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Wednesday, July 30, 2014
"Never believe that a few caring people can't change the world. 
Not surprisingly, parents are the most powerful influence in their child's life. According to The Partnership for Drug-Free Kids, "Parents have more influence over their child than friends, music, TV, the internet and celebrities." But when it comes to talking to their kids about drugs and alcohol, many parents struggle because they fear the dreaded question, "Did you ever do drugs?" 
Fingernail Drug Test Gives Vital Information to DWI Program
/BY CELIA VIMONT
July 30th, 2014/
A pilot program that uses fingernail drug and alcohol testing is helping to spot drivers who have been convicted of driving while intoxicated who are continuing to drink or use drugs. Fingernail testing captures a person’s history of drug and alcohol use for the past three to six months.
The program, in Kenosha County, Wisconsin, is testing drivers who have been convicted of at least three DWI offenses, says Guida Brown of the Hope Council on Alcohol & Other Drug Abuse, which assesses drivers convicted of impaired driving in the county. Drivers must successfully complete the yearlong program in order to maintain their driving privileges.
“We do a lot of assessment, but until now there’s been no teeth behind it – no ability to help people see they really have a problem – and help guide them in a way to stay abstinent,” says Brown. “With this test, when we say you can’t use drugs or alcohol for the one-year duration of the driver safety program, we can verify the results.”
A Breathalyzer test can be negative in as soon as 12 hours after a person drinks, according to Douglas E. Lewis of the United States Drug Testing Laboratories (USDTL), which makes the fingernail test. In contrast, a blood alcohol test called a PEth test can detect alcohol in a person’s system for about two to three weeks and a fingernail test can detect alcohol in a person’s system for about 90 days.
Lewis and Brown presented the findings of the pilot program at the recent annual meeting of the College on Problems of Drug Dependence.
Most counties don’t do any drug or alcohol testing as part of their driver safety programs, Brown notes. “The big problem isn’t just drunk driving anymore – other drugs are becoming more of a hazard on the road, including marijuana and prescription drugs,” she says. The pilot program found 59 percent of those tested were positive for alcohol, suggesting they continued to binge after their last DWI arrest. Of those tested for drugs, 35 percent were positive. Cocaine, marijuana and opiates were the most commonly found drugs.
Lewis says the test typically costs $100. In Kenosha, clients of the DWI program pay for the testing themselves, which typically takes place about four times over the course of the year. While some counties see the cost of the test as a barrier to its use, Brown notes it is done much less frequently than a urine test, which must be conducted every few days to give accurate results. She has advocated for more state money to increase funding for drug and alcohol testing, and for extending the length of the program. “We’d like a longer monitoring program so we could help more people finish,” she says.
Drug testing using hair is more widespread than fingernail testing. Fingernails, like hair, are made of a protein called keratin. Drug and alcohol biomarkers are trapped in the keratin fibers of the fingernail. Biomarkers may be washed out of hair by common cosmetic treatments such as bleaches, dyes, permanents and straighteners. This reduces the presence of detectable substances. This isn’t a problem with nails, Lewis says. Unlike hair, which stops capturing drug and alcohol biomarkers once hair grows out of the body, nails continue to capture these substances as the nail grow in length and thickness.
Nails provide up to six months of drug use history and up to three months of alcohol history, according to Lewis. Biomarkers are detectable in nails as early as one week after drug or alcohol use. A typical sample is 2 to 3 millimeters, about the thickness of a quarter.
Lewis stresses the test won’t come back positive for the person who has a drink or two a day. “You need at least six standard binges—consuming five standard drinks in a two-hour period for a man, or four for a woman—in a three-month window for the test to come back positive,” he says. “This test finds someone who drinks often enough to cause concern.”
The test also detects amphetamines, opiates, cocaine, marijuana and PCP. While fingernail testing has been available for the past 20 years, until recently it has largely been used for research, according to Lewis. Improved technology has allowed scientists to refine the test so it can detect drug and alcohol use even when a person is not using these substances daily.
In addition to DWI programs, some professional health programs are using fingernail drug testing. “These programs, such as those for doctors, need clients to maintain a low level or as close to an abstinent level as possible for long periods of time,” observes Lewis. “This test allows evaluators to have an objective set of tools.”
History of Drinking Problems Linked With Memory Deficits in Later Life
July 30th, 2014/
A new study of thousands of Americans finds people with a history of drinking problems have more than twice the risk of memory problems later in life, compared with those who have never been heavy drinkers.
The researchers asked participants four questions: Have you ever felt you should cut down on your drinking? Have people ever annoyed you by criticizing your drinking? Have you ever felt guilty about drinking? And have you ever had a drink first thing in the morning? These questions come from a widely used screening questionnaire for alcoholism, The Wall Street Journal reports.
Participants were born between 1931 and 1941. They answered the questions about alcohol use when they were first interviewed, when they were in their 50s and 60s. They were considered to have a drinking problem if they answered yes to at least two of the four questions. They had follow-up memory tests every other year from 1996 to 2010, the article notes.
The 16 percent of participants who said they had a drinking problem at some point in their lives were much more likely to have memory problems later in life. The study appears in the American Journal of Geriatric Psychiatry.
“We already know there is an association between dementia risk and levels of current alcohol consumption – that understanding is based on asking older people how much they drink and then observing whether they develop problems,” lead researcher Dr. Iain Lang of the University of Exeter Medical School said in a news release. “But this is only one part of the puzzle and we know little about the consequences of alcohol consumption earlier in life. What we did here is investigate the relatively unknown association between having a drinking problem at any point in life and experiencing problems with memory later in life
FedEx, Indicted on Drug Trafficking Charges, Pleads Not Guilty
July 30th, 2014/
FedEx, which was indicted earlier this month on drug trafficking charges, pleaded not guilty on Tuesday. The company is accused of conspiring to deliver prescription drugs for illegal online pharmacies.
Bloomberg reports the company, the world’s largest cargo airline, was indicted on 15 counts of conspiracy to distribute controlled substances and misbranded drugs and drug trafficking.
According to the indictment, the shipping company knew for a decade that illegal online pharmacies used their services. “While some Internet pharmacies were managed by well-known pharmacy chains that required valid prescriptions and visits to the patient’s personal physician, others failed to require a prescription before filling orders for controlled substances and prescription drugs,” a U.S. Sentencing Commission news releasestates. “These Internet pharmacies filled orders based solely on the completion of an online questionnaire, without a physical examination, diagnosis, or face-to-face meeting with a physician. Such practices violated federal and state laws governing the distribution of prescription drugs and controlled substances.”
According to prosecutors, government officials warned FedEx at least six times since 2004 that illegal Internet pharmacies used the company to deliver drugs.
At a hearing in federal court in San Francisco on Tuesday, Cris Arguedas, a lawyer for FedEx said, “We are a transportation company, not a pharmacy, not a website, not a doctor.” Prosecutors said that by the end of August the government intends to present an updated indictment to a federal grand jury that is investigating the company.
The company said it repeatedly asked the government to provide a list of online pharmacies engaging in illegal activity. “Whenever DEA provides us a list of pharmacies engaging in illegal activity, we will turn off shipping for those companies immediately. So far the government has declined to provide such a list,” FedEx said in a statement when the indictment was announced.
Bill Aimed at Curbing Prescription Drug Abuse Passes in House With Bipartisan Support
July 30th, 2014/
A measure designed to reduce prescription drug abuse passed in the House on Tuesday with bipartisan support, according to The Hill.
The bill would amend the Controlled Substances Act, changing the definition of “imminent danger to the public health or safety” so that it would apply to drugs that pose present or foreseeable health risks, the article notes.
Under the measure, called the Ensuring Patient Access to Effective Drug Enforcement Act, prescription drug manufacturers registered with the Drug Enforcement Administration (DEA) could submit a “corrective action plan” before a drug is suspended.
“Any legitimate business involved in distributing or dispensing prescriptions welcomes appropriate oversight and regulation,” said bill co-sponsor Tom Marino, a Pennsylvania Republican. The bill was also sponsored by Marsha Blackburn, a Republican from Tennessee; Peter Welch, a Democrat from Vermont, and Judy Chu, a Democrat from California.
“Prescription drug abuse is claiming lives all across this country,” Welch said in a news release. “Painkillers are falling into the wrong hands while delivery of these same drugs is being stalled to the patients that need them, including seniors and those battling cancer. To fix this problem, drug suppliers and federal officials need to be able to work hand-in-hand to improve our drug delivery system and that’s exactly what this legislation does.”
“Simply acknowledging the epidemic of prescription drug abuse isn’t enough,” Blackburn said in a news release. “Congress has a responsibility to make sure the law is crystal clear for both DEA and legitimate businesses who want to understand what the rules are so they can do the right thing. That is why I am so pleased the House has acted today on our legislation that seeks to ensure the prescription drug supply chain is safe and secure for the patients that truly rely upon it to alleviate pain and treat illnesses.”
Monday, July 28, 2014
NAADAC Institute Call for Webinar Presentations
Development of the 2015 NAADAC Institute Webinar Series is underway, and we invite you to collaborate with us! The Webinar Series is wildly successful, with over 45,000 professionals trained so far.If you are a subject-matter expert on a topic relevant to addiction professionals, we encourage you to complete the online Call for Webinar Presentations for a chance to present on a nationally-broadcasted webinar.
All NAADAC webinars are free to participants, with optional CE credit provided to NAADAC members for free (join now!) and to non-members for a nominal fee, and are recorded as a live event to be posted on the NAADAC website for future, free, on-demand viewing. Click here for more information about what NAADAC will provide to presenters and how webinar presentations will be selected. A Selection Committee will contact chosen presenters by December 1, 2014.
Submissions Due Date: August 22, 2014
[ More Information ] and [ Apply Now ]
Look for NAADAC's Magazine in Your Mailbox
The Summer edition of Advances in Addiction & Recovery, the official publication of NAADAC, has been published and is arriving in mailboxes of NAADAC members across the nation! NAADAC's magazine is a membership-benefitand focuses on providing useful, innovative and timely information on trends and best practices in the profession that are beneficial for practitioners. Join now to get your copy!
CE Feature Article Available to Both NAADAC Members and Non-Members: Read "Promising Integrated Treatment Model to Help Veterans with Co-Occurring PTSD & Substance Use Disorders" by Robb Hicks, MD, pass the online CE quiz, and get 2 CE credits for $25!
[ Read CE Article ] and [ Take CE Quiz ]
Have an innovative strategy or research to share? Have your years of experience given you unique insights into addiction prevention, intervention, treatment, or recovery? Share your expertise as a contributor to Advances in Addiction & Recovery. For more information, please contact Jessica Gleason.
[ Submit Article ]
Advertising space is still available. Contact Elsie Smith for information about opportunities in NAADAC's magazine and bi-weeklyAddiction & Recovery eNews.
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We at Lighthouse Network are extremely excited to welcome Barak Rush, MS, LPC, to our growing team. Barak brings a great balance of clinical and administrative experience and expertise to our team. Barak has a love for people, compassion for those who are struggling, and a zest for bringing the Bible and Jesus into each person’s healing and transformation process.
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Sunday, July 27, 2014
JULY 27 Chp 108 v 13 TWELVE STEPPING WITH STRENGTH IN THE PSALMS
With Gods help we will do mighty things ,for He will trample down our foes . ( Enemies )
STEP !We admitted we were powerless over our addictions—that our lives had become unmanageable.
My number one enemy was addiction ! Healing begins at Step one ! You can not do this on your own !Your enemy and my enemy has blinded us with pride and arrogance .When we continue on in pride we began to isolate and when that happens we eventually take a fall . When I fell to my knees finally humbled broken and sad beyond words is when I became broken but in that brokenness I discovered freedom . God is not playing , He will trample down your addiction but you have got to stop arguing with Him and just LET IT GO !
Philippians 4:6-7, NLT Don’t worry about anything; instead, pray about everything. Tell God what you need, and thank him for all he has done. Then you will experience God’s peace, which exceeds anything we can understand. His peace will guard your hearts and minds as you live in Christ Jesus.
By Joseph Dickerson
My dog Casey has been a big part of my recovery—and in the course of traveling around America together, I found four-legged sober companions have helped many others, from Nic Sheff to sober communities. An exclusive excerpt from Travels With Casey.
Casey and author Amanda Jones
By Benoit Denizet-Lewis
07/22/14
Share on facebookShare on twitter | More Sharing ServicesShare
Chris Klein Credits His Dog for His Recovery
Tweak's Nic Sheff On Life After Meth
Newcomer's Best Friend
The Best Sponsor I Ever Had
A Dog's Life
There were times during my journey across America that I felt so deliriously happy—so content, grateful, and blessed—that I considered staying on the road forever.
One of those moments happened on Malibu’s Point Dume State Beach, which is tucked away under a promontory at the northern end of Santa Monica Bay. I was walking along the sand with Nic Sheff, a young writer who chronicled his methamphetamine addiction in the book Tweak. (Nic’s father, David Sheff, wrote his own account of Nic’s addiction, titled Beautiful Boy.)
Casey stayed with me back then not because I deserved the company. He stayed with me because he’s a dog. That’s what dogs do
It was a glorious day, and Nic had brought along his goofy Bloodhound, Rhett, named after the character in Gone With the Wind. Casey and Rhett tumbled around in the sand; Rhett, on his back, pawed at Casey’s face. In the distance, Rezzy seemed to be coming alive right before our eyes: she danced along the ocean’s edge, her playful personality bursting forth in a joyous mixture of sand, mud, and saltwater.
“If there’s anything better than being here right now with our dogs, I’m not sure what it is,” Nic said with an easy smile, his curly brown hair falling over his eyes. Those eyes can look vacant and sad in photographs, but on this day they were bright, hopeful. Nic is slender and boyish, and his wardrobe—blue jeans with the cuffs rolled up, thin track jacket, small backpack—gave him the look of a young indie rock star on a walkabout.
“I’m so glad we’re here, doing this!” he continued. “Your dogs are awesome!”
“Yours, too!” I said.
We had all the giddiness of starstruck lovers, but we were far from that. Nic isn’t gay, and I wasn’t interested in him in that way. But our bond was instantaneous and undeniable, perhaps because we have so much in common: We were both raised in the San Francisco Bay Area. We both have divorced parents. We both have writer fathers. We both wrote publicly about our struggles with addictive behavior. And we both have dogs who helped us get better.
In a 2011 article for The Fix, Nic wrote about the importance of dogs to his sobriety. At the height of Nic’s addiction, he wrote, he was homeless “and letting guys blow me for $50 a pop, so I could afford another gram of speed.” When his half-brother suggested that the solution to his addiction might be to get a dog, Nic angrily dismissed the advice.
“It just seemed so condescending,” Nic wrote. “Like he was totally minimizing my problem.”
But several years later, while Nic was drinking “a quart of vodka every day” and “lying to everyone” about being sober after the release of Tweak, he came upon an emaciated hound dog running through traffic in Savannah, Georgia, where he was living at the time. Nic brought her to the Humane Society, where she promptly attacked the vet. The vet told Nic the dog would have to be euthanized.
“I could really relate to this crazed, homeless dog, and I felt like she deserved another chance—maybe the same way I still believed I might deserve another chance,” Nic wrote in The Fix. He didn’t let the Humane Society put her down. Instead, he took her home, named her Ramona, “and began the long, slow process of trying to rehab this psycho dog—while, at the same time, I guess, trying to rehab myself.”
Before he knew it, Nic had stopped drinking. And though he concedes that therapy and medication helped in that endeavor, he believes his half-brother was right. “I needed to be responsible and accountable for a living creature that literally could not survive if I was off getting fucked up,” Nic told me.
Ramona wasn’t at the beach with us on the day of my visit; she’s still “a handful,” Nic said, and occasionally can get aggressive toward people and dogs. “I’d never heard her make a sound until she started growling at me. It sucks when you can barely pet your dog, and she doesn’t want to sleep in bed with you. She’s even bitten me a few times when she gets anxious.”
Though my problems with Casey paled in comparison to the challenge of living with Ramona, Nic was eager to talk about them. Before embarking on my journey, I’d briefly mentioned to him my Caseyrelated insecurities. “How are things going with you both?” he asked me, sounding genuinely interested.
It was a good question, one I realized I hadn’t considered in the two weeks since adopting Rezzy. Though I’d tried not to neglect Casey, Rezzy had commanded practically all of my energy and attention. And, boy, did Rezzy love attention. Even when she was tired (as she was for much of those first two weeks), she preferred to be tired with her head in my lap. She was physical and loving in a way that Casey was only rarely; Rezzy wanted to be as close to me as possible. Nic noticed.
“She’s so bonded to you already,” he said.
As we sat in the sand watching our dogs, I realized that I hadn’t felt any frustration or insecurities around Casey in weeks. “It’s almost like rescuing Rezzy made me realize that dogs are different, and that I don’t need to expect Casey to be everything,” I told him. I was talking out loud, figuring out my thoughts and feelings as they came to me.“And I know I’ve been paying more attention to Rezzy than Casey, but that’s because Rezzy is so new, and she needs me right now. I know Casey is okay.”
“Casey seems so easygoing about things,” Nic said.
“Exactly. And I love that about him.” I paused and let that sink in. “I don’t think I’ve ever realized how much I love that about him. He doesn’t even seem to mind the RV anymore. He’s happy, he’s content. And he doesn’t get jealous if I have to pay a lot of attention to Rezzy.”
“It seems like Rezzy is the perfect complement to Casey, even down to their colors—black and white,” Nic said. We laughed as we watched Rezzy dig a hole in the sand and stuff her nose in it, then run to us through a stiff wind and gently nudge her face in my lap. “She’s the most awesome dog.You really lucked out.”
“You did, too, with Rhett,” I told him, as the dog chased Casey in a circle, Rhett’s droopy ears flapping against his head as he bounded through the sand.
“You should have seen Rhett when he was little,” Nic said. “He was like this super runt of the litter. Nobody wanted him. So I took him, but he was always sick the first year. I spent so much time looking after him that a few months before my wedding my fiancée was like, ‘Why don’t you marry the dog?’ She felt like I was giving him more attention than her. But I was like, ‘He’s like this sick little puppy, and I have to take care of him.’ I had a sick puppy and a psycho rescue. They both needed me.”
“And you needed them,” I said.
“Yes! There’s no doubt in my mind—my dogs keep me sober. They do that by getting me out of myself, by forcing me to think about someone else before me. They make me less self-centered.”
Casey and author Amanda Jones
By Benoit Denizet-Lewis
07/22/14
Share on facebookShare on twitter | More Sharing ServicesShare
Chris Klein Credits His Dog for His Recovery
Tweak's Nic Sheff On Life After Meth
Newcomer's Best Friend
The Best Sponsor I Ever Had
A Dog's Life
There were times during my journey across America that I felt so deliriously happy—so content, grateful, and blessed—that I considered staying on the road forever.
One of those moments happened on Malibu’s Point Dume State Beach, which is tucked away under a promontory at the northern end of Santa Monica Bay. I was walking along the sand with Nic Sheff, a young writer who chronicled his methamphetamine addiction in the book Tweak. (Nic’s father, David Sheff, wrote his own account of Nic’s addiction, titled Beautiful Boy.)
Casey stayed with me back then not because I deserved the company. He stayed with me because he’s a dog. That’s what dogs do
It was a glorious day, and Nic had brought along his goofy Bloodhound, Rhett, named after the character in Gone With the Wind. Casey and Rhett tumbled around in the sand; Rhett, on his back, pawed at Casey’s face. In the distance, Rezzy seemed to be coming alive right before our eyes: she danced along the ocean’s edge, her playful personality bursting forth in a joyous mixture of sand, mud, and saltwater.
“If there’s anything better than being here right now with our dogs, I’m not sure what it is,” Nic said with an easy smile, his curly brown hair falling over his eyes. Those eyes can look vacant and sad in photographs, but on this day they were bright, hopeful. Nic is slender and boyish, and his wardrobe—blue jeans with the cuffs rolled up, thin track jacket, small backpack—gave him the look of a young indie rock star on a walkabout.
“I’m so glad we’re here, doing this!” he continued. “Your dogs are awesome!”
“Yours, too!” I said.
We had all the giddiness of starstruck lovers, but we were far from that. Nic isn’t gay, and I wasn’t interested in him in that way. But our bond was instantaneous and undeniable, perhaps because we have so much in common: We were both raised in the San Francisco Bay Area. We both have divorced parents. We both have writer fathers. We both wrote publicly about our struggles with addictive behavior. And we both have dogs who helped us get better.
In a 2011 article for The Fix, Nic wrote about the importance of dogs to his sobriety. At the height of Nic’s addiction, he wrote, he was homeless “and letting guys blow me for $50 a pop, so I could afford another gram of speed.” When his half-brother suggested that the solution to his addiction might be to get a dog, Nic angrily dismissed the advice.
“It just seemed so condescending,” Nic wrote. “Like he was totally minimizing my problem.”
But several years later, while Nic was drinking “a quart of vodka every day” and “lying to everyone” about being sober after the release of Tweak, he came upon an emaciated hound dog running through traffic in Savannah, Georgia, where he was living at the time. Nic brought her to the Humane Society, where she promptly attacked the vet. The vet told Nic the dog would have to be euthanized.
“I could really relate to this crazed, homeless dog, and I felt like she deserved another chance—maybe the same way I still believed I might deserve another chance,” Nic wrote in The Fix. He didn’t let the Humane Society put her down. Instead, he took her home, named her Ramona, “and began the long, slow process of trying to rehab this psycho dog—while, at the same time, I guess, trying to rehab myself.”
Before he knew it, Nic had stopped drinking. And though he concedes that therapy and medication helped in that endeavor, he believes his half-brother was right. “I needed to be responsible and accountable for a living creature that literally could not survive if I was off getting fucked up,” Nic told me.
Ramona wasn’t at the beach with us on the day of my visit; she’s still “a handful,” Nic said, and occasionally can get aggressive toward people and dogs. “I’d never heard her make a sound until she started growling at me. It sucks when you can barely pet your dog, and she doesn’t want to sleep in bed with you. She’s even bitten me a few times when she gets anxious.”
Though my problems with Casey paled in comparison to the challenge of living with Ramona, Nic was eager to talk about them. Before embarking on my journey, I’d briefly mentioned to him my Caseyrelated insecurities. “How are things going with you both?” he asked me, sounding genuinely interested.
It was a good question, one I realized I hadn’t considered in the two weeks since adopting Rezzy. Though I’d tried not to neglect Casey, Rezzy had commanded practically all of my energy and attention. And, boy, did Rezzy love attention. Even when she was tired (as she was for much of those first two weeks), she preferred to be tired with her head in my lap. She was physical and loving in a way that Casey was only rarely; Rezzy wanted to be as close to me as possible. Nic noticed.
“She’s so bonded to you already,” he said.
As we sat in the sand watching our dogs, I realized that I hadn’t felt any frustration or insecurities around Casey in weeks. “It’s almost like rescuing Rezzy made me realize that dogs are different, and that I don’t need to expect Casey to be everything,” I told him. I was talking out loud, figuring out my thoughts and feelings as they came to me.“And I know I’ve been paying more attention to Rezzy than Casey, but that’s because Rezzy is so new, and she needs me right now. I know Casey is okay.”
“Casey seems so easygoing about things,” Nic said.
“Exactly. And I love that about him.” I paused and let that sink in. “I don’t think I’ve ever realized how much I love that about him. He doesn’t even seem to mind the RV anymore. He’s happy, he’s content. And he doesn’t get jealous if I have to pay a lot of attention to Rezzy.”
“It seems like Rezzy is the perfect complement to Casey, even down to their colors—black and white,” Nic said. We laughed as we watched Rezzy dig a hole in the sand and stuff her nose in it, then run to us through a stiff wind and gently nudge her face in my lap. “She’s the most awesome dog.You really lucked out.”
“You did, too, with Rhett,” I told him, as the dog chased Casey in a circle, Rhett’s droopy ears flapping against his head as he bounded through the sand.
“You should have seen Rhett when he was little,” Nic said. “He was like this super runt of the litter. Nobody wanted him. So I took him, but he was always sick the first year. I spent so much time looking after him that a few months before my wedding my fiancée was like, ‘Why don’t you marry the dog?’ She felt like I was giving him more attention than her. But I was like, ‘He’s like this sick little puppy, and I have to take care of him.’ I had a sick puppy and a psycho rescue. They both needed me.”
“And you needed them,” I said.
“Yes! There’s no doubt in my mind—my dogs keep me sober. They do that by getting me out of myself, by forcing me to think about someone else before me. They make me less self-centered.”
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