Sunday, April 08, 2007

Problem drinkers editorial

adn.com | our view : Problem drinkers
I used to advocate for a "drinking license," analogous to a driver's license, and the proposed bill tries to accomplish that, but in reverse. The unsolved problem with this approach is that alcoholics will find a way to drink, no matter what. They will also drink and drive, no matter what. That's why I'm in favor of a sort of draconian paternalism, where unrecovered addicts are placed in the state's custody, and that custody is gradually earned back by not using. I'm calling for an entire apparatus, parallel to the criminal justice system but not a part of it. Drug and alcohol courts, drug and alcohol jails, drug and alcohol halfwayhouses, drug and alcohol group homes, drug and alcohol monitors, drug and alcohol cooperative "orphanages," drug and alcohol (whatever). Naturally, this only works if it can be properly paid for, which none of the current "system" is. It would be a big, expensive system. Right now, we have a big, expensive un-system. Part of the cost-benefit analysis challenge is finding god data to use to calculate how much problem drinking and drug use costs us: the cops, ER's, court systems, jails, foster children, teen pregnancies, welfare, parole officers, deaths, insurance claims, etc.

Monday, March 26, 2007

Another Nome sober shelter shuts

from the Fairbanks Daily News-Miner
Our own Kusqi shut down last month. It was supposed to be sober housing for women and their kids while she received outpatient treatment.
Except, guess what? Some of them drank.
Once again, drinking shits on everything.
It's not terribly uncommon: drinkers come to Nome, which overflows with booze. They bring their kids, drops them off, and party.
And then what? What to do if they show up drunk? And not just drunk, but DRUNK. What then? You have her kids. She's screaming at you, pounding on the door. The kids are up, crying.
In Nome, you have two options. One, call the police and file a complaint, and, if they aren't neck-deep with some other drunks, they might come and take her away to jail for a 24 hour Title 47 hold. Option two is to let her in.

Workaholism: the "best" addiction

Addiction to the job a matter of priority from the Anchorage Daily News.
All addiction is about escape: escaping pain.
Therapy is supposed to help you understand that pain, so you can come to terms with whatever it is that's hurting.
It's a process called "honesty," and it works wonders. I recommend it.

Blaming others: classic addictive behavior

Articles of Faith: The unfortunate age of entitlement in America
Addicts have a sense of entitlement to: entitlement to use.

Saturday, March 03, 2007

Bethel violence gab fest

Fairbanks Daily News-Miner: Bethel violence spurs community meeting
Toward the end of the article, there's the usual discussion about the need for recreational activities to occupy youth as a means of preventing youth from doing drugs or drinking alcohol, thus preventing the trouble caused by bored, high man-children.
I ran youth programs for several years. I think youth recreation programs by themselves contribute exactly zero in preventing youth from drinking and doing drugs and committing crimes.
Tying recreation programs to crime and alcohol prevention is based on the assumption that many kids drink and do drugs primarily because they are bored. This assumtion is itself based on feedback well-meaning adults get from the youth themselves. "Why do kids drink?" we ask. "Because we're bored," say the youth.
I call B.S. At-risk youth ALWAYS say they are bored. Even when they are having fun, they're bored. Everything is boring; just ask them!
In other words, I think that kids aren't at-risk because they are bored; they are bored because they are at-risk. They are bored because there aren't enough functional adults in their lives, guiding them, protecting them, encouraging them, restricting them. Being bored isn't the cause of the problem; it is another symptom of the problem.
There are no YOUTH problems; there are only ADULT problems. If the youth are out of line, it is only because adults are failing.
Swimming pools and recreation centers will, by themselves, prevent nothing. Without a strong adult presence, kids who are going to drink and commit crimes will do so with or without pools.
Finally, the desire for pools and gyms as a means of preventing youth from drinking and committing crimes is typical of "magical thinking." It externalizes the problem; it tries to find a source of blame outside of the addict or abuser. It works like this: if pools and gyms prevent our kids from drinking, then there's nothing I can do about it, and it's not the kids' fault. I don't have to change; the kids don't have to change; we just need to build a pool and a gym, and Abracadabra, the kids will behave properly because they won't be bored.
I live in Nome, where we have a pool and a gym. They kids are still bored, some of them still drink and commit crimes.

Lansing State Journal: Recovery program’s expansion still on hold

Lansing State Journal: Recovery program’s expansion still on hold
These kind of supervised recovery programs are probably the only thing that will work, outside of incredible individual will power.
I'm not an evangelical Christian, or even a Christian, but I'd rather have a private, evangelical Christian outfit running a residential treatment center than a government agency, any day of the week.
I don't think the government should give religious groups money, either, but why not a dollar-for-dollar tax credit? So, if you owed $5000 in federal taxes, you could instead give $5000 to a religiously affiliated treatment center, and not give the federals a dime.
In fact, with technology as it is, why not create a free market of private service providers that compete with governments, with public oversight? LImit the government's involvement to oversight and law enforcement - which is what government is good at (sort of) - and get them out of the business of actually providing social services.
I think it would be cool to have competing private schools and treatment centers and clinics in a properly regulated marketplace.
Imagine: you owe $5000 in taxes. You access a list, either on-line or in print, of qualified service providers, to which you can divert up to, say, $4500 of that tax burden. The service providers can market their worth to you. Perhaps brokerages can be licensed to accept your tax dollars and distributed them for you based on your preferences.

Drinking kills again

Fairbanks Daily News-Miner-Snowmachine accident leaves Delta man dead
He had beer in his backpack, wasn't wearing a helmet, and had been kicked out of a bar at 10pm on a Wednesday for being too wasted. Yeesh.

Thursday, March 01, 2007

WA routinely gambles on release of felons

State routinely gambles on release of felons
That's the thing about criminals: they're expensive. Prisons, corrections officers, it all costs money.
What bugs me so much about states and counties and cities cutting corners is that our country spends $500 billion annually on the military. $500 BILLION! PER YEAR!
I know that "defense" contractors and military bases represent a lot of darn good jobs for voters. I live in Alaska, where the majority of households have either a veteran or active duty soldier.
But still: $500 billion, but we don't have enough for treatment clinics and such? $500 billion - that's $5 trillion per decade! AND WE'RE STILL NOT SAFE?!?
Perhaps our political economy is addicted, too - addicted to the military.
And, by the way, I love our troops, and I think the armed forces of our country, and any country, are generally honorable professions. Their competence and dedication are inspiring. My own version of patriotism involveds NOT using the military to "protect" our "way of life," whatever that is. I would much rather change my "way of life" than send people I know and love off to war.

Wednesday, February 28, 2007

S.D. breath-tests chronic drunken drivers twice daily

Lansing State Journal: S.D. breath-tests chronic drunken drivers twice daily
It's terribly sensible: assume that chronic drunk drivers are chronic drinkers, and plan with that assumption in mind.
Chronic drinkers or drug users or gamblers or whatever can't be trusted, because they'll do anything for the buzz.
They behave like children; they need to be treated like children.

Monday, February 26, 2007

Detention, foster care considered for truants

adn.com | education : Detention, foster care considered for truants
Rep. Bunde can be forgiven for trying to "crack down" on truant kids. I, for one, appreciate that he's trying to take this on.
I used to work in "dropout prevention." Mainly, we were trying after-school tutoring. I quickly learned that dropout risk had little to do with homework help, but it had everything to do with truancy. No big surprise there: dropping out is just permanent truancy, after all.
Truancy and dropping out had much more to do with the quality of parenting, income level, and reading ability. Naturally, a dropout prevention - or truancy prevention - program can't do anything about the first two factors, and schools are absolutely busting their figurative butts teaching kids to read.
In my experience, and the experience of others, truants and dropouts come from families with one or more of the following characteristics: single-parent, low-income, addiction or mental health disorder, low literacy, lots of kids, low parenting quality.
Naturally, kids from homes with one, or even all, of these factors aren't doomed to dropout. But they are at the highest risk. And if you meet a truant or dropout, and ask them about their home life, you'll hear the factors I listed above.
One of the reasons I'm so fascinated by the social effects of addiction is because it is the "X" factor in any attempt to solve a social problem; no matter how well funded, designed, intended, and staffed a program is, addiction will let the air out of the tires.
And before anyone calls for my head on a platter because I'm dragging single moms through the mud, hold on. I know there are sober, hard working, literate, effective single moms out there. If their children are truant and dropout, I'm sure they are at wits end. But ask those women about the men in their lives, or the home where they came from, and chances are excellent that you will find addiction somewhere.

Saturday, February 24, 2007

What the Poor Are Like

Gerry Charlotte Phelps: Chapter 4: What the Poor Are Like

I found this after Googling "poverty." I live in rural Alaska, which has a high poverty rate and high rates of all other manner of bad stuff. Those of us with jobs and houses and toys have a parlor game in which we wonder aloud "what is to be done," because it is patent that nothing any of us do seems to make a dent in poverty's vicious cycle.

In my experience, I noticed that so many people who are poor grew up poor in a family where there was mental illness or addiction, and the children in those families grew up to become addicted and poor and have more children, and so on.

One still wants to help, to be part of a solution, but one soon becomes either cynical, in denial, burned out, or simply stoic.

So many poor people frustrate me. It's almost like they prefer being poor; it's as though they are unwilling to do the work or make the committment to not be poor. It's as though being poor was Home, and they would fight to keep it.

Naturally, it's more complicated than that; also, I understand that my frustration isn't the point. I'm simply sharing my perspective.

There are many programs and opportunities for anyone from this part of the world to do what it takes to not be poor. All of those programs are optional. Many people choose to not participate. Of those that do, most quit: it's too hard, it's too wierd, it's too uncomfortable to hold a job, go to school, manage a life. So many - most, it seems - are booted out of jobs and programs and schools for drunkenness.

It's fashionable to blame the government for first promoting assimilation, and then fostering a culture of dependance, or to blame the missionaries for a legacy of abuse and shame, or the whalers and traders who brought plague. Or, to blame the poor themselves for not doing their fair share in getting out of poverty.

But, plainly, all of that is true to a degree, and also, none of that really matters to any given neglected kid.

The truth is, none of us know what to do. It is also true that what we're doing now is not working, not at all. Therefore, whatever it is to be done won't be much like whatever it is we're doing now.

Matthew effect on Wikipedia

Until today, I had never heard of the Matthew effect.

But I've seen it in action, out here in rural Alaska.

For instance, our regional health care provider won grant funding to provide diabetes prevention activities to ameliorate the nation-leading rates of diabetes among Alaska Natives. The program provided many activities, but guess who participated the most? Disadvantaged at-risk youth? No. Active, middle-class, low-risk adults and their healthy kids.

We have after-school programs and art programs and tutoring programs. Who participates? The lowest-risk kids participate the most; the highest-risk the least. Why do the people who need the programs shun them? And why do we keep running them, pretending that we're "makng a difference"?

Smoking alters brain 'like drugs'

BBC NEWS | Health | Smoking alters brain 'like drugs'
Addiction is addiction: drinking, smoking, gambling, working, eating - it's all different parts of the elephant, to reference an adage.

Yukon Delta leads AK in sex cases

adn.com | crime : Delta leads state in sex cases
Dysfunction, alcoholism, abuse and neglect seems so common out here in the Bush that I fear they are PREVALENT: not just a problem, but actually LIKELY. In other words, for any given child in rural Alaska, it is more likely than not that the child will grow up in a violent, alcoholic, abusive and/or neglectful environment. Or, put another way, growing up in a severly dysfunctional environment is NORMAL here.

It is also the case that those children will most likely by Inuit.

That means being Inuit in rural Alaska and growing up in a serverly dysfunctional environment are closely related, but it doesn't mean that one causes the other: correlation is not causation.

There are other places in the world where geographically isolated communities of poor people exhibit the same high levels of dysfunction. I'm thinking especially of the Aborigines in Australia. I'll find a link to a recent story I saw on the BBC website. It's also true on Indian reservations in the US and Canada. I bet it's true in very poor urban neighborhoods in the US and in Europe, too.

It's tough to understand the dynamics. It seems to me that there is special combination of lack of resources, a cultural confusion, isolation, and a lack of a stake in the political economy, that, once it mixes with the inevitably toxic effects of addiction, creates a terrible feedback loop of despair and neglect.

I further suspect that these same forces are at work among people who are not "minorities," nor poor, nor isolated; however, the material success of the more fortunate people perhaps mitigates and masks the effects of the despair and neglect.

But if you come out here to rural Alaska, one can witness first-hand the slow motion disintegration of a people, laid bare for all to see; one can earn a decent living participating in the decline, or trying to mitigate its effects; but no one - no one - has any clue whatever on how to rescue them, to rescue US.

What's really wierd is that its basically legal to neglect yourself and your family, and shift the costs of that neglect onto everyone else. Technically, much of that meglect is illegal, but practically it is, because the resources are not available to deal with all but the most extreme cases.

I wonder if perhaps the resources were limitless, would it help? Or is it the resources that are contributing to the vicious cycles? So much money and so many programs have failed to break the vicious cycles - are the programs flawed, or simply underfunded? If, instead of expanding the American empire to control foreign lands of oil and poppies, we instead diverted those resources to rescue our neediest families, to really break the cycles of despair and pain, could it be done? Would all of us eventually reap the rewards of safer towns, smaller prisons, less need for social programs, happier people?

Friday, February 23, 2007

Child abuse linked to alcoholism

adn.com: State regroups on child abuse
Social workers investigating child abuse claims who discover alcoholic parents are stuck: there's few foster families, the state doesn't want to pay for raising the kids, and it's common for the most dysfunction of families to have a very limited network of extended family to count on. So what do you do with the at-risk child? Personally, I'd rather pay for an elaborate and expensive orphange system than a fake war in Iraq. It's true that taking children away from their families really sucks, as do orphanages, but do they suck more than getting abused by drunk parents?

Friday, February 16, 2007

Drug courts: it's a start

Drug Court judge honored in the Grand Haven (MI) Tribune, is an example of the kind of effort that's really needed to manage the insanity of substance abuse and addiction, especially when it is combined with the utter lack of resources that comes with poverty.

Senseless death? Drugs.

adn.com: Anchorage judge bumps bail after Tix outburst
Allegedly, and naturally, the accused is a meth head.

Wednesday, February 14, 2007

Drugs beat terrorism

Dobbs: The war within, killing ourselves - CNN.com
Mr. Dobbs makes a good point about the magnitude of drug abuse and addiction. I think he's a bit optimistic about treatment, but that's normal.

The real cost of caring for the nation's addicts, especially the poor ones, is much higher than what we're paying now, which is essentially the minimum payment: just enough to defer disaster, but nothing more. We're screwed either way, but I'd rather be screwed in a scenario with a glimmer of hope versus one with no hope at all. Besides, if we can spend jillions in the Middle East, why could we not make a similar committment here?

Thursday, February 08, 2007

Other things to do with the Iraq war money

Lansing State Journal: Schneider: 'No one seems to be listening' to troubled ex-con


Funding the true costs of a comprehensive support system for our nation's poorest and sickest people would boggle the mind of everyone but the Congressional Budget Office, people who are accustomed to giant numbers.


It's a cost that no one is willing to pay, probably because the losses incurred are almost always borne by other poor and sick people.


The net effect is that being poor and sick in our societies is virtually itself criminal. Yikes.


It's only when the damage spreads beyond the poorest communities and neighborhoods that the rest of us notice and demand action.


I think not fully funding a complete mental health system, including addiction recovery programs and monitored housing is a form of negligence, and the damage done by our poorest and sickest people are eating away at our security. We can either pay now or pay later, when it will be even more expensive. Defering the cost forever, like we do now, is a recipe for disaster, as we see in the news from time to time.

But who will pay?

adn.com | Rural Alaska : Psychology degree has rural-issue application



We need s mall army of mental health professionals out here. But it would be even better if the mental health professionals didn't themselves need mental health professionals. And, we're not the only place that needs such an army, as my next post illustrates.

Saturday, February 03, 2007

Surprise: he was high

Man shoots himself, ending police pursuit
When I see stories like this, I always guess that they are related to addiction or intoxication, and I am rarely surprised.
I live a place where virtually every problem is related to addiction or intoxication: suicide, domestic violence, child abuse and neglect, the need for foster families, overcrowded jails, homelessness, unemployable people, the cycle of poverty, murders, fires, most injuries, most ambulance calls, virtually all police and court activity, youth getting in trouble, you name it.
After awhile, I wondered if this was also true for the rest of the state, and the rest of the USA. So I scan news stories, guessing that stories about bad things are probably related to some form of addiciton or intoxication. And I'm rarely surprised.

Thursday, February 01, 2007

Lock it up with the mouthwash

Hand sanitizer found to pose abuse risk

Kids to cops: we smell a skunk

Fairbanks Daily News-Miner: Pot house busted near school

Extreme example of common problems

No trial for mom whose babies starved to death
The familiar cycle: abuse, self-loathing, depression, addiction: look for it, and it's everywhere, mostly low-grade, but potentially mind-boggling, as in the subject case.

Birds of a feather

adn.com | crime : Taillight stop leads to bust
This is what most cops do, most of the time: deal with people who are into drugs, intoxicated, or both.
And Joe Citizen wonders why cops can be such surly jerks. YOU deal with drunk & high knuckleheads all day, every day, and see what kind of attitude you develop.
I'm not saying getting high is bad; go ahead. But driving high with guns? That's knucklehead, and that's who cops work with.
Give a cop a break.
And if you are a minority youth being hassled by a cop for no reason at 2 a.m., remember this: taxpayers don't pay cops to be nice or considerate, and us taxpayers apologize for the misunderstanding. But rather than blaming the cop for being a racist meathead, you might also want to thank the other youth who are giving nice kids like you a bad name.

Tuesday, January 30, 2007

Fetal alcohol syndrome plaguing Alaska

From the Anchorage Daily News, a story about FASD. I think the problem is muh more widespread than reported; shame silences many mothers.

Late night shooting? Drugs

adn.com | crime : Two shot in apparent drug robbery

Prostitute murder victims + addiction

A column about the role addiciton plays in prostitution and how it relates to the grisly mrders in Vancouver, BC by the CBC News's Heather Mallick.