Archive for September, 2006

Alcoholism and Women

45% of females ages 12 or older report current (past month) alcohol use; 8% are binge drinkers (defined as 5 or more drinks on the same occasion at least once in the past month); and 2% drink heavily (5 or more drinks on the same occasion on at least 5 different days in the past month) (US Department of Health & Human Services {DHHS}, Office of Applied Studies, National Household Survey on Drug Abuse: Main Findings, 1997, pp. 106, 110-111).

Current use of alcohol is highest among women ages 26 to 34; binge and heavy drinking are highest among 18- to 25-year-olds (Ibid).

While significantly fewer adult women than men use alcohol, cigarettes or illicit drugs, among 12- to 17-year olds, rates of female and male use are similar (DHHS, Substance Abuse and Mental Health Services Administration {SAMHSA} news release, 9/22/97).

Never-married, divorced and separated women generally have the highest rates of heavy drinking and drinking related problems; widowed women, the lowest rates, and married women, intermediate rates (S Wilsnack, et.al., “How Women Drink: Epidemiology of Women’s Drinking and Problem Drinking,” National Institute on Alcohol Abuse and Alcoholism {NIAAA}, Alcohol Health & Research World {AHRW}, Vol. 18, No. 3, 1994, p. 176).

4.5% of women report current use of any illicit drug; of these, 0.5% use cocaine (1997 Household Survey).

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Alcohol Rehab Facts

Alcohol Rehab: Treatment:
3.1 million Americans–approximately 1.4% of the population ages 12 and older–received treatment for alcoholism and alcohol-related problems in 1997; treatment peaked among people between the ages 26-34 (SAMHSA, National Household Survey on Drug Abuse: Main Findings 1997, 4/99, p. 169, 172).

A study examining the relative cost effectiveness of 33 specific alcohol rehab modalities for alcoholism suggested that more costly treatments are not necessarily more effective; of the six treatment modalities classified as having “good evidence of effect,” all appear in the minimal-, low-, or medium-low-cost categories (NIAAA, Eighth Special Report, op. cit., p. 261).

Providing heavy drinkers who are not alcohol-dependent with self-help materials relating to alcoholism can, by itself, be an effective method of brief intervention (Ibid., p. 309).

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Alcohol Rehab and Recovery

Two years ago I decided to check into an alcohol rehab with the hope this would do it. After three days of detox, they introduced me to the rest of the alcoholics there…..UGH….THis wasn’t me. I couldn’t possibly be this sick. I did my best to keep to myself and not share anything with anyone. Then one day a counselor walked up to me. I didn’t know him but I immediately felt comfortable with him. He looked me square in the eye and said, If you are going to keep going like this you might as well leave. If nothing changes, nothing changes and you will drink again. Two and a half years later, I still love him for saying that. It changed my attitude and life. I still go back to that alcohol rehab every once in a while and even see some of my buddies in AA. Thank you my friend. Tony B.

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Alcohol Rehab and Intervention

If an alcoholic is unwilling to get help, what can you do about it?

This can be a challenge. An alcoholic can’t be forced to get help except under certain circumstances, such as a violent incident that results in court-ordered treatment or medical emergency. But you don’t have to wait for someone to “hit rock bottom” to act. Many alcoholism treatment specialists suggest the following steps to help an alcoholic get treatment:

Stop all “cover ups.” Family members often make excuses to others or try to protect the alcoholic from the results of his or her drinking. It is important to stop covering for the alcoholic so that he or she experiences the full consequences of drinking.

Time your intervention. The best time to talk to the drinker is shortly after an alcohol-related problem has occurred–like a serious family argument or an accident. Choose a time when he or she is sober, both of you are fairly calm, and you have a chance to talk in private.

Be specific. Tell the family member that you are worried about his or her drinking. Use examples of the ways in which the drinking has caused problems, including the most recent incident.

State the results. Explain to the drinker what you will do if he or she doesn’t go for help–not to punish the drinker, but to protect yourself from his or her problems. What you say may range from refusing to go with the person to any social activity where alcohol will be served, to moving out of the house. Do not make any threats you are not prepared to carry out.

Get help. Gather information in advance about alcohol rehab options in your community. If the person is willing to get help, call the alcohol rehab immediately for an appointment. Offer to go with the family member on the first visit to the alcohol rehab or an Alcoholics Anonymous meeting.

Call on a friend. If the family member still refuses to get help, ask a friend to talk with him or her using the steps just described. A friend who is a recovering alcoholic may be particularly persuasive, but any person who is caring and nonjudgmental may help. The intervention of more than one person, more than one time, is often necessary to coax an alcoholic to seek help.

Find strength in numbers. With the help of a health care professional, some families join with other relatives and friends to confront an alcoholic as a group. This approach should only be tried under the guidance of a health care professional who is experienced in this kind of group intervention.

Get support. It is important to remember that you are not alone. Support groups offered in most communities include Al-Anon, which holds regular meetings for spouses and other significant adults in an alcoholic’s life, and Alateen, which is geared to children of alcoholics. These groups help family members understand that they are not responsible for an alcoholic’s drinking and that they need to take steps to take care of themselves, regardless of whether the alcoholic family member chooses to get help. (See Question 19 for referral to support groups.)

If you require assistance locating an alcohol rehab or intervention specialist you might like to go to www.recoveryconnection.org, a nationally recognized helpline

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