Archive for alcohol

How Alcohol and Drug Addiction Affects Family Members

Affects FamilyThe longer alcohol and drug abusers use their drugs of choice, the worse their lives become. Until they are firmly in recovery, this continues in a downward spiral until they end up in jail, insane, or dead. “Firmly” in recovery means working a program or attending counseling consistently with a lot of commitment. People who just show up at meetings, counseling, or groups are not necessarily committed to recovery. This is just as true for family members.

Family members are affected by the increased problems that addiction causes. The drugs and alcohol used by the substance abuser are “intoxicants.” This means that they use substances knowing that they will become intoxicated – high or drunk.

Over a period of time, many family members begin to experience emotions that leave them “intoxicated” as well. These emotions are called “Intoxicant Emotions.” They include shame, guilt, resentment, self-pity, worry, and anger. These emotions “intoxicate” a person in that they change the way someone feels when he or she indulges in them. An “intoxicant emotion” (IE) (CompCare Publishers) such as shame often causes a person to hide, be secretive, feel depressed, or unable to sleep.

This is similar to the way an alcoholic or addict may feel when using or coming off his/her drug of choice. Intoxicant emotions may energize a person or slow him down so that he or she can’t function well. Sometimes these emotional states are as unpredictable as those that affect the alcoholic when he/she picks up a drink or drug.

Family members follow the same downward spiral as an alcoholic or addict. There are 4 stages of family illness before the family either “bottoms out” or enters recovery. The first stage is the Concern Stage. This is the stage where family members are acting out of a genuine concern. They are only beginning to experience the effects of alcohol and drug abuse by a loved one. Family members at this stage have no idea what they are up against.

The second phase is the Defense Stage. This happens after the “first blockout” where the family members have blocked out the reality of the situation and are going in and out of denial. Addicts and alcoholics often experience “blackouts”, a period of time when they have no memory of events, usually while seriously impaired or during a period of coming off heavy alcohol or drug use.

During this stage, families are preoccupied with the addict’s or alcoholic’s behavior. They protect the addict by lying to other family members, employers, or to others about his behavior. While tolerating the addict’s behavior, they feel increasingly responsible for the family problems. The result is the “blockouts” increase, too. They can’t remember all the negative behavior of the addict and tend to minimize the consequences.

After repeated “blockouts” comes the Adaptation Phase. During this phase, family members try to change their own behavior to adapt to the chemically dependent person’s behavior. This is a critical phase that may cause family members to either become obsessed with the addict, or they may begin to drink or use drugs themselves.

Family members may attempt to become “the perfect person” hoping that will make the addict/alcoholic happy and change his/her ways. It is at this time that family members may begin to feel they are “losing their minds,” become absent minded, feel like failures, and need medical or mental health care. They often give so much to others that they have nothing left to take care of themselves.

Next comes the Exhaustion Phase, when family members defend their use of intoxicant emotions, just like the addict defends his use of drugs or alcohol. They lose their self-worth and experience severe anxiety or depression. All excuses fail and fear rules their lives. They have reached their “bottom.”

Just as when addicts reach their bottom, family members must choose to admit the problem and recover, face insanity or death. They absolutely cannot go on the way things are. When they reach this point, family members must admit their problems and accept help in dealing with them.

(Portions of this article are adapted from the poster “Affected Family Syndrome” by CompCare Publishers, 1990)

Henry Tarkington

What is treatment?

alcohol drug treatmentTreatment for alcohol and drug abuse  is learning about chemical dependency, how it has affected the addict or alcoholic and his/her family and friends and how to avoid returning to using alcohol or drugs. Treatment is going through the physical, emotional, mental, and spiritual changes that occur when the body is detoxing and the mind is clearing up from alcohol or drugs. Often the withdrawal is physical as with alcohol, heroin, and many prescription drugs.

With cocaine and crack, there may be little physical withdrawal. Often the patient will become upset or angry during the treatment process and will not understand or believe that their being upset is really a craving to use or drink that his disease has disguised as anger, depression, or other emotions. The addict may also have dreams about their drug of choice.

The First Step Services has three levels of treatment: Individual, Outpatient, and Intensive Outpatient. Sometimes an inpatient treatment is necessary before entering the First Step Services outpatient program. Inpatient begins with Acute Medical Detox (detox) a period of 1 to 4 days of getting the worst of the drugs out of the patient’s body. With certain drugs, small amounts may linger in the system much longer than the detox period, but the patient is usually ready to function after a few days. Surprising to many people, detoxing from alcohol is the most dangerous.

Intensive Outpatient Treatment Program (IOP) consists of a minimum of 9 hours of treatment per week. Clients generally start off attending three 3-hour groups per week in the evening or Saturday morning (for one group). The Intensive Outpatient Treatment program generally lasts for 90-days and then an aftercare program is recommended consisting of 1 or 2 groups per week. Drug screens are required at all treatment levels.

When a person comes to First Step Services for help, a counselor will evaluate the person to determine the level of treatment recommended for that person. Once the recommendation is made, the person may be admitted immediately or may be placed on a waiting list to come in when space is available in the program. Treatment begins when the patient reports to begin the program.

Outpatient treatment consist of groups and classes generally in the evening. Counselors talk with patients individually on a regular basis but most of the work is done in groups. Patients gain an amazing amount of insight from their peers.

The changes people go through in just a few sessions of outpatient treatment can be miraculous. When patients come in they are often physically ill. Their families have been put through a long nightmare. Patients and their families are mentally and emotionally injured by addiction. Often they are in trouble with their employers or the police. The drugs and alcohol have taken everything from them.

After treatment, patients often become much healthier physically, mentally, spiritually, and emotionally. Most have begun to practice a spiritual life that they never knew existed for them. They have places to live and Vocational Rehabilitation counselors help them get jobs so they may learn to be responsible for their own lives. They learn that they have skills to live and work in the world skills they either did not know they had or that they had forgotten how to use.

In addition, recovering people usually do not commit crimes or need frequent emergency medical services that cost the taxpayers millions of dollars. Recovering addicts and alcoholics pay taxes and live responsible lives. Treatment not only works for the substance abusers and their families, it saves many times as much money as it costs. It also gives people new direction and the human value is beyond measure!

Henry Tarkington

NC DWI Process

NC DWI ProcessWhat happens if someone gets a DWI in North Carolina?
- A police officer can stop your car at license check points or if the officer notices you do something “suspicious” because the law states an officer must “encounter you during the lawful course of his duties.” This leaves a pretty wide range of ways for an officer to lawfully encounter a driver .  This does not mean, however,  that your attorney can not challenge the reason you were “encountered.”

- When a suspect gets stopped by police for whatever reason the officer may request the driver perform “standardized field sobriety tests” or blow into a hand held Breathalyzer. Neither of these is required by law. However, if a driver is not impaired participating could help the driver not be charged by the officer who stopped him or her by demonstrating that he or she is not impaired. If the driver chooses not to participate in the tests, he or she should be as respectful to the officer as possible in refusing (as well as at all other times during the arrest). Being disrespectful in any way usually will cause the driver problems in court.

- If the officer believes he or she has reasonable suspicion that the driver might be Driving While Impaired, the Officer will then arrest the driver and take him or her to the police station. At the station, the arrested person is requested to blow into the Breathalyzer. If the offender refuses to blow into the Breathalyzer at the station, he or she will be charged with “refusal to submit to chemical analysis” and will probably be charged with DWI as well. Refusal to submit to chemical analysis will be used as “evidence of impairment” in court. The driver can request a blood test but will have to have an appropriate medical professional draw the blood within a short time frame, usually no more than about 40 minutes. The police will not usually escort the driver to the hospital at the driver’s request. The police can require a blood test for their purposes — for instance if the driver appears impaired but the Breathalyzer reading appears too low for the amount of impairment observed, or if the driver is unconscious.

- If the driver registers .08 or higher he or she will likely be charged and arrested for Driving While Impaired. After the charges are filed, the driver will be taken to the magistrate to determine if he or she will be able to go home or to jail. This will be determined by the seriousness of the offense and by input from the police officer as to if he feels you pose a risk of getting into further trouble if you leave the station. Many people have been “released on their own recognizance” only to be right back in trouble in a few hours or less.

- At the police station, during the arrest, the driver’s license is revoked for 30 days (on first offense) in what is called a “civil revocation.” The civil revocation is required of everyone arrested for DWI.

- The offender can get a driving privilege 10 days after the arrest if the person gets a DWI Substance Abuse Assessment and complies with the outcome of the assessment . If the driver gets no assessment, he or she can pick up his or her driver’s license at the clerk of court’s office after 30 days has passed and by paying a $75 restoration fee at that time. The license is valid until the case is resolved in court.

- There are cases when the driver has been charged with DWI even though the Breathalyzer reading is less than .08. If the officer is convinced the driver is “impaired” he or she can still charge the driver with DWI. The officer will then need other evidence in court besides the Breathalyzer. People are sometimes convicted of DWI after smoking marijuana, using cocaine or using other mood altering substances. Drivers are often charged with and NC DWI for driving after taking prescribed medication, even if taking it exactly as prescribed.  One can be convicted of DWI by taking prescribed medication in the correct dosage.

- Refusal to blow into the Breathalyzer or take other types of breath or blood alcohol test is rarely a good idea. Refusal to blow into the Breathalyzer at the station will cause the arrested person to automatically lose his or her driver’s license for 1 year even if found not guilty of DWI. If found guilty of DWI and refusal, the person can possibly lose his or her license for at least 2 years, one year for refusal to blow the breathalyzer and one year for the DWI conviction. The judge has no choice in these revocations. The revocation is mandated by the NC Division of Motor Vehicles not by the court or Judge.

- If the driver refuses to submit to chemical analysis (blow into the Breathalyzer or submit to blood test), the driver cannot apply for a “limited driving privilege” until he or she has received a DWI Assessment and completed the entire recommended treatment level. When the DWI Substance Abuse Assessment and treatment  are completed, the offender can apply for a Limited Driving Privilege after 6 months from the date of revocation. This only applies to those who refuse chemical analysis (Breathalyzer or blood test).

- If a first offender registers a .15 or higher B.A.C. (blood/breath alcohol concentration) on the Breathalyzer or blood test, he or she will be required to install an Ignition Interlock Device ( Monitech Ignition Interlock Systems or Smart Start). The Ignition Interlock must remain on their car for a minimum of 12 months,. A person who has been convicted of more than one DWI will also be required to install the Interlock Device and it must remain on the car for a period determined by the court or DMV, sometimes up to 4 or more years.

- The trial date is scheduled during the arrest when the person meets with the magistrate. The trial is usually scheduled for 3 to 6 weeks after the arrest date. The person may or may not be put in jail depending on the seriousness of the DWI and depending on the decision of the police and magistrate. Often all the offender has to do is have someone pick them up and drive them home.  There are many known cases of arrested drivers returning to their cars and being arrested multiple times in the same day.

- It is an advantage for the arrested person to get a DWI Assessment and begin the level of treatment required before going to court. This is a “mitigating factor” and could lessen the severity of the punishment level and possibly assist in avoiding probation or jail time.

- If this is an offender’s first DWI arrest (lifetime), if he/she has a Blood or Breath Alcohol Concentration (BAC) of .14 or less on the Breathalyzer, and there was no accident with personal injury or more than $500 property damage the offender might qualify for ADETS (Alcohol and Drug Education Traffic School). This is the shortest (16 hours) and lowest cost ($160) level that can be required by the DWI Assessment. All offenders who are convicted will be required to attend various levels of DWI Classes or Counseling Groups. Neither the judge nor anyone else can excuse the convicted offender from this requirement, even if it isn’t required in court.

- If an offender has more than one offense, lifetime, he/she will be required to attend a minimum of the 20/30-hour, 40/60-hour, or 90-hour group , depending on the outcome of the assessment. Criteria for outcomes of the assessment are set by state law, not the person giving the assessment. An assessment and separate 508 Form is required for each DWI conviction, even if the arrests were on the same day. Only one treatment episode might be required to suffice for more than one assessment. ALL DWI ASSESSMENTS FOR CLIENTS WHO ARE CHARGED WITH A NC DWI COST $100, NO MATTER WHERE THE DRIVER HAS THE ASSESSMENT. ALL AGENCIES ARE REQUIRED TO CHARGE $100…NO MORE, NO LESS. 

- If your Breathalyzer reading is .16 or more (in addition to having to install the Interlock device) you will possibly receive probation as part of you sentencing even on first offense . If it is a second or third offense you will most likely receive probation no matter what your Breathalyzer reading is. The probation may be supervised or unsupervised. If it is unsupervised probation you will not have to check in with a probation officer. If it is supervised, you will have to check in with the probation officer (P.O.), let the P.O. know your whereabouts, pay a monthly fee, and possibly submit to regular urine drug and alcohol screens.

- All persons convicted of DWI in NC are required to have a DWI assessment before their license can be restored. The person also has to complete the level of group or class required by the assessment. Generally that means going to the 20/30-hour, 40/60-hour, 90-hour, or an inpatient treatment program. First Step Substance Abuse and DWI Services is licensed for the 20/30, 40/60, and 90-hour programs.

- The fee for the DWI assessment is $100. This fee is required by and regulated by the state. The fees for the treatment programs vary and a provider will charge whatever he or she feels is necessary and reasonable. First Step Substance Abuse and DWI Services’ fees are reasonable and competitive and we accept health insurance for DWI groups. Contact us for prices and insurance coverage availability.

- At court, a client might be issued a “Limited Driving Privilege” by the judge. This is not guaranteed but is usually allowed for first offenses and some second offenses after 2 years. The judge will usually state that the offender cannot have a “Limited Driving Privilege” until he/she has had a DWI assessment. The court can require that the offender complete the treatment program before issuing a “Limited Driving Privilege (LDP)” if the judge chooses to do so.

- The privilege is good for 365 days only and cannot be extended for any reason. If your 365 days of revocation is up and you can’t get to the DMV to get your license restored, any driving you do may be considered Driving While License Revoked. This can result in an additional year of revocation without the benefit of a Limited Driving Privilege and a $500 fine. Do not drive when your LDP is expired and you do not have your Driver’s License in hand! All persons in the State of NC who receive a “DWLR” and the license is suspended for DWI must receive another DWI assessment and additional counseling may be required.  The state does not allow this to be optional, it is required in every instance of DWLR for a NC DWI offense.

- It is strongly recommended that you get your Assessment and Groups started as soon as possible. The process often takes a few months to complete. This will delay restoration of your driver’s license if you wait too late! You absolutely cannot have your license restored until all assessment and education or counseling requirements are fully completed.

- Your Limited Driving Privilege will not be extended if your requirements are not met before your revocation period is up. Once the period of revocation passes, you will not be given any type of driving privilege until all requirements are met, the “508 Form” is processed and entered into the computer by NC DMV and your full license is restored. You must make payment of a $75 restoration fee and an additional $15 for a new license.

- Your license is not restored just because your revocation period has ended! You will be Driving While Licensed Revoked until you are actually issued a new Driver’s License by the NC DMV. People do not realize how long this process takes and that the Limited Driving Privilege can not be extended. They often end up having no driving privileges — sometimes for months — while they finish their requirements.

- First Step’s Substance Abuse and DWI Services is here to help you resolve your DWI problem. We will complete your DWI Assessment and get you started as quickly as possible, sometimes even the day you call. We know what you are going through.

- We will make sure you have everything you need concerning your assessment the day you come in if you bring your ticket or Breathalyzer verification, a certified copy of your driving record from every state you have lived in, and your fee in cash or money order. We will accept checks but we can not give you a letter or recommendation until your check clears.

- If you have all the above items, we will type a letter directly to your attorney, probation officer or others while you are at the office. There is no waiting period. You will not have to come back to pick up anything.

- To complete the report to release your drivers license, you must let us know your conviction date. We have no means of knowing if or when you are convicted of your DWI charge. The State  DMV, courts never inform us of your conviction date. To get your completion form (“508 form”) to the State to release the suspension of your driver’s license, let us know as soon as you are convicted so we can immediately complete the “508 form”.  Otherwise, restoration of your driver’s license will be delayed.  It is also helpful if you let us know if your case is dismissed or reduced so we can enter it into your record.