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Alcoholism
Brian ReynoldsJessica BollZane Mehl
Effect on Family
Youth and Teen Use
Resources
Rehab/Treatment
Process
Alcoholism is a family disease. • 18% of adults (1 in 5) have alcoholism in �
family • 38% of adults have a relative with �
alcoholism • 10 million married to someone with � alcoholism • 27 million Children of Alcoholics (COAs).�• 13-25% of COAs develop alcoholism� (National Council on Alcoholism
and Drug Dependence, 2010)
Impact on Family and Children:
Codependency
• Family members addicted to the alcoholic’s behavior
• Hiding problem, covering up, trying to “help” the drinker
• Forget about own needs• Don’t bring others home• Maintain family image• Usually denial of the problem• Sometimes turns into enabling(Parsons, 2003)
Alcoholism Affects…FetusesChildren
TeenagersAdult Children
Spouses
Fetal Alcohol Syndrome
• Leading known preventable cause of mental retardation
• Causes brain damage• Babies are born small• Have problems eating , sleeping,
seeing, and hearing• Behavioral and neurological
problems- trouble in school, employment difficulties later in life
(US Department of Health and Human Services, 2009)
(http://www.nlm.nih.gov/medlineplus/ency/imagepages/19842.htm)
• FAS can also cause unusual facial features
Children
• Children of alcoholics (COA) are four times more likely to develop problems with alcohol than the general population
• Many other factors besides genetics increase the risk of becoming an alcoholic
(US Department of Health and Human Services, 2007)
COA, cont.
• Low self esteem, loneliness, depression• Problems in school- hard to study at home,
hard to start or keep relationships• Behavioral problems- truancy, stealing,
lying• Younger: bedwetting, nightmares, no
friends, afraid to go to school• Older: hoarding, obsessive perfectionism
(try to please parent), introversion, phobias
(Parsons, 2003)
Adult Children of Alcoholics
• Do not associate problems with parent’s alcoholism
• Depression, aggression, impulsive behavior, difficulty maintaining healthy relationships
• “Problems with intimacy,” difficult to trust others
(Parsons, 2003)
Spouses
• Take over both parenting roles• Avoid friends and family• Financial difficulties- loss of job,
money spent on alcohol• Hiding the problem, taking care of
the alcoholic
(Parsons, 2003)
Youth and Alcoholism
How many minors drink?
National
Local & State
Drinking Behaviors
Alcohol use in minor populations
Alcohol and Risk
Other Issues
–Lack of information –Developmental issues –Long term health issues –Social issues
Prevention + Interview
• Elva Giddings–Working in the field– Services available – Issues in the field
–What can be done
Resources• Drug and Alcohol Prevention
Services (WWU)• Catholic Community Services• Pioneer Center North• Alcoholics Anonymous (AA) - www.aa.org
Alcohol/Drug 24-hour Help Line
• Statewide service• Crisis intervention line• No charge• www.adhl.org
1.800.562.1240
Al-Anon/Alateen
• www.al-anon.alateen.org• Relatives and friends of alcoholics• Share experience, strength, and
hope• Belief- alcoholism is a family illness;
changed attitudes can help recovery.• Many meetings weekly in Whatcom
County
• Substance Abuse and Mental Health Services Administration (SAMHSA)
- www.findtreatment.samhsa.gov• National Assoc. for COA• National Center on Addiction
and Substance Abuse
Pioneer Human Services
• Provides treatment and counseling for chemical dependency
• Non-profit, but earns income through sale of products and services
• Based in Seattle, local branch in Whatcom County
• Interview with Gregg Ronney
Alcoholism Treatment Plans
• Two main types of treatment: individual and group
• Needs of clients vary, but group treatment is more common than individual.
“Treating alcoholism is more treating the underlying issues rather than treating the addiction itself.”-Gregg Ronney, Detox Specialist/Intern Case Manager
Individual Treatment
1. Meet with a counselor
2. Create a problem list: relationship issues, work issues, relapse, mental health, etc.
3. Create a treatment plan based off of the problem list.
• Individual Treatment is specialized
Group Treatment Plans
• The idea of group sessions has been around since colonial America
• More personal support, less specialized
• Two types of Group Treatment: open ended and close ended
Close Ended Group Sessions
• Linear• Focus on education
(about 95%) • Less
discussion/relating than open ended, but more bonding (E.G.: Core)
• 12 step program is close ended (but individual)
Open Ended Group Sessions
• Non-linear• Start with
topic/theme, move on to open discussion
• Focus on identifying with others who share the same problem and engaging with them
• Alcoholics Anonymous
Learning Activity
Today we will be simulating an open ended group session.
Topic:The affects of alcoholism on relationships with
friends, family, and significant others.
Alcoholism is a Disease
• Genetically determinable• Hereditary• Trait• Not a moral deficiency or personal
weakness
(Ketcham, Asbury, Schulstad, & Ciaramicoli, 2003)
Alcoholism is not a Disease
• “It is pitiful that a society has to resort to seeing people as sick in order to be compassionate towards them” (Dreyfus, 2003, p. 16).
• Calling alcoholism a sickness is a form of labeling and causes us not to relate to alcoholics as people.
• If they are suffering from a disease, people are more likely to pursue treatment.
• There is no responsibility taken for compulsive behavior.
(Dreyfus, 2003)
Websites
• www.peele.net - Opposes the disease model• www.niaaa.nih.gov - National Institute on
Alcohol Abuse and Alcoholism • www.ncadd.org - National Council on
Alcoholism and Drug Dependence• www.nofas.org – National Organization on
Fetal Alcohol Syndrome• http://www.thecoolspot.gov – For teens, info
on alcohol and resisting peer pressure