Yale University Fixes a 53-Year Old Mistake and Returns to Alcohol Research & Policy

Yale Medical School issued a press release yesterday about the opening of a new addiction research and policy center:

The National Center on Addiction and Substance Abuse at Columbia University (CASAColumbia), a leading national organization whose mission is to educate the public and improve the prevention and treatment of addiction, has partnered with Yale School of Medicine and Yale School of Public Health to form a new addiction research and policy center based in New Haven. The Yale–CASA center-of-excellence will expand critically important work to shape public policy, disseminate evidence-based practices, and educate families, providers, and policymakers.

It’s good news, and it was very smart of them to partner with Columbia, which has been one of the universities at the forefront on these issues. The ironic aspect of this is that they once had the premier alcohol research center in the country. This history is provided from the Rutgers Center of Alcohol Studies history page:

The Center of Alcohol Studies is the first interdisciplinary research center devoted to alcohol use and alcohol-related problems and treatment. Evolving in the late 1930s and 1940s at the Yale University Laboratory of Applied Physiology and Biodynamics, which was directed by Yale physician Howard W. Haggard, the Section on Alcohol Studies, headed by E.M. Jellinek, pursued studies of the effects of alcohol on the body, which broadened into a wide perspective of alcohol-related problems. The increasing demand for information about alcoholism led the Center to found the Summer School of Alcohol Studies in 1943. In 1944, the Center also began the Yale Plan Clinics, the first ever outpatient facilities for the treatment of alcoholism. The Yale Plan for Business and Industry, forerunner of current-day employee assistance programs, also began in the mid-1940s, in response to requests from business and industry having to cope with employment shortages during World War II. Another of Dr. Haggard’s contributions to the field was the founding of the Quarterly Journal of Studies on Alcohol in 1940. Today the Journal of Studies on Alcohol and Drugs remains a foremost journal in the field and is one of the top ten most cited substance-abuse journals.

The Center of Alcohol Studies was the leader of the movement to recognize alcoholism as a major public health problem and to have the American Medical Association accept alcoholism as a treatable illness, a policy it formally adopted in the 1950s.

And then in 1962 the Center of Alcohol Studies left Yale and moved to Rutgers. Over the last 17 years, multiple sources have told me that by the early 1960’s Yale had decided that it was beneath them to be in Alcohol Studies. Fortunately, my alma mater was willing to adopt it (full disclosure: I took courses at the Summer School of Alcohol Studies from 1998 through 2007 and I began working there as an instructor in 2008. This summer, I will teach two courses there).

I am glad that Yale made such an egregious error all of those years ago, because the Center of Alcohol Studies (CAS) helped shape the course of my career. Back in 1998, Gail Milgrim (who was in the middle of a 30-year run as the Director of the Education and Training Program), gave me a scholarship to attend the summer school and said, “I think you’d be good in this field.” It hasn’t only helped me though – thousands upon thousands of professionals have been trained by their faculty and CAS is the acknowledged leader in the alcohol research field.

Yale has finally seen the error of their ways. Kudos.

Alcoholics Anonymous Turns 80…But Not Today

AOL (they still exist…I have an email account to prove it) congratulated AA for turning 80 today. In fact, the day that is celebrated as Founder’s Day (June 10) each year by grateful alcoholics is not actually the day AA was created. Bill Wilson (a New York stockbroker) and Dr. Bob Smith (an Akron doctor) met on May 12, 1935 and they discussed their drinking problems with each other. Both left that meeting feeling connected to someone else and hopeful that they could remain abstinent from booze. I view that as the first AA meeting and that date as the founding of Alcoholics Anonymous.

Most people, including Alcohol Anonymous World Services, go with June 10, 1935, which is the last day that Dr. Bob drank. From their website:

Dr. Bob lapses into drinking again but quickly recovers. The day widely known as the date of Dr. Bob’s last drink, June 10, 1935, is celebrated as the founding date of Alcoholics Anonymous. Dr. Bob and Bill spend hours working out the best approach to alcoholics, a group known to be averse to taking directions. Realizing that thinking of sobriety for a day at a time makes it seem more achievable than facing a lifetime of struggle, they hit on the twenty-four hour concept.

But it turns out that his last drink wasn’t June 10 but rather one week later on June 17. After his initial meeting with Bill Wilson, Dr. Bob was able to put a few weeks of continuous sobriety together. He felt so good that he decided to attend the AMA (American Medical Association) Conference in Atlantic City that June. His wife was concerned, but he assured her he would be fine (early recovery people are so similar). This site provides the rest of the story:

That is, until he boarded the train to Atlantic City. Once on the train Dr. Bob began to drink in earnest. He drank all the way to Atlantic City, purchased more bottles prior to checking in to the hotel. That was on a Sunday evening. Dr. Bob stayed sober on Monday until after dinner. He then resumed his drinking. Upon awakening Tuesday morning his drinking continued until noon. He then realized that he was about to disgrace himself by showing up at the convention drunk. He decided to check out of the hotel and return home. He purchased more alcohol on the way to the train depot. He waited for the train for a long time and continued to drink. That was all he remembered until waking up in the home of his office nurse and her husband back in Ohio.

Dr. Bob’s blackout lasted over 24 hours. There was a five-day period from when Dr. Bob left for the convention to when the nurse called Anne and Bill. They took Dr. Bob home and put him to bed. The detoxification process began once again. That process usually lasted three days according to Bill. They tapered Dr. Bob off of alcohol and fed him a diet of sauerkraut, tomato juice and Karo Syrup.

Bill had remembered that in three days, Dr. Bob was scheduled to perform surgery. On the day of the surgery, Dr. Bob had recovered sufficiently to go to work. In order to insure the steadiness of Dr. Bob’s hands during the operation Bill gave him a bottle of beer. That was to be Dr. Bob’s last drink and the “official” Founding date of Alcoholics Anonymous. The operation was a success and Dr. Bob did not return home right after it. Both Bill and Anne were concerned to say the least. They later found out, after Dr. Bob had returned, that he was out making amends. Not drunk as they may have surmised, but happy and sober. That date according to the AA literature was June 10, 1935.

The Archives of the American Medical Association reportedly show that their convention in Atlantic City, in the year 1935 did not start until June 10th. How could Dr. Bob have gone to the convention, by train – check into a hotel – attend the convention on Monday – check out on Tuesday – be in a blackout for 24 hours – go through a three -day detoxification – perform surgery on the day of his last drink – June 10, 1935? Five days had passed since Dr. Bob left for the convention and returned to Akron. There was the three-day detoxification process and then there was the day of the surgery. Approximately nine days had passed from when he left and the date of his last drink. If the records of the American Medical Association are in error as to the date of their convention it is possible that June 10, 1935 was the date of Dr. Bob’s last drink. If the records are in error, the 1935 convention would have been the only one in the history of the American Medical Association that was listed with the wrong date.

I quit the debating society over a decade ago, but I am a history buff and I think it is important that facts be correct. From my viewpoint, AA started on May 12, 1935. If you and yours think that AA started on Dr. Bob’s last drink, then it is June 17, 1935. Regardless of your belief, it is not June 10, 1935.

Female Leads in Comic Books Might Help to Change Our Culture

I’ve been reading comics since the early 1980’s (and I haven’t stopped, except for a brief pause during some lost years in the 1990’s). Growing up, the female characters in comics were all pretty sexy with wonderful come-hither looks (you really should click on this). Even Batman’s female villains were all pretty buxom (enjoy). The few girls in my school that were interested in superheroes all worshiped Wonder Woman, who pretty much just looks like a stripper in Captain America panties (I prefer Woman Woman to be heavily armored and quite violent). I know, she’s iconic. I’m not looking to get into a flame war.

Clearly, art has reflected our culture.

Research reports teachers (despite being overwhelmingly female) tend to call on and interact with boys more than girls. By the time they are teenagers, girls (either consciously or unconsciously) begin to play down their intelligence. This leads to the unfortunate belief by many people that girls are not as smart as boys. In college, despite making up a majority of the student body, women make up less than 40% of student government. Don’t even get me started on Halloween costumes.

In the internet era, the vitriol directed at women who assert themselves can be vicious and disgusting. Women who work full-time earn 70, or 77, or 85 cents for every dollar that men who work full-time make (there is a fight over those statistics, but people generally agree that there is a gender pay gap). Only 24 women head a Fortune 500 company (4.8%). All of these statistics are worse for women of color. The secondization of women is also reflected in our films. In the top 100 grossing movies of 2014, only 12% of the protagonists were females (it was 15% in 2013).

But while these statistics are disheartening, no one can deny that circumstances are better for women now than they’ve ever been before in human history. We are seeing an upward trajectory. This has also been reflected in comics since 2000. We are living in a golden age of strong female protagonists. These are characters that are so well-rounded and interesting that they not only appeal to women, but they appeal to men (they’re still pretty good looking, but at least they have a lot more to offer now).

In 2000, Maryjane Satrapi’s Persepolis was released. Written and illustrated by Ms. Satrapi, it is an absolute literary classic that details the author’s childhood in Tehran and her education in France. Her family were well educated, semi-secular Muslims living under a fairly oppressive regime in Iran. It’s a coming of age story that is easily one of my 10 favorite comics.

Also in 2000, Brian Michael Bendis introduced us to Deena Pilgrim, a smart, young detective who investigates super-powered related crimes (she has a dirty mouth…not sexually dirty, just nasty). While Ms. Pilgrim is not really a role model, she doesn’t have to be. But she’s interesting, and that was a welcome change. Other characters followed. In 2002, Bill Willingham began a multi-award winning series called Fables. One of the main characters is Snow White. She is smart, hardworking and fierce and I will miss her character when the series ends this summer.

In 2007, Alison Bechdel’s Fun Home was released (it was made into a Broadway play this year). It’s an autobiographical story about Ms. Bechdel’s childhood, education, family and especially her relationship with her father, a closeted gay English teacher from central Pennsylvania. It was a finalist for the National Circle Book Critics Award and in 2010 the LA Times named it as one of the 20 classics of gay literature.

Marvel made headlines over two years ago with the introduction of Ms. Marvel, a teenage girl of Pakistani decent who lives in Jersey City. It is written by G Willow Wilson, and while it is not a book that I read (I read the first story arc), I am very happy that it exists. It is in the news again because of a controversy, but that should help add a few readers and drive sales for a bit.

The last few years has seen an introduction of a number of glorious characters. They include Velvet, Lazarus, Brian Azzarello’s Wonder Woman, Scott Snyder’s Pearl Jones, and Saga’s Alana. These aren’t forced attempts at being PC or grabbing new market shares, but instead quality characters in good stories.

This is progress. It is a signal that our culture has changed and is changing. I believe these characters will influence men and women to look at females more progressively, and that our culture will reflect our art.

Alana from Saga, illustrated by Fiona Staples

Gov. Christie Does Some Good

I’ve been introduced in a few articles over the last 18 months as a “frequent critic of Governor Christie” and I have not pulled any punches when he over-trumps a tiny success or refuses to fund programs that he claims to support.

Today his administration did something really good though.

“Gov. Chris Christie announced a deal on Thursday for law enforcement and other public agencies to get nearly 20 percent off the price of naloxone from California-based Amphastar Pharmaceuticals, Inc.”

Naloxone is an anti-overdose drug. Last fall, Amphastar doubled the price of it just as it was starting to be used on a widespread basis. Public health advocates were outraged and claimed it was a blatant money grab. NJ is the third state to negotiate a reduced rate for it. The Governor did not lead the way here, but he did do a good thing. Good work, Mr. Christie.

The full story can be read in this Associated Press report.

The Unbridled Joy of Being a Mentor

When I was a kid, I liked being the center of attention and the star on the stage. As I approach middle age, I still enjoy my star turns, but I have found that I greatly enjoy seeing others learn, grow, achieve and thrive. On May 18th, I watched a pair of young men graduate from Rutgers Newark. I was at least, if not more, proud of them completing their degrees as I was of my own graduation from the school of public policy a few days earlier.

My mother taught English at Elizabeth High School from 1987 thru 1999. She would drive an hour each way to work. She loved teaching there and would tell me about her students. She brought me to the school several times during those years. As a teenager, I remember thinking it was very large, a bit run down and full of people that I almost never saw in Hunterdon County. At 5200+ kids, it was the largest high school in America. Forty-six (46!) languages are spoken by students there. It serves a poor, high-minority and largely immigrant population. In the fall of 2006, I began working there as an English teacher (after I finished my MSW in the spring of 2006, there were only two districts that I was interested to teach in – Elizabeth and New Brunswick).

That fall, I had two freshmen classes and one junior class. I taught the freshmen classes for 100 minutes each day. I began each class by playing music for them (Dylan, the Beatles, Beethoven, Mozart, Louis Armstrong, Public Enemy) and having them write in their journals. I taught them poetry and had each class read about 10 books (I gave constant quizzes to ensure that they were reading). I also taught them about history (I’m a certified high school social studies teacher too). During that fall, I told my students that Scott Joplin died of syphilis. They asked me what that was. I was incredulous and inquired about their STI education. All three classes told me they had not received any – so, I spent a day on STI’s (and then included questions on them in a quiz). I also told my students about how I got into trouble as a kid, joined the Army, went to college, traveled the world, taught in Japan and how my friend died from addiction. I told them about my love of hiking and baseball. They teased me when the Vikings lost and would introduce me to new music. Every day was different and almost all of them were extremely rewarding.

2006-07 Freshmen AM English Class in Dwyer 212
2006-07 Freshmen AM English Class in Dwyer 212. Marvin and Waldys are 4th and 3rd from the right.

Marvin Pineda and Waldys Batista were two students in my freshmen morning class. They showed up early and stayed late. They did all of the assigned work, loads of extra credit and earned straight A+’s throughout the entire year. I taught them (and a few others) how to play croquet after school and on a few Saturdays (they really enjoyed sending me). Waldys would talk to me about his little brother, ask questions about the Yankees and generally served as an ideal role model for other students. He was perpetually calm and laughed at the silliness and zaniness that life threw at him. Marvin was equally bright but a bit more hot headed – he would get frustrated when he his peers weren’t as serious and he didn’t relish when I would correct him on attitude issues or on behaviors that he exhibited in other classes. Marvin was an absolute sponge – he wrote down everything I put down on the chalkboard and many of the things I said. He would spend his lunch period in my room – sometimes he did school work (if I was busy) or he would pepper me with questions about music, sports, English, history or my life. They were the kind of students a teacher dreams about having one time in their career, and I had two of them my very first year of teaching.

Originally, I had only planned on teaching at Elizabeth for one year. I worked as a drug counselor a few nights a week at Hunterdon Drug Awareness after school, but I knew I had to eventually find a full time counseling job in order to get my advanced counseling license (LCSW). Those plans changed when I found out that I would get to teach my two freshmen classes again as sophomores (again, for 100 minutes every day). I had the same 50+ students for a 2nd year, and that 2007-08 year was even more enjoyable than my first year. Waldys and Marvin continued to excel in my classroom, knock off A+’s and grow as writers and human beings. I hung my graduation gown from Rutgers in the front of the room and talked to all of my students about the importance of higher education. After his sophomore year, Waldys transferred to the Upper Academy of Elizabeth High School (basically the honors building) in order to better prepare for college. Marvin decided to stay at Dwyer House for a 3rd year (which would be my final one at EHS) and he took Journalism with me as an elective. Marvin told me about his family – how both of his parents worked two jobs and also served as the superintendents of the building they lived in. It was a grueling schedule that they did (and continue to do) for years in order to give their four children a shot at the American dream. When people ask me how I can work so many jobs or such long hours, I tell them that my schedule is easy compared to the parents of some of my former students (and I think of specifically of Marvin’s parents when I say it).

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Marvin, Waldys, Junot Diaz, myself and Jeremy Alba in the winter of 2008.

In the winter of 2008, Junot Diaz visited Rutgers. I had fallen in love with his writing after he won the Pulitzer for The Brief Wondrous Life of Oscar Wao. I taught all of my students about him and had them read a few short stories from Drown. Waldys, Marvin and a few other students met me at Rutgers Newark the night Mr. Diaz spoke. We hung around afterwards and got to meet with him for about a half hour and took a number of photos. He was extremely gracious and my students were star struck. I was thrilled that they were so excited to meet a writer.

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On the MET steps in June, 2009.

In the spring of 2009, I accepted a job at Rutgers as the new Recovery Counselor. They agreed to hire me part-time at first in order for me to finish the school year at Elizabeth (I will always be grateful to them for that). My last day at Elizabeth was in late June. I cried when I drove away from the school. The next day, I took Marvin, Waldys and Jeremy Alba to NYC to see the Public Library, Grand Central Station, Strawberry Fields and the Natural Museum of History. It was teaching, learning, mentoring and guiding in action. We laughed and joked and I answered the questions that I could. It was a wonderful day.

 

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2010 EHS Graduation

At Rutgers, I organized and attended about 150+ activities a year with students and alumni in recovery. Marvin and Waldys came along to a number of those activities, including hikes, plays, sporting events, speaking engagements and meals. Marvin transferred to the honors building for his senior year, and both he and Waldys did very well there. In June of 2010, I had the pleasure of attending their (and all of my other students’) high school graduation. A 2009 New York Times article reported that 53% of students in the largest 50 cities in America graduate high school in 4 years while that number jumps to 71% in the suburbs. My students not only graduated from high school, but they had done so against considerable odds.

My job at Rutgers required me to work 3 days in New Brunswick and 2 in Newark. Marvin and Waldys delighted me by enrolling at Rutgers Newark in the fall of 2010. I saw them several times a month and continued to involve them in activities with my other students. We still talked about the things we always talked about, but we also spoke more about girls, their friends’ substance use, their families, money and jobs. Both took a little while to adjust to the rigors of college coursework, but eventually they started doing well at Rutgers. There were hiccups: Marvin’s car was stolen, Waldys’ parents divorced, Marvin almost got married (ugh…that was brutal)…the list goes on. We spent time together and talked about these problems, and one way or another, things worked out. Sometimes they were embarrassed to tell me something, so they would wait a little bit or the other one would tell me what was going on. I introduced them to my friends and family, and many of them knew Marvin and Waldys by name. A few of my friends were particularly helpful with them, and for that I am also grateful.

IMG_7378On May 18, 2015, 9 years after I met them, I had the unbridled pleasure, pride and joy in watching Waldys Batista and Marvin Pineda graduate from college. Waldys graduated with a BS in Criminal Justice and Marvin with a BA in film. Waldys has been applying for jobs as a police officer both in and out of NJ. He’s a dream candidate – he’s smart, hardworking, even tempered, humble, bi-lingual and cares about people. Marvin has been working and interning in film and will continue to do so (all of the videos on my site were shot by him). His goal is do to well enough making educational documentaries so that he can help build schools in poor countries. Sigh. These kids…these young men. I am so proud of them.

Go mentor someone. It will do as much for you as it does for them.

 

 

Why I Got A Degree in Public Policy

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Yesterday, I graduated from the Edward J. Bloustein* School at Rutgers with a Masters in Public Affairs and Politics (it’s an advanced one-year public policy degree).  It is my third degree from Rutgers (I earned my BA in history and English in 2001 and my MSW in 2006). Each class was enormously time consuming and it took me four years to complete it.  Now that the degree is finished, I am going to get back to writing for this site more regularly. But first, I will elucidate the process which led me to pursue this degree.

In late 2003, I returned to America after teaching in Tokyo for a year. I took a job at Integrity House (a long term substance abuse treatment facility in both Secaucus and Newark) as a front line counselor. I had been there less than a month when I made the decision to pursue a MSW full-time while working full-time. When I was at Integrity, it was impossible to ignore the problems that my clients faced in addition to addiction: inadequate education, a lack of job skills, poor health care, a bloated criminal justice system that regurgitated prisoners, stressed out families, and a vicious cycle of poverty. After stabilizing my clients in recovery, we would focus on education and job skills. There were very few resources, and many of our clients just returned to the same blighted street corners with no hope of anything but a minimum wage, 25-hour a week job.

In 2005, halfway through my MSW, I began working at Hunterdon Drug Awareness (HDAP) in Flemington, NJ. Drug addiction caused the same problems in Hunterdon that it did in the inner-cities of NJ, but the people of that county had more resources to repair their lives. They had an easier time going back to school or developing skills that lead to meaningful and better paying jobs. This crystallized my thinking that I had to work on more than just drug treatment with people, but it would require additional skills and a different type of work if I wanted to affect macro level change. I also started working with clients that were addicted to prescription drugs like Xanax, Adderall, Valium, Vicodin, and Oxycotin. A lot of the people that came into treatment didn’t view prescription drugs as a problem because they were “safe, legal and pure.”

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Spring 2007. This was one of two Freshmen classes that I taught. They had quizzes every week and journal writing every day.

After graduating with my MSW in 2006, I took a job as an English teacher at Elizabeth High School,** which was the largest HS in America at the time (5500+ kids). My students were 65% Hispanic, 15% black, 15% Haitian and 5% other races. Many of them were the children of undocumented workers (who often worked 2+ jobs in order to scratch out an existence). The quality of the building, books, desks, supplies and instruction were all deficient. In 2007, due to a lack of space, the library of Dwyer House (where I taught)  was cleared out in order to make more class room space. The books were thrown in dumpsters. I took photos of this, rescued books from the trash, and wrote an impassioned essay about it on Myspace (it was 2007).

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The condition of the library was disastrous. The books had already started to be thrown out here. In my 2007 Myspace essay I wrote, “This never would have happened at a white, suburban school.”

Much like my time at Integrity House and HDAP, I poured myself into the work, bonded with those that I served and generally had a great time every single day. But the problems that my students and their families faced would not be solved by a high score on a vocabulary quiz or being able to articulate the political reasons behind the fighting in Julius Caesar. At the end of the 2009 school year, I was offered and turned down tenure. I had decided to take a job at Rutgers running the Recovery House and working at both the Newark and New Brunswick counseling centers.

In the spring of 2009, there was one student in the Recovery House who was in Recovery House for opiates. By the fall, that number had jumped to 6 (25%). In 2011, about half of the students were in recovery from opiates. I was also seeing more and more students come into the counseling centers that had problems with prescription drugs. It was even more pronounced than what I had seen a few years earlier at HDAP. I was also exposed to the devastating relationship between alcohol intoxication and sexual assaults (I’ve written about how males weaponize alcohol to incapacitate their prey). I collected data on what we accomplished and wrote about how a community could foster recovery and inspire students to academic excellence.

In 2010, I was asked to be a Trustee of the New Day Recovery Charter High School in Newark. While there were over 30 recovery high schools around the country, neither NJ nor NYC had one. From 2010 to 2012, I would leave work at Rutgers Newark at 6 pm every other Monday and head over to the New Hope Baptist Church for school board meetings that would sometimes last until 9 pm. We talked about educational policy, the recovery process, fundraising and how to get community support. We were all hardworking, excited and dedicated to this cause.

Alas, we didn’t understand the politics of the Newark School System nor were we prepared for the lack of faith and support of both the Department of Education and whatever niche covers charter schools. We were denied the charter in 2011 and then again in June of 2012. At that point, we decided to disband.

In the summer of 2011, my friend Eric Arauz recommended me for the Governor’s Council on Drug Abuse and Alcoholism (GCADA). I was mulling over issues on the school board and what I’d like to accomplish on the GCADA while flying on a plane to attend a close friend’s wedding in Sienna, Italy. I had also been reading a number of political profiles in the New Yorker (I catch up on that magazine when I travel) when I came across the story of a cabinet official who decided to get a policy degree when he was getting more involved in that kind of work. A light went off. By the time I returned to NJ ten days later, I had made an appointment to meet with Stuart Shapiro and was prepared to do whatever I needed to do to start taking classes at Bloustein that fall. During my interview, I told Dr. Shapiro that I wanted to hone my analytical skills and knowledge base in order to be more effective in the work that I was already doing.

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3 Task Force Members: Myself, Dr. Louis Baxter and Governor Jim McGreevey

In 2012, the GCADA created the NJ Heroin and Other Opiate Task Force. We held hearings, were on the radio, made the news and eventually (after a lot of listening, reading, data gathering and discussions, some backstabbing, and several political delays) released a report on March 17, 2014. Our report addressed mezzo and macro level issues, including, but not limited to: (1) creating a recovery high school in NJ; (2) creating more recovery college programs; (3) creating a warm-line so that people could get better and more timely access to opiate treatment information; (4) mandating the prescription drug monitoring program; (5) improving treatment in county jails; (6) revising the health curriculum in public schools in order to cover the dangers of prescription drugs; (7) better training of professionals that prescribe and dispense prescription drugs and (8) the enforcement of the Mental Health and Addiction Parity Act (2008) and the Affordable Care Act (2010), which mandates that treatment for addiction must be treated the same was as treatment for cancer or diabetes. My contributions to that report represent the changes in my thinking and approach that were influenced by the Bloustein school.

I took courses on policy formation, research, economics, energy, the environment, education, health care, and the state and federal budget. The professors were learned, patient and encouraging. I have found that this course-work has pushed me towards the middle of a number of policy issues, and I try to avoid hyperbolic language and taking rigid positions. This is particularly true of issues that I think I can influence. Supporters of these issues might grow frustrated at my deliberate pace, but I have adopted the wisdom of Ben Franklin: “Half a loaf is better than no loaf.” A small policy victory today can leave the door open for bigger victories later.

It is with great pride that I can now say that I am an alumnus of the Edward J. Bloustein School of Planning and Public Policy.

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Governor Florio, Dean Hughes, myself and Assemblyman Benson.

* The school is named for the 17th President of Rutgers. Edward J. Bloustein served from 1971 to 1989. He oversaw Rutgers College becoming co-ed, attracted top faculty, created the Employee Assistance Program, created one of the first Alcohol Policy Committees in higher education and generally raised the reputation of the university. All of the long-time and retired faculty that I know speak of him fondly.

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This was taken at the end of the 2007-08 school year. I had taught these kids for 2 years and now it was time for us to part. Many of us cried before, during and after the photo.

** I worked as a full-time teacher at Elizabeth and worked 2 to 4 nights a week as a substance abuse counselor at HDAP in Flemington. I did this for three years. I usually logged 700 miles a week.

A Starting Plan to Address Sexual Assault on College Campuses

Last month, I wrote an article about the Hidden Wounds of Sexual Assault (I described how the survivors of sexual assaults are often: afraid of the dark; jump when touched; get alarmed at loud or sudden noises; have difficulty being intimate with someone; have problems in relationships; were not believed by friends, boyfriends, family members or the authorities; ….as a result, trust people less).

There is a new documentary out titled The Hunting Ground – it covers a number of sexual assaults on college campuses, that some frats (SAE) are fortresses of rape, and how many universities have failed to protect their students and/or prosecute the attackers/predators.

I’ve posted information about the movie on our Facebook site. I use that site to also put out links to numerous articles that I find informative and topical, and over the last half year I’ve suggested that people read about the failures of how the military addresses sexual assaults, methods that sororities are trying to shield their members against rape, and the horrific story of two football player-rapists’ attack on a young woman at Vanderbilt.

In today’s New York Times, Professor Jenny Wilkinson of the University of Vermont wrote an account about how she was sexually assaulted when she was an undergraduate at the University of Virginia. Despite being found responsible by the University, her attacker received a minimal reprimand with no real consequences. It’s a story that I urge people to read. Dr. Wilkinson concluded her piece with some basic suggestions to improve the way sexual assaults are handled on campuses:

At a minimum, though, we need victim-friendly proceedings, including administrators who encourage students to file reports; trained legal representatives, investigators and panel members; and rules that allow students to bring in outside support. Victim-sensitive punishments, explicitly expulsion, would allow survivors to walk around campus without fear of running into their attackers. With these changes, university proceedings could actually make a difference by getting predators off campus and into the hands of family members and friends who can find them the help they need.

The “Irrational” AA Article and It’s Blowback

Earlier this week, an article from The Atlantic titled “The Irrationality of Alcoholics Anonymous” was widely read and discussed. It started a vigorous debate.

Two articles on the reaction:

The High Functioning Alcoholic from Psychology Today

Spirituality vs. Science from the Huffington Post

A blog reaction:

Trashing AA as Irrational

And a TV clip:

Does AA Really Work? from MSNBC. This clip had two women discuss it. I have to say, especially for TV (and cable tv, no less), that the discussion was equal and measured. No shouting or namecalling or casual dismissing.

A few thoughts of mine:

(1) Too many treatment programs rely too much on the 12-Step Model.

(2) Those that do rely on the 12-Step Model tend to discount medication and a number of behavioral therapies that have strong outcomes (and data to back it up).

(3) I have personally and professionally seen AA be wildly successful for thousands of individuals.

(4) I agree that AA’s strongest aspect is the power of the group. The creation of a social network and a collection of some inspirational role models.

(5) In summation, AA is a wonderful program that helps lots of people. Treatment programs need to offer more than just AA though.

The Hidden Wounds of Sexual Assault

A few months ago, I was talking with someone I’m very close to about sexual assaults on college campuses, in the military, and generally throughout America. I told her how 1 in 4 women in the United States will be sexually assaulted at some point in their lifetime, and how that number jumps to 1 in 2 if a woman has a substance use disorder. I spoke about how 80% of survivors are under the age of 30, and how often colleges typically mess up the less than 5% of cases that are reported.

She responded, “Something happened in the last year.”

“What do you mean?”

“You’ve talked about sexual assaults for the last half decade, but nothing like you’ve done in the last year. Something happened to someone you know. One of your clients maybe.”

I stopped and thought about it. I sat down and thought some more. “Over the last dozen years, I have heard a great many stories involving sexual assault and rape. Some of them were particularly gruesome and heinous,” I said. “But it’s not just the incident. The mental, emotional and spiritual toll that these women have experienced and endure has long lasting consequences and affects many different areas of their lives. The sum total of it all has left me deeply affected, concerned and angry.”

Here are a few examples of what I’ve helped women process through the last few years:

(1) Jane Doe #1: Went to a highly regarded, small, private, liberal arts college in the Mid-West. Was raped at the end of a date. She told her friends about it a few days later, and they told her she hadn’t been raped. “Those kind of things happen,” her friends (all females) told her. A few weeks later, she realized she had been raped. She didn’t tell her friends. She didn’t go to see a counselor or a police officer. Years later, she told me that, “I felt stupid for taking so long to work out what happened.”

(2) Jane Doe #2: Attends school at a major public university. Was raped on four different occasions by four different men that she considered friends. She didn’t report any of them to the police. She did tell two of her female friends. She is currently experiencing major academic, social and physical problems (none of which pre-existed the first rape). She will only leave her house during the day if someone else accompanies her. She will not go out at night.

(3) Jane Doe #3: While at an off-campus fraternity party, she was cornered into a bedroom by a “giant.” She reported that he threw her down on a bed, choked her and raped her. He told her that if she ever reported him that he would kill her. A year later, her PTSD was causing her so many problems that she sought counseling. She declined to inform the authorities.

(4) Jane Doe #4: A woman in her early 20’s met a 29 year old man at a self-help group for people with alcohol problems. They hung out twice after a meetings: they got coffee after the first meeting; he raped her in his car after the second meeting. “I felt so stupid and ashamed. It was my fault,” she told me.

Think for a moment about how difficult it is to tell someone about a problem. Think what it took for these young women to tell a man in his late 30’s about this (research states that women have an easier time talking to other women about these issues). Most never go to the police or even a counselor. Less than 5% of sexual assaults are every reported.

To my knowledge, none of the aforementioned women ever told any of their family members. Read that last line again. If there is a female in your life under the age of 30, there is almost a 25% chance that she was sexually assaulted and never told a family member. If it is your daughter, sister or grand-daughter, you might have no idea of the hidden wounds that she has been carrying around.

Their stories are not unique. They are just examples of cases that are all too common. Many of the women I’ve talked to or worked with:

– are afraid of people

– are afraid of the dark

– jump when touched

– get alarmed at loud or sudden noises

– have difficulty being intimate with someone

– have problems in relationships

– were not believed by friends, boyfriends, family members or the authorities

– ….as a result, they trust people less

It seems like sexual assaults have been reported more frequently in the last dozen years. Colleges and the military have had national scandals and leaders called onto the carpet for the failures of reporting and treating women that have been sexually assaulted at those institutions. And yet on Friday, an article appeared on 538.com about how College Presidents Appear Delusional about Sexual Assaults on Their Campuses. Those in power are acknowledging, more than ever, that sexual assaults are on the rise and that they are a significant problem. They just don’t believe it is happening in their backyard or is their responsibility. Most of those in power that aren’t properly addressing this are men. To sum it all up: these sexual crimes are being committed by men, and then other men are glossing it over or disregarding it. It’s time that we educate men on these issues, rather than just focusing on what women can do to prevent them.

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This is a great site for information regarding sexual campus policies, reporting, activism, and alcohol and drug use. I urge you to learn more and tell others.

For the parents of young adults with a substance use disorder

According to the 2013 National Survey on Drug Use and Health (the most recent survey available to us) and the latest findings by the National Institute on Drug Abuse (NIDA), these are the percentages of young adults, aged 18 – 25, that do the following:

– 39% of full-time college students report engaging in binge drinking within the last month (this number is 33% for those in not in college or part-time)
– 19% report using marijuana within the last month
– 22% report using illicit drugs (Molly, heroin, opiate painkillers, methamphetamine) within the last month
– 13% report abusing prescription drugs within the last month

People who abuse alcohol and/or drugs are more likely to get injured, have a mental health disorder, be involved in sexual assault, have legal problems, and attempt suicide. It’s a huge risk factor that can also lead to school, work and family problems. If you are a parent of someone aged 18 to 25, you may have already seen your child experience some of these issues. At the very least, you probably have some concerns. I’ve worked as a therapist with this population for 12 years and I’ve run programs at high schools, universities, in-patient and out-patient treatment centers. Here are some simple tips, based on those experiences:

– be a role model -> young adults with a parent who abuses alcohol/drugs are much more likely to have substance use disorder themselves
– talk to your young adult about school, friends and substance use
– engage in activities outside of your home with your offspring (too many relationships get bogged down by the business of housekeeping (shopping, cooking, cleaning, laundry) and not enough families engage in fun or recreational pursuits

If you suspect or know that your young adult has a drug or alcohol problem, here are some further actions that you can take:

– get your young adult into counseling immediately
– accept that everyone who lives with someone with a substance problem is affected
– do not have alcohol or drugs in the house
– abstain from alcohol and/or drug use while your offspring is in treatment or trying to stay clean
– attend at least six Al-Anon meetings (Al-Anon is for the family, friends & lovers of someone who has an alcohol or drug problem)
– attend an open AA speaker meeting alone
– set clear rules & boundaries
– make sure that you have some time each week to spend with other family members (to take the focus off of your young adult that is using and to make sure that others have not been ignored)
make sure that you have some time each week for your own fun activities
– consider individual therapy for yourself

With treatment, young adults with a drug and/or alcohol problem can still reach their utmost potential. This gets harder and harder to do once your offspring hits their mid-20’s, 30’s or 40’s. Without treatment, your young adult’s drug and/or alcohol problem will get worse. There are many people in the United States that are paying the rent of their 30-something child and/or are raising their grandkids. To borrow a term from Charles Dickens, you can change your “ghost of Christmas future.” After reading this article, you can never say that you were not told.