Wednesday, August 13, 2014


Halfway There—Three Options for Sober Living Homes
Sober halfway houses provide a place to start over, but how do you find the house that's the best fit for you?

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For a considerable amount of time, alcoholics and addicts in treatment were faced with a difficult decision—where to live after completing the treatment program. The decision was not just limited to those who lacked homes or families they could stay with. Rehabs regularly say one should avoid "people, places and things" that are associated with using, so those new to sobriety are urged to gain sober time in a safe environment.

Originally, the term "halfway house" was used for facilities that helped people transition from incarceration into society. For a period of time between six months to a year, former inmates, and later those in recovery, could live in a structured environment designed to provide a safe space while allowing the resident more freedom and responsibility. 

Then, because the term “Halfway house” began to pick up negative connotations, names were changed. Nowadays, transitional residences for recovering alcoholics and addicts are called "recovery houses," "sober houses," "clean and sober living residences," and so forth, in addition to halfway houses. The aim of these facilities is to provide time and structure needed for long-term sobriety.

The problem soon became apparent. With no regulating body and an organically growing service, no one could agree upon a set of rules or guidelines for sober living houses. The Oxford Group had its own rules and guiding principles, the National Association of Recovery Residences another, and soon the alcoholic and addict who was about to leave treatment faced a new problem: too many choices rather than too few.

What follows is a series of profiles which attempts to provide some clarity about the types of sober living houses that are available in the U.S. Two are in cities near the coast—Cary, North Carolina and Hollywood Beach, Florida. The other is in Champaign, Illinois—where a new sober living house is about to open via a not-for-profit organization.

C-U at Home and the Recovery House in Champaign

Melany Jackson has three major projects ongoing for C-U at Home, all of which are aimed at helping the homeless population in Champaign, Illinois. One in particular is the C-U at Home recovery house, a small residence set up for recovering addicts. The house residents include three newly recovering alcoholics and addicts and one recovery leader with a minimum of a year of sobriety. The men share in the expenses of the house, with a case manager handling their finances.

The requirements for the four men to get in the program were simple. They have to have "completed successfully a rehabilitation program and to be sober since that time,” Melany said. “This person is either working or will be working to find a job.”

The leader sets the tone for the house, the “fabric” of the house really, as Melany puts it. There’s the practical work, the scheduling of different household chores such as laundry, and more intangible items along the lines of “leading by commitment to recovery” and “the meetings [the resident] attends, the sponsor he interacts with, the daily devotions he completes.”

Melany anticipates that the leader will be a strong model of recovery for the other men in the house.

There are many rules of course. Some are lease-related and others are sorted out between the individuals and their case managers. There is a weekly house meeting and a weekly devotional, with a curfew set at night as well. Finally, there’s a zero tolerance policy for using. Break that rule and you are immediately asked to leave.

“We have a requirement that they are involved in a 12-step program, but that can be AA or NA or Healing Journey, Celebrate Recovery, or others. Each has to have a sponsor or mentor, someone who’s walking by them side-by-side through recovery.”

All men signed an agreement that they would live in the house for at least six months. Six to 12 months is the norm, at which time the men have potentially become self-sufficient enough—and have built up enough savings—to transition to a place of their own. And hopefully, one of the men will become the next leader of the house.

It’s a tight-knit group that will soon enter the C-U at Home’s recovery house and residents have some flexibility about how they grow in their recovery. What happens when the tables are turned and a national organization takes hold?

The Oxford House: Over 1,200 Houses and Counting

The Oxford House concept is simple in theory. “Oxford House is a concept in recovery from drug and alcohol addiction. In its simplest form, an Oxford House describes a democratically run, self-supporting and drug free home.

“Each House represents a remarkably effective and low cost method of preventing relapse. This was the purpose of the first Oxford House established in 1975, and this purpose is served, day by day, house after house, in each of over 1,200 houses in the United States today.”

As far as national organizations of halfway houses go, it is huge in scope. But in terms of structure and rules, there is a paucity of both.

According to the Oxford House 2011 manual, “there is only one rule applicable to all Oxford Houses: i.e. membership is conditioned on not drinking.” Other rules have a tendency to develop from the membership of the house itself, the manual continues, but they should only come into being if they are absolutely necessary. More rules, less success, the manual implies.

Like the C-U at Home recovery house, Oxford House group members are required to put forth their share for expenses. Also like the C-U at Home recovery house, a weekly meeting is held with all residents in attendance.

As the saying goes in the manual, Oxford Houses are less like an institution and more like a family.

While Oxford House is not affiliated directly with Alcoholics Anonymous, some of its nine traditions are eerily similar to those used by the 12-step group and even Tradition Four of Oxford House states that “Oxford House is not affiliated with Alcoholics Anonymous, organizationally or financially, but Oxford House members realize that only active participation in Alcoholics Anonymous offers assurance of continued sobriety.”

The screening process for new members seems to be scant, with an emphasis placed simply on not drinking and using and being committed to recovery by going to meetings on a regular basis. 

The subtext within Tradition Seven states that it “is inconsistent with the Oxford House system of democratic rule to have a professional manager of Oxford House. Likewise, it is inconsistent with the Oxford House concept to have a requirement placed on members to utilize the services of psychiatrists, doctors, or even the program of Alcoholics Anonymous or Narcotics Anonymous except in very special circumstances.” 

In the guide for new Oxford Houses, there is a checklist to follow which includes how to manage money (setting up checking accounts, having an equal share of the expenses per person), how to maintain sobriety (frequently go to Alcoholics Anonymous or Narcotics Anonymous meetings), and a guide for officers, their responsibilities, serving terms, and so forth.

It’s both similar and dissimilar to the model C-U at Home uses, the major differences being the amount of people allowed at each - Oxford House is set up for 6-15 residents - and the emphasis on Alcoholics Anonymous or Narcotics Anonymous as the only mode for recovery.

There doesn’t seem to be an emphasis on “graduating” from the Oxford House program or for the men or women to transition to their own places. The goal seems to be to create a community of recovery-minded alcoholics and addicts, with an emphasis on 12-step recovery.

The Three-Quarter Way House: The Final Stage of Transition


Harmony on the Beach is a blend of a halfway house and a three-quarter way house, all in Hollywood Beach, Florida, near Miami. It’s strictly for women and like the other two featured organizations has a strict no-tolerance policy for drinking and using. The rule is set in place for the benefit of the residents, the organization says.

Many seem to regard three-quarter way houses as the last rung on the ladder for transitioning from treatment to independent living, but Harmony offers structure, support, and community.

In service for 10 years, Harmony has developed its own set of rules that have been implemented over time and through experience. They include committing to six months of residency, passing drug screens, having a 30-day period of sobriety at the time of entry, attending regular Alcoholics Anonymous or Narcotics Anonymous meetings, paying rent, and adhering to curfew.

At Harmony, it comes down to respect - for residents, yourself, and sobriety in general.

While recovery from alcohol or drug addiction is its first priority, Harmony places an emphasis on holistic recovery, meaning building self-esteem, working on life skills, and increasing employment opportunities.

Similarities and Differences and What Kind Should You Choose?

All three organizations say they are committed to recovery, all three require some form of payment, and all stipulate a recovery program for their residents, whether that’s Alcoholics Anonymous, Narcotics Anonymous, or, in the case of C-U at Home, other options.

Oxford House, while the largest, has the purported fewest rules per house, with only one rule—don’t drink or use, no matter what—set in stone. It also differs in that it puts all emphasis for recovery on 12-step programs, particularly Alcoholics Anonymous and Narcotics Anonymous.

Harmony on the Beach combines 12-step recovery with life skills training, self-esteem building, and help with continuing education. It also has a curfew and random drug tests, as well as a 30-day sobriety period required for admission.

It’s difficult to determine which sober living facility will be the most successful as there are scant hard statistics to prove efficacy of halfway and three-quarter way houses. Even the definitions don’t generally help, as each organization has its own way of running things. While this is a broad overview, any potential sober living house should be carefully evaluated by the person leaving treatment, his or her professional team, and his or her loved ones.

Christopher Tepedino is a writer based in Champaign, Illinois. He last interviewed a sober man with leukemia.

Rich Mom Addicts Get Sobriety Coaches; Poor Moms Get Jail
In America, addiction is judged through the lens of class.

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08/01/14





Sobriety coaches rake in big bucks to keep one percenters off their substance of choice. A-listers are so busy, after all, and treatment centers are both time-consuming and detrimental to privacy. Even when the wealthy do benefit from these centers, their newfound sobriety often doesn’t outlast the first weekend home alone.

Enter one of the most lucrative jobs in the therapy business.

If you’re a celebrity like Lindsay Lohan, a trust-fund baby, or perhaps a Wall Streeter with a problem, your sobriety coach will accompany you to social events, sometimes posing as a yoga teacher or life coach, to keep you from popping a pill or snorting a line. She will pry the drink out of your fingers at weddings and polo matches. She will even move into your house to keep you from falling off the wagon.

A recent report in the New York Times, “Mothers Find a Helping Hand in Sobriety Coaches,” profiled wealthy Manhattan moms addicted to prescription painkillers and cocaine who finally got clean with the help of a paid personal sobriety trainer.

Citing the difficulties of being an urban mom striving to be thin, rich and successful, the Times story applauds these well-heeled women who have kicked the habit with the aid of a high-priced babysitter. Unlike the Alcoholics Anonymous sponsor, who comes for free, a $1,000-a-day pricetag for a coach is not unusual. Terms like the “new Pilates instructor” or the “new fashion statement” are often used to describe these gold-plated companions. The company Sober Champion offers to “stay with you 24/7, helping protect your investment in yourself. Just like a full-time guardian angel.”

The report features the tale of Tamara Mellon, founder of Jimmy Choos and mother of a toddler, who battled a serious coke habit unsuccessfully until she found recovery coach Martin Freeman, whom she keeps on retainer in case she needs to be talked out of a late-night craving.

The Times cheers these women for finding their guardian angels and kicking the habit. But what happens to moms with addictions in less affluent circumstances?

In Tennessee, 26-year-old Mallory Loyola, a meth addict, recently became the first person arrested under a new state law that classifies taking illegal drugs while pregnant as an assault. Instead of recovering from childbirth and receiving proper medical care, Loyola was hauled off to jail, where she was later released on bond.

If her baby had died, Loyola could have been charged with homicide under the law. 

Tennessee is not the only place where this madness is happening. Over-zealous Alabama prosecutors are also slapping drug-addicted mothers with criminal charges. If you were a pregnant mom with a drug problem, would you want to go to the doctor to care for yourself and your pregnancy if you feared criminal charges? I’m guessing no, so both you and your fetus will not receive proper care.

If you’re a rich mom, addiction is a health issue. If you’re poor, rural, or a person of color, addiction is a crime. Women at the lower rungs of the economic ladder can have their children taken away if they are found to be using drugs or are charged with child endangerment. They are branded as bad people who do not deserve our sympathy. The social stigma and fear of losing custody of their children will keep many of these women from getting the help they need. Many will wind up in prison, with their families ripped apart and their chances of getting a job, education, or decent housing destroyed.

Does Tamara Mellon of Jimmy Choo fame fear a visit from social services or cops after announcing that she is the coke-addicted mother of a toddler? Very doubtful. And she certainly doesn't have to worry about prison.

The number of women incarcerated in the U.S. has skyrocketed by over 800 percent over the last three decades, and two-thirds of them are locked up for nonviolent offenses, many of which are drug-related. The correctional system was never set up for substance abuse treatment. Many addicted women can still get access to drugs while incarcerated, and medical care is often notoriously bad. No sobriety coaches to be found.

This is just another example of America, the land of inequality, where a two-tiered justice system and wildly divergent social standards create a situation in which the same behavior will earn you either draconian punishment or gentle pampering, depending on the size of your bank account.
Christian Life Prison and Recovery Ministries, Inc.

A Benefit to Help Fight Addiction
12pm to 8pm - Free Event!
Donations will be accepted at the gate

On the Campus of Christian Life Center
3100 Galloway Rd
Bensalem, PA 19020
Our 2nd annual outdoor Conquering Grounds Music Fest to benefit our CLPRM Scholarship Fund, helping those struggling with addiction and coming out of prison.
 This rain or shine event features... 
  • 9 Christian Artists/Bands
  • 3 dynamic speakers AND 3 testimonies! 
  • Lots of great food, vendors, prayer & fellowship
  • Children's Play Area - Moonbounce, Playground, Face Painting ect..
...all for a fantastic cause and all for F-R-E-E! Yep, you read that right...FREE!!! Jesus paid the price!


 

 
We need YOUR support and will be taking donations at the gate!! 
Don't miss this amazing Life Changing Event! 
Also, visit www.musicfest2014.org to get ALL the details and even make a donation! 
Invite your friends and family! SEE YOU there!

Don't forget your Lawn Chairs or Blankets!!
Paul Paoli Band
Never Forsaken
Dave Pettigrew

And many others!
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The Conquering Addiction Hour with CLPRM
UPCOMING CAFE EVENT
 
August 9th
plus 

September 13th

October 11th 
plus
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November 8th
Country Recording Artist and Pastor
Plus 

December 6th
Special Christmas Music
 MMMMMM
Conquering Grounds Café, our monthly coffee house ministry, reaches out to individuals and families who have been affected by substance abuse. The Café serves up Christian bands, plus
FREE beverages and baked goods in a laid-back atmosphere. ALL are invited to this
FREE event!
Thanks to Shoprite Bensalem and Hornbergers Bakery for their generous donation of baked good to Conquering Grounds.  
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"My eyes are ever on the LORD, for only he
will release my feet from the snare."  ~Psalm 25:15
Christian Life Prison and Recovery Ministries, Inc.
      The Council of Southeast Pennsylvania, Inc.PRO-ACT
                                                  and
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     Achieving Community Together (PRO-ACT) 
Recovery in Our Communities
August 12, 2014
    
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Disciplining yourself to do what is right and important, 
although difficult,  is the highroad to pride, self-esteem 
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HEALTH & WELLNESS STRATEGIES
Better Health Often Begins With Self-Esteem

Good health doesn't just happen.  It requires proactive thinking, a good strategy and a realistic plan.   Even with all of these things, change is hard.    

 
One obstacle for many of us is low self-esteem.  According to psychiatrist Dr. Kevin Solomons, our "self-esteem system" moves us to make good, healthy, constructive and adaptive life decisions.  But when this system "goes wrong", we can make decisions that are self-destructive or harm others.  Read more about  Our Self-Esteem System, including strategies for improving your self-esteem, in this fascinating article by Elizabeth Venzin in World of Psychology.  Other tips for building self-esteem include reading to build your brain; make new friends; build social skills; experience something new; don't pity yourself; and never stop looking for a challenge.
 
For help in getting started with your health and wellness program, take that first step and contact one of The Council's Recovery Community Centers today.  The Council offers information, resources and support in the areas of healthy nutrition, physical activity, tobacco cessation, stress management, spirituality, recovery, mental health and more. Even small changes in attitude, behavior and lifestyle can promote health and lead to developing better habits.  And before you know it, big changes become possible and within your reach.  

We all can grow in making healthy choices and healthy habits for ourselves and our family.  Start today!
HEAVY DRINKERS PRONE TO MEMORY DEFICITS
History of Drinking Problem Linked to Memory Lapses 
Later In Life

People who have a history of drinking problems by the time they are middle-aged are more than twice as likely to exhibit memory problems in later life as those who don't, according to a recent study. "Does it matter if you were a heavy drinker in your 20's as opposed to your 40's?  We can't tell from this study," said Iain Lang, the lead author.  A drinking problem was defined as answering "yes" to at least 2 of the following four questions:
  • Have you ever felt you should cut down on your drinking?
  • Have you ever felt guilty about drinking?
  • Have people every annoyed you by criticizing your drinking?
  • Have you ever had a drink first thing in the morning? 
Other studies suggest that early alcohol-related cognitive damage may be preventable in many cases if people stop drinking, exercise, get regular sleep and give up smoking.  The study appears in the Journal of Geriatric Psychiatry and can be read here.
Some Upcoming Events
Events
Aug. 20th: Meet The Council Open House8 - 9 am at 252 West Swamp Road, Bailiwick Office Campus, Unit 12, Doylestown, PA 18901

September 12, 20147:05 pm. Recovery Night at the Baseball Game, Phillies vs. Marlins, Citizens Bank Park. Click here for tickets. 
September 20, 2014PRO-ACT Recovery Walks! 2014, Great Plaza, Penn's Landing, Philadelphia. Click here to register and get more information.
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DONATEDonations help us to reduce the impact of addiction for more individuals and families. The Council is a 501(c)(3) organization.

ER Visits Involving Sleep Drug Overmedication Almost Doubles
August 12th, 2014/



The number of emergency department visits involving the sleep drug zolpidem (the active ingredient in Ambien) almost doubled over four years, according to a new government report.

Zolpidem-related ER visits rose from 21,824 in 2005-2006, to 42,274 in 2009-2010, the Substance Abuse and Mental Health Services Administration (SAMHSA) found. In 2010, females accounted for two-thirds of zolpidem-related ER visits involving overmedication. The largest number of visits related to overmedication with the drug involved patients ages 45 to 54.

More than half of zolpidem-related ER visits also involved other prescription drugs, including other anti-anxiety and insomnia medications and narcotic pain relievers. In addition, 14 percent of visits involved alcohol combined with zolpidem.

Almost half of ER visits related to zolpidem overmedication resulted in either a hospital admission or a transfer to another medical facility. About one-quarter of these more serious cases involved admission to a critical or intensive care unit, the report noted.

CBS News reports that hospital ER visits involving drug-related suicide attempts in people ages 45 to 64 doubled from 2005 to 2011. In 2010 there were almost 5 million drug-related visits to emergency departments throughout the country, according to SAMHSA.

In 2013, the Food and Drug Administration (FDA) required manufacturers of drugs containing zolpidem to reduce the recommended dose by half for females, in response to increasing numbers of reports of adverse reactions. The FDA suggested drug makers also reduce the recommended dose for men.

Zolpidem’s side effects can include daytime drowsiness, hallucinations, dizziness, agitation and sleepwalking. When combined with other substances, the sedative effects of zolpidem can be dangerously enhanced, SAMHSA noted in a news release.

Colorado Ad Campaign Warns Teens About Long-Term Effects of Marijuana
August 12th, 2014/


A new ad campaign warns teenagers in Colorado about the long-term effects of marijuana use. The “Don’t Be a Lab Rat” campaign targets 12- to 15-year-olds, Reuters reports.

The ads state that the long-term effects of marijuana are not yet fully understood, and warn teens that if they use marijuana they are essentially volunteering as subjects of research about the drug’s effects. In Colorado and Washington state, the possession and recreational use of small amounts of marijuana is legal for those 21 and older.

The ads will air on television, online and in movie theaters, the article notes. The Colorado Department of Health and Environment will also set up life-size “Lab Rat Cages” at middle schools and high schools, concert venues, skate parks and other locations that teens frequently visit.

“While much still needs to be learned about the effect marijuana has on the brain, enough information is available to cause concern in terms of the negative effects marijuana can have on the developing brains of teenagers,” Dr. Larry Wolk, the department’s executive director and chief medical officer, said in a news release. “The core premise of the ‘Don’t Be a Lab Rat’ campaign acknowledges that more research is necessary, but it also poses the question of whether or not teens should risk the potential negative effects of using marijuana.”

Colorado Governor John Hickenlooper noted a recent survey found the percentage of high school students who think using marijuana poses risks for their health has decreased. “We have a civic and public health obligation to do everything we can to make our children aware that there are risks for teens when they use marijuana,” he said. “This campaign is designed to grab the attention of teens and their parents, and provide them with the facts to have an informed discussion and make informed choices.”

Senator to Introduce Bill to Ban Powdered Alcohol
August 12th, 2014/


U.S. Senator Charles Schumer of New York says he will introduce a bill that would ban powdered alcohol. He is also urging retailers to boycott the product’s sale, which he says could hit store shelves as early as September, according to USA Today.

In May, Schumer urged the Food and Drug Administration (FDA) to prevent federal approval of the powdered alcohol product called Palcohol. He said it could become “the Kool-Aid of teen binge drinking.” Schumer noted the product can be mixed with water, sprinkled on food or snorted. He asked the FDA to investigate the potential harmful effects of the product.

In a news release, Schumer said the FDA has refused to investigate the health risks of Palcohol.

The company that makes Palcohol, Lipsmark, says it plans to offer powdered alcohol in six varieties, including rum, vodka, Cosmopolitan, Mojito, Powderita and Lemon Drop. According to the company, a package of Palcohol weighs about an ounce and can fit into a pocket. It warns people not to snort the powder. Lipsmark says the product would be painful to snort, and will be sold under the same restrictions as liquid alcohol, the article notes.



Daily Quote

"The practice of patience protects us from losing our composure. In doing that it enables us to exercise discernment, even in the heat of difficult situations. It gives us inner space. And within that space we gain a degree of self-control, which allows us to respond to situations in an appropriate and compassionate manner rather than being driven by our anger and irritation." - Dalai Lama


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Monday, August 11, 2014


August 11 Chp 59 v 10 TWELVE STEPPING WITH STRENGTH FROM THE PSALMS



My God is changeless in His love for me .


STEP 11 - Sought through prayer and meditation to improve our conscious contact with God as we understood God, praying only for knowledge of God's will for us and the power to carry that out .


It does not matter who you are or what you have done . I do not care what the world is telling you or selling you. There is a God and He loves each and everyone of us unconditionally . Living by yourself on your own counting on others and the world will only leave you empty and miserable . So miserable and confused I was that the only way to get through the day was use ! Life in addiction is loveless , lonely , and tiresome ! The steps led me to Gods Love and that Love for me was so strong that it broke my chains . God took away my addiction , anger , and pain and replaced it with love , peace , and joy . Steps 11 and 12 are apart of my daily routine and the more time I spend with God the more I discover just how much he loves us all .



1 John 4:16“And so we know and rely on the love God has for us. God is love. Whoever lives in love lives in God, and God in him.




By Joseph Dickerson

“New Paradigm” Addiction Recovery Model Takes Long-Term View
August 6th, 2014/


People in recovery from substance use disorders who have had repeated relapses can benefit from being monitored for at least five years after treatment, according to a former head of the National Institute on Drug Abuse.

“Addiction is life-long and treatment is brief,” says Robert DuPont, M.D., President of the Institute of Behavior and Health. “We need to shift our thinking about treatment from the current focus on short-term episodes to long-term recovery management. That should include frequent random drug testing for alcohol or drug use, with serious consequences for failing. That is the lesson from state Physician Health Programs (PHP), which set the standard for good long-term outcomes from substance use disorders.”

He described the model for such care, called the New Paradigm for Recovery, at a recent meeting of the CORE (Clinical Overview of the Recovery Experience) conference. The New Paradigm is not a new treatment program. It is a system of long-term care management for substance use disorders that enhances and extends the benefits of all treatment programs.

Currently, formal episodes of substance use disorder treatment are relatively brief, even though addiction is a life-long disorder. In a recent report, the institute stated the median length of stay of a person who completed treatment in 2008 ranged from four days for detoxification, to 124 days for outpatient treatment and 197 days for outpatient medication-assisted opioid therapy. “Whether or not an episode of treatment is completed, the large majority relapses to alcohol and drug use,” the report noted. “Relapse after episodes of treatment is so common that it is often defined as a central element of this chronic disorder.”

The model for the New Paradigm is the Physician Health Program (PHP), which helps addicted doctors get the drug, alcohol and mental health treatment they need to keep their licenses and return to practice. If a doctor in the program uses alcohol or drugs even once, the consequences are swift and serious. They are pulled out of practice, evaluated, and if they are told they need residential treatment they must comply, or risk losing their licenses.

Doctors in the program routinely are monitored for five years after treatment. DuPont’s organization conducted the first national study of PHPs. In a follow up, they found that even five years after the required monitoring stopped, the large majority of physicians reported being completely abstinent from alcohol and other nonmedical drug use. “Most physicians after completing the PHP program are still abstinent and still going to 12-step meetings. The large majority report that the PHP program saved their lives and their careers,” says DuPont, who was also the second White House Drug Chief. “This study shows the way to make recovery, not relapse, the expected outcome of addiction treatment.”

New Paradigm programs treat addiction as a chronic illness. Just as blood sugar is monitored in a person with diabetes or blood pressure is measured for a person with hypertension, drug testing should be regularly conducted, eventually and ideally as part of routine medical care for patients in recovery from a drug or alcohol disorder, DuPont says. Two differences however, he notes, are the random nature of the drug testing, and the swift and certain consequences of a positive test result.

Some private addiction treatment programs, as well as independent monitoring services, use the New Paradigm. Several criminal justice system programs, including drug courts, also use the model. The New Paradigm can be especially useful in this setting, he observed. “In the criminal justice system today, a person on probation is tested on scheduled visits (not randomly) and they commonly have eight, 10 or even 15 substance abuse violations before being sent to prison often for long periods of time. That system of delayed, uncertain and draconian punishment does not work in anyone’s interests,” he says.

The New Paradigm begins with a signed mutual agreement between the person and the supervising entity (such as the family, an employer, or legal authority) to abstain from alcohol and drugs, and spells out the consequences of a failed drug or alcohol test. A successful program makes the consequence subject to the signed agreement, DuPont notes. “For example, teens who fail drug tests could have their driving privileges revoked.” Employing such a system of a signed agreement enforced by frequent random testing makes it practical for families, employers, probation and others to support recovery far more effectively, he says.

The program strongly encourages, and usually requires, participants actively to engage in community-based support meetings, such as AA or NA.

The New Paradigm is not needed for everyone being treated for a substance use disorder, DuPont says. While it helps everyone, it is most needed for those who have had repeated relapses. “Even after a person has had terrible problems with substance use, the brain’s memory of the reward experience of using alcohol or drugs hijacks the person’s thinking. They believe they can go back and manage their alcohol and drug use this next time.” That is why DuPont is critical of treatment programs, including some medication-assisted treatment programs, which tolerate continued alcohol and other drug use while in treatment. “When a person comes into treatment, they seldom want to stop using alcohol and drugs —they want to cut down or to have a respite from the pain their use is causing them.”