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Special Focus:  Mental Health, Substance Abuse, & Terrorism

What's New Archive 003: 06-05-01 to 03-21-02

Go To What's New Archive 002: 05-12-01 to 05-30-01

Go To What's New Archive 001: 02-02-01 to 03-27-01

GORSKI-CENAPS Web Publications

Training & Consultation --- Books, Audio, & Video Tapes ----- -----
Gorski-CENAPS, 17900 Dixie Hwy, Homewood, IL 60430, 708-799-5000 

Posted On: May 13, 2002          Updated On: May 12, 2002
© Terence T. Gorski, 2001

Medications for Alcoholism Treatment (03-21-02)

This is an excellent article recently published on AlcoholMD that provides an excellent review of the recent literature on the effective use of medication in the treatment of Alcoholism.

Book Review - On Killing By Dave Grossman

This is an excellent book that summarizes the world-wide literature on the psychological effects of being trained to kill under the legitimately authority of society.  Links to an interview with David Grossman and to his website are included.

Florida Drug Law Reform Update (03-09-02)

Here's an update on the Florida right to Treatment Act that was written by Mary Kelli Bridges of the Naples Daily News on 03-04-02.  The article seems to give a fair and balanced coverage of the issues reporting on the major issues from both sides.

Gorski Lecture Notes:
Alcohol & Drug Use During Pregnancy (02-03-07)

Here are the lecture notes of Terence T. Gorski that prevent a powerful message to women who pregnant or planning to get pregnant.  That message is "don't drink or use drugs during your pregnancy because it will harm your unborn child.  The second message is even more powerful - only sober and responsible people can become the kind of effective parents that can guide their children through childhood and adolescents and prepare them to live a sober, healthy, and responsible life.

 PTSD In Children &

Here is a literature on the prevalence of Post Traumatic Stress Disorder in children and adolescents.  Between 3.5% and 8.1% of children in randomized community studies met the criteria for PTSD.  Children with multiple traumatic experiences were far more likely to show PTSD symptoms than those with single traumatic experiences.  Read the detailed literature review.

Cocaine Use During Pregnancy (03-05-02)

Cocaine use during pregnancy can harm the unborn baby.  This article contains the facts.

Drinking & Smoking During Pregnancy 
Younger Women Are less Likely To Stop (03-05-02)

Younger women are less likely to stop drinking and using alcohol during pregnancy.  There are serious consequences on problems during pregnancy and birth and problem behaviors with children as they grow into toddlers.

Prevention - Smoking During Pregnancy (03-05-02)

This article reviews the affects of smoking during pregnancy on the latter behavior of toddlers.

Smoking Cessation in Recovering Alcoholics (03-05-02)

Here is some basic information about the special problems that recovering alcoholics have related to smoking and nicotine addiction.

PTSD and Problems with Alcohol Use (02-05-02)

PTSD often coexists with alcohol abuse and alcohol dependence.  This article provides an excellent summary of recent research.  

Moderate Drinking in Pregnancy UPS Stillbirth Risk (03-05

Here's a good reason why it's dangerous for pregnant women to drink.  Even moderate drinking increases the risk of having a stillbirth.  Read the details from Reuters.

Drug Treatment for Addicted Mothers

Drug treatment for pregnant women and women with children make more sense than incarceration.  Drug treatment is at least seven times less expensive and nearly twice as effective as incarceration.  Putting addicted mothers in prison breaks up families and over burdens the foster care system helping to create the next generation of criminal and addicted people.  Treatment can break that cycle.  Here's an example.

PTSD & Addiction - NIAAA Bibliography (03-02-02)

Here is a copy of an annotated bibliography from NIAAA's ETOH Database which was run on March 02, 2002.  It shows a clear relationship between Addiction & PTSD.

President Bush Announces 2002 Drug Control Strategy (02-28-02)

Here are the remarks of president Bush announcing his 2002  Drug control policy  2001.

Voting Rights of Convicted Offenders
Defeat of Amendment To The Voting Rights Act Of 2001 (02-18-02)

On February 14, 2001 the Senate defeated (by a vote of 31 to 63 with 6 abstaining) an amendment to the federal Voting rights Act of 2001 that would have secured the rights of offenders who had served their full sentences to vote in federal elections.  The defeat of this bill is a set-back for drug courts and all people concerned about the rehabilitation of drug offenders.  This is a copy of the proposed amendment and substantive portions of the debate both pro and con.  A link to the congressional record for this amendment is provided.

PTSD - Acute Stress Disorder As A Predictor (02-17-02)

The incidence of Acute Stress Disorder following a disaster is a good predictor of the future rates of PTSD.  Here's the article abstract. 

Stress & Alcohol Use - NIAAA Studies (02-07-02)

This article provides links and highlights from recent NIAAA articles that provide research information about the relationship between stress, alcohol use, alcoholism treatment, and relapse.  These articles can help project the impact of the September 11th Terrorist Attacks and the ongoing war on terrorism on alcohol use, abuse, addiction, and relapse.

Prevention - Pregnancy & Drinking (02-07-02)

Here's an article from NIDA with basic information about the effects of drinking during pregnancy.

PTSD Symptoms Checklists - Civilian & Military (02-04-02)

Here are two PTSD Symptom Checklists that have been used extensively in research.  One version is for civilians (PTSD Checklist Civilian Version) and the other for military (PTSD Checklist Military Version)

PTSD In Children & Adolescents (02-01-02)

This article reviews the highlights of research into the growing incidence of PTSD in children and adolescents and how this foreshadows a growing problem with PTSD, substance abuse, and mental health problems in adults in the future.  It include an excellent review of the epidemiological literature pertaining to PTSD and commentary relating the highlights of the article to the September 11, 2001 terrorist attacks and subsequent war on terrorism.

Stress and Substance Abuse - A NIDA Special Report (01-27-02)

Stress & Drug Addiction - Studies Show Links - NIDA Report (01-27-02)

Here's two special reports compiled by the National Institute on Drug Abuse (NIDA) that present the research basis for projecting an increase in alcohol and drug abuse, addiction, and addiction-related mental health and social problems.

PTSD (01-27-02)

Here's the encyclopedia description of PTSD and relevant information from .

PTSD - Biological Factors (01-27-02)

This article provides another brief summary of the incidence of PTSD with a an emphasis on biological factors.

PTSD - Reliving Trauma - NIMH Web Publication (01-27-02)

This article summarizes a broad base of current research on PTSD and the wide range of traumatic events that can cause it.

Cocaine Addiction Links Between Genetics & Social Status (01-26-02)

This article summarizes recent animal studies show a dynamic interaction between genetic predisposition, level of social dominance, and risk of cocaine and other drug addictions

Drug Law Reform - Gorski's Position Paper 01-23-02

This paper presents the basic principles that Terence T. Gorski believes are important to a successful outcome of any drug control policy.

PTSD & Moral Sanction (01-22-02)

This article by Terry Gorski explores the issue of the relationship between moral sanction, personal moral justification, and severity of PTSD and anxiety symptoms of trauma survivors.  It points out that helping people to resolve moral conflicts related to their personal role and the role that their society plays in terrorist acts may be important in the management and resolution of terrorist related PTSD, traumatic stress, and anxiety.  A series of articles related to human rights and prisoner detention of prisoners is presented to illustrate the issues.

Read The Analysis of Several Different Organizations

PATRIOT Act - Full Text of the Law
PATRIOT Act - Update By Amnesty International USA (01-22-02)

PATRIOT Act - Analysis By ACLU (01-12-02) 
PATRIOT Act - Analysis By Electronic Frontier Foundation (EFF) (10-31-01)

New postings On January 19 & 20, 2002

PTSD - Effects Of Stress On The Brain (01-20-01)
Psychological Consequences: Natural vs. Human Disaster - NCPTSD Literature Review (01-20-02)
PTSD Related To 09-11-01 Terrorist Attacks - Literature Review

Talking Points Bulletin #1: Psychological Effects of Terrorism (01-20-02)

Psychological Aftermath of September 11th - Scientific American (01-20-02)

Mental Health Aspects of Prolonged Combat Stress in Civilians (01-20-02)

Vanderburgh County Drug Courts (01-16-02)

Here's a story about the evolution of Drug Courts in Evansville, Indiana.  The story shows that Drug Courts are a cost effective alternative to incarceration and that a small group of dedicated people working with a shoestring budget can make a big difference in their community.

Terrorism & Recovery - 
Transcript of Gorski Web Conference for AlcoholMD

On November 8, 2001 Terry Gorski and Gabrielle Antolovich presented an international web-conference for  Here's the transcript.

Florida Cutbacks Reduce Offender Drug Treatment 01-16-02)

The economic aftermath of the September 11, 2001 terrorist attacks are adversely affecting the nation's ability to provide treatment for alcoholism, drug abuse, and mental health problems.  This brief article by Terence T. Gorski explains why and then highlights an article from the St. Petersburg Times describing how this trend is affecting drug treatment in Florida's criminal justice system.

Florida's Proposed Prescription Drug Abuse Bill (01-15-02)

Florida Governor Jeb Bush proposed a prescription drug bill that would create a prescription drug database that would track and cross-reference the prescription drug records of all citizens.  The proposed act would also exempt everyone's prescription drug records from public records laws and make those records available to doctors, pharmacists and law enforcement officers.  Read the details.

Critical Incident Stress 
Implicated In NY Firefighter Disturbance (01-14-02)

Critical incident stress was implicated in a recent disturbance between New York Fireman and New York Police during a demonstration protesting the pull of fire fighters from Ground Zero.  Here' the details.

Human Damage of 9-11 Reaches Far Beyond New York (01-14-02)

Here are the statistics from the Associated Press from December 17, 2001 describing the extent of the human losses that occurred as a result of the terrorist attacks of September 11, 2001.

Psychological Effects Of Terrorism 
Can Affect Firefighter Performance (01-14-02)

The psychological effects of terrorism can affect the performance of firefighters.  The attacks of September 11th have had a significant effect upon upon many if not most firefighters across the country and around the world.  Click here to get the details.

Incidence Of PTSD After Terrorist Attacks (01-13-02)

This article summarizes the emerging data about the incidents of Critical Incident Stress Reactions (CISR), Post Traumatic Stress Disorder (PTSD), and Grief Reactions following major terrorist events.  Although the information is preliminary, it does provide a current "best guess" for estimating the psychological causalities that could develop as a result of future terrorist attacks.

Population Estimates USA (01-13-02)

Here are the most recent population estimates and links to historical population statistics from the USA Census bureau and the projected rates of growth upon which they are based.  

New Gorski Article On Line
Could Addicts Be Legally Defined As Terrorists? (01-12-02)

This article was originally posted on December 5, 2001.  It was updated on January 12, 2002.  The article presents an effective way to conceptualize the relationship between the illegal drug trade, drug  treatment, and terrorism.  It presents the erroneous reasoning that could be used to define people who are addicted to illegal drugs as terrorist and proposes a science-based alternative based upon a Public Health Addiction Policy.  The article uses the definition of terrorist that is used in both President Bush's Executive Order Authorizing Military Tribunals and the USA PATRIOT Act.   Links to both are provided to two different analysis of USA PATRIOT Act, on by both the EFF and the ACLU. 

USA PATRIOT Act - Analysis by the ACLU (01-12-02)

Here's an analysis of the provisions of the USA PATRIOT Act

USA PATRIOT Act - Analysis by the EFF (01-12-02)

Here's an analysis of the provisions of the USA PATRIOT Act that relate to online activities and other forms of surveillance (Oct 31, 2001)

Depression - Trends In Treatment (01-09-02)

This article describes recent trends in the treatment of depression.

New Gorski Article On Line
The Effects of Maternal Cigarette Smoking (01-09-02)

This article is the lecture outline that I prepared for the conference The World's Greatest baby Shower to be held in Hernando County Florida.  This presentation is designed to explain in simple and easy to understand language why pregnant woman should quit smoking during pregnancy, what it means to be addicted smoking, and how they can get help if they can't quit smoking even though they know that they should.

Genetics Of Maternal Cigarette Smoking (01-09-02)

This article entitled: Maternal Cigarette Smoking, Metabolic Gene Polymorphism, and Infant Birth Weight was recently published in JAMA.  It describes the recent research that shows the genetic factors related to the correlation between low-birth-weights and maternal cigarette smoking during pregnanacy.  This is a scientific article well worth the effort of reading.

Youth Suicide Rates On The Rise (01`-08-02)

The rate of youth suicides increased in the year 2000.  This appears to be part of a continuing trend.  Read the details in this article from the Tampa Tribune

Health Spending Reached $1.3T In 2000 (01-08-02)

The Associated Press reported that Americans' spending on health care rose 6.9 percent to $1.3 trillion in 2000, including a 17.3 percent boost in spending on prescription drugs.  Health care spending averaged $4,637 per person, up from $4,377 in 1999.  Read the full article.

The Ex-Con Racket - The Problem of Returning Inmate (12-27-01)

The trend toward increased incarceration has quadrupled the number of people in correctional facilities over the past 30 years and has played a major role in reducing crime.  America's burgeoning prison system, however, has done a poor job insuring that convicts leave the prison gates ready to lead productive lives.  In this article Eli Lehrer review the problem and makes some policy recommendations.

National Summit On Mental Health, Addiction, & Terrorism 
Opening Remarks of Charles Curie (12-27-01)

November 14-16, 2001 SAMSHA sponsored A National Summit:  When Terror Strikes: Responding to the Nation's Mental Health and Substance Abuse Needs: Strengthening the Homeland through Recovery, Resilience, and Readiness in New York City.  This summit spelled out the challenge that we all face as addiction and mental health professionals in the light of the America's new war against terrorism.  Here are summaries of some of the sessions.

    Opening Remarks By  Charles Curie Administrator of the Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services.  

    Keynote Address By Tommy G. Thompson Secretary Of Health and Human Services

Adolescent Admissions for Addiction Treatment (12-27-01)

The number of adolescents aged 12-17 admitted to substance abuse treatment increased 20 percent between 1994 and 1999 according to the latest Treatment Episode Data Set (TEDS) report released today by the Department of Health and Human Services (HHS).  Read the detaills

Drug Abuse Warning Network (DAWN) 2000 Report (12-27-01)

Here is a summary of the year-end 2000 report from the Drug Abuse Warning Network (DAWN) and links to the full report on the Internet.

More U.S. Teens Treated For Addiction (12-27-01)

A report, by (SAMHSA) shows that there was a 20% increase in the number of adolescents aged between 12 and 17 admitted to substance abuse treatment between 1994 and 1999.   Thursday's survey, which covered 1.6 million cases of adults and youths over age 12 who were admitted for treatment at a center, found that most were abusing alcohol -- 47 percent. Sixteen percent were users of opiates, mostly heroin, 14 percent used cocaine and 14 percent marijuana or hashish. More than half the patients abused more than one substance.  Half of them were sent to treatment by the courts,   Americans are beginning to understand that jailing drug users does not help anyone.  Providing treatment for people in need is both compassionate public policy and a sound investment.  

Preventing Afghan War Syndromes (12-24-01)

Hoping to prevent an Afghan War Syndrome, military health officials are applying a decade's worth of lessons from the Persian Gulf conflict to U.S. troops now in conflicts abroad.  Unfortunately, this initiative is looking almost exclusively at physical health problems caused by environmental hazards.  The issues of Critical Incident Stress Reactions, Post Traumatic Stress Disorder (PTSD), and Reactive Alcohol and Drug Abuse are not part of this initiative.

High Alert For Terrorism Can Cause Stress-induced Problems (12-22-01)

The government keeps reminding the American people that we are at continual threat of new terrorist attacks.  The news bombards the public with continual reporting of the potential biological, chemical, and nuclear threats.  Many people are responding with chronic hyper vigilance which raises their normal stress levels and can lead to burn out and eventually to stress related physical and mental health problems.  Many people are turning to doctors for prescription medications to deal with their chronically high stress.  Many people are also self-medicating the stress with alcohol and illicit recreational drugs.  Here's an article from the Associated Press (AP) from December 5, 2001, nearly three months after the terrorist attacks of September 11 which provides definite indicators of upcoming problems.

ADD & ADHD Medication Options (12-21-01)

Here is an article summarizing the most recent medications approved for the treatment of ADD and ADHD and some things to think about when considering medication and other treatment other alternatives.

Drug, Alcohol Abuse Up Since 9-11 (12-21-01)

Here is a report from the Associated Press (AP) indicating that alcohol and drug abuse is on the rise since the September 11 terrorist attacks.  

Terrorism & Increased Pain Problems (12-20-01)

The Washington Post reported that tens of thousands of people whose chronic physical pain is usually kept in check have suffered setbacks since the terrorist attacks on New York and Washington, according to pain management specialists across the nation.  Read the article.

New York Times Reports 
Increase In Drinking Since September 11th (12-20-01)

There are definite indicators that the terrorist acts of September 11th have significantly increased the use of alcoholic beverages within the United States.  More people are drinking alcoholic beverages and they're drinking more frequently and heavily.  As more information on alcohol

Psychological Shock Of September 11
A PEWS Research Report Issued October 1, 2001

The American public is beginning to recover from the shock of the terrorist attacks - but it still has a long way to go. As many as 42% report that they have felt depressed in recent days because of the events of September 11, 21% say they continue to have difficulty concentrating on work, and 18% say they are having trouble sleeping. All three indicators of psychological stress were markedly higher in the Pew Research Center survey of two weeks ago, when 71% reported depression, 49% concentration problems and 33% insomnia.  Read the full report and link to the PEWS website.

New Gorski Article On Line
Dawning Of A New Day
Addiction Recovery In The Age Of Domestic Terrorism (12-20-01)

The reality of domestic terrorism is causing wide spread addiction and mental health problems to ripple through America.  This article explains what these problems are, shows that we have the technology and trained professionals to cope with the problem, and discusses the potential consequences to homeland defense if we fail to do so.

News From The Drug Enforcement Agency (12-20-01)

The DEA :  (1) will be introducing a new initiative entitled Integrated Drug Enforcement Assistance (IDEA) that will combine a law enforcement effort with a partnership alongside community coalitions for a long-lasting impact to reduce demand through drug prevention and treatment programs;  
(2) hosted a symposium on narco-terrorism to educate the American public about the link between terrorism and drugs.   “Target America: Traffickers, Terrorists, and Your Kids” will take place on Tuesday, December 4, 2001.  Read the DEA news releases.

Depression & Suicide After September 11 (12-20-01)

The Washington post reports that the Victims of September 11th are at risk again as the rates of depression, suicide, anxiety, and substance abuse increase in the aftermath of the terrorist attacks.  The first suicide directly related to September 11th occurred last week when the widow of a World Trade Center victim who shot herself at her Pennsylvania farmhouse.  Warned by a pattern that emerged after the Oklahoma City bombing, public officials and charities have taken perhaps the most aggressive stance ever in pushing mental health therapy for families and others affected by the attacks.  Read the full story.

Terrorism Increases Demand For Drug & Alcohol Treatment (12-20-01)

The National Center on Addiction and Substance Abuse (CASA)* at Columbia University reports that thirteen states and four cities have detected an increased demand for alcohol and drug treatment since September 11th.  Here's a summary of their report.

Bibliography - Managing Traumatic Stress (12-20-01)

Here's a bibliography of resources that are available to help professionals deal with traumatic stress.  

Coping With Terrorism - APA Guidelines (12-19-01)

Here are the guidelines from the American Psychological Association (APA) on how to cope with the stress of terrorism.

Exposure To Traumatic Death: The Nature Of The Stressor (12-18-01)

This article describes the nature of the traumatic experiences involved by people experiencing critical incidents that involvement violent deaths or the mass recovery of bodies.  The responses of rescuers are described and a large body of research literature is reviewed.  This is must reading for anyone doing critical incident stress management work with trauma survivors, especially people who have experienced the trauma of terrorist attacks.

The Effects Of Traumatic Stress (12-18-01)

The September 11th terrorist attacks and the subsequent anthrax attacks have created one of the most wide-spread conditions of traumatic stress ever experienced in the United States.  The effects of traumatic stress on individuals, organizations, communities, and nations are of substantial and increasing concern in the present world climate.  Traumas and disasters have substantial acute and long-term effects on individual health, creating physical trauma and illness as well as psychiatric disease. The health effects of disaster and traumatic stress are seen in both psychological and physical health at the cellular, behavioral and community levels.  Although this report by the The Center for the Study of Traumatic Stress of the Henry M. Jackson Foundation for the Advancement of Military Medicine was written before the September 11th attacks, it contains vital background information for understanding the physical and psychological disabilities that affect communities following a large-scale traumatic event.

Terrorism – How To Prepare
Guidelines From The Red Cross (12-18-01) 

Devastating acts, such as the terrorist attacks on the World Trade Center and the Pentagon, have left many concerned about the possibility of future incidents in the United States and their potential impact. They have raised uncertainty about what might happen next, increasing stress levels. Nevertheless, there are things you can do to prepare for the unexpected and reduce the stress that you may feel now and later should another emergency arise. Having an Emergency Plan can reassure you and your children that you can exert a measure of control even in the face of such events.  Here's advise from the Red Cross.

New Gorski Article On Line
Marijuana - Things You Should Know (12-18-01)

This article is a great handout to give to people who are using or thinking about using marijuana.  It describes sixteen research-based facts about marijuana use that can help people make sound decisions about whether they want to take the risk to start using.  It can also be used to help people see that they are already having progressive problems with marijuana.  The article makes a great outline for recovery education or prevention classes.

Drugs in the Anti-Terrorism Campaign (12-05-01)

There are clear indicators that the new war on terrorism will be heavily linked with the war on drugs.  The Terrorism Project - Center For Defense Information (CDI) issued this report on the role of illicit drug production and distribution in the war on terrorism.  This report discusses the history of the Taliban in the production and sale of illicit drugs and the role that the Northern Alliance has played and probably will play in the future.  

New Gorski Article On Line
Could Addicts Be Legally Defined As Terrorists? (12-05-01)

On November 13. 2001 President Bush Issued a military order pertaining to the detention, treatment, and trial of certain non-citizens in the war against terrorism.  Although this act applies strictly to non-citizens, several of its provisions, including its definition of terrorism and terrorist can set a precedent that could be harmful to addicted people, their families, and those who provide treatment.

President's Military Order For Detention, Treatment, and Trial of Certain Non-Citizens in the War Against Terrorism (12-05-01)

Here is the actual text of President Bush's military order for military tribunals.  The definition of "terrorist" and "terrorism" in this act raises a serious question:  could addicted people be legally defined as terrorists or those who aid and abet terrorists?

Criminal Enforcement Against Terrorists (12-04-01)

Our past track record of criminal enforcement against terrorist acts may have sent the wrong message to terrorists and unintentionally escalated the terrorist attacks.

Terrorism & The War On Drugs (12-04-01)

It is a bitter twist of irony that America's victory in Afghanistan - the opening salvo in what promises to be a larger global war on terrorism - may also foretell a setback in another, ongoing war; the war against drugs.  As a result of our new war against terrorism, Afghanistan will no longer be a leading exporter of terrorism.  Tragically, it may resume its former status as a leading exporter of a deadly addictive drug.  

Terrorist Attack Triggering PTSD in Recovering People

Steve Grinstead, A CENAPS Trainer and Consultant, has noticed that since the terrorist attack on September 11, 2001 more and more recovering people are suffering from the symptoms of Post Traumatic Stress Disorder (PTSD) that could lead to relapse if left unresolved.

Need For Mental Health Services in US Expected to Mushroom

The prevalence of mental illness and addiction among children and adults throughout the nation will probably rise in the aftermath of the terrorist attacks on September 11, 2001.  The United States may  not have the mental health infrastructure in place to cope with this increase.

Moderate Alcohol Consumption Linked to Mixed Effects on Brain

Moderate drinking may not be as safe as many people think.  New research shows that moderate alcohol consumption evokes complex responses in the brain, resulting in fewer white matter abnormalities but a higher prevalence of brain atrophy, according to a report in the September edition of Stroke.

Helping Children Handle Disaster-Related Anxiety (9-15-01)

In times of crisis it's important we care for our kids.  The National Mental Health Association released this statement on Wednesday about how parents and healthcare professionals can help children of all ages recover from disaster-related anxiety.  It's worth reading.

New Gorski Article On Line
America Is Ready For War - Reflections On What That Means For America? (9-14-01)

The war frenzy is beginning to emerge in the aftermath of the terrorist attacks on September 11, 2001.  But is declaring war, at this time, the right thing to do?  Is war, violence, and death really in the best interest of the country and the world.  Terry Gorski shares some ideas. 

New Gorski Article On Line
Terrorism - Helping Your Kids Cope (9-13-01)

Here are some guidelines for helping kids deal with the recent terrorism in New York and Washington.  

New Gorski Article On Line
Terrorism - The Psychological Response (9-12-01)

Many people were deeply affected by the terrorist act against the World Trade Center and the Pentagon.  These terrorist acts can be deeply disturbing and can act as complicating factors for people in recovery from addiction and mental health problems.  This article describes the progressive psychological reactions to terrorist acts.

Terrorism - Slaughter As A Political Tool (9-12-01)

The terrorist attack on September 11, 2001 deeply affected many people who will be seeking help for addiction and mental health problems.  The more therapists know about terrorism the better.  This article summarizes a brief history of terrorism and how innocent victims have been used to gain strategic political advantage.

New Gorski Article Online
When Twelve-Step Programs Are Not Enough
Using The Relapse Warning Sign List As An Additional Recovery Tool

This article points out that many people relapse in spite of actively working a Twelve Program and shows how to use the Relapse Warning Sign List as an additional recovery tool for identifying and managing problems that could lead to relapse.  This is a great article to be used as a handout for clients in treatment.

Colorado Moves Toward Drug Law Reform

Colorado lawmakers are considering legislation that would have Colorado join a national trend to keep some nonviolent drug offenders out of prison, freeing up millions of tax dollars for drug abuse treatment programs instead.

Offender Treatment - After Policy Guidelines (9-6-01)

Substance abuse is a chronic relapsing condition. Without continued aftercare services, many parolees will continue to use drugs, commit crimes and get re-arrested. This document presents recommended language for an after care policy for released offenders.

Comparison of Prison and Non-Prison Treatment (9-6-01)

A new study shows that women receive different types of benefits from prison-based addiction treatment programs and those located off prison grounds.

Mission For DEA'S New Director - Re-Examination Of War On Drugs

Asa Hutchinson was appointed as the new director of the Drug Enforcement Administration.  It seems his new mission will include a careful re-examination of the war on drugs and it's relationship to treatment.

California Three-Strikes Law Not Cutting Crime

The Sentencing Project has issued a report that contends that The Three-strikes laws have not lowered crime in California.  This report suggests that other forces are working to cut the crime rate while the only impact of three strikes is to radically increase the prison population.

PICS Reading Assignment 03 - 
Supermax Red Onion State Prison Virginia (8-31-01)

In studying the Post incarceration Syndrome (PICS) it is important to understand the nature of the supermax prison and how these conditions are related to the development of a social-sensory deprivation syndrome.  This article describes the conditions at the Red Onion Supermax Prison in Virginia.

PICS Reading Assignment 02
Colorado's ADX Supermax Prison (8-31-01)

In studying the Post incarceration Syndrome (PICS) it is important to understand the nature of the supermax prison and how these conditions are related to the development of a social-sensory deprivation syndrome.  This article describes the conditions at the ADX Supermax Prison in Florence, Colorado.

Beyond Forced Psychiatry: 
The Rights to Refuse and Explore Alternatives (8-31-01)

This article by Jonah Paisner discusses critical issues related to using legal force to compel compel psychiatrically ill people to submit to treatment.   As the concept of therapeutic jurisprudence is widely implemented through a growing national network of drug courts, it's important to reflect upon the rights of addicted people in relationship to being required to submit to treatment.  This article provides a summary of the legal and clinical issues that have emerged in relationship to the legally forced treatment of psychiatrically ill individuals.

Florida - Analysis of State-wide Drug Control Efforts

The Fifteenth Florida Statewide Grand Jury investigated the scope and effectiveness of State-wide drug control efforts.  Although the report concludes that drug addiction is an illness that requires treatment and that the most effective strategies for reducing drug abuse involve education, prevention, and treatment the majority of recommendations support demand reduction activities based upon a drug war model.  The contradiction between a public health addiction policy and a drug war policy are readily visible within the report even though the policy issues are not directly addressed.

Time Served by Criminals Sentenced to Florida's Prisons:
The Impact of Punishment Policies from 1979 to 1999

Florida is tougher on criminals today than any time over the past 20 years. Criminals sentenced to prison today will serve significantly longer actual time incarcerated than in the past two decades. An analysis was conducted of 414,564 offenders sentenced to prison from FY1979-80 to FY1998-99. Florida has implemented several major changes in the way it sentences felony offenders to prison. Prior to the minimum 85% of sentence served policy, which began in 1995, a prison sentence had minimal relationship to the actual time criminals spent in prison. Parole, early prison release, and significant gain time earnings resulted in substantially shorter periods of actual incarceration than the current punishment policy.  The impact is especially harsh for drug offenders.

Analysis of the Impact of Florida's Inmate Programs 
Upon Recidivism (8-27-01)

In January of 2001 Michael W. Moore, Secretary of the Florida Department of Corrections, released a study that demonstrated the effectiveness of the Department's academic, vocational, and substance abuse programs in reducing inmate recidivism after release.

Politics & Current Events
Florida Right To Treatment Act - Bush Attacks Ballot Initiative (8-26-01)

Governor Jeb Bush attacked a proposed Florida ballot initiative called the "Right to Treatment and Rehabilitation for Nonviolent Drug Offenders," on August 24, 2001 that would require courts to offer treatment to drug offenders to anyone charged with simple possession of drugs or drug paraphernalia.  

Paxil May Be Addictive (8-26-01)

The Associated Press reported on August 25, 2001 that a class action lawsuit has been filed by 35 people that contends that the manufacturer of the popular anti-depressant Paxil concealed evidence that the drug can be addictive. 

Politics & Current Events
One in 32 American Adults Are in the Corrections System (8-26-01)

On Aug 26, 2001 The Associated Press reported that the number of adults behind bars, on parole or on probation reached a record 6.47 million in 2000 - or one in 32 American adults.  Here's a summary of the most recent criminal justice statistics.

Politics & Current Events
Drug-Related Death Report In Florida - April 2001

This article summarizes recent data on drug-related deaths in Florida and has a link to the Florida Medical Examiner's full report on drug-related deaths.

Politics & Current Events
PMA & PMMA Alert - August 2001

The Office of Drug Control (ODC) and the Florida Department of Law Enforcement (FDLE) issued am public safety alert concerning the drugs paramethoxyamphetamine (PMA) and paramethoxymethamphetamine (PMMA) which are more potent variants of the illegal substance known as "ecstasy.  PMA/PMMA burns out the central nervous system by raising the user's body temperature to nearly 108 degrees.  PMA, used illicitly in Australia since late 1994, is sold under the guise of "ecstasy," the common name for MDMA.  PMA appears to be more toxic than MDMA and was was associated with three deaths in the Chicago, Illinois area in May and six deaths in Florida, two are attributed directly to drug toxicity with these drugs, and four deaths are attributed to multiple-drug toxicity including these drugs.  Users of "ecstasy" should be aware that, in the opinion of the forensic toxicologists, no presumptive test kit can reliably determine the presence of either PMA or PMMA in a pill sold as "ecstasy."   The pills bought by the deceased were presumed to be "ecstasy" or "ecstasy" laced with heroin and/or cocaine. 

Politics & Current Events
Florida Conference On Designer Drugs April 2001(8-15-01)

In April of 2001 Florida's law enforcement community held a conference on  Designer Drugs sponsored by the leading national and state drug agencies responsible for drug enforcement.  The conference focused mainly on the law enforcement aspect and failed to focus upon prevention and treatment as critical elements in drug enforcement.  The scientific fact that people who become dependent on designer drugs have an addictive brain disease and require treatment was not mentioned.  Nor was the fact that the the most effective policies for controlling substance abuse involve a close working relationship between law enforcement, the courts, and community based treatment providers.  The conclusion:  Despite the efforts of law enforcement across the state of Florida, drugs are readily available, more accepted and still as dangerous as ever.  Hopefully, future law enforcement conferences will present a more balanced view point that incorporates the powerful role that mandatory monitored treatment can play in managing the national and state drug abuse problems.

Treatment & Research
Prescription Drug Abuse - NIDA Special Report

In April of 2001 The National institute of Drug Abuse (NIDA) published a special report on prescription drug abuse which describes the most commonly abused abused prescriptions drugs, the epidemiology of prescription drug abuse, and approaches to prevention and treatment.  The legal and criminal justice system aspects of prescription drug abuse are noticeably lacking and for a complete picture the recent enforcement trends involving the pain-killer OxyContin need to be explored along with the DEA's policy of expanding the war on drugs to include prescription drug abuse.

Treatment & Research
Criteria for Substance Dependence Diagnosis (8-14-01)

Here is a quick reference to the major diagnostic criteria for substance dependence disorders:  (1) Diagnostic & Statistical Manual III-R (DSM-III-R);  
(2) Diagnostic & Statistical Manual IV (DSM-IV); (3) International Classification of Disease 10 (ICD-10).

Treatment & Research
Cognitive Behavioral Therapy - The Research Basis (8-14-01)

This article summarizes the research basis for the effectiveness of Cognitive Behavioral Therapy in the treatment of substance use disorders with a special emphasis upon the treatment cocaine dependence.  In summary, this article supports that Cognitive-behavioral treatments:  (1) are among the most frequently evaluated psychosocial approaches for the treatment of substance use disorders; (2) have a strong level of empirical support; (3) have been studied in regard to various types of substances including tobacco, alcohol, cocaine, marijuana, opiates, and other types of substances;  (4) are clearly more effective when compared with no-treatment controls;  (5) are superior to or comparable to other treatment approaches studies;  (6) are effective in reducing the severity of relapses when they occur;  (7) enhance the durability of treatment effects; (8) are most effective for patients at higher levels of impairment along such dimensions as psychopathology or dependence severity.

Treatment & Research
Hypnosis Scientific American Article July 2001 (8-14-01)

This article provides information about hypnosis and its role in the treatment of physical, mental, and addictive disorders.  It has useful information about the definition of hypnosis, how to differentiate hypnotic states from other psychological states, and general areas in which hypnosis has been demonstrated to be effective and ineffective.  Hypnosis has been demonstrated to be effective in the management of acute and chronic pain and as an adjunct in the treatment of mental and addictive.  It has proven to be ineffective in recovering repressed memories, clarifying past memories, and resolving conflict stemming from unresolved past issues.  When used as a primary treatment method, hypnosis has proven to be ineffective in the treatment of addiction and other mental disorders.  Hypnosis, however, can improve the effectiveness of cognitive therapy and certain hypnotic techniques can be useful in resolving specific problems related to recovery from addiction and other mental disorders.

Politics & Current Events
Puerto Rican Police Indicted On Federal Drug Charges (8-14-01)

When there is so much profit to be made in the illicit drug trade, it is difficult to keep corruption out of the picture.  Until a drug policy  can be developed that drops the price of drugs and reduces the profitability of the drug trade, corruption of even high ranking officials will remain commonplace.  This article shows this principle in action in Puerto Rico.

Treatment & Research
Scientific American Article On Alcoholism 8-13-01

The Scientific American, an influential magazine that reports on advances in many different sciences, published a brief article on the internet summarizing advances in Alcoholism and its treatment.  The article focused on the widespread failure of rehabilitation to produce long-term recovery, referral to Alcoholics Anonymous (AA), and new drugs that fight craving.  The article does not present a balanced look at alcoholism, treatment, its effectiveness, or the need for future innovations.  Yet leaders in the science community see this as an accurate summary of the state-of-the art of alcoholism and its treatment.

Personal Recovery
Wellness In Recovery By John Newport

John Newport was kind enough to share some pointers on wellness in recovery from his soon to be published book of the same name.  This article is geared specifically to recovering alcoholics and addicts and gives them practical pointers for incorporating a wellness-oriented lifestyle into their recovery programs.  A wellness-oriented lifestyle goes hand in hand with working a 12-step program, in enhancing the quality of sobriety enjoyed by persons recovering from addictive disorders.  Unfortunately, millions of persons in recovery unwittingly short-change themselves of years, if not decades of joyful and productive living through succumbing to heart disease, cancer, diabetes and a host of other preventable illnesses associated with self-destructive lifestyle patterns.  The key to deriving maximum benefit from your recovery experience lies in taking charge of your health and consciously embracing a wellness lifestyle.  Check out the pointers in this article.

Politics & Current Events
OxyContin - Is The Scare Campaign Justified (8-9-01)

The government has turned its attention to the pain-killer OxyContin. Is the scare campaign justified?  Alan Block explores the issue in an in-depth article.
(Review articles on OxyContin)

Politics & Current Events
OxyContin - Manufacturer Plans For A Safer Pain Medication (8-8-01)

Purdue Pharma, the maker of OxyContin, is developing a new pain killer that would be tougher to abuse.  OxyContin is a time-released prescription painkiller linked to growing problems with abuse, overdoses, and deaths.  OxyContin can be easily abused because the time-release mechanism can be disabled when the pill is crushed and then snorted.  The new painkiller will have a built in self-destruct mechanism that destroy its own narcotic ingredients if crushed into a powder and snorted or injected.  The self-destruct mechanism that disables the narcotic effect if the pill is crushed will consist of embedded microscopic ``beads'' of naltrexone, a narcotic antagonist that counteracts the medicine.  The beads would be coated with a chemical to keep them from dissolving, so the pain medication will work just like OxyContin if taken as directed.  But if the pill is crushed or chopped up, the coating on the beads would break, releasing the naltrexone and canceling the drug's effects.  The new drug has yet to be named and will not be available for at least three years, would — the typical manner in which OxyContin currently is abused.

Politics & Current Events
Rolling Stone Magazine Addresses The Drug War (8-7-01)

Rolling Stone magazine has published two articles that represent the chanign climate toward the War On Drugs and Drug law Reform.  The first article America's War on Drugs features the views of well-known lawmakers, CEOs, police chiefs, academics and artists talk about one of the most controversial issues of our time.  The second article The New Coalition Against the Drug War describes the unlikely membership of the emerging national constituency, including right-wingers, minorities and ravers, who are banding together to fight unjust drug laws

Politics & Current Events
AA Court Decision: Yates v. The State of New Hampshire
Yates Personal Story

William Yates filed a successful lawsuit against the State of New Hampshire that assured that all prisoners have access to non-secular alternatives to meetings of Alcoholics anonymous (AA) as part of the behind the bars treatment.  This is the story of that court decision occurred written by William Yates and published 

Politics & Current Events
Orange County Florida Jail Allows Methadone  
After Two Deaths 010806

The Orange County Florida Jail has decided to begin administering methadone to some inmates two months after a second inmate died during methadone withdrawal.  Medical complaints by inmates sufferring from Methadone withdrawal will be taken more seriously and given prompt attention.  It is tragic that two inmates need to die unnecessarily for a jail to recognize that withdrawal from narcotic drugs is a serious medical condition requiring treatment.

Politics & Current Events
Prescription Drug Abuse 
An Analysis Of A  Florida Times Union Article (010804)

This is an analysis of an article on prescription drug abuse from an article in the Florida Times Union of August 4, 2001.  It organizes the relevant information in easily accessible bullet points, expands certain areas of information, and presents the problem of addiction drug abuse from the perspective of a Public health Addiction Model.  The ways in which prescription drug addicts acquire their illegal prescriptions are discussed as well as some general points about the cost of prescription drug abuse to society.  The best approach to prescription drug addiction is to educate consumers, physicians, and pharmacists in the dangers of prescription drug abuse and addiction and how to complete a brief medical intervention when appropriate.

Politics & Current Events
Kids In Prison - Miami Herald Two-Part Series March 2001

The Miami Herald published a two part series on Kids In Prison.  Part 1 describes the circumstances surrounding high profile criminal cases that has resulted in more-and-more kids being tried and sentenced as adults.  It also looks at the damage that is done to kids incarcerated as adults that leads to higher rates of recidivism.  Part 2 documents the increased rate of physical and sexual assault among adolescents in adult correctional facilities.  This series highlights the need for all people of good will to band together to protect our juvenile justice system and to shift the power to decide which youth are tried as adults from prosecutors to judges.

Politics & Current Events
OxyContin - New York Times Article July 29, 2001

On Sunday, July 29, 2001 the New York Times ran a special features describing the public image transformation of OxyContin from a legitimate and highly effective pain management medication to a lethal drug of abuse.  The article does a good job of presenting a balanced view of two interest groups - pain patients whose lives are being positively transformed by the appropriate medical use of OxyContin and casual drug users whose lives become devastated as they naively experimented with a potent "take over your life" addictive narcotic drug.  There is no doubt that OxyContin poses real dangers to our communities.  The solution, however, should be sought by implementing effective public Health Addiction Policies that promote education, prevention, early intervention, and increased availability of detoxification and rehabilitation for people who get addicted.  A full scale enforcement and crack-down by the DEA won't work and will probably make things worse.  There is nothing to be gained by turning physicians and pharmacists into drug pushers and chronic pain patients into demonic drug criminals.  This problem can be effectively managed by a community-based team of medical, addiction, mental health and law enforcement professionals working together collaboratively to help people learn about the dangers of OxyContin Abuse and to intervene early when abuse or addiction is discovered with treatment alternatives to incarceration. 

Politics & Current Events
Doctors Debate How Much Pain Patients Should Endure

Medical experts say some of the weakest and most severely ill patients-even children and elderly people-are not getting adequate relief for the intense pain of serious surgery, injury, or prolonged or terminal illnesses.

Politics & Current Events
Legal Precedent Protects Conversations 
Among AA Members (8-3-01)

A legal precedent was set that protects confidential conversations among members of Alcoholics Anonymous (AA) when a federal judge overturned a manslaughter conviction, saying conversations among Alcoholics Anonymous participants should not have been used as evidence because such exchanges are a form of confidential religious communication.  U.S. District Judge Charles Brieant said treating AA meetings with less protection than any other form of religious communication, which carries assurances of confidentiality, is unconstitutional.  The entire AA relationship, he wrote, ``is anonymous and confidential.'' 

Treatment & Research
Study on Parental Marijuana Us (8-1-01)

On July 31, 2001 The Associated Press reported that parents who once used marijuana are about three times as likely to have children who use the drug, according to a government study.  The study by the Department of Health and Human Services was based on 9,463 surveys of parents and children conducted between 1979 and 1996 by federal researchers.

Treatment & Research
Young Inmates More Likely Than Adults to Return to Crime (8-1-01)

On Jul 31, 2001 Amanda Riddle of the Associated Press reported that a recent study in the State of Florida shows that young inmates are more likely than adults to return to crime after being released from prison.  Youth advocates say the study supports their criticism of Florida's stringent laws for young criminals.  A 1996 study that showed Florida youth transferred to adult court were a third more likely to commit another offense than those sent to the juvenile system for the same crime.

Treatment & Research
Violence: Young Girls Victimized by Their Dates (8-1-01)

The Journal of the American Medical Association reports that a survey of 4,163 public school students in Massachusetts, show that one in five high school girls has been physically or sexually abused by a dating partner, significantly increasing their risk of drug abuse, suicide and other harmful behavior, a study suggests.

Politics & Current Events
Methamphetamine - MSNBC Special Report (7-30-01

This special report contains an excellent summary of all aspects of the problem of methamphetamine abuse and addiction.  Part 4 on beating addiction to methamphetamines is an especially helpful overview to research and treatment

Part 1:  Meth's Deadly Buzz - The Hidden Drug Crisis

Part 2: Scourge of the Heartland - Meth Takes Root In Surprising Places

Part 3: Lab-busting in the Northwest - Stalking An Elusive Foe

Part 4: Beating An Addiction To Methamphetamine - Researchers Zero In On Brain Effects & Treatment Approaches

Politics & Current Events
A Prescribing Doctor May Face Murder Charges (7-30-01)

C. Ron Allen, a staff writer for the South Florida Sun-Sentinel reported on May 19, 2001 that Dr. Denis Deonarine was arrested and charged with improperly dispensing prescriptions for OxyContin.  Dr. Deonarine could be charged with murder because four of his patients have allegedly overdosed on OxyContin prescribed by the Doctor.  Deonarine, 56, has not been charged with any deaths. State Attorney Barry Krischer said he would, however, present evidence to a grand jury next month and seek murder charges against the doctor.

Politics & Current Events
Why DEA Enforcement Is Misguided (7-30-01)

On June 4, 2001 Dr. Eric Chevlen wrote an article published in The Weekly Standard that clearly spelled out the basic reasons why recent efforts of the Drug Enforcement Agency (DEA) to radically control the distribution of OxyContin is misguided.  I've organized the basic information from Dr. Chevlin's article into a briefing format.  

Politics & Current Events
OxyContin Deaths In Florida:
Students Sentenced (7-30-01)

Two former University of Florida students who faced 15 years in prison in the death of a student who ingested the prescription painkiller OxyContin received drastically reduced sentences Monday as part of plea agreements.  Read the details.

Politics & Current Events
Drug War Goes Bad In Jacksonville Florida

In Jacksonville Florida three officers are being investigated for a long string of offenses related to the abuse of police powers related to the war on drugs.  The prosecutors and officers who were willing to put themselves on the line to stop this criminal conduct are to be commended.  The system of drug laws and enforcement, however, needs to be carefully examined to assure that a collaborative alliance is formed between law enforcement and treatment tom assure that we are helping individual addicts, their families, and their communities to prevent drug problems, intervene early when they occur

Politics & Current Events
Thirteen Year-old Boy 
Sentenced To 28 Years In Adult Prison

A good man and an excellent teacher, Barry Grunow was shot to death at Lake Worth Middle School on May 26, 2000.  Today the horror of his death was compounded by the brutality and short-sightedness of a criminal justice system that fails to recognize child developmental issues in dealing with children and adolescence.  Nathan Brazill,  the thirteen year old murderer, was sentenced to 28 years in adult prison.  His history of child abuse counted for little or nothing in the criminal proceedings.  The key villain in this tragedy is not Nathaniel Brazill who shot his teacher to death in a fit of anger.  The key villains are Prosecutor Marc Shiner who decided as and adult in spite of the fact that he was thirteen years old when he committed the crime, to try Brazill, and Judge Wennet who imposed the sentence.  If Prosecutor Marc Shiner had his way, he would have put Brazill behind bars for the rest of his life.

Politics & Current Events
Arms & Boys

Why do some boys respect the danger of firearms, while others seek them out for acts of cold, callous, and often premeditated violence.  No one knows for sure.  There seems to be many variables in the equation.  This article looks at five boys who used firearms to commit the ultimate act of violence - murder. The article offers the best pop-psychology understanding of youth  violence, which seems impoverished at best.  It leads me to ask some questions:  Where are the psychological experts on violence who can guide the nation to a better understanding of youth violence and how to prevent it?  I know that they're out there.  Why does the media not seek them out?  Why does our legislature invest millions in a war on drugs that escalates all forms of violence among both the young and adults while investing nearly nothing in meaningful programs to prevent violence?  

Treatment & Research
Prevention - Substance Use Risk 
Related To Type Of Residential Parent

A school survey showed that high school students using such drugs such as heroin, Ecstasy and marijuana increased - reversing a three-year decline in overall drug use. Meanwhile, cigarette and alcohol use dropped to a 13-year low.  More than 75,000 students nationwide in school during the 2000-2001 academic year answered anonymously questionnaires.  The survey also showed that drug use was related to the type of parenting structure.

Treatment & Research
Prevention - Early Drinking Increases Lifetime Injury Risk (7-26-01)

The younger people are when they begin drinking alcoholic beverages the more likely they are to be injured later in life when under the influence of alcohol. Those who start drinking before age 14 are 12 times more likely to be injured than those who begin drinking at or after age 21.  People who begin drinking before age 14 are about three times more likely than those who begin drinking at or after age 21 to be injured while drinking.  This analysis shows that for each year under age 21 that drinking onset is delayed, risk for later life injury diminishes and confirms previous research that early drinking onset is associated with increased lifetime risk for the clinical disorders alcohol dependence (alcoholism) and alcohol abuse.

Treatment & Research
Prevention Project Reduces High Risk Drinking,
Alcohol-related Crashes, and Trauma (7-26-01)

A study reported in the November 8, 2000 issue of the Journal of the American Medical Association (Volume 284, Number 18) shows that communities that undertake comprehensive prevention strategies can effectively reduce alcohol-related traffic crashes and injuries from crashes and assaults. Relative to matched comparison sites, intervention communities (two in California and one in South Carolina) experienced marked reductions in alcohol-related crashes, nighttime injury crashes, injuries due to assault, and assaults that required hospitalization, as well as in self-reported alcohol consumption, heavy drinking, and drinking and driving.

Treatment & Research
NIAAA 10th Special Report To The U.S. Congress 
On Alcohol and Health (7-26-01)

This report contains valuable information for anyone with a serious desire to understand issues related to alcohol abuse and alcoholism.

Treatment & Research
Craving - Identification With Functional Brain Imaging (7-26-01)

This brief articles contains a summary of the types of neuroimaging technologies that are being used to study craving and gives a picture of an MRI scan of stimulus-induced craving in an alcoholic and a control subject.

Politics & Current Events
Civilian Victims of the Drug War (7-23-01)

I discovered the following memorial on the internet.  It clearly depicts one aspect of the human price we are all paying for continuing to support the war on drugs.   The War on Drugs is no longer about helping people to avoid the harm of addiction.  The War on Drugs is stripping people of their constitutional rights and killing them in their own homes.  The drug warriors, including high ranking officials in the White House, Attorney General's Office, and Drug Enforcement Agency (DEA) view the individuals who are murdered in no knock drug raids gone bad as collateral damage in a necessary war against drugs.  

Politics & Current Events
DEA Declares War on Over-the-counter Products - 
Man Sentenced To 51 Months In Jail (7-23-01)

On July 22, 2001 the St. Petersburg Times reported that the Drug Enforcement Agency (DEA) has expanded the war on drugs to over-the-counter products.  A man was sentenced to 51 months in prison for agreeing to sell a legal product, Mini Thins, which contain ephedra, to an undercover DEA agent.  This story shows how harsh drug laws can be used to discriminate against small business owners and immigrants.

Politics & Current Events
Bush Plan For Drug Free Public Housing Plan Is Off Base (7-21-01)

President Bush plans to eliminate funding for a program that has been proven to rid housing projects of drugs and crime.  In the place of a broad base of public health oriented services that are made readily available to tenants push proposes increased evictions of undesirables, increased focus on law enforcement, and the use of Faith-based organizations.  

Treatment & Research
Work Release Program In Florida's Alachua County 
Proven Effective 010722

Alachua County in Florida has a work release program that is helping many non-violent drug offenders recover and return to productive living.  The program allows low-risk offenders to work while serving time in a dormitory-style facility in northwest Gainesville.

Politics & Current Events
Prescription Drug Abuse - The Role of Law Enforcement (7-21-01)

What role should law enforcement play in dealing with the problem of prescription drug abuse.  The central question in the debate over prescription drug abuse is this:   who should make the final decision about what constitutes medical use - a DEA officer committed to arresting and incarcerating drug addicts and drug dealers or a licensed physician dedicated to patient care?  As the DEA and NIDA both gear up to expand the war on drugs into the area of prescription drug abuse it is important to understand the implications. 

Politics & Current Events
Florida Drug Law Reform - Update 7-21-01

The controversy is beginning as more people are becoming aware of the proposed "Right to Treatment Law" in the state of Florida.  The contest will be between those who support a continued War on Drugs Policy and those who support a Public Health Addiction Policy.

Politics & Current Events
House OKs Religious Charities Plan (7-20-01)

The Associated Press (AP) reported on July 20, 2001 that White House-backed legislation to expand the role of religious charities in federal social service programs is headed for the Senate, where supporters want a swift vote, but majority Democrats show no sign of haste. 

Politics & Current Events
Drug Court Planned For Tallahassee Florida 010721

As the results of efforts by the Police Chief Tallahassee Florida is planning to open a drug court to better deal with the problem of non-violent drug offenders.  The police chief actively worked for a drug court based upon his observation that current enforcement strategies involvement arrest and imprisonment are not effective in managing people who abuse drugs.

New Gorski Article Online
Program Management
Six Principles For Coping With Rapid Change Environment
An Article By Terence T. Gorski (7-20-01)

This articles, origianally published in August of 1992 describes six principles for coping with rapid change environments

Politics & Current Events
OxyContin - Vermont Stops Paying 
For Prescriptions To Welfare Recipients (7-20-01)

The War On Drugs takes another step toward interfering with the doctor patient relationship.  The governor of the State of Vermont decided to start practicing medicine without a license when he ordered that Welfare stop paying for prescriptions of OxyContin for pain patients on welfare.  He encouraged doctors to find an alternative pain medication.  This is another step in a continuing over reaction to a drug scare started by the DEA.  OxyContin can be an addictive and dangerous drug.  Many doctors, however, believe it is one of the most effective for severe pain patients, especially those who are terminally ill.  It seems that doctors should be making decisions about prescription medications, not state governors or DEA agents.

Politics & Current Events
Ecstasy - News Day Article Series July 2001 (7-19-01)

This series of articles gives a basic overview of the issues, both domestic and international, surrounding the use of the drug Ecstasy.  It provides some good basic information about the extent of the problem.

Politics & Current Events
Faith-based Programs - House OKs Religious Charities Plan (7-19-01)

President Bush's Faith-based Program Bill passed the housed but will face stiff competition in the democratic controlled senate.  Although the media rarely discusses it, this bill contains special exemptions for religious organizations who engage in drug treatment programs that could create unfair competition with funded programs that do not qualify for the faith-based exemptions.

TGORSKI Website Update
Daily News Review (7-16-01)

You will see a new button on the top and bottom menus of TGORSKI.COM that reads Daily News ReviewClicking on this button will take you to page with links to the Associated Press and other news links that can be quickly checked on a daily basis.  Keep yourself informed.  New sources will be added as they prove valuable.  If you have a favorite news source that gives valuable information on local, state, or national news stories pertaining to addiction treatment & public policy send the internet address and I'll review it for possible inclusion in the Daily News Review Section.

Politics & Current Events
Robert Downey Jr. Avoids Jail For Drug Charges (010716)

Robert Downey Jr. pleaded no contest to two cocaine-related charges.  Under the spirit of California's Proposition 36, a new policy of stressing treatment instead of punishment in drug cases, Downey was sentenced to one year in a live-in rehabilitation program and three years of probation. He will have to pay a series of fines and was ordered to comply with a set of regulations including random drug testing.

Politics & Current Events
Drug Warriors Crack Down On Geriatric Drug Criminals (7-10-01)

The Drug War is creating a whole category of drug criminals -  the elderly and previously law abiding who are drawn to low level drug dealing to earn extra money to make ends meet.  These new drug criminals are drawn to the drug trade because the War on Drugs has made selling illegal substances so lucrative that almost anyone can be tempted into breaking the law -- even past-their-crime-prime senior citizens.

Politics & Current Events
Eye Witness Reports of Atrocities 
At Arpaio's Concentration Camps For Addicts 
In Maricopa County Arizona

Michael C. Smith, a counselor who has worked with many drug offenders released from the Tent City Concentration Camps in Maricopa County Arizona wrote this article about conditions in the camps.  I visited those camps personally in July of 2001 and was appalled by what I saw.  I experienced the official tour of the facility which seems to be little more than a slick front end public relations scam to keep people from seeing what really goes on in the jail.  There are some good programs operating in the jail.  I was told about the Alpha Program, although the group I was supposed to sit in on was canceled.  I talked with the job skills instructor.  Both of these programs are excellent.  The problem is that less than one percent of the inmates get into those programs.  All people of good will and good conscience need to work together to close the tent city concentration in Maricopa County. 

Politics & Current Events
Drug Laws Used For Entrapment In Custody Case 010714

Drug laws can be used by unscrupulous people to gain unfair advantage in divorce and child custody cases.  Here's how it's done and a recent news story about a case in which the scam was discovered.

Politics & Current Events
Owner of House Burned-down In Drug Raid 
Wants Public Apology 010713

An innocent family was burned out of their home when police executed a no-knock drug warrant issued on the basis of an anonymous tip.  The police used a flash-bang device in the raid which set fire to the the home and destroyed the family's home recording business.  No drugs were found.  The family now wants a public apology and that is a reasonable request.

Politics & Current Events
Ketamine Update 7-13-01

The DEA wants to step up its efforts to stamp out the abuse of ketamine with more if its paramilitary policing tactics.  It justifies this with anecdotal reports of increased burglaries of veterinary clinics that are not supported by crime statistics and with exaggerated claims of damage done by the drug. The facts show that from 1994 to 1999, the drug was associated with 67 deaths in 40 cities surveyed by the Drug Abuse Warning Network.  This is about 11 deaths per year spread over 40 cities which is not even one death per city.  Emergency room visits in those same cities increased from 19 in 1994 to 396 in 1999.  That's about 79 ER visits a year spread across 40 cities or about 2 ER visits per year for each city.  Ketamine is a public health problem requiring community based education, prevention, and treatment.  The abuse of ketamine, however, is not a national crisis requiring the heavy hand of the DEA paramilitary policing machine.  Read the facts for yourself and decide.

Politics & Current Events
NIDA Bibliography
Economics of Drug Treatment
June, 1999 (Posted 7-12-01)

Here's a comprehensive bibliography on the economics of drug abuse treatment prepared by the National institute of Drug Abuse (NIDA).

Politics & Current Events
Florida Drug Law Reform: An Open Letter To Florida Today
By Terence T. Gorski (7-12-01)

Gorski responds to an article by Calvina Fay, the Executive Director of the Drug Free America Foundation (, that presented inaccurate information about proposed drug reform legislation in Florida (Florida Drug Law Reform 2000).

Politics & Current Events
Florida Drug Law Reform 2000 (7-12-01)

Florida will be considering drug reform legislation entitled The Right To Treatment and Rehabilitation for Non-violent Drug Offenses.  This proposed legislation is already generating some heated debate.  Before jumping into the debate, it's a good idea to review the text of the actual proposed legislation.  Here it is.  Keep watching this site for Gorski's Analysis of this proposed legislation.

Politics & Current Events
Marijuana Use Up Among Young Arrestees (7-11-01)

In the early part of the decade, 25% of youthful arrestees had marijuana in systems, but by 1996 that figure had jumped to 57% and has hovered in that area ever since, the study reports.  This seems to indicate a trend away from cocaine and marijuana.  How should the government respond?  Is a crack-down on marijuana abusing use an appropriate response or should we focus more on prevention and treatment efforts?  Read what the experts think.

Politics & Current Events
An Analysis Of San Francisco Juvenile Justice Reforms 
A Report By The Center of Juvenile and Criminal Justice (7-11-01)

A new report from the Center of Juvenile and Criminal Justice shows the impact that our harsh treatment of adolescents, especially young black women,  is having upon juvenile incarceration rates.  Even though an intensive prevention program in San Francisco was successful in reducing juvenile arrests by 46%, the number of  juvenile detention bookings increased by 22%.  This is an increase of 378 per 1,000 juvenile arrests in 1980 to 856 per 1,000 juvenile arrests by the late 1990's.  The result is that an adolescent who is arrested today is nearly twice as likely of being incarcerated than an arrested juvenile in the 1980s.  The increased rate of detention bookings was shown to be unrelated to overall juvenile crime, since the detention rate rose while the felony arrest rate fell.  It was related to gender and race, with increased rates of arrests for African American females accounting for most of the increase in incarceration.

 Gorski News Analysis Online
War On Drugs Linked To 
Gaps In Mental Health Services For Children (7-9-01)

The War on Drugs is the root cause of funding difficulties that are causing serious gaps in in the continuum of treatment available to children and adolescents.  Shifting funds from punishment on demand to treatment on demand is part of the solution.  This new funding must then be linked to community-based wrap around services that mobilize community resources to help kids and families to recover.

New Gorski Article Online
The Disease Model Of Addiction
An Article By Terence T. Gorski (7-4-01)

On Friday, October 4, 1996 at the 10th Annual dual disorder Conference in Las Vegas, Nevada Terence T. Gorski presented a paper and publicly debated G. Alan Marlatt on the issue of whether addiction is a disease.  Here, for the first time anywhere, are Mr. Gorski's edited lecture notes that were prepared for this presentation.  

Politics & Current Events
OxyContin: Florida Curbs Distribution (7-4-01)

Florida takes a giant step toward imposing government into the physician and patient relationship.  Hoping to make it harder for patients to abuse the painkiller OxyContin, Florida will stop paying for prescriptions that exceed 120 pills in a month without prior approval from Medicaid.  This will make it more difficult for terminally ill patients to receive adequate medication for their pain disorders.  With the move, Florida joins four other states - Maine, West Virginia, Ohio and South Carolina - that curb the drug's distribution to Medicaid recipients.

Politics & Current Events
Discovery Channel To Air Story Of US Drug Terrorist 
Who Bombed A DEA Office (7-4-01)

The story of Jeffrey Matthews, the notorious Fort Myers Beach drug runner and bomber of  the local DEA offices in 1990, will be coming to prime time on the Discovery Channel.  Read the details of the only drug terrorist to bomb a DEA office on US soil.

Politics & Current Events
The Declaration Of independence

Sometimes it's good to go back to the basics.  At other times it's absolutely necessary.  Each July 4 I read the document that this holiday was established to commemorate - The Declaration of Independence.  Now, more than ever, it is absolutely necessary for each of us to reflect upon the principles contained in this document.  When we loose touch with these principles - we will loose our freedom as individuals and as a nation.

Terence T. Gorski
July 4, 2001

Politics & Current Events
This Is Your Country on Drugs - July 4, 2001

As we celebrate July 4, 2001 - Independence Day - it is important to remember that over two million people are in prison within the United States.  Two million is too many.  One in four (25%) are serving an average of seven years for the non-violent drug offenses of the personal possession and use of an illegal drug.  In other words, they're incarcerated for being an addict.   Fifty percent are doing time for committing a crime in order to get money to buy and use illicit drugs.  This means 75% of our inmates are incarcerated for drug related offenses.  Less than 12% of them get treatment in spite of undeniable evidence that treatment works.  We spend billions of dollars on law enforcement and international military activities to stop the flow of drugs.  Yet drugs are more available than ever.  We build more prisons and hire more probation and parole officers.  Yet we are cutting the budgets of our community based treatment programs.  Drug treatment is less available today than it has been since 1970.  This story by Charles Rappleye & Judith Lewis can help us to reflect.  Then we need to decide what, if anything, we are going to do.

Politics & Current Events
An Open Letter To Larry King (7-3-01)
From Terence T. Gorski

On Tuesday, July 3, 2001 Larry King Live interviewed a panel of people recovering from addiction including Former Texas Governor Ann Richards, actress and author Jamie Lee Curtis, NFL announcer Pat Summerall, and the Chairman and President of The National Center on Addiction and Substance Abuse at Columbia University Joseph Califano among others.  The show raised a number of important issues.  Terry Gorski wrote a letter to Larry King encouraging him to continue covering addiction and to focus on the real story - the conflict between War On Drugs Policy and Public Health Addiction Policy.  Read the letter and share your ideas with Larry king and his producers at 

Treatment & Research
Pathophysiology of Nicotine Addiction
By Jack E. Henningfield (posted 6-29-01) 

This is a comprehensive article that explains all aspects of the pathophysiology of nicotine addiction.

Treatment & Research
Nicotine Addiction: The Health Effects of Tobacco and 
The Scientific Basis For Regulatory Approaches

Statement by Jack E. Henningfield, Ph.D. Before the
  Committee on Labor and Human Resources
  United States Senate   February 24, 1998  (Posted 6-29-01)

This paper contains valuable information regarding nicotine and its similarities and differences to other addictive drugs.

Treatment & Research
Craving & Relapse (6-25-01)

Bill Moyers article published on PBS with the latest information and easy-to-understand descriptions of what happens in the brain when craving is activated and how craving can then lead to relapse.

Treatment & Research
Drug Control Policy: Narcotic Maintenance Programs
Lower Abuse & Addiction In France (6-23-01)

A News Analysis By Terence T. Gorski

Narcotic maintenance programs involving both both methadone and high-dosage buprenorphine resulted in an increase in the number of patients participating in maintenance treatment, a reduction in the number of intravenous drug users and a reduction in overall consumption of psychoactive substances.  The implications to US drug control policy are discussed.

Treatment & Research
Self-Resolution of Drug & Alcohol Problems (6-23-01)

A News Analysis By Terence T. Gorski

Recent studies of people of have succeeded in resolving their alcohol and drug problems without formal treatment or attendance at Twelve Step Support Groups may give vital information about the factors that are critical to successful recovery.

New Gorski Article  On Line
Developing Relapse Prevention Programs

An Article By Terence T. Gorski (6-10-01)

This article provides information on how to develop an Relapse Prevention Program as part of an existing addiction treatment program, mental health center, or private practice.  The need for relapse prevention programs, different options for program implementation, and suggestion for policy guidelines are discussed.

Politics & Current Events
Problems On Rikers Island 
Highlight A National Trend Toward Atrocity 
In Our Nation's Over-crowded Prisons

Rikers Island is plagued by serious life-threatening problems with inmates that may well mark a national trend toward growing atrocities in our nation's prisons and jails.  Unless we end the harshly punitive war on drugs policies that have overwhelmed our nation's prisons with non-violent drug offenders who would be better off in community-based treatment, these horrendous problems will continue to get worse.  
The recent incidents at Rikers Island include:

·  the escape of a prisoner on Wednesday, 

·  the death of a 37-year- old inmate who had to wait an hour and 10 minutes for an ambulance after being beaten by other prisoners

·  the suicide of a 19 year old inmate on May 22 whose family was unable to raise bail 

·  a recent accidental gun discharge by a correction officer while on a bus filled with inmates 

·  the third death of an inmate to die this year after being attacked by other prisoners

How many inmates must suffer and die 
before it becomes wrong?

Treatment & Research
Drug Treatment Fact Sheet (6-16-01)

Here is a concise listing of facts about the cost effectiveness of drug treatment as compared to enforcement and other drug war approaches.  This is the place to find the evidence and references needed to show people that Public Health Addiction policy that invests in prevention and treatment is more effective and less expensive than our current well intentioned but ineffective War On Drugs.  

Get More Facts About The War On Drugs

Politics & Current Events
Drug War Uses Thermal Imaging Technology 
To Probe Private Homes
A News Analysis By Terence T. Gorski

The drug warriors are continually searching for more intrusive ways to stamp out the use of illegal drugs in this country.  One of the potentially most intrusive is the use of thermal imaging technology that is capable of detecting patterns of heat coming from private homes.  Recently various generations of this technology have been deployed by police to search for in home marijuana cultivation by detecting the heat emitted from growing lamps.  The Supreme Court recently ruled that the use of this surveillance technology without a search warrant to be illegal.

Politics & Current Events
Drug Raid Sets House On Fire (6-14-01)

On June 12, 2001 the police burned down a home in St. Petersburg, Florida while attempting to serve a no knock drug warrant issued as a result of anonymous tip made to police.  Police arrived on the scene and threw a flash bang device (picture shows detonation of a flash bang device) through a window which set the house on fire.  The reason for the search was an anonymous tip that drugs were being kept in the house.  No drugs were found, but an entire neighborhood was terrorized, people lost their home, lost their livelihood, & could have burned to death.

Politics & Current Events
No Clemency For Lionel Tate
Fourteen Year Old boy  Sentenced To Life In Prison

Governor Jeb Bush refused to allow an early request for clemency of a 14-year-old boy sentenced to life in prison for beating a 6-year-old girl to death when he was twelve years old.  This raises serious questions about our national approach juvenile justice.  Do we want to live in a nation that sentences children as young as twelve years old to life imprisonment.

Politics & Current Events
New York State Drug Law Reform Stalls (6-14-01)

Efforts to resolve the differences between Republicans and Democrats on relaxing New York State's drug sentencing laws have stalled over three critical issues:  (1)  Will the judges or prosecutors call the shots on whether Class B drug felons, who make up 28% of imprisoned drug offenders, go to prison or receive treatment;  (2)   Will funding be increased for drug treatment behind the bars; and (3) the length of sentences for each drug crime and how those sentences should vary based upon the drug involved.  This is unfortunate because the current drug laws hurt addicted people, their families, and their communities.  Harsh drug laws have failed to slow the rate of drug abuse and addiction, to make drugs less available on the streets, or to lower the rate of drug related crime and violence.  It's time that all states trade in their ineffective war on drugs legislation in favor of more effective laws based upon Public Health Addiction Policy.

Politics & Current Events
Drug War Threatens Right To Privacy On the Internet

The war on drugs is threatening our basic right to privacy.  The Justice Department wants to implement a program code named Carnivore to use the internet to find drug dealers, drug users, and other criminals.  Although this allegations sounds like it is right out of the film Conspiracy Theory, Dick Armey of Texas, the majority leader of the House of Representatives is seriously concerned.  

Politics & Current Events
Victim Poll Shows 15% Drop 
In Violent Crime (6-14-01)

The Justice Department announced yesterday that violent crime fell 15 percent last year, the largest drop on record, a finding that puzzled some criminologists because it came only two weeks after the Federal Bureau of Investigation reported that serious crime remained stable in 2000, ending an eight-year period of significant declines in crime.  Read the details of how the experts account for this discrepancy. 

Treatment & Research
Juveniles in Adult Prisons and Jails.
A National Assessment

Read this important new study by the Department of Justice which provides critical information needed to assess the growing trend of incarcerating adolescents in adult correctional facilities.

New Gorski Article  On Line
Relapse Prevention In The Managed Care Environment 

An Article By Terence T. Gorski (6-10-01)

This article describes why relapse prevention is a critical component for managed care programs who are serious about cost containment.  

Politics & Current Events
Stabilization Of Prison Population 
May Be Deceptive (6-9-01)

A News Analysis By Terence T. Gorski (6-10-01)

After three decades of explosive growth, the nation's prisoner population may have begun to stabilize.  But it's not time to start celebrating.  Drug crime has been the major factor increasing prisoner population.  The U.S. is using two diametrically opposed approaches to drug crime - the War on Drugs which is driving up the prisoner population & Public Health Addiction Policy which is driving it down.  As a result they tend to cancel each other out.  In spite of it's success, Public Health Addiction Policy Approaches are not universally supported.  Find out why.

Politics & Current Events
Canada's Move To Decriminalize Marijuana
 Implications For USA (6-6-01)

A News Analysis By Stephen F. Grinstead

The Canadian move toward the legalization of the medical use of marijuana raises a number of issues related to pain management.  Steve Grinstead objectively reviews these issues raises important questions for consideration when considering issues related to pain management and addiction medicine.

Politics & Current Events
Rate Of Serious Crime Stabilizes
After Eight Years Of Consistent Decline (6-6-01)

The rate of serious crime in the United States stabilized in the year 2000 after eight years of consistent declines.  Is the crime rate stabilizing or could this indicate that serious crimes will start to increase in the years to come?  Read what the experts think.  (Remember, drug crimes are not included in this report on serious crime!)

Treatment & Research
Medical Education About Addiction
A News Analysis By Terence T. Gorski (6-5-01)

In spite of the fact that alcohol and drug abuse problems are a  leading cause of health care problems requiring medical attention, few doctors receive adequate training in how to identify and treat addiction.  In the current political climate of a national drug prohibition policy that demonizes addicts and places physicians at risk when treating addicted people with prescription medication this is not surprising.  This news analysis provides more details.

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