Thoughts from Don Troutman, Founder, Clean & Sober Transitional Living
What does it take to seek out sobriety? I’ve found that the only way recovery “works” is when your back is up against the wall and you have nowhere else to go. If you can limp along at work, if you can cobble together a relationship, then you don’t really have an incentive to change. But when the wheels fall off the bus, or the bus veers off the road, or crashes and burns, then people reach out for help. That’s what we often call “our bottom.”
My personal bottom was an ultimatum from my boss: Get sober, or get fired. Well, that got my attention. My employer paid for me to go to a treatment center for a month. Over the next year, my sobriety felt at risk, sort of like an ice cube melting in the hot sun. So, I launched my first recovery home with sober roommates. Almost 30 years and more than 6500 residents later, Clean & Sober Transitional Living is still going strong.
Thoughts from Jeanie Gschweng, General Manager, Clean & Sober Transitional Living
When I think about the recovery “experience” of men versus women in our transitional living, it strikes me that so many women don’t even have a chance to get here in the first place. And the research backs me up on that: The NIAAA says in 2016, an estimated 5.4 million women over 18 could be considered as having an alcohol use disorder and needed treatment. But less than 1 in 10 (6.9%) actually got formal help.
And the bigger picture is equally bleak:
• Female alcohol use disorder in the United States increased by 83.7% between 2002 and 2013, according to a 2017 study sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA).
• High-risk drinking is on the rise among women by about 58%, according to a 2017 study comparing habits from 2001-2002 and 2012-2013. (High-risk drinking is defined as more than three drinks in a day or seven in a week for women.)
• A 2018 study found a steep rise in the rate of alcohol-related ER visits between 2006 and 2014, and increases were larger for women than men.
• Death from liver cirrhosis rose in women from 2000 to 2013.
So, what’s going on? In my 13 years at CSTL, I’ve seen that it’s a whole lot easier for men to step away from their home situation and seek treatment or sober living for an extended period of time. If they are married, their spouse can stay home and take care of the children. If they aren’t married and don’t have kids, well, you’ve just eliminated some major barriers to building a strong recovery.
Because there are role-based barriers to treatment, most of our female residents are women without children, and they are typically single. They are young women who aren’t married yet and don’t have kids. Or they are older women whose kids have left the nest. And if a female resident has a spouse but doesn’t have kids, there always seems to be a lot of pressure to hurry up and get better.
And women with small children simply can’t make it here because who would take care of the kids if Mom is away getting the help she needs?? If they do make their way here, the women with young children are trying to “do the work” of recovery as fast as they can so they can get back home. It’s so much harder for them to be engaged and focused and do the healing work when they have minor children who are tugging at their heartstrings. The deck sure seems stacked against the woman who seeks recovery but don’t get the time necessary to build that essential foundation.
These role-based dynamics apply no matter why someone seeks treatment. Alcohol, opioids, meth…they all scream out for an equal opportunity to build a strong recovery, no matter what.
Babies born with prenatal or early childhood exposure to opioids are the tiniest victims of America’s pain pill and heroin crisis. If exposed to opioids during pregnancy, infants may develop neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome. And young children are especially vulnerable to traumatic adverse childhood experiences caused by the opioid crisis or other substance use problems in the family.
These challenges prompted Ohio State University to collaborate on two online training initiatives designed to expand the trauma-informed skills of daycare providers, preschool instructors, early intervention specialists and others who work with young children directly affected by the opioid crisis.
One of the modules offers basic information about topics such as NAS or the way that adverse childhood experiences can impact children. For example, a trauma-informed approach will help providers understand that some substance-affected children may find a bright, busy, loud classroom to be overwhelming, rather than stimulating. Learn how these training initiatives will benefit professionals AND the young children they work with.
The Substance Abuse and Mental Health Service Administration (SAMHSA) includes it in their registry of evidence-based programs and practices to treat addiction and alcoholism. And a past president of the American Society of Addiction Medicine (ASAM) considers it a powerful piece of any recovery program.
Yep, we’re talking about the timeless peer-support program of AA, founded way back in 1935. Learn how 12-Step Facilitation therapy stands the test of time and remains a tried-and-true facet of robust recovery.