Sunday, April 13, 2014

The Crescent and the Needle: The Remarkable Rise of NA in Iran


Narcotics Anonymous has thrived in Iran since 1990, second in membership and groups only to the United States. The Fix takes a look inside the phenomenon.



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By John Lavitt

04/07/14
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As of 2012 there were 61,800 Narcotics Anonymous meetings worldwide. 27,650 in the USA and 15,955 in the rest of the world, except for Iran. There are 18,195 weekly NA meetings in Iran where Narcotics Anonymous was voted the top NGO by the government. How did such a paradoxical reality come to pass?

Shattering Expectations


Rebecca had experience being in tough situations at 3 AM in the morning. In the thick of her heroin addiction, she had been in jeopardy countless times. As the Assistant Executive Director of the Narcotics Anonymous World Services Office, she had traveled all over the world. She had led workshops for emerging NA fellowships in many Third World countries. Still, nothing had prepared her for standing in line at customs at the Tehran Imam Khomeini International Airport in 2006.

Standing next to NA Board Member Tom M. from Hawaii, Rebecca leaned on her old friend for reassurance. As a six-foot-tall blond woman with a poorly-tied impromptu veil, she knew she stood out; an American in the wrong place at the wrong time. Although Tom reassured her that everything would be all right, Rebecca kept thinking of the tabloid reports about Iran in the American media. She came of age during the Iranian hostage crisis. Night after night, the images of bound and blindfolded hostages on Ted Koppel’s Nightline had been downright terrifying.

After passing through customs, Rebecca and Tom were greeted by Siamak, the office manager of NA World Services Iran, and several other enthusiastic Iranian NA members. She was surprised they had stayed up so late. Rebecca felt her fears evaporating as she was met with smiles and respectful embraces. They got their luggage and headed into the city. “Tehran is huge,” Tom wrote in his Iran Diaries, “The city at 3:00 AM was still bustling.”

After a quick bite to eat, they wondered if they could take a rest. Siamak let them know that wouldn’t be possible until later because there was so much to do and see. There were people to meet and things to accomplish. Most importantly, the fellowship had set up a Narcotics Anonymous meeting where they would share their stories through translators.

With so many NA members wanting to attend, the fellowship had rented out a local sports arena. When Rebecca and Tom heard this, they looked at each other, a bit confounded. Rebecca thought, “I mean, a sports arena? How many people will be there?”

When they arrived at the Arena in mid-afternoon on a workday, the car had to navigate through a maze of parked vehicles to reach the back entrance. Ushered down the kind of hallway where one usually only sees professional athletes, rock stars and security guards, Tom could hear the roar getting louder and louder. In the Iran Diaries, he described the experience of entering the arena:

“…the members all started clapping and then chanting as they clapped. You know why they are clapping and you know exactly who you represent. I thought holy shit, this is off the charts. Rebecca says to me, ‘What did we ever do to deserve this experience?’ I said we shot a lot of dope, that's all, and beyond that we have just showed up like any other member.”



Over 24,000 Iranians in recovery greeted the NA World Services representatives in celebration. But it wasn’t Tom and Rebecca they were cheering; it was NA itself. Coming from the United States, they represented the birthplace of Narcotics Anonymous, a program that had saved so many lives and become such a force for good in Iran.

All of Rebecca’s fears of going to a fundamentalist country as an American citizen evaporated as the tradition of Persian hospitality, the passionate belief of the Iranian NA members and a truly universal celebration of recovery became the zeitgeist of the moment. Tears came to her eyes as she looked up to see banners hanging in the arena with the traditional recovery proverb written in English specifically for them, “Just For Today.”

Tom described the power of the moment when he wrote, “There were several rows of women in the back of the room. Becky shared as a woman with 27 years clean. You can imagine the impact that had. When we spoke and said how long we were clean they all chanted out something in Farsi that I later found out meant, ‘and may nothing ever take it from you.’”

May nothing ever take it from you because recovery from the depth of addiction is a blessing and a miracle all over the world. It doesn’t matter the name of the country or the tenor of the politics. But the looming question is how did this happen? How did Narcotics Anonymous become so successful in Iran?

The Quality Of Narcotics Anonymous In Iran

Founded in the United States in 1953, Narcotics Anonymous officially describes itself as a "nonprofit fellowship or society of men and women for whom drugs had become a major problem.” Since the rocky beginnings of this 12 Step program in California when police harassment was common, the fellowship has spread and today can be found in over 130 countries across the world. After the United States, the country with both the most weekly meetings and the largest population in the fellowship is the Islamic Republic of Iran.

Rebecca described her impression in an interview with The Fix, “What we talk about as principles in 12 Step fellowships, the Iranians in NA live and embrace in a way that impacted my own recovery for the better. The lengths they will go to help an addict in need was inspiring; a lesson in true recovery.”

The NA World Service office in Chatsworth has become accustomed to excluding Iran from worldwide reports; the Iranian phenomenon skews the figures. Statistics From the 2008 NAWS Report include the following:

1. Iran accounted for 126,000 copies of 447,000 Basic Text sales worldwide (the Basic Text is to NA what the Big Book is to AA)

2. The Iran office distributed one million key tags, including 200,000 multi-year key tags: 9% more than the United States

3. Iran distributed 1.7 million NA information pamphlets; this number was greater than the rest of the world combined

Since the Islamic revolution in 1980 that overthrew the corrupt regime of the Shah, Iran often has found itself at odds with the Western world in general and the United States in particular. But the story of Narcotics Anonymous in Iran has nothing to do with politics or international conflicts or religious fundamentalism. The surprising success of NA in Iran is based on a remarkable commitment to recovery by the fellowship and an ardent focus on continuing to reach out to the newcomer.



NA World Services was not aware of the true success of Narcotics Anonymous in Iran until 2003 when Iranian members started reaching out for guidance. Chatsworth knew that NA in Iran existed, but, according to Rebecca, their impression was that it was a struggling movement. The movement did have a bumpy start in October 1990 when Mohsen T. returned to Iran from the United States and tried to start a NA meeting in an Iranian rehab center.

At the time, Mohsen had only one year clean. He had joined NA while living in Los Angeles and was so taken with the program that he hoped to bring it back to his home country. Unfortunately, the Iranian rehab tried to co-opt that first NA meeting and attach their name to it. Not wanting to violate the traditions, Mohsen had to abandon the project.

Later, according to an anonymous source for The Fix from the NA WS office in Iran, Mohsen started meeting in private homes with three other Iranians who had experience in 12 Step programs in the United States and Canada. These men bumped into each other by happenstance, an example what people in recovery call a God Shot.

Since they were all newcomers, according to a NA member from Iran, “It was another 4 years before NA really took hold in Iran. Once members accumulated some time and worked the steps, they began translating NA literature into Farsi and the fellowship took off.”

When the NA World Service office was contacted in 2003, the initial reaction was nothing less than utter surprise. The movement had grown so big and so fast that the office staff in Chatsworth thought surely something had gone wrong. Had the government become directly involved? Had NA in Iran become co-opted by a religious movement?

In order to find out what was really happening, Rebecca described the next steps taken: “In 2004, someone from the region we trusted went to check it out and discovered that NA in Iran was not only like NA as we knew NA, but it was even better. Better in the enthusiasm, better in carrying the message to the addict who still suffers, better in terms of a commitment to their own recovery and helping others find the same path. In May of 2005, a branch office of NA World Services was opened in Iran.”

When asked why Narcotics Anonymous proved to be so successful, a member of the NA WS Iran office told The Fix:

a) The early and continuing efforts to translate NA literature into Farsi and distribute it to NA members

b) A powerful service structure with dedicated trusted servants

c) The traditions of Persian culture that worked so well in conjunction with the 12 Steps and 12 Traditions of NA.

Friday, April 11, 2014

APRIL 11 v 12 TWELVE STEPPING WITH POWER IN THE PROVERB


It is foolish to belittle one’s neighbor;
    a sensible person keeps quiet.


STEP 8 -  Made a list of all persons we had harmed, and became willing to make amends to them all.


I think we are all guilty of violating this one ! When I see the word neighbor and I automatically assume it is the folks that live in the house next store. What I think the Proverb is trying tell us is it could be the person your next to in the store or someone your passing on the street. Your neighbors are everywhere it does not matter where you are. Now lets be honest when I see someone dressed like an idiot , I cant help myself , I gotta say something even if it is under my breath .I cant count the number of times I put my foot in my mouth and got caught saying something about someone. We all have to remember words can wreck a life ! I can still hear the words thrown at me as a kid rolling around in my head . Talking bad about yourself and others is gonna cause a lot of drama in your life , haven't you had enough of that . To eliminate stress keep your mouth shut ! To remove guilt and regret sincerely commit step eight . Once you have made that list keep it clear by keeping your opinions too yourself . Making amends can be costly but very liberating !


1 Peter 3:10 - For he that will love life, and see good days, let him refrain his tongue from evil, and his lips that they speak no guile:

By : Joseph Dickerson

Dear Joseph,

You understand better than anyone the challenges and joys that recovery can bring. You know just how long the journey to sobriety can be, and that it often touches everyone in a family. When those who have been affected by this issue talk about what they’ve been through and how they’ve handled it, they in turn provide hope and comfort, and encourage others to open up as well.

That’s why we created our new public service campaign, which uses real people telling their own stories of recovery, just as you have. We want to encourage people everywhere to join you and this growing community to share their experiences with addiction and recovery.

Check out the new television spot and share it with your friends and family to encourage even more people to share their stories. Because one story can change someone else's.

View the new PSA >

 
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Vermont Becomes Second State to Take Action Against Zohydro Prescribing
 
By Join Together Staff | April 10, 2014 | Leave a comment | Filed in Community Related, Government, Prescription Drugs & Prevention


Following the decision by Massachusetts Governor Deval Patrick to order a ban on prescribing and dispensing the pure hydrocodone painkiller Zohydro, Vermont’s governor announced an emergency order to make it more difficult for doctors to prescribe the drug.

Vermont Governor Peter Shumlin said he joins the many critics of the drug, who are wondering why the Food and Drug Administration (FDA) approved it, according to the Associated Press. “What puzzles all of us is the recent FDA action to approve a new opiate that’s stronger and likely to be even more addictive because of its strength,” he said.

In January, Shumlin spoke about Vermont’s “full-blown heroin crisis” during his State of the State address. He focused his entire speech on drug addiction and its consequences.

When Governor Patrick announced the Zohydro ban, he cited a public health emergency stemming from opioid abuse. Zohydro is designed to be released over time, and can be crushed and snorted by people seeking a strong, quick high. It was approved for patients with pain that requires daily, around-the-clock, long-term treatment that cannot be treated with other drugs. Other hydrocodone drugs on the market, such as Vicodin, also contain acetaminophen.

In December 2012, a panel of experts assembled by the FDA voted against recommending approval of Zohydro. The panel cited concerns over the potential for addiction. In the 11-2 vote against approval, the panel said that while the company’s manufacturer, Zogenix, had met narrow targets for safety and efficacy, the painkiller could be used by people addicted to other opioids, including oxycodone.

Zogenix announced it will assemble an oversight board designed to spot misuse of the drug.

The FDA’s decision to approve Zohydro has been criticized by some legislators and public health groups. FDA Commissioner Margaret Hamburg has received letters protesting the decision from 28 state attorneys general and four senators, among others.

Substance Abuse Treatment Much More Likely for Men: Report
 
By Join Together Staff | April 10, 2014 | Leave a comment | Filed in Alcohol, Drugs & Treatment

A new government report finds twice as many adult men as women entered substance abuse treatment facilities in 2011. The report found 1.2 million men, and 609,000 females, entered such facilities that year.

Among teens 12 to 17, the rate of substance dependence for both males and females was about 7 percent, UPI reports. The findings come from the Substance Abuse and Mental Health Services Administration (SAMHSA). Teenage boys were more likely to abuse marijuana, while teenage girls were more likely to abuse alcohol.

Twenty-two percent of women ages 18 to 24 said marijuana was their primary substance of abuse, compared with 3 percent of men the same age. Women 65 and older were almost three times as likely to abuse prescription painkillers such as oxycodone, compared with men of the same age.

“This report provides insight into how age and gender relate to substance abuse, SAMHSA Chief Medical Officer Elinore McCance-Katz said in a news release. “SAMHSA believes that health care professionals can use this information in designing programs that are better tailored to effectively meet the treatment needs of both genders.”

Thursday, April 10, 2014



APRIL 10 v 8 TWELVE STEPPING WITH THE POWER IN THE PROVERB

 
The wise are glad to be instructed,
but babbling fools fall flat on their faces.



STEP 2 - Came to believe that a Power greater than ourselves could restore us to sanity.



God knows we all need step two ! When I was lost drifting in the sea of my addiction God and friends sent me many life boats to get out of the angry sea. For some insane reason I convinced myself that I can get to shore on my own . The water was way above my head at times and it was a struggle every minute of everyday to keep from going under and drowning . Eventually I could not tread water anymore and I was left with a do or die decision . The next time a life boat comes along I will have to grab the hand that is reaching out for me. Gods hand is always reaching out you just have to grab it . God comes in the form of family friends and anyone else who wants you out of the sea safe on dry land . God and family have a better plan for your life and it is not you drowning in the sea of addiction.



JAMES 4 : 10 - Humble yourselves in the sight of the Lord, and he shall lift you up.

By Joseph Dickerson