Courtenay Baylor

By bob k

If for no other reason, Courtenay Baylor should be of interest to modern AA members for being the first recovered alcoholic to work as a professionally paid addictions counselor. He set the precedent for the tens of thousands in the modern world who have gotten sober and then entered the field of guiding others to do the same. There are additional reasons to know about Baylor, most particularly for the secularist.

As his alcoholism progressed, Courtenay Baylor (1870-1949) found that he had become an insurance agent who spent a good deal more time drinking than discussing indemnity plans. In 1911, he came to Boston to consult with Elwood Worcester about his problematic drinking. Five years earlier, the Emmanuel Church had entered into co-operation with the local medical community in setting up a tuberculosis clinic in the building’s basement.

Among those seeking treatment for “TB,” there were many alcoholics. Others arrived displaying symptoms of a variety of nervous disorders falling under the general category of “neurasthenia,” a term popular at the time. Reverend Worcester and his associate rector, Samuel McComb had doctorates in psychology. They began helping people with their emotional disorders and assisted a number of alcoholics in achieving sobriety.

Courtenay Baylor was among those who were able to achieve sobriety. Instead of returning to what had been a successful business career overall, he felt that he had acquired a new life and a new attitude. His emotional rearrangement prompted him to take a position as a “friendly visitor” on Worcester’s staff. Elsewhere, he is described as being hired as a supervisor of the Social Services department.

Perhaps he intuited that such a path of service might insure his long-term sobriety.

Baylor stayed with Worcester out of a desire to help others as he had been helped. Worcester apparently never regretted accepting his offer. In his autobiography, he praises Baylor for “his originality, his psychological insight, and his extraordinary ingenuity as a teacher.” He adds: “His strength lies, partly, in his ability to impart his wholesome philosophy of life so unobtrusively as to arouse no opposition. In a short time, the pupils begin to announce his own principles as their own convictions.” (The Road to Fellowship, Richard Dubiel, p. 36)

Although neither a clergyman nor a medically trained professional, Baylor did bring the unique perspective of an intimate, “insider’s knowledge” of the malady. The former insurance agent stood before his “patients” as proof positive of his own solution – a living example that an alcoholic could be rehabilitated.

Re-published in 2017 – almost a hundred years later – Remaking a Man.

This was not a mere theory.

Real results were being attained, and Baylor’s developing therapeutic ideas and practices were given a broader audience with the publication, in 1919, of Remaking a Man. Physicians and some of those who had been “cured,” picked up on his techniques. Increased numbers were reached as the lay therapy movement grew. The progressive Christian ministers had incorporated religious practices like prayer along with what was more properly called “psychology.” Baylor focused on secular therapies.

His claimed “cure rate” of 65 percent gains credibility from the fact that his critics assailed not his numbers, but the possibility that the remarkable degree of his successes was due more to Baylor’s tremendous personal charisma than his methodology. However, similar numbers were achieved by his followers. One reason for the high percentages stemmed from the procedure of strictly “pre-qualifying” potential clients for motivation. Little time was wasted on the “wishy-washy.” “First and most importantly was a real desire to be cured.” (The Psychology of Alcoholism, G.B. Cutten, p. 283)

Alcoholics Anonymous in the 1930s operated much the same way.

Alcoholic Neurosis

Baylor thought that most alcoholics suffered from an alcoholic neurosis. He began with the assumption that the condition to be treated was the same whether it was the cause or the outcome of drinking.

Although a detailed analysis of Baylor’s techniques lies beyond the scope of this short essay, it’s worth taking a look at some comments from William L. White.

(Baylor) emphasized the necessity of working primarily, not upon the surface difficulty, but upon the condition behind it and upon the cause of the underlying condition… He taught techniques of relaxation that today would go by such names as thought stopping, progressive relaxation, self-hypnosis, autogenic training, and guided visualization.

Baylor’s therapeutic style involved teaching, encouragement, and a high degree of mutual self-disclosure. Because of Baylor’s emphasis on self-disclosure, his treatment contract required a mutual commitment to confidentiality. Baylor tried to cultivate in the client the development of a new focus in life. To Baylor, sobriety required a purpose, a philosophy, and a plan. He spoke not of recovery, but of ‘reconstruction’.

Slaying the Dragon, First Edition, William L. White, p. 101

Famous Clients

Courtenay Baylor had two clients who were notable from the perspective of Alcoholics Anonymous. In 1922 he treated Richard Peabody (1892-1936), who went on to become the most famous of the lay therapists. The one-time American aristocrat had suffered depression, institutionalization, divorce, and disinheritance – all by the age of 30. In 1931 (sometimes reported as 1930), following several years of private practice, Peabody published The Common Sense of Drinking, a book that influenced Bill Wilson as he wrote AA’s Bigga Booka later in the decade. Phrases from Peabody’s book appear in Alcoholics Anonymous almost word-for-word. “Halfway measures are of no avail,” and “Once a drunkard, always a drunkard” come to mind but there are many others.

Baylor’s other interesting client is described on page 26 of AA’s book as a “certain American businessman.” Rowland Hazard (1881-1945) was another black sheep from a wealthy and prominent family. His Rhode Island ancestors date back to the early colonization of America.

Hazard’s story, as crafted by Bill Wilson, is used to demonstrate that the money-is-no-object quest for sobriety proved useless. We are told in conference-approved literature that Hazard went to Switzerland to be treated by the great psychoanalyst, Carl Jung. We are informed that the therapy was of a year’s duration and that it took place in 1931. Relatively recent research by the Rhode Island Historical Society demonstrates conclusively that both claims are false. The treatment period was no more than eight or nine weeks, and most likely occurred in 1926.

This seems to be a classic example of Bill Wilson’s predilection for myth-making – a full year of expensive, expert human power treatment and no result. The official AA version of the tale has Jung advising Rowland to seek a spiritual experience, and Rowland finding that solution with the Oxford Group. The truth compounds a simple tale.

What happened during the seven intervening years from 1927 to 1934?

For one thing, there was a lot of drinking interspersed with institutionalization and periods of sobriety of varying lengths. Despite having no particular objection to a religious solution, Hazard did not pursue that option with “the desperation of drowning men.” Perhaps Jung’s recommendation never happened. In any case, the Rhode Islander didn’t connect with Buchman’s group until 1933.

Did the religionists save Rowland Hazard? Perhaps, but he was being treated by Courtenay Baylor at the same time.

IF Hazard told Bill Wilson in some detail about Jung’s alleged recommendation that he seek a spiritual experience, it seems unlikely that he would misreport the timing by five years. Did Rowland fail to inform Bill that he continued to seek other therapeutic solutions? Did he forget to mention that he was being treated by Baylor at the time he got sober?

Of course, we must remember Bill Wilson’s mission. When pitching the inefficacy of non-mystical approaches, it’s probably unwise to cite examples of recovery through human power means.

Courtenay Baylor helped many drunks to reconstruct themselves. He seems to have helped AA’s famous “American businessman.” He helped the atheist, Richard Peabody, with methods that required no kneeling. The lay therapy movement had a nice run, well into the 1950s.

The pitch of the AA fundamentalist that “probably no human power could have relieved our alcoholism” is contradicted at many junctures.

Alcoholics Anonymous was not the only therapy for alcoholism that flourished in its time. Other approaches to treating alcoholism, although they derived from sources very different from the influences that impinged upon AA, used similar methods and even incorporated some of the same ideas that a forgetfulness of history leads later thinkers to associate with Alcoholics Anonymous. In particular, the approach of Richard R. Peabody…not only preceded in time Wilson’s own sobriety but was well into the fifties accepted and endorsed by many doctors and clergy much more enthusiastically than was Alcoholics Anonymous.

Not-God: A History of Alcoholics Anonymous, Ernest Kurtz, p. 158

AA member and sobriety activist Marty Mann also described the lay therapy movement as having “considerable success.”

AA history and pre-AA history frequently contradict the pronouncements of AA fundamentalists, and that’s good fun for secularists.


Key Players in AA HistoryIn Key Players in AA History (2015), bob k covered the lay therapy movement in a single chapter. It deserves much more.

In the upcoming The Road To AA: Pilgrims To Prohibition, six chapters are devoted to this interesting AA predecessor. Also in the offing is a work of biographical fiction The Secret Diaries of Bill W.


 

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Lindsey’s father, Michael ‘the Body Broker Lohan’ arrested

Addiction Recovery Bulletin

FLORIDA RETIREMENT COMES EARLY – 

April 23, 2021 – Said Aronberg, “Mr. Lohan was investigated by our Sober Homes Task Force and he’s being charged with receiving kickbacks for referring patients to drug treatment. Patient brokering corrupts our health care system because decisions are motivated by greed instead of a patient’s needs. This is our Task Force’s 117th arrest and will not be our last.”

Heidi Perlet, Lohan’s attorney, did not immediately respond to a request for comment.

According to the charging documents, an investigator spoke to Lohan on April 8, 2021, when he denied being involved in patient brokering.

South Florida is sometimes known as the “recovery capital of the world.” Thousands of addicts arrive here each year from all over the U.S., hoping that at one of South Florida’s many drug treatment centers, they’ll find recovery. And some do.

But an investigation by NBC News in 2017 found that many of these vulnerable addicts had been treated more as profit centers than patients. Some treatment centers partner with “body brokers” and operators of so-called “sober homes” to find patients with good health insurance. Brokers and sober home owners offer those trying to get clean free rent and grocery store gift cards, cigarettes and manicures in exchange for going to a specific treatment center, which pays kickbacks for every client.

more@YahooNews

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OxyContin Owners Only Worth $11 Billion

Addiction Recovery Bulletin

LIVING BODY SNATCHERS – 

April 20, 2021 – Members of the Sackler family who own bankrupt OxyContin-maker Purdue Pharma LP are worth approximately $11 billion, documents released Tuesday by a congressional committee show.

Members of the Sackler family have agreed to pay $4.28 billion over the next decade as part of a proposal for Purdue to exit bankruptcy and settle thousands of lawsuits filed by states, local governments and individuals blaming the company and its owners for helping fuel the nation’s opioid crisis.

Summaries of the family wealth, turned over to Rep. Carolyn Maloney (D., N.Y.), also were seen by Purdue’s creditors during settlement talks, according to representatives for the two branches of the company’s family owners.

A third branch of the family is no longer involved in Purdue Pharma and wasn’t included in Tuesday’s release by Rep. Maloney, who chairs the House Committee on Oversight and reform. 

The documents show the Sacklers’ wealth includes more than $950 million in cash, more than $1 billion in real estate, another $1 billion in private-equity investments and $250 million in art, jewelry and other collectibles.

The family owns stakes worth more than $1 billion in international drug companies, which are expected to be sold to help pay back creditors. The documents show much of the family’s wealth is held in dozens of trusts.

A spokesman for the descendants of the late Mortimer Sackler said no party in the bankruptcy has challenged the accuracy or completeness of the wealth disclosure and that “we hope the focus will now be on concluding a resolution that will deliver timely resources to individuals, families and communities in need.”

A lawyer for the late Raymond Sackler side of the family said the amount of the family’s settlement offer exceeds the profits they retained from OxyContin sales. He added that the family supports the release of company documents that demonstrate Sackler family members behaved ethically and legally.

The summaries from the Mortimer and Raymond Sackler branches detail their finances as of January 2020 and last month, respectively.

more@WallStreetJournal

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Triumph of Principles: The Story of American Spirituality in Twelve Steps

A review by John B.

This book is a mixture of psychology, philosophy, U.S. History, and the history of AA. Even though the Twelve Steps are the primary focus of the book, the book is not primarily about AA. But, this is not a bait and switch, the author is explicit, his goal is to analyze the Twelve Steps as a, “complete system of spiritual practice,” useful to anyone who seeks spiritual growth. And he means anyone: atheist, agnostic, evangelical fundamentalist, Buddhist, literally anyone, the words of Bill Wilson can be used to build a solid spiritual foundation. The book can be described as a catalogue of personal interpretations of each of the steps with suggestions as to how the step can contribute to spiritual growth.

The book is a heavy duty read (397 pages), but don’t let that be a deal breaker. Each of the chapters can be read as a stand alone unit. Chapter titles like, “The Doctor’s Opinion”, “We Agnostics 2.0”, “The Oxford Group”, “Making Amends” and “Spiritual Maintenance”, might pique your interest.

As the title of the book implies, the author views the principles underlying the Twelve Steps as a distinctly American form of spirituality and he magnifies that thought by asserting that the Steps are America’s most significant contribution to the world of spirituality. He sees the Steps as a spiritual system useful to alcoholics and non-alcoholics and states without equivocation, “This book is intended for all spiritual seekers, not just those in recovery.” (p. 14)

Throughout the book the author attaches some interesting personal interpretations to the steps. Here’s one that caught my attention early in the book. “Contrary to popular belief, sobriety is not the primary objective of the Twelve Steps. The Steps aim to affect a spiritual awakening.” (p. 14) It’s hard to argue with that statement because Step 12 begins with, “Having had a spiritual awakening”. So yes, spiritual growth was a key part of Bill Wilson’s thinking. But I seriously doubt that without the benefit of an alcohol free nervous system any new recruit to 12 step recovery will achieve much spiritual growth.

To see the book on Amazon, click on the image.

Riggs is a serious thinker and his work provided me with a lot of food for thought. In his own unique way, the author presents the Steps as a significant chapter in U.S. History. He promises a “deep dive” into the Steps underlying principles and practices and points to our nation’s pluralism, religious liberty, and pragmatism as key variables. He sees the Steps as developing along two lines, religion and temperance. Those of you who have read the book, Not God by Ernest Kurtz might notice some similarities between Riggs’ writings and Kurtz’s references to Evangelical Pietism.

In the chapter “Religion and Temperance” Riggs sketches out a history of opposition to alcohol from colonial days all the way up to prohibition. He refers to a “second great awakening” which began at the end of the 1700’s and lasted up to the Civil War. This ending of the Age of Reason led to an explosion of religious intensity in the U.S. that focused on two sins, slavery and drunkenness. The War ended slavery; it didn’t end the thirst for booze. There was a frenzied opposition to the consumption of alcohol both socially and politically that coalesced to bring about the prohibition era from 1919 to 1933. According to Riggs, the main cause for this movement to lose its momentum was its view that drunkenness was a moral weakness.

AA offered an alternative to this line of thinking which brings us to Dr. William Silkworth who had a more appealing idea to present to the alcoholic and as it turned out to the general public. The author devotes 32 pages to “The Doctor’s Opinion” and how its underlying logic, its pragmatic foundation, made it an effective tool for combatting the feeling of powerlessness that afflicts every alcoholic. In the July, 1953, Grapevine, Bill Wilson wrote that Dr. Silkworth contributed “a very great idea without which AA could never have succeeded. (p. 39) Actually Wm. Silkworth wasn’t voicing anything new. The idea that alcoholism might be a sickness dates back to Dr. Benjamin Rush who wrote in 1784 that the effects of spirits could possibly be a problem of the mind and body. Rush was saying drunkenness was a sickness, a medical problem, not a moral problem. What Silkworth had to help promote that idea that Rush did not have back in 1784 was Jack Anderson and The Saturday Evening Post magazine. Anderson’s 1941 article gave AA a huge nationwide boost and Silkworth’s idea about alcohol as an allergy hitched a ride.

Riggs makes the point that the disease concept is useful even if the allergy claim doesn’t stand up to scientific scrutiny. It provided an easy-to-understand diagnosis that resonated with alcoholics and as an added bonus erased the stigmas of being weak willed and moral depraved. Interestingly, in a speech to the Springfield (Illinois) Temperance Society in 1842, Abraham Lincoln agreed with Dr.  Rush: “In my judgement such of us as have never fallen victims [to alcohol], have been spared more from the absence of appetite, than from any mental or moral superiority over those who have.” – A purely intuitive reference to genetic predisposition that indicated empathy and foresight.

The author goes to great lengths (26 pages) to explain the importance of powerlessness in a person’s quest for spiritual growth. In this discussion he clearly separates himself from all the Big Book fundamentalists who worship “singleness of purpose” by stating “The Twelve Steps work for almost everyone because they are designed to remedy powerlessness, not alcoholism or drug addiction.” (p. 72) He gives a lengthy and somewhat sophisticated explanation of how the admission of powerlessness in Step 1 opens the door to a plan of action leading to spiritual improvement. I seriously doubt if Mr. Riggs would find much support for this view in traditional AA meetings. Personally, I doubt that many newcomers to AA show up at their first meeting seeking to enlarge their spiritual understanding.

Riggs makes the claim that AA, and consequently the Twelve Steps, never would have gained traction if not for the intense political fight over freedom of religion led by the likes of Thomas Jefferson and Benjamin Franklin. As he sees it this ongoing conflict created a diverse and pragmatic attitude towards religion where individual conscience prevailed over religious orthodoxy. This prevailing attitude created a climate where the AA compromise “as we understood Him” was generally acceptable.

Riggs, like many others, cites William James’ Varieties of Religious Experiences, as the source of much of Wilson’s thinking. He claims, “no one outside Wilson’s personal orbit contributed more to the development of the Twelve Steps than did James” (p. 112) Some might argue that the Oxford Group deserves serious consideration here. At any rate, the author contends that in 1938-39 our nation possessed a functional, pragmatic approach to religion, and he sees the Twelve Steps as a mirror image of that reality. No one size fits all, no theology, no dogma, in the steps gives us “a spiritual marketplace that emphasizes action, direct experience, and results over orthodoxy. From a purely historical perspective Riggs may be correct, but Jefferson, Franklin, James, and Wilson are no longer with us. Their words are on the pages, but my experience indicates that a Christian God dominates far too much of the AA “marketplace.”

Riggs combines pragmatism and open-mindedness to give every individual the latitude to view each step through the lease of their own conscience. He even builds a pragmatic view that the God of the Twelve Steps  can be interpreted in such a way as to be useful to avowed atheists – if they are in pursuit of spiritual growth. He begins by offering a description of God from the famous mythologist Joseph Campbell: “God is a metaphor for all that transcends intellectual thought.” (p. 152) God can be seen as a kind of symbol and as Riggs sees it, “There is nothing in the Twelve Steps that says “God” is an obligatory symbol. Replacing it with Higher Power” or any other workable notion is certainly permissible” (p. 154) Basically, every individual is free to define God devoid of any metaphysics; God does not have to signify the existence of a supreme being. I admire the intellectual level of Riggs’ work on this topic, but many of us non-believers found a much simpler route to build a personal sense of spirituality. In my case, “as we understood Him” became “as I understand it”. From there I took off on a humanistic oriented path that led to spiritual growth based on quality personal relationships. The give and get of those relationships created a steady flow of spiritual growth.

Riggs’ breakdown of the Steps and his assessment of their spiritual value is far more complex than what is found in the Big Book. His analysis of Step 4 provides us with a good example of how he lays out his more expansive view. He stays close to Bill Wilson by suggesting the need to inventory three things – resentment, fear and sex – and then states that he “will utilize the format found in Alcoholics Anonymous”.  I don’t know what definition of format Riggs relied on but the chapter “How It Works” in the Big Book goes from p. 58 to p.71; the analysis of Step 4 in his book goes from p. 212 to p. 259.

At the outset I stated that Mr. Riggs’ book is a mixture of psychology, philosophy, U.S. history, and the history of AA. It doesn’t get boring, bits and pieces pop up regularly. Just in the Step 4 analysis there are references to the Dalai Lama, Marcus Aurelius (stoicism), Emmet Fox (The Sermon on the Mount), Joseph Campbell (mythologist), Ralph Waldo Emerson (self-reliance & transcendentalism), and many, many times Bill Wilson. I don’t know where anyone could find a more detailed version of AA’s Twelve Steps.

Finally, I would put it this way: AA calls itself a design for living and Ben Riggs lays out a very intricate design. In his discussion of God and a Higher Power he makes a strong case for the agnostic position. Indeed, anyone struggling with how to fit into AA in spite of the God emphasis would get some sense of direction from The Triumph of Principles. I enjoyed the book.


The author of the review, John B, is an eighty-four year old sober alcoholic with 36 years of continuous sobriety. His alcoholism ultimately led to treatment, and eventually led to a career as an addiction counselor. John provided individual and group counseling to vets at the Marion, Indiana, V.A. hospital. He retired from the V.A. in 2001 and fondly describes it as the most challenging and satisfying job he ever had. John has also served as office manager for a major AA intergroup office in Ft. Wayne, Indiana for six and a half years. John reads 20 to 25 books a year, and three or four quality periodicals on a regular basis; mostly about politics, economics, science, history: about anything going on in the world that strikes his curiosity.


 

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Drug companies to finally face first opioid trial

Addiction Recovery Bulletin

MAKING MONEY BURYING OUR CHILDREN – 

April 16, 2021 – J&J in a statement called its marketing of the drugs “appropriate and responsible,” Israel-based Teva said it will defend itself against these “unproven allegations.” Endo and Allergan declined to comment.

More than 3,400 lawsuits brought largely by states and local governments are pending against companies accused of fueling the opioid epidemic.

The state of Oklahoma in 2019 won a $465 million judgment against J&J in only such trial so far. Opioid cases that were set to go to trial in 2020 were put off as a massive new public health crisis made gathering jurors and lawyers in the same room untenable. Some plaintiffs’ lawyers said the delays benefited the companies at the cost of states, counties and municipalities who say they need settlements to help pay for the costs of addressing a painkiller addiction epidemic that only grew worse during the coronavirus pandemic.

The nation’s three largest drug distributors – McKesson Corp (MCK.N), AmerisourceBergen Corp (ABC.N) and Cardinal Health Inc (CAH.N) – and J&J have proposed paying a combined $26 billion to resolve the cases against them.

The proposal, a version of which was first put forward in 2019, has yet to be finalized, and some plaintiffs lawyers say that only with trials will they and other companies come to the table to finalize payouts.

“They keep putting off the day of judgment,” Elizabeth Chamblee Burch…

more@Reuters

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From Yale to Wall Street to homelessness.

Addiction Recovery Bulletin

NOW HE’S RISING UP – 

April 17, 2021 – Lost his business, his home, the car he was living in, and landed on the streets of Los Angeles.  For about six years, home for him and his common-law husband was a lean-to near 7th and Hobart in Koreatown. And like a lot of L.A.’s sizable homeless population, Pleasants was addicted to methamphetamine, a cheap and abundantly available drug.  “It always felt to me like I’d fallen off a fire escape, and once you get on the ground, the ladder is 12 feet up in the air,” Pleasants told me. “I always thought, ‘If I could just get to that first step.’ But the first step is so far away.”  Not anymore.  Pleasants found the bottom rung of that ladder in November of 2019, when he went into a residential rehab program. He now lives in an apartment with his husband and has been drug-free for more than 500 days.  people on the streets — many of whom also struggle with mental illness — from the grips of drugs and alcohol.  We’ve heard endless policy discussions about shortages of housing and mental health services, but not nearly as much about the addiction epidemic. I don’t see how we’ll ever make a serious dent in the growing homeless population without a better way of freeing people on the streets — many of whom also struggle with mental illness — from the grips of drugs and alcohol.

What are we doing right, what are we doing wrong, and what should we do differently? These are the questions I asked Pleasants and others.  “We haven’t treated substance abuse and access to mental health care the same way we would cardiac arrest,” said Sarah Dusseault, a board member with the Los Angeles Homeless Services Agency.  “If you scrape your knee,” Dusseault said, you’ve got your choice of multiple conveniently located urgent care centers, among other options. 

But addiction treatment is harder to come by — and difficult to access and pay for. Dusseault said that when someone finally tells an outreach worker he or she is ready for rehab, the chance is often lost because there is no bed available at that moment.

more@LATimes

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I’m Bipolar. Is Romance Off-Limits For me?

Addiction Recovery Bulletin

I LOVE YOU LIKE CRAZY

April 15, 2021 – I remember receiving my diagnosis clearly; it was May 2014. I was 33 years old. I was seated across from a man I’d never met before, after being involuntarily hospitalized. One way to get involuntarily hospitalized, I discovered, is by attempting to flee the ER, wearing only a hospital gown and men’s tube socks, possessing the sudden belief that humans can fly. My sister took me to the ER after I announced on Facebook that I had a very important meeting with then-President Barack Obama; we were going to discuss health care. I was uniquely qualified to talk about health care because, I was, hello, mentally ill. Who better to chat with him about the gaps in coverage? The man, my doctor, tried to explain that Obama wasn’t coming. “You have bipolar 1,” he said flatly. Instantly offended, I told him I was certainly not bipolar; my life just sucked. While hospitalized, I’d lost my job and internship, and I would soon be homeless. My previous diagnosis had been clinical depression and I didn’t want to accept something more severe. He brought up that I had taken off all my clothes the night before in the hospital’s common room. 

“Performance art,” I shrugged. What I didn’t explain was that I believed, in that moment, that I had to be in my birthday suit in order to be reborn the female Jesus Christ.

Artwork by Issa Ibrahim https://www.etsy.com/shop/IssuesGallery

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Peer Workers, Better Outcomes

Addiction Recovery Bulletin

ONE ON ONE – 

April 3, 2021 – Peers are a growing workforce in behavioral health, with an estimated 30,000 or so workers employed nationwide. Additionally, over three-quarters of states reimburse peer services through Medicaid, but not all payers are as progressive. 

Still, she stressed their importance to providers in the space. 

“These are people with lived experience [dealing] with substance use and mental health,” Knutson said. “Bring in peers to help align with people [and meet] them in the community. These are … things that we can do to help improve the access and … the quality of care ultimately leading to better health outcomes and costs.”

Various published studies have made the case for the use of peers in behavioral health care, and Knutson noted that peer workers could be a novel way to assist health care systems burdened by limited resources. One reason for the lack of resources and personnel in behavioral health is the low reimbursement rates providers typically are paid on a fee-for-services basis. 

“I would rather go to… a global payment model where we say, ‘This is the amount of money [providers] have … to deliver all the care that’s needed,’” Knutson said. “How can a provider deliver these services in a way to where they’re maximizing the resources and maximizing those health outcomes? That’s when you see those investments in peer support.”

Knutson also noted that the behavioral health care industry, in its move toward value-based care, needs to develop better measurement tools for patient outcomes.

“Right now, the true health outcome measures in behavioral health are the person-reported health outcomes [and] the symptom rating scales — so like the PHQ-9 for depression, for example — but that’s really limited,” she said. “You’re asking somebody to think back over the last two to four weeks and … measure their symptoms. If we had ways to measure outcomes in real time and symptoms in real time — even through passive devices — it would be a true game changer.”

more@BHBusiness

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“Without sobriety, this album or this band wouldn’t exist.”

Addiction Recovery Bulletin

ROYAL BLOOD – 

April 16, 2021 – “There are people in my life now who have got sober, and now helping fucking crack addicts,” says Kerr. “It’s amazing. Someone reached out to me that way. I feel like I have a responsibility to myself through lyric-writing. It was important for me to be open about it, because I know I’m not alone in these experiences. I had the confidence to do that because I was clean and sober. I didn’t need to hide behind anything any more. When the album comes out I’ll probably feel like, ‘Oh my goodness! Here’s my diary!’ But I like to think it’s poetic enough to not be crass.” As so many touring musicians or just anyone who’s struggled with lockdown may have learned, the idea of sobriety can seem totally unfathomable, but now Kerr wants to normalise the conversation. “It can be a very lonely experience because you can be the only one doing it, especially in our country where drinking is a part of our culture. It’s so engrained, especially with guys; there’s a macho thing to it. There could be more voices, because I know there are a lot of sober people in the music industry.”

more@NME

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