well can attest, the current strategy isn't working.

Here's a video of the story:



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.

RIP DJ AM

Seems like addiction is in the news quite a bit lately. With the loss of DJ AM, who's real name is Adam Goldstein, we unfortunately see another death in the face of addiction. Found in his New York apartment "wearing only sweatpants, face down on his bed with a crack pipe and unspecified prescription drugs" nearby, Goldstein obviously was struggling with a relapse. A tragic ending for someone who had been sober for a number of years- a reminder that addiction is a chronic, progressive and fatal disease. The sad part is, less than a year ago, Goldstein survived a horrid plane crash, only to end his life at a too-young age with drug use. The thing to remember here- he was in the grips of a disease. Keep away from judgment- at this point, Goldstein's decision making was so far from the norm that going to far could only be expected. THIS is what addiction does.

Dr. Drew Pinsky brought up an interesting point- that pain medication likely led Goldstein down a path away from his recovery. We know that pain medication can be addictive and dangerous- we just saw Michael Jackson perish from an overdose as well. So Pinksy probably isn't that far off. We'll never truly know what caused DJ AM to go on a final drug run...but we can learn from this. It's sad that it sometimes takes a tragic loss for people to get a wake up call, but maybe some of our friends and families that are struggling with addiction, or asking for help, will see this as a warning for their own behavior.

In October, The Associated Press reported, MTV was to begin his new reality show, “Gone Too Far,” in which he and concerned families staged interventions for drug abusers. As a legacy, I hope they continue with the broadcast. In the end, DJ AM was reaching out to try and help young addicts. Struggling with relapse or not, he still was able to encourage individuals to see help. That, in its own way, is heroic. So Adam, we'll miss you.


Here's DJ AM performing in Las Vegas:



And here's AM talking about his in-progress MTV show about addiction:

MTV Shows

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.

Problems at the Clean Plate Club

I don't know about any of you, but I was raised in the Midwest and had "clean your plate" drilled into my head from a young age. Ever since World War II, when Harry S Truman introduced a campaign in schools to "clean your plate" because resources were scarce, that notion of a clean plate has stuck with us. With portions in restaurants rising at alarming rates, and the idea that one can very easily "super size" a meal, we have an impending obesity crisis on our hands- one that is already surfacing. According to the latest statistics from the Center For Disease Control, more than 66 percent of Americans are overweight or obese. These are INCREDIBLY troubling numbers- and the real question is, how do we change this culture?

As I've written before, we're seeing more and more eating disorders surfacing from all sorts of different areas. The other "eating disorder" is the one we, across America, face every day- the fast food nation. With portions becoming out of control and people hurrying to eat and finish meals, we've seen a large increase in obesity across the nation. The Food and Drug Administration is even trying to crack down on portion sizes in restaurants.According to the FDA report, the annual healthcare cost for obesity is right around $93 billion. This is (sorry about the pun) a HUGE problem.

An interesting solution was proposed by various pundits- perhaps a "fat tax" would create some change? According to a study released in July of this year by the Urban Institute and the University of Virginia, unless diet and consumption changes drastically, in 2015 a whopping FORTY PERCENT of Americans will be considered obese. Additionally, the study brings up the option of a "fat tax," or a tax on unhealthy foods like chips and soda, and here are the stats. A 10% excise or sales tax on fattening foods could raise $522 billion over the next 10 years. A 20% tax could raise $937 billion. These are impressive numbers, to say the least. Nearly a trillion dollars because Americans can't stop eating unhealthy food? What's the deal?

Are we dealing with an addiction to fats, salts and sugars? Dr. David Kessler, author of "The End of Overeating" seems to think so. According to research for his book, Dr. Kessler found the dopamine receptors in our brains are stimulated by unhealthy foods, so, much the same as a drug addict starts to crave the rush of an illicit substance, we start to crave unhealthy food. And, according to both his book and the billions of dollars in ad campaigns every year, the market has adapted to our cravings. With fast food on every corner and unhealthy options at every restaurants, we have to diligently fight to eat intelligently and healthfully. A battle on many fronts, to say the least.

So here's a call for drastic change- shop local, organic food, and eat smaller portions. Learn to recognize what "full" means and don't eat past the threshold. Ignore those pesky McDonalds signs- at least most of the time. Without some clear thinking, we truly will have an epidemic on our hands. I'm not advocating for complete and total change- but you CAN change yourself. Start there, and others will follow.

Here's a link to a video from Katie Couric on CBS News talking about the obesity epidemic.

Here's a video from Thomas Frieden, the Commissioner of New York City Department of Health, talking about combating obesity:



We got a great shout-out from the Sober Living Blog about Addiction Tomorrow! Thanks guys!

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.

Michael Jackson, back in the news.

This afternoon, CNN reported that Michael Jackson died of a propofol overdose. Taken directly from that article, here are the doses administered to Jackson during those final hours:

-- At about 1:30 a.m., Murray gave Jackson 10 mg of Valium.

-- At about 2 a.m., he injected Jackson with 2 mg of the anti-anxiety drug Ativan.

-- At about 3 a.m., Murray then administered 2 mg of the sedative Versed.

-- At about 5 a.m., he administered another 2 mg of Ativan.

-- At about 7:30 a.m., Murray gave Jackson yet another 2 mg of Versed while monitoring him with a device that measured the oxygen saturation of a his blood.

-- At about 10:40 a.m., "after repeated demands/requests from Jackson," Murray administered 25 mg of propofol.

If this isn't gross negligence, I don't know what is. Dr. Conrad Murray, Jackson's personal doctor, administered the doses himself. Now, being a doctor, he should've recognized that all of these are dangerous doses and that a "normal" person wouldn't have been able to survive even 1/5th of these. Regardless- if Jackson, as reported, was receiving prescriptions from multiple doctors, then shame on them as well. However, if Dr. Murray was Jackson's personal physician, he had a RESPONSIBILITY to insure Jackson's health. I hope, at the very least, that his license to practice is pulled, and at the most, he and the other prescribing doctors are charged with gross negligence, if not homicide. If the doctors knew this was going on, they should've done something, like refuse to prescribe or practice with Jackson. A gross abuse of power and money seems to be the what's behind this.

The power, apparently, laid in Jackson's hands, as he requested that Dr. Murray give him the injection. Murray, however, HAS a conscious. He should've been aware of the problem- and yet, he refused to do anything about it. A shame. Enabling behavior by family, staff, and healthcare providers contributed to the loss of yet another life.

In other news, it appears as though Miami Heat forward Michael Beasley has entered drug rehab.Beasley was fined $50,000 by the NBA last September after security officers at the league's rookie symposium detected the scent of marijuana in his hotel room. Too bad it took some consequences to get him in the doors, but we are glad he's getting the help he needs. As I touched on a couple of weeks ago, drug use is becoming more and more of a prevalent story. We can only hope that this awareness leads to more people seeking the help that they need.

Here's a video of Dr. Sanjay Gupta talking about the effects of Propofol:



Here's something funny.

I'll be posting another blog entry tomorrow morning, so be sure to check back in. In the meantime, as per usual, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you tomorrow.

Really, California? Really??

I opened the paper yesterday to see a disturbing headline: "California might act to jail more drug offenders." Great. We really need more criminals, and less people in recovery. The question here, you bureaucratic imbeciles, is who does this make the world better for? Is prison somehow better at rehabilitating drug addicts than drug addiction treatment? How does this make sense?!? We already have 3.2 percent of our population in prison; do we need more? Two weeks ago, federal regulators ordered California to cut their prison population; so, oh government of ours, what the hell?

"While one side of the government is addressing prison overcrowding, another side seems to be acting directly counter to that goal," said Margaret Dooley-Sammuli, deputy state director of the nonprofit Drug Policy Alliance. Here's a fun fact- the mere $120 million for California government funded drug treatment has been cut in half from 2006. Last month, legislators here in California decided to cut 1.2 BILLION from the prison budgets. Why not full, oh, say, 1/10th of that money into drug treatment and help cut down recidivism rates? Why not focus and develop better treatment programming and staff so that the people you have turned into criminals can have a shot at a better life? I mean seriously, people, COME ON. Open your eyes. Prison is not rehabilitation when one is dealing with drug addiction. Addiction treatment will create change. Develop better programming- and laws- and we won't need nearly as many prisons. But will special interest groups be upset? Who cares?? It will be better for our entire population.

Here's a quick excerpt from a New York Times article from a couple of weeks ago:

"R. Gil Kerlikowske, who in May was sworn in as the Obama administration’s director of the Office of National Drug Control Policy, is a supporter of drug courts as an alternative to mandatory drug sentencing. The new drug czar and the man nominated as his deputy, A. Thomas McLellan, are viewed by many addiction experts as representative of a sea change in thinking about treatment: away from the punitive, toward more acceptance of nuances and complications of addiction.

“Ten years ago, if you would have asked me this question about addiction, I would have said it’s obviously a moral failure and I don’t know why people can’t pull themselves up from their bootstraps and handle this and get themselves totally clean,” Mr. Kerlikowske, a former police chief in Seattle, said in an interview. 'But we can be going in a different direction. We can look at this from different viewpoints now.'"

So let's build out our drug courts if we can't change the laws. But if we change the laws, we'll have less need for punishment- divert people with possession charges to treatment and allow them a chance to get better. Legal consequences can be a GREAT motivator for people to get well. Allow them that option. Please. We beg you.

So California? I say, get it together. Make us better. Stop creating problems for yourself.

Here's a video on Prop 5, the drug treatment bill that failed to pass in 2008:




A special thanks goes out to Adi Jaffe with the All About Addiction blog for his guest post on Take Part which got me fired up about this.

My friend Jane Mintz of Real Life Interventions recently started an online school for intervention training- check it out here. Pretty cool option, and helps with accountability. This is a training available for her newly designed intervention model, the Field Model of Intervention. Great user interface as well.

Here's something funny.

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

The Wire- a unique viewpoint on the war on drugs

I've been wanting to write about this for a couple of months now, but with all the addiction in the news I just haven't gotten around to it. The Wire, the recently-ended HBO series, is one of the best shows ever to make it on TV (in my humble opinion). If you haven't watched it, you can rent it or buy it on Amazon here. The show is infinitely rewatchable, so definitely a good investment.

David Simon, the creator of the show, worked for the Baltimore Sun (newspaper politics and policies are featured in-depth in the show's final season) for a time before writing a couple of books and eventually Homicide: Life on the Street and The Wire. There's a great article talking about Simon's background in The Atlantic; I'll touch on some of the points there, but the article is definitely worth a read. What's great about the show is the humanizing aspect- that both cops and drug dealers have their flaws-- and their good parts. I haven't ever felt a lot of empathy for drug dealers, at least until I saw The Wire.

Steven Levitt, author of Freakonomics, talks quite a bit about the dichotomy of drug dealing, and why many of the dealers on the street stay poor. Since drug dealing is like a pyramid scheme (those on top make a ton of money, but those on the low outposts can barely make as much as working at a McDonald's), it's difficult to break the poverty cycle in a drug-centered community. The Wire covers all of this throughout their various seasons, portraying all sides of the drug trade.

I love this show for a variety of reasons- a) it shows the ins and outs of battling drugs on the ground level from a police perspective; b) it talks directly about the effects of drug use and dealing on individual families; c) it shows an honest portrayal of people trying to make it out of the ghetto via the drug trade; d) the character Bugs is a great example of an addict trying to get well; and e) takes risks in dealing with the relationship of drugs and the police force. Many different opinions are expressed here, and David Simon's voice is a clear bell against the war.

If you want an inside scoop on the war on drugs, definitely check out The Wire- my favorite show ever. Never got great ratings, so I'll excuse you if you have yet to see it. But make sure you do.


Here's a great clip:



Oh and a quick note on the ongoing healthcare debate (I'll write a separate blog on this on a later date), we here at Addiction Tomorrow are in favor of an optional government sponsored healthcare plan- after all, having an option is better than not having one, and will be beneficial for the greater good. We need to make sure the private sector will be held accountable to standards of practice, but not snuffed out by a government healthcare plan. Ok, I'm off my soapbox for the day.

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.

Relapse and Addiction in the news

Lots of addiction and drug use in the news as of late: of course the biggest story was Michael Jackson; his death, and the long history of addiction, will rival Elvis's in history I imagine. And if it doesn't, then we should make sure we as a people and a media are looking at it honestly. That, of course, was a huge splash and brought about a new wave of awareness about prescription pain medication.

A couple of months ago, the "Shamwow guy," Vince Shlomi, was arrested for being in a drunk fight with a hooker. And this past Friday, news about Billy Mays (pictured above) and a history of cocaine use breaks across the wire. Then over the weekend, Josh Hamilton, a darling of the media for his miraculous comeback from drug addiction (see a great article on his comeback from ESPN the Magazine here and I mentioned his comeback in my blog earlier this year), had pictures posted on Deadspin.com, a sports media blog, of an obvious relapse during spring training in January.

A couple of thoughts here: first and foremost, it's hard to be in the public eye. We've seen tortured artists, athletes, and successful people for centuries-- some of the most powerful people in the world have been the most troubled (see Howard Hughes, Elvis, Michael Jackson, etc. etc.). The list goes on and on. And when people who have any sort of issue- a drug problem, depression, anger management issues and the like- get into the public eye, the odds of a slip being exposed to the media are increased tenfold. For someone like Mays, whose persona was one of an over-the-top pitchman for various products on late night television, cocaine seems like a natural fit. For Hamilton, who had completely lost everything and built it back up, a relapse (for someone not as popular) may have been a tiny setback. However, in Hamilton's case, his entire season is being scrutinized for evidence of drinking or drug use, and whether or not his lack of performance this season is tied into that.

As we know, addiction is a chronic and fatal disease, as we've seen with Jackson and Mays. What we also need to remember is that sometimes people slip, like Hamilton did in January. Instead of making snarky remarks and making life more difficult, we as a group need to support Hamilton and his recovery. One can only hope that the Rangers will allow him time to find his way back to a recovery program-- and that Hamilton will make that decision as well.

Here's a video of the Josh Hamilton story, previous to his last relapse:


Hope: The Josh Hamilton Story - More amazing video clips are a click away

Here's a clip of Hamilton talking about his relapse:



Blitzcorner | Josh Hamilton Speaks about Relapse Video



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.

Addiction in Mexico and the War on Drugs

In a recent "Wealth of Nations" blog post on the Newsweek website, the issue of addiction in Mexico has been brought to light. With so much focus on the American drug problem- and don't get me wrong, it's a big one- we sometimes lose sight that other countries are battling the same demons. With our miserably-failing "War on Drugs," we've created a mess here and abroad, but at least we have some good private resources available for people seeking help. Walter Cronkite wrote, in 2006, about the failing war on drugs and included this quote: "People who do genuinely have a problem with drugs, meanwhile, are being imprisoned when what they really need is treatment." To that, Mr. Cronkite, I say thank you. Thank you for stating the obvious, and for being a trusted voice to say it.

And I'm off on a tangent. Meanwhile, the article about drug use in Mexico had some interesting insights and facts. An estimated 4.5 million Mexicans now use drugs, up some thirty percent in the last five years, and the number of actual addicts is up 100% since 2002. These are astounding figures. We often view Mexico as the place where drugs come from, a highway from South American drug production to American drug consumption, but how often do we see the direct effect of addiction on that country? Mexico is also in the process of decriminalizing possession, and that could have considerable effects on the addicted population. This could be a true epidemic should they not develop more than the 100 treatment centers they have operating within their borders. More will be revealed, that's for sure.

I encourage everyone to check out the Drug Policy Alliance, a groundswell working to end the war on drugs and create a better plan to battle addiction in this country.

Here's a great video on crystal meth use in Mexico City:



Here's something funny.

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

Visit to ATCPCC

I spent 3 days last week in Santa Barbara at the Addiction Treatment Centers & Professionals Consortium of California listening to treatment centers from all over the country talk about what they are doing. This conference was pretty interesting; it's always nice to keep a finger on the pulse of what people are doing across the country. A good chunk of providers were there, about 60 from around the country.

I was really impressed with a few people there (and of course I presented and thought I did well, talking about Sober Living By The Sea) and I thought I'd talk about the others doing good work around the country.
Hero House, with homes in Atlanta and San Juan Capistrano, CA, has a specific focus on college students, providing them a safe environment following treatment (like the TEACH program) complete with educational support. Randy Haveson, the founder and executive director, has a great passion for helping students recover and I'm looking forward to doing some work with him.

Jane Eigner Mintz of Real Life Interventions, from the Cleveland area, rolled out her new model of intervention, the Field Model. This is based more on a clinical aspect rather than the Johnson or Systemic model. I'm really looking forward to seeing what this looks like. She also is developing a school for interventionists, which will be helpful in providing families with qualified professionals.

And of course, Jaywalker Lodge was impressive, bringing two of their therapists out from Carbondale, CO. They talked about the men's relapse prevention program, as well as their longer-term outpatient/sober living option. They have a wonderful small town feel and treat the client who is looking to hit the "reset" button and get a fresh start.

There are others out there also doing good work- these three stood out to me. We'll see what pops out in the next year or so.

Here's a video on opioids and the brain from HBO's "Addiction" special:



In other news, if you haven't checked out my favorite sports columnist, Bill Simmons, today is a good day. Here's a link to his ESPN website.

And for something hilarious click here.

As usual, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And be sure to support my advertisers! See you this week.

Make sure to check out my podcast on The Afflicted and Affected starting today at 4 PM Pacific, and read my abridged life story on the Equinox Fitness website.

Quick Post

Hey guys,

Just wanted to let everyone know a couple of PR things:

A very short version of my recovery journey is on the Equinox Fitness website as one of their featured "Life Stories," click here to see it!

And on Monday, July 27th, I'll be appearing on the Afflicted and Affected podcast, talking about my personal experience in recovery as well as my experience working in the field. Check it out here.

I'll be at the Santa Barbara Addiction Treatment Consortium this week, stay tuned for details as I'll be live blogging and Twittering from the event.

Here's a good video from the National Geographic Channel on heroin addicts:



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