How society should view addiction Ending recoveryism Let’s stop insisting addiction is a disease Will insurance cover addiction treatment if addiction is not a disease? AA’s dominance in the US is harmful Court-ordered 12-step attendance is illegal CRAFT: An alternative to addiction "intervention" Substance abuse evaluations in child custody cases Addiction and youth Teach teens drinking before it kills them Why do college students drink so much? Why does anyone? From adolescent substance experimentation to addiction Helping your troubled teen without making things worse Alcohol advertising targets youth Addiction impaired professionals On June 30, 2008, the state of California stopped its medical diversion program.  This program was designed to prot...

Self-regulation in the alcohol advertising industry is producing ads reminiscent of “Joe Camel” which targets impressionable youth, according to Australian addiction scientists who call for stricter regulation of the ads (Fielder, Donovan, & Ouschan, 2009). In the U.S., where alcohol advertising is also subject to self-regulation by the industry, more than 4,600 young people under the age of 21 died as a result of alcohol use each year. Past studies show that people who start drinking as adolescents have a higher risk of lifelong problematic drinking, ultimately perhaps necessitating a stay in alcohol rehab. Alcohol Advertising Targets Youth Other studies suggest that young people are more likely to drink when they’re exposed to more alcohol advertising. The Australian rese...

Recent revelations of scams and manipulations on Wall Street have opened our eyes as to just how greedy and dishonest some individuals can be. It should be no surprise that there are individuals who prey on the desperation of parents whose teens have become involved in alcohol and other drugs, gangs, crime, and violence. Considering the many forms of trouble that seem to attract teens, and our seemingly limitless willingness to sacrifice for our kids, parents of troubled teens are appallingly at risk for exploitation. This sad truth is grippingly revealed in Maia Szalavitz’s appropriately titled Help at Any Cost: How the Troubled-Teen Industry Cons Parents and Hurts Kids (Riverhead Books, 2006). Even professionals in human services are often not aware of what can be done for teens th...

Although adolescence has always been a time of great transition, many older adults today may have trouble appreciating just how different adolescence has become. High school students today have extensive substance use experiences. For instance, based on federal studies, about 75% have tried alcohol (with 50% drinking regularly), 38% have tried marijuana, 20% have tried cocaine, 50% have had sexual intercourse and 50% have tried cigarettes (with 20% smoking regularly).  These numbers show us that most adolescents today face a range of choices that their parents may not have realized even existed. Despite the large numbers of adolescents who are exposed to substances and other addictive behaviors, most adolescents do not develop addiction problems. For most adolescents, substance use i...

Some college students drink to excess. Such drinking is obvious to anyone who visits a college town on nights that “specials” are offered at the bars, and on other nights also. Why? Just a result of college culture? A self-fulfilling prophesy of the party crowd when they leave home? A youthful perception of invincibility? Perhaps. But how about a more mundane and controllable factor: the price of the alcohol? In her column, “Tara Parker-Pope on Health” (Sept. 2, 2009), Parker-Pope reports that alcohol researchers from the University of Florida and San Diego State University studied how drink specials influenced the alcohol consumption of about 800 men and women leaving seven near-campus bars. Patrons were studied at different times, with drink prices varying from time to time. Alcoho...

A. Tom Horvath, Ph.D., ABPP Alcohol prohibition in the US lasted from 1919 to 1933. Prohibition continues for those under age 21. Prohibition was repealed because it was violated so often.  Given how much people like to drink, prohibition as a public policy was not realistic. In this article, I suggest that we are seeing similar violations of drinking laws by young people and that it is time to modify the prohibition on their drinking and to teach teens about alcohol. The actions I suggest are already in place in many families. Drinking actually seems to be decreasing among young people (according to the Monitoring the Future surveys the federal government funds).   However, despite the “zero tolerance” approach, some young people drink regularly or in large amounts. On occasion, so...

Addiction, Recovery and Society How society should view addiction Ending recoveryism Let’s stop insisting addiction is a disease Will insurance cover addiction treatment if addiction is not a disease? AA’s dominance in the US is harmful Court-ordered 12-step attendance is illegal CRAFT: An alternative to addiction "intervention" Substance abuse evaluations in child custody cases Addiction and youth Teach teens drinking before it kills them Why do college students drink so much? Why does anyone? From adolescent substance experimentation to addiction Helping your troubled teen without making things worse Alcohol advertising targets youth Addiction impaired professionals On June 30, 2008, the state of California stopped its medical diversion program.  ...

A. Tom Horvath, Ph.D., ABPP I make a number of assumptions when conducting a substance abuse evaluations as part of a litigation process: The individual’s use is usually not less than the individual reports, but it might often be more (or much more). Inaccurate accusations of substance abuse are common because there is usually little negative consequence for inaccurate accusations. The parties to the litigation, and those connected with them, may provide biased and inaccurate information. Therefore outside corroboration of their reports is essential for determining the extent and consequences of substance use. Getting Outside Corroboration: As a practical matter, getting outside corroboration (information from sources not connected with the litigation) is difficult becau...

By: Tom Brown, Ph.D. CRAFT (Community Reinforcement and Family Training) is a non-confrontational approach to getting a loved one to enter addiction treatment. It is an approach designed for the concerned other (spouse, family member, friend), who is seeking assistance in getting their loved one help. CRAFT can also help the person you are concerned about reduce their substance use, even without their direct cooperation. CRAFT is successful in getting people into treatment by a three to one margin over traditional intervention strategies. CRAFT is motivational rather than confrontational. Concerned Significant Others (CSO) learn how to motivate loved ones to change, by rewarding sober activities and discouraging activities that include drugs or alcohol. The motivational approach to ...

Will insurance cover addiction if it's not a disease? Some highly vocal addiction recovery advocacy groups claim that addictions, or at least some addictions, are diseases. These groups argue that insurance coverage for addiction treatment is crucial for recovery, and that insurers will not pay for treatment if addiction is not understood as a disease. Therefore, they say, we need to keep insisting that addiction is a disease, and keep insisting that our insurers cover addiction treatment. Defining Diseases and Conditions However, insurers already pay for many conditions that are not diseases. For instance, broken bones, pregnancies, and the repair of congenital defects are not normally called diseases, but these conditions are covered by most insurance plans. The term that is relev...