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Few substance abuse programs in the U.S. offer high-quality treatment designed specifically for adolescents, a new study finds. Of the more than 700 treatment programs the study surveyed, less than one-third had specialized services for teenagers — with some excluding underage patients altogether and others integrating them with adult patients. |
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| Seattle Police Chief to be New US Drug Czar |
WASHINGTON (AP) — The Obama administration plans Wednesday to nominate Seattle, Washington, police chief Gil Kerlikowske as the nation's drug czar. Vice President Joe Biden was expected to name Kerlikowske as chief of the Office of National Drug Control Policy, a job that requires Senate confirmation, at a midday ceremony, an administration official said, speaking on condition of anonymity because the announcement had not yet been made. |
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| What is Recovery? |
An essay on the subject of “What is Recovery” raises, for me, the question of what is Addiction. Since everyone of us has an idea, our own idea, of what Addiction is, we'll also have our own answer to “What is Recovery?” Since we don’t have agreement in our field on what Addiction is, I doubt that we can come up with an easy agreement on what recovery is. I could just tell you my definition of both but my goal is not for us to have a debate over which we can come to a resolution. My goal is that we all look at ourselves and how we got to this question. It may be, that after examining ourselves, we may choose to change the question we ask. |
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| Daddy's Little Girl: Fatherlessness and Adolescent Substance Abuse |
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| Written by Mark Sanders, LCSW, CADC and Shannon Mayeda, PhD, LCSW, CRADC | ||||||||||
| Thursday, 06 November 2008 06:19 | ||||||||||
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As a little girl, I was diagnosed with polio. Doctors predicted I would never walk again. My mother said, ‘Not only will you walk, you will run!’ I believed my mother!” — Wilma Rudolph, 1960 Olympic Gold Medalist in the 100-yard dash A great deal has been written about the mother-daughter relationship and its impact upon adolescent girl development (Straussner & Brown (Eds.), 2002; Ackerman, 1999; Sanders, 2001). One Hawaiian study that followed children from birth to age 18, revealed a profound negative impact from maternal alcoholism. Writers also have chronicled the impact of fatherlessness on sons and its link to addiction (Reel, 1997; Sanders, 2006). Less has been written about the father-daughter relationship and how it impacts substance use among adolescent girls. This article focuses on adolescent girls with regard to: 1) the influence of involved, responsible and committed fathers as a protective factor against substance use disorders; and 2) the impact of the absence of fathers as a risk factor for substance use disorders and other problems, on their daughters. Intervention strategies also are discussed. What involved, responsible and committed fathers provide for their daughters Research reveals that involved fathers can have a positive impact on adolescent girls, thus decreasing their risk of heavy drug use (Ackerman, 1999; Barras, 2000; Sanders, 2001; Coma, 2000; Bisnaire, 1990). According to these authors, some of the positive benefits include:
• Positive impact in utero — The involvement of fathers decreases overall stress on mothers during pregnancy and decreases the risk of miscarriage. The impact of fatherlessness on adolescent girls There are myriad ways in which fathers can be absent from the lives of their daughters. The three most common forms are death, divorce and abandonment. Of these three primary forms, abandonment and divorce have a more devastating impact (Barras, 2000; Griffin, 1998). When the father dies, many girls are able to deal with this without blaming themselves for his death. With divorce and abandonment, girls are more likely to see these losses as reflections of something being wrong with them (i.e., “I must not be smart enough, pretty enough; my hair must not be long enough; perhaps I am unlovable”). These internalizations can lead to a great deal of self-abuse, heavy substance use and other problems (Sanders, 2008; Coma, 2000; Barras, 2000; Sanders, 2001; Griffin, 1998). Collectively, these authors make the following points about the impact of abandonment by their fathers on adolescent girls:
• Increased risk of substance use disorders This plethora of problems accompanies girls with substance use disorders into chemical dependence treatment. These issues, if left unaddressed, have the ability to extend and haunt her even into adulthood (Sanders, 2008; Barras, 2000). Clearly, intervention strategies are needed. Intervention strategies There are a number of strategies that are helpful with fatherless girls with regard to prevention and interventions as they enter chemical dependence treatment (White, Kurtz, & Sanders, 2006; Corey, 1996; Sanders, 2008). Talk therapy is one strategy used to address issues of abandonment, which can contribute to the development of substance use. The experiential exercises in Gestalt therapy also have been effective in helping girls to verbalize the pain of fatherlessness and lead them toward a path of healing and recovery. Grief work also is an important component of therapeutic treatment for fatherless girls. Another interesting strategy for coping with fatherlessness comes from reading biographies and stories about other remarkable girls and women who, despite being fatherless, have achieved successful and fulfilling lives. These stories of survival and strength can be quite empowering for fatherless girls, to help them relate to role models, who have coped with the same issues they are dealing with. Forming connections with grandfathers and uncles may also help adolescent girls to deal with absent fathers. Although they are no substitute for a father, a supportive, loving relationship with them can certainly help encourage more positive behaviors and a better outlook on life. It is also important to address and treat the acting out behaviors associated with fatherless girls, such as gang activity, promiscuity, substance use disorders and other negative behaviors. Involvement in sports is a good way to stave off some of the negative activities and consequences associated with fatherless girls. Being involved in sports has been shown to increase self-confidence and feelings of belonging, as well as decrease the risk of teen pregnancy. Mentorship is a protective factor for girls abandoned by their fathers. Programs such as Big Brothers/Big Sisters have been found to decrease truancy, violence and substance use among teens. As mentioned earlier, adolescent girls abandoned by their fathers are at increased risk for becoming pregnant in their teens. The fathers of babies born to teen mothers are likely to abandon their children, thus creating future generations of children who have been abandoned by their fathers. Outreach to young fathers may help decrease the stress on teen mothers, and also, may impact future generations. Finally, it is important to note that adolescent girls often face a number of challenges even after treatment. Recovery coaching in her natural environment can be helpful, particularly in early recovery. The adolescent girl can suffer from father hunger as a result of being abandoned by her father. This injury/wound can lead to self-abuse and heavy substance use. It is clear that she does not deserve to be abandoned, and it is equally clear that, as she enters chemical dependence treatment, she deserves the best treatment possible, including that which focuses on the impact of fatherlessness.
Mark Sanders, LCSW, CADC, is a member of the faculty of the Addictions Studies Program at Governors State University. He is an international speaker and consultant in the addictions field who has provided training and consultation throughout the United States, Europe, Canada and the Caribbean Islands. He has had two stories published in Chicken Soup for the Recovering Soul and is co-author of Recovery Management with William White and Ernest Kurtz. References
Ackerman, R., Ph.D., Perfect Daughters, Deerfield Beach, FL, Health Communications, 1999.
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