Beyoncé Opens Cosmetology Center at Phoenix House

The new Cosmetology Center will offer a seven-month cosmetology training course, helping our clients gain the career skills they need to lead productive, rewarding lives in recovery.
…
Beyoncé spoke about meeting with women in treatment at Phoenix House while preparing for the role of Etta James in the 2008 film Cadillac Records. “Through their stories, I realized that all of us have our personal struggles and we all have something to overcome,” she said. “Drug addiction… has a stigma that must be removed. Addiction is a disease and these beautiful women I met did not choose to become addicts, but they have chosen to get better.”

Later donating her salary from the film, Beyoncé wanted to create a program that was geared toward women, “something that would teach them skills that would give them hope even after Phoenix House.” Together, she and her mother, who owned a popular hair salon in Houston when she was growing up, came up with the idea of our new cosmetology program.

As a child, she observed that her mother’s salon was a place for women to “share stories, cry, laugh, and get advice” – and she wanted to bring that experience the women at Phoenix House. “The first sign of recovery is caring about your appearance,” she said. “And hopefully, this Center will be a place that will change lots of lives every year.”

Photo by Hassy, 2009.

Related: Smokey Robinson Helping Fight Against Drug Addiction – Eminem’s ‘Relapse’ Explores His Drug Addition and Rehabilitation – Maradona Drug Rehab – Carrie Fisher’s Novel Explores Drug Addiction and Rehab

Alcoholics Anonymous is the most widely used treatment for alcoholism. It is mandated by the courts, accepted by mainstream medicine, and required by insurance companies. AA is generally assumed to be the most effective treatment for alcoholism, or at least “an” effective treatment. That assumption is wrong.

We hear about a few success stories, but not about the many failures. AA’s own statistics show that after 6 months, 93% of new attendees have left the program. The research on AA is handily summarized in a Wikipedia article. A recent Cochrane systematic review found no evidence that AA or other 12 step programs are effective.
…
The 1992, the National Institute on Alcohol Abuse and Alcoholism’s National Longitudinal Alcohol Epidemiologic Survey studied 42,000 Americans. 4500 had been dependent on alcohol at some time in their lives. Of these, only 27% had had treatment of any kind, and one-third of those who had been treated were still abusing alcohol. Of those who had never had any treatment, only one-quarter were still abusing alcohol. George Bush is a well-known example of someone who stopped drinking on his own without attending AA and without admitting that he was an alcoholic.

To me what matters is finding solutions that work. It is known that the success rates for treating addiction are not great no matter what treatments are used. We certainly should be doing more study of the effectiveness of various treatment methods to improve the success rates people experience. The impact on people’s lives is too large to rely on whoever markets better to end up being the deciding factor.

Related: How Effective is Drug Addiction Treatment? from the NIH – Combination Strategy to Treat Alcohol Dependence – Results of 4 Year Study of Women in Drug Treatment

Promises Treatment Centers became famous for its Hollywood clientele, including starlets Britney Spears and Lindsay Lohan.
…
Promises charges $38,500 for a 90-day stay at its West L.A. facility, while treatment at its Malibu location – with panoramic views of the ocean and perfectly manicured lawns – starts at $54,500 for a 31-day stay.
…
Sack then turned his attention to improving the centers’ treatment programs. He started a service program where patients volunteer with organizations such as homeless veteran projects while they are being treated. He upgraded the staff and contracted with more licensed professionals who provide care in a wider range of areas, including post-traumatic stress disorder, sex addiction and other compulsive disorders.
Susan Blacksher, executive director of the California Association of Addiction Recovery Resources, said Sack is making the program better by not just treating a patient’s drug and alcohol issues.
“More and more, people of good programs are dealing with the entire person,” Blacksher said, “including an assessment of any underlying medical or psychiatric needs that could interfere with a person’s ability to stay with a commitment of a more sober lifestyle.”
A big part of Sack’s efforts have been focused on improving Promises’ follow-up care, which he said will help patients remain sober and allow staff members to better track information such as relapse rates.
…
Promises started setting goals for discharged patients. They are now held responsible for attending 12-step meetings, finding a group home and sponsor, and remaining sober.
…
He said the most recent data shows that 79 percent of Promises’ alumni were continuously sober for 90 days. The national relapse rate for that period is 40 percent to 60 percent, according to the National Institute on Drug Abuse.

Obviously the luxury addiction rehabilitation centers are out of the price range of most people. But the basic rehab strategies are the same as many other centers.

Related: Betty Ford Center – Rehab Center Reality Check – Should Rehab be Enjoyed?

Tiger Woods has greatly increased the focus on sex addiction recently. A few years ago, David Duchovny, of X-Files fame, rehabed to the Pine Grove Behavioral Health & Addiction Services Treatment for a sex addition. That is the same rehab center that Tiger Woods is rumored to be a patient at now.

Taking sex addiction seriously by Nicole Baute

Statistics claim that from 3 to 10 percent of Americans have a sex addiction, but the condition is not listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders and not all experts agree that problematic sexual behaviour should be called an addiction at all.
…
Vermeire describes sex addicts as people struggling with sexual compulsions they cannot stop, despite negative consequences.

The addiction is not limited to the rich and famous. In Toronto, there are therapists who specialize in sexual addiction and support groups like Sex Addicts Anonymous. Bellwood Health Services has a 12-week, $12,000 residential program and outpatient counselling.

Margaret Hicks, a Toronto psychotherapist and social worker, says the addiction is often about shame and low self-esteem. Sufferers are trying to fill a void in their lives, she says: “You can fill the hole with alcohol, you can fill it with drugs, you can fill it with sex.”

Hicks says Internet porn is increasingly driving the addiction, and exposure to certain types of porn can change a person’s sexual template in destructive ways.
…
“Treatment for sexual addiction involves abandoning the unhealthy sexual behaviours and, after a period of abstinence, developing healthy sexual functioning with a primary partner – which often requires learning how to function in a healthy emotional way,” says Lawson, manager of family services and special programs at Bellwood.
…
“With sex addictions we are sort of where the people supporting the idea of alcoholism were 50 years ago,” she says.

“When they started talking about alcohol addiction and being an alcoholic back then, there was the same reaction, ‘No way, there’s no such thing, what are you talking about?’ So, it takes time.”

Related: Brett Favre Overcomes Painkiller Addiction – Robin Williams Reflects on Rehab – Eva Mendes on Rehab

Photo of United States Representative Patrick J. Kennedy (son of Senator Ted Kennedy) at the ADA rally at the Capitol, 17 September 2008.

Rep. Kennedy returns to Congress after month in rehab

After a four-week course of addiction treatment, Rep. Patrick J. Kennedy returned to Congress Wednesday with what he called “excellent” prospects for long-term sobriety – in large part because he sought help before he landed in the kind of trouble that has brought him criticism in the past.
…
In May 2006, a late-night car crash on Capitol Hill attracted harsh publicity and prompted Kennedy to enter an addition treatment facility and to acknowledge that he had been an alcoholic and drug addict for most of his adult life. Since then Kennedy had become a public face for recovery from addiction.

On June 12, Kennedy announced through his office that he had left the House for an indefinite period of time to enter a treatment facility. He has since disclosed that he underwent a 28-day treatment regime at Father Martin’s Ashley, a Maryland center well-known in recovery circles.
…
Kennedy said Wednesday that he hopes his decision to seek treatment was another “sign to people that this is a chronic illness not unlike a cancer that goes into remission but then becomes malignant again.”

He said, “This is a chronic illness that needs lifelong attention. You can’t ever be cured of it. It needs to be monitored on a day-to-day basis for your whole life.”

Congressman Patrick J. Kennedy Statement on His Drug Addiction (May 2006)

Over my 15 years in public life, I’ve felt a responsibility to speak honestly and openly about my challenges with addiction and depression. I’ve been fighting this chronic disease since I was a young man, and have aggressively and periodically sought treatment so that I can live a full and productive life. I struggle every day with this disease, as do millions of Americans. I’ve dedicated my public service to raising awareness about the chronic disease of addiction, and have fought to increase access to care and recovery supports for the too many Americans forced to struggle on their own.

This past Christmas, I realized that I had to seek help again so checked myself into the Mayo Clinic for addiction to prescription pain medication.
…
I am deeply concerned about my reaction to the medication and my lack of knowledge of the accident that evening. But I do know enough to know that I need to seek expert help. This afternoon, I’m traveling to Minnesota to seek treatment at the Mayo Clinic to ensure I can continue on my road to recovery.

Related: Cindy McCain Drug Rehab – Brett Favre Overcomes Painkiller Addiction – Drug Rehab Centers in California – Top 10 Luxury Rehab Centers

Rapper Eminem’s first new album in 5 years, Relapse, explores his relapse and attempts to escape the trap of drug addiction after treatment at a drug rehabilitation center.

Eminem: ‘I wasn’t ready to get clean’

On the subject of his treatment, Eminem explained: “When I landed myself in rehab in 2005 I felt like I wanted to reassess everything. I remember sitting in rehab thinking, ‘Is this what it comes to, really?’.
…
“I was like Bugs Bunny in rehab, Bugs Bunny walking in the room. The second you walk in the room…

Get Clean, Come Back: Eminem’s Return

IN late December 2007 a depressed, writer’s-blocked, pill-popping, opiate-addicted Marshall Mathers, better known as the multimilllion-selling rapper Eminem, overdosed on some new blue pills someone gave him — they were methadone — and collapsed on his bathroom floor. Public statements covered up the reason for his emergency hospitalization and detox, claiming the problem was pneumonia. A month later Mr. Mathers had ramped up his habit again.

But the overdose scared him. Early last year he hospitalized himself, went through rehab and started the full 12-step program of a recovering addict, complete with meetings, a sponsor and a therapist. Mr. Mathers, 36, says he has stayed sober since April 20, 2008.

Far from concealing his addiction battle, he’s making it the center of his comeback. The cover of “Relapse” (Shady/Aftermath/Interscope), the first new Eminem album since 2004, builds his face out of pills, and in some songs he raps, as directly as a rhymer can, about how drugs nearly destroyed him.

Eminem Got Rehab Help From Elton John

When it came time for wisecracking tough-guy rapper Eminem to kick his addictions to the curb, he looked to an unlikely source for help — music legend Elton John. “I came home from the hospital the second time and I realized that I was giving up drugs forever,” Eminem reveals in the June/July issue of Vibe. “I reached out to Elton ’cause I knew he had a problem before.”
…
He was like, ‘Don’t do it. Do not do it,’” he recalls. “But I didn’t want to disappoint anybody. He talked me out of doing it. He was like, ‘I’m telling you you’re gonna get over there and you’re gonna wanna use. Don’t do it, it’s too early. You don’t even have enough clean time under your belt.’”

And Elton wasn’t just there to advise on the big things; he took an active interest in Em’s sobriety. “He called a lot. A few times a week,” says Eminem. “

Eminem tells a gritty tale in new ‘Relapse’

With its blistering glimpse into his struggles with addiction and sobriety, depression and ennui, the album marks a gritty return for an artist who slipped off the public scene four years ago amid a cloud of speculation. The singsong choruses of “Insane,” “My Mom” and “Déjà Vu” are like taunts in the face of the harsh reality — taunts at his own weaknesses, perhaps — with the intensity broken by the jokey skits and bouncy tracks like “Old Time’s Sake.”

Photo from March, 2009 press release

Related: Billy Joel Alcohol Rehab – Winehouse to Rehab: Yes, Yes, Yes – Colin Farrell Wanted To Be A Better Dad – find a drug rehabilitation center

Early experiences with drugs, whether in the womb or as an adult, have ineradicable effects. Drug users often describe a wish to recapture the bliss of their first high. But this goal proves elusive because once the brain has neuroadapted to drugs, it is physiologically and structurally changed. The director of the National Institute on Drug Abuse and many others argue that voluntary drug consumption alters the brain in ways that lead to involuntary drug consumption. The question of whether drug habits are voluntary or not leads us to ask how people get over their addictions, and raises some of the moral issues surrounding compulsive behavior.
…
Addiction is not all pharmacology, neurotransmitters, and intrapsychic states; the social settings of drug consumption have powerful effects. They can influence basic brain chemistry–which is one reason Gene Heyman rejects the notion that “addictive behavior is insensitive to persuasion, that there’s an irresistible urge to take the drug.” Heyman agrees that drugs alter the brain, but disputes the idea that they change the brain in ways that make choice impossible–he does not believe, in other words, that neuroadaptation makes drug use involuntary. Exhibit A, he says, is 50 million ex-smokers who have voluntarily ended their intake of nicotine.
…
One reason people believe drug use is involuntary is that recovery rates for addicts treated at clinics are quite bad. Within one year of treatment, relapse rates of 67 to 90 percent are common for alcohol, opiate, cocaine, and tobacco users. “But most of the people who become addicted to drugs don’t go to clinics,” says Heyman. “Actually, only 30 to 40 percent go to clinics. Yet this clinic population has greatly influenced our vision and concept of addiction.”

It turns out that addicts who don’t go to clinics have much higher recovery rates.

This is an interesting article with interesting data. Remember the different recover rates for those that go to clinics and those who does not mean going to a clinic reduces the odds of success. It seems reasonable to guess most of those that go to clinics are drawn from the subset that failed to quit without going to a clinic. So it could be that fail to quit on their own then will fail only quit on their own 3% of the time and quit in a clinic 10% of the time (these numbers are not based on anything just an example of what you must consider about the above statistics).

Even though cigarette smoking is the direct cause of 400,000 American deaths annually, while alcohol directly causes only 100,000 deaths, “alcoholism is a major reason that people don’t stop smoking,” says Vaillant. “Those who keep on smoking after age 50 tend to be alcoholics.” In hospitals, alcoholics cost six times as much as other patients. Half of all people who show up in emergency rooms with severe multiple fractures are alcoholics. “But the emergency rooms treating multiple fractures ignore blood alcohol levels,” Vaillant says. “The causal link isn’t made.”

“No other drug of addiction impairs one’s aversion to punishment the way alcohol does,” he continues. “Yes, compulsive gambling impairs your aversion to being poor, and heroin use impairs your aversion to being arrested. But alcoholism goes across the board. When drinking, people are much more likely to engage in all kinds of dangerous, life-threatening behavior–wife beating, child abuse, unprotected sex with strangers, smoking, drunk driving. You can be five foot two and willing to take on anyone in the bar.”

Related: Alcohol is a Major Cause of Drug Rehab Admissions – How Effective is Drug Addiction Treatment? – Methods to Treat Addiction – Why Can’t Drug Addicts Quit on Their Own?

Green-Milon’s apparent success in overcoming her addictions is all too rare, experts say. Only about a tenth of the 24 million Americans who need drug treatment get it, according to the National Institute on Drug Abuse, and at least half of them relapse.

Part of the challenge, scientists say, is that addiction, like heart disease, high blood pressure and diabetes, is a chronic condition; it changes the chemistry of the brain. But there’s another hurdle that’s getting attention: treatment programs, with their voice-mail systems and multiple forms to fill out, aren’t very patient-friendly, especially to people whose lives present many barriers to staying in treatment.

A national program, based at UW-Madison, is trying to change that by bringing process improvements to drug treatment. The Network for the Improvement of Addiction Treatment, or NIATx, attempts to get addicts into treatment quicker and retain more of them by making the programs more appealing.
…
24 million Americans need treatment for illicit drug or alcohol problems.
2.5 million get the treatment they need.
The economic cost of substance abuse exceeds $500 billion a year (including alcohol and tobacco; for just illicit drugs, it’s $181 billion).

The NIATx (formerly know as the Network for the Improvement of Addiction Treatment) at the University of Wisconsin – Madison is focused on improving the success of addition treatment.

Use what you learned in Walk-through exercises (See the NIATx Conducting a Walk-through guide for guidance) to identify problems in processes within your organization from the clients’ point of view. Consider changes to test based on that experience. Prior to starting, you should decide the parameters of the change project, including where (e.g., location) you wish to introduce the change, as well which clients (e.g., level of care, population) you expect to impact.

The PDSA Cycle is an efficient way to learn what will work in your organization, and should be the foundation of every change you make. The PDSA Cycle begins with a Plan, and ends with Action based on the learning gained from the Plan, Do, and Study phases of the cycle

They also offer many case studies on improvement successes by treatment centers.

Related: How Effective is Drug Addiction Treatment? – Center for Substance Abuse Treatment – Methods to Treat Addiction

The Narcotic Farm: The Rise and Fall of America’s First Prison for Drug Addicts is a book exploring an experiment to deal with addicted criminals.

The farm was the first place to look at drug addicts as patients that were in need of treatment instead of criminals in need of punishment. The farm did experiments to learn about addiction including on methadone (which is commonly used to try and ease the transition from narcotic addition today). Certainly the methods practiced on the farm were of debatable ethical ground however there was a great deal of learning and desire to learn and treat drug addition.

From 1935 until 1975, just about every junkie busted for dope went to the Narcotic Farm. Equal parts federal prison, treatment center, farm, and research laboratory, the Farm was designed to rehabilitate addicts and help researchers discover a cure for drug addiction. Although it began as a bold and ambitious public works project, and became famous as a rehabilitation center frequented by great jazz musicians among others, the Farm was shut down forty years after it opened amid scandal over its drug-testing program, which involved experiments where inmates were being used as human guinea pigs and rewarded with heroin and cocaine for their efforts.

Published to coincide with a documentary to be aired on PBS, The Narcotic Farm includes rare and unpublished photographs, film stills, newspaper and magazine clippings, government documents, as well as interviews, writings, and anecdotes from the prisoners, doctors, and guards that trace the Farm’s noble rise and tumultuous fall, revealing the compelling story of what really happened inside the prison walls.

Listen to an NPR podcast on America’s First Drug-Treatment Prison

Related: How Effective is Drug Addiction Treatment? – Drug Rehabilitation Centers in California – Why Can’t Drug Addicts Quit on Their Own?

It also shows the benefit of a health system managed at the national level that can spend money on reducing smoking which greatly reduces health afflictions for citizens.

Information for fathers, or hopeful fathers:

Smoking affects fertility levels and can increase the risk of impotence. If you are a smoker, you may have fewer, less mobile sperm than a non-smoker. It is estimated that 120,000 men, in their 30s & 40s, are impotent as a direct result of smoking. If you are 30-40 years old, smoking also increases your risk of impotence by about 50%.

Exposing your pregnant partner to secondhand smoke means you are exposing your baby to secondhand smoke, which contains thousands of toxic chemicals. The risk of miscarriage, still birth, under-development and cot death are all increased.

The site also offers FAQs, including

How can I help someone close to me give up smoking?

It’s hard to persuade someone to stop smoking. They really have to decide for themselves that they want to give up. But, giving them encouragement and support can really help. Explain to the person that you are worried about their health. You can talk to them about this website and about finding a way to quit that works for them. Information about different ways to quit. There are lots of brilliant reasons for going smokefree. Perhaps some of these might be helpful…

• Risk of having a heart attack falls to about half that of a smoker five years after quitting.
• Risk of getting cancer drops with every year of not smoking.
• Setting a good example to the children.
• Having more money to spend on other things.
• Living longer – half of long-term smokers die early and lose about 16 years of life.
• Better skin, fewer wrinkles and fresher breath.

What to expect when you quite smoking:

The first few days after your quit date can be challenging. Nicotine withdrawal can make you feel very irritable and frustrated but this intense period of withdrawal only lasts 48 hours and you will soon notice an improvement. Nicotine patches and gum can really help you to cope with the early stage symptoms of withdrawal.
…
24 hours – Carbon monoxide will be eliminated from the body. Lungs start to clear out mucus and other smoking debris… and now you have saved £4.20.

48 hours – There is no nicotine in the body. Ability to taste and smell is greatly improved… £8.40 keep going the best is yet to come.

72 hours – Breathing becomes easier. Bronchial tubes begin to relax and energy levels increase and you have saved £12.60 in three days…

3-9 months – Amend to “Coughs, wheezing and breathing problems improve as lung function increases by up to 10%.”

5 years – Risk of heart attack falls about half that of a smoker, after 5 years you could use a holiday, saving £7665.00 should cover it?

10 years – Risk of lung cancer falls to half that of a smoker. Risk of heart attack falls to the same as someone who has never smoked. After 10 years, even if they never went up in price, that’s a saving of over £15,000.

The National Health Service provides more support for those living in the UK, but, smokers anywhere can gain valuable information on why quiting smoking is important and how to do so.

Related: Global Cancer Deaths to Double by 2030 (due to increased smoking) – Why Can’t Drug Addicts Quit on Their Own? – USA Center for Substance Abuse Treatment