Podcasts about alcoholism niaaa

Episode 175: Alcohol Use Disorder Basics   Future Dr. Sangha explains the clinical presentation, diagnosis, and fundamentals of the treatment of alcohol use disorder (AUD). Dr. Arreaza offers insights about the human aspect of the treatment of AUD.    Written by Darshpreet Sangha, MS4, Ross University School of Medicine. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is Alcohol Use Disorder?AUD is characterized as the inability to stop or control alcohol use despite adverse physical, social and occupational consequences. According to DSM-5, it is a pattern of alcohol use that, over 12 months, results in at least two of the following symptoms, indicating clinically substantial impairment or distress: Alcohol is frequently used in higher quantities or for longer periods than planned.There is a persistent desire or unsuccessful attempt to reduce or manage alcohol use.Activities that are required to get alcohol, consume alcohol, or recuperate from its effects take up a lot of time.A strong need or desire to consume alcohol—a craving.A pattern of drinking alcohol that prevents one from carrying out important responsibilities at work, school, or home.Sustained alcohol consumption despite ongoing or recurring interpersonal or social issues brought on by or made worse by alcohol's effects.Alcohol usage results in the reduction or cessation of important social, professional, or leisure activities.Frequent consumption of alcohol under risky physical circumstances.Continuing to drink even when one is aware of a chronic or recurrent health or psychological issue that may have been brought on by or made worse by alcoholTolerance: requiring significantly higher alcohol intake to produce the same intended effect. Withdrawal: Characterized by the typical withdrawal symptoms or a noticing relief after taking alcohol or a closely related substance, such as benzodiazepine.How can we determine the severity of AUD? Mild: 2–3 symptomsModerate: 4–5 symptomsSevere: >/= 6 symptomsWho is at risk for AUD?Note: Ancestry offers a DNA analysis to find out about your heritage. You can also send that DNA to a third party to learn about your risks for diseases and conditions (for example, Prometheus.) Anyone can find out about their risk for alcoholism by doing a DNA test. The risk factors for AUD are: Male genderAges 18-29Native American and White ethnicitiesHaving Significant disabilityHaving other substance use disorderMood disorder (MDD, Bipolar)Personality disorder (borderline, antisocial personality)What is heavy drinking?According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA), heavy alcohol use is characterized as: Males who drink > 4 drinks daily or > 14 drinks per week Females who drink > 3 drinks on any given day or > 7 drinks per weekPathophysiology of AUD.The pathogenesis of AUD is not well understood, but factors that may play a role are genetics, environmental influences, personality traits, and cognitive functioning. Also, genetic factors may decrease the risk of AUD, i.e., the flushing reaction, seen in individuals who are homozygous for the gene that encodes for aldehyde dehydrogenase, which breaks down acetaldehyde. Who should be screened?A person with AUD may not be easy to diagnose in a simple office visit, but some clues may point you in that direction. First of all, patients with AUD may present to you during their sober state, that´s why ALL adults (including pregnant patients) must be screened for AUD in primary care )Grade B recommendation). The frequency has not been determined but as a general rule, at least in Clinica Sierra Vista, we screen once a year. The USPSTF has concluded that there is insufficient evidence to recommend screening adolescents between 12-17 years old. What are the clinical manifestations of AUD?Some symptoms may be subtle, including sleep disturbance, GERD, HTN, but some may be obvious, such as signs of advanced liver disease (ascites, jaundice, bleeding disorders, etc.)If you draw routine labs, you may find abnormal LFTs (AST:ALT ratio >2:1), macrocytic anemia (MCV >100 fL), and elevated Gamma-glutamyl transferase (GGT). All these findings are highly suggestive of AUD. Patients with AUD may present in either an intoxication or withdrawal state. Signs and symptoms of acute intoxication may include “slurred speech, nystagmus, disinhibited behavior, incoordination, unsteady gait, hypotension, tachycardia, memory impairment, stupor, or coma.” Signs and symptoms of withdrawal range from tremulousness to hallucinations, seizures, and death. They are seen between 4 and 72 hours after the last drink, peaking at 48 hours, and can last up to 5 days. Alcohol withdrawal is one of the few fatal withdrawal syndromes that we know in medicine, and the symptoms can be assessed using a CIWA assessment. Treatment of AUD.There are factors to consider before starting treatment: Evaluating the severity of AUD Establishing clear treatment goals is associated with better treatment outcomesAssessing readiness to change: It can be done by motivational interviewing and using the stages of change model, which are, Pre-contemplation, contemplation, preparation, action, maintenance, and relapse.Discussing treatment of withdrawal.Treatment may be done as outpatient or it may require hospitalization. Dr. Beare sent an email with this information: “The approach to treating patients with AUD can be broken into two parts - the first is withdrawal management and the second is the long-term maintenance part. You MUST have a good plan for withdrawal treatment as it can be fatal if it's not addressed properly.” “Patients with any history of seizures due to withdrawal or a history of delirium tremens need inpatient management. If their withdrawal symptoms are typically mild (agitation, tremors, sleeplessness, anxiety) then outpatient management may be appropriate, typically with a long-acting benzodiazepine such as Librium or Ativan.”According to Dr. Beare, “the human aspect isa key element in treating alcohol use disorder. These patients arrive with tremendous amounts of suffering, shame, guilt, and fear. The relationship between the patient and provider needs to be built with compassion and understanding that this disease is horrible from the patient's perspective and using an algorithmic and calculated approach can cause significant harm to the rapport-building process, leading to lower success rates.”Treatment requires a lot of motivation and willpower. Hopefully, we can use some tools to assist our patients to be successful.-For mild disorder, Psychosocial interventions like motivational interviewing and mutual help groups like AA meetings may be enough to help our patient quit drinking.-For moderate or severe disorder: 1st line treatment is Meditation and structured, evidence-based psychosocial interventions (CBT, 12-step facilitation); which leads to better outcomesFor patients who lack motivation, motivational interviewing can be a useful initial interventionFor motivated patients: medical management, combined behavioral intervention, or a combination of both can be utilizedFor patients with limited cognitive abilities, 12-step facilitation, or contingency management can be helpful For patients who have an involved partner: Behavioral couples therapy can be utilizedMedications for AUD.The first-line pharmacological treatment is Naltrexone. It is given as a daily single dose and can be started while the patient is still actively drinking. There is a monthly dose of long-acting injectable naltrexone as well. Naltrexone is contraindicated in individuals taking opioids, and patients with acute hepatitis or hepatic failure. Alternative 1st line treatment is Acamprosate which can be used in people with contraindications to Naltrexone.AUD is a chronic problem and requires a close follow-up to evaluate response to treatment and complications. Medications need to be used along with psychotherapy and support, and medications may need to be changed or adjusted depending on the patient. It is an individualized therapy that requires full engagement of the doctor, the patient, and their families or social support. In conclusion, I would just like to add that, be compassionate because AUD is not a choice. AUD is a chronic problem like diabetes and HTN and may require a long road to recovery. Treatment includes psychotherapy, medications, and regular follow-up.Thank you for listening!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Risky drinking and alcohol use disorder: Epidemiology, clinical features, adverse consequences, screening, and assessment, https://www.uptodate.com/contents/risky-drinking-and-alcohol-use-disorder-epidemiology-clinical-features-adverse-consequences-screening-and-assessment, accessed on August 18, 2024.Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry, Accessed on August 18, 2024.Alcohol use disorder: Treatment overview, https://www.uptodate.com/contents/alcohol-use-disorder-treatment-overview, assessed on August 18, 2024. Royalty-free music used for this episode, Grande Hip-Hop by Gushito, downloaded on Nov 06, 2023, from https://www.videvo.net

The Wednesday Wrap August 21, 2024 • Rancho Palos Verdes is sliding into the Ocean. Elon to the rescue? • Ozempic, Wegovy, and other GLP-1 agonists show promising healthcare signs outside of weight loss. Link to episode on YouTube: https://youtube.com/live/WDUw6DJqhdI Check out Collier Landry's links below! ➡️ Wanna say thanks for a great episode? https://www.buymeacoffee.com/collierlandry ➡️ Patreon: https://www.patreon.com/collierlandry ➡️ Check out my Merch Store: https://www.collierlandry.com/store ➡️ Amazon Affiliate Link: https://www.amazon.com/shop/collierlandry Additional Episode notes: Intramural scientists at the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National Institute on Drug Abuse (NIDA), and collaborators from The Scripps Research Institute, found that semaglutide reduces alcohol consumption and binge-like drinking in a rodent model of alcohol misuse. Published in the June 2023 issue of the journal JCI Insight, the study adds to growing preclinical evidence that the glucagon-like peptide-1 (GLP-1) system plays a role in alcohol and other substance use disorders and that GLP-1 receptor agonists show potential for treating people with alcohol use disorder (AUD). GLP-1 is a gut hormone that stimulates insulin secretion after eating. This promotes a feeling of fullness, helps regulate blood sugar, and reduces hunger cravings. Semaglutide and other GLP-1 agonists—medications that bind to GLP-1 receptors and mimic their effects—are currently used as treatments for diabetes and obesity. “Parts of the brain that drive eating behaviors overlap extensively with the drive to use alcohol or other substances,” explained Lorenzo Leggio, M.D., Ph.D., and Leandro Vendruscolo, Pharm.D., Ph.D., two of the study's senior authors. They added that there is also an overlap between the brain mechanisms that regulate overeating and those that contribute to the development and maintenance of substance use disorders, including AUD. Rancho Palos Verdes is a coastal city in south Los Angeles County, California. It sits atop the bluffs of the Palos Verdes Peninsula, neighboring three other cities in the Palos Verdes Hills: Palos Verdes Estates, Rolling Hills, and Rolling Hills Estates. Rancho Palos Verdes is known for its extensive nature preserves, hiking trails, school district, and high property values. • Sources used in this video may include public news sites, interviews, court documents, dedicated Facebook groups, and news channel segments. When quoting others, their statements are considered alleged until confirmed. It's important to note that my videos reflect my independent opinion, and I encourage you to do your own research. • Disclaimer: All defendants are presumed innocent until proven guilty in a court of law. The views expressed in this video are personal and may not represent the official position of any agency, organization, employer, or company. The assumptions made are solely the creator's own. These views are subject to change and should not be considered permanent. I do not guarantee the accuracy, completeness, suitability, or validity of the information in this video, and I am not liable for any errors, omissions, or damages resulting from its use. All information is provided as-is. It is your responsibility to verify the facts Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Kylee and Zoë explore the complicated history that humans have with alcohol and athletics. We dive into the deep past (shoutout to our simian ancestors!) and see why scientists think humans developed a taste for something that seems counterproductive to passing on our genes (looking at you, Smirnoff blue raspberry). We try to parse out why alcohol is so closely tied to endurance sports and take a deep dive into what the research says about this substance (spoiler alert: three shots of whiskey do NOT make you better at running on a treadmill.) References: Slingerland, E. (2022). Drunk: How we sipped, danced, and stumbled our way to civilization. Little, Brown Spark. Popovic, Dejana; Damjanovic, Svetozar S.; Plecas-Solarovic, Bosiljka; Pešić, Vesna; Stojiljkovic, Stanimir; Banovic, Marko; Ristic, Arsen; Mantegazza, Valentina; Agostoni, Piergiuseppe. Exercise capacity is not impaired after acute alcohol ingestion: a pilot study. Journal of Cardiovascular Medicine 17(12):p 896-901, December 2016. | DOI: 10.2459/JCM.0000000000000151  The prohibited list. World Anti Doping Agency. (2024, January 1). https://www.wada-ama.org/en/prohibited-list  The scientific history of why Humans love drinking booze. (n.d.-a). https://www.esquire.com/entertainment/books/a47449/alcohol-science-history-vice-evans/  U.S. Department of Health and Human Services. (n.d.). Major depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression   Prentice, C., Stannard, S. R., & Barnes, M. J. (2015). Effects of heavy episodic drinking on physical performance in club level rugby union players. Journal of science and medicine in sport, 18(3), 268–271. https://doi.org/10.1016/j.jsams.2014.04.009  Castaldo L, Narváez A, Izzo L, Graziani G, Gaspari A, Minno GD, Ritieni A. Red Wine Consumption and Cardiovascular Health. Molecules. 2019 Oct 8;24(19):3626. doi: 10.3390/molecules24193626. PMID: 31597344; PMCID: PMC6804046. Ragland G. (1990). Electrolyte abnormalities in the alcoholic patient. Emergency medicine clinics of North America, 8(4), 761–773.  https://pubs.niaaa.nih.gov/publications/arh25-2/101-109.htm  Nam, Y. S., Lee, G., Yun, J. M., & Cho, B. (2018). Testosterone Replacement, Muscle Strength, and Physical Function. The world journal of men's health, 36(2), 110–122. https://doi.org/10.5534/wjmh.182001 Judelson, D. A., Maresh, C. M., Anderson, J. M., Armstrong, L. E., Casa, D. J., Kraemer, W. J., & Volek, J. S. (2007). Hydration and muscular performance: does fluid balance affect strength, power and high-intensity endurance?. Sports medicine (Auckland, N.Z.), 37(10), 907–921. https://doi.org/10.2165/00007256-200737100-00006  Sullivan, E. V., Harris, R. A., & Pfefferbaum, A. (2010). Alcohol's effects on brain and behavior. Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism, 33(1-2), 127–143.  National Institute on Alcohol Abuse and Alcoholism. (2022). Alcohol and the Brain: an Overview | National Institute on Alcohol Abuse and Alcoholism (NIAAA). Www.niaaa.nih.gov. https://www.niaaa.nih.gov/publications/alcohol-and-brain-overview  Stein, M. D., & Friedmann, P. D. (2005). Disturbed sleep and its relationship to alcohol use. Substance abuse, 26(1), 1–13. https://doi.org/10.1300/j465v26n01_01 Shirreffs, S. M., & Maughan, R. J. (2006). The effect of alcohol on athletic performance. Current sports medicine reports, 5(4), 192–196. https://doi.org/10.1097/01.csmr.0000306506.55858.e5 Onate J. (2019). Depression in Ultra-endurance Athletes, A Review and Recommendations. Sports medicine and arthroscopy review, 27(1), 31–34. https://doi.org/10.1097/JSA.0000000000000233

This week on Dr. Greg Davis on Medicine we talk to a researcher who tirelessly works to understand the human sleep cycle. Lauren Whitehurst, Ph.D., assistant professor in the Department of Psychology in the UK College of Arts and Sciences and assistant director of the UNITE Research Priority Area, studies how sleep is affected by our genetics and living environments. Whitehurst's current research is looking at precipitating factors that could be creating a sleep disparity in Black Americans. She is also the principal investigator on a five-year $2.4 million grant from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) exploring how sex and sex hormones influence the effects of alcohol on sleep quality.

My guest this week was Dr Edie Sullivan, Professor of Psychiatry and Behavioral Sciences at Stanford University    In this episode:- Neuropsychologist Dr Edie chronicles her journey from studying memory at MIT and working on notable cases like patient H.M., to her research on the devastating impacts of alcohol use disorder and Alzheimer's disease. She discusses her experiences with memory research, neuroimaging, and the significant relationship between alcohol use and memory impairment, including conditions like Korsakoff syndrome. The conversation also delves into the dangers of alcohol blackouts, the evolving understanding of alcohol use disorder as classified by the DSM, and the correlation with HIV risks. Dr Edie also offers insights on the impact of alcohol on adolescent brain development, strategies for recovery, and emphasizes the importance of community support and reputable resources like the National Institute on Alcohol Abuse and Alcoholism (NIAAA). More info Subscription membership for Tribe Sober join up HERE To access our website click HERE If you would like a free copy of our "Annual Tracker" or our e-book "66 Days to Sobriety" please email janet@tribesober.com If you would like to come to our Saturday afternoon Zoom Cafe as a guest and meet our community just email janet@tribesober.com Episode Sponsor           This episode is sponsored by the Tribe Sober Membership Program.             If you want to change your relationship with alcohol then  sign up today           Read more about our program and subscribe HERE Help us to spread the word! We made this podcast so that we can reach more people who need our help.  Please subscribe and share. If you enjoyed the podcast then please leave us a 5 star review on Apple podcasts, take a screenshot of your review and DM it to Tribe Sober's Instagram page - see PS for instructions - we'll send you something special to say thank you! We release a podcast episode every Saturday morning. You can follow Tribe Sober on Facebook, Twitter and Instagram  You can join our private Facebook group HERE How to leave an rating/review in Apple Podcasts (on an iOS device) 1. Open the Podcasts app. EASY. 2. Choose "Search" from the bottom row of icons and enter the name of the show (i.e., "Recover Like A Mother") into the search field. 3. Select the show under Shows (not under Episodes). 4. Scroll down past the first few episodes until you see Ratings & Reviews. 5. Click "Write a Review" underneath the displayed reviews from other listeners. You'll then have the option to rate the show on a 5-star scale, and write a review (you can rate without writing, too but it's always good to read your experience).    

In recognition of Alcohol Awareness Month, we are joined by George Koob, PhD, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Dr. Koob talks about his background and career journey, along with major insights made through his research, including regarding alcohol withdrawal. He addresses stigma related to alcohol use (or abstinence from) and offers advice for the next generation of researchers and clinicians in this exciting and dynamic space, with so much potential for expanding knowledge. Dr. Koob shares resources for individuals, family members, physicians, or anyone looking for information related to alcohol use and alcohol use disorder, including Rethinking Drinking and the NIAAA Treatment Navigator. He emphasizes the importance of motivation (e.g., motivational interviewing) rather than confrontation and seeing your doctor, or encouraging your loved one to see their doctor, for a physical as a good first step in addressing any issues related to alcohol use. Dr. Koob finally explains his motivation for continuing his work in this field. In addition to serving as director of NIAAA, Dr. Koob is also a senior investigator at the Intramural Research Program of the National Institute on Drug Abuse where he directs the Neurobiology of Addiction Laboratory in the Integrative Neurosciences Research Branch. As an authority on alcohol use disorder, drug addiction, and stress, he has contributed to our understanding of the neurocircuitry associated with the acute reinforcing effects of alcohol and drugs and the neuroadaptations of the reward and stress circuits associated with the transition to dependence. He has published over 800 peer reviewed papers; mentored 13 PhD students, 85 post-doctoral fellows, and 11 K99's (Pathway to Independence Award postdoctoral researchers); and authored several books including the Neurobiology of Addiction. He received his PhD in behavioral physiology from Johns Hopkins University in 1972. He did post-doctoral studies at Walter Reed Army Institute of Research and the University of Cambridge (England). He subsequently held positions at The Salk Institute and the Scripps Research Institute. Dr. Koob is the recipient of many honors, including membership in the National Academy of Medicine (USA) and award of the Legion of Honor (France). Links: National Institute on Alcohol Abuse and Alcoholism (NIAAA) Society for Neuroscience – Autobiographical Chapter Rethinking Drinking NIAAA Treatment Navigator National Institute on Drug Abuse Neurobiology of Addiction The Healthcare Professional's Core Resource on Alcohol American Society of Addiction Medicine (ASAM)   If you or someone you know is struggling with addiction, you are not alone. Treatment is available and recovery is possible. Visit ASAM's Patient Resources page for more information. The information shared in this podcast episode is for educational purposes only and should not be taken as medical advice. The views expressed in this podcast may not be those of the host or ASAM management.

Resources for Practicing Drinkers:Self-Assessment and Support:• National Institute on Alcohol Abuse and Alcoholism (NIAAA): https://www.niaaa.nih.gov/◦ Provides information on alcohol use disorders, interactive tools to assess drinking patterns, and links to treatment resources.• Alcoholics Anonymous (AA): https://www.aa.org/◦ Worldwide support group network for individuals struggling with alcohol problems. Offers meetings, sponsors, and resources for recovery.• SMART Recovery: https://smartrecovery.org/◦ Evidence-based, self-directed program for overcoming addiction and compulsive behaviors. Offers online tools, resources, and forums.Professional Help:• Substance Abuse and Mental Health Services Administration (SAMHSA): https://www.samhsa.gov/◦ Provides a national helpline (1-800-662-HELP) for finding treatment facilities and services near you.• American Psychological Association: https://www.apa.org/◦ Offers a directory of psychologists who specialize in alcohol dependence and addiction.• National Council on Alcoholism and Drug Dependence (NCADD): https://ncadd.us/◦ Provides information and resources on addiction treatment, prevention, and advocacy.Resources for Family Members of Alcoholics:Support and Education:• Al-Anon: https://al-anon.org/◦ Mutual support group program for friends and families of alcoholics. Offers meetings, literature, and resources for coping with the effects of alcoholism.• Families Anonymous: https://familiesanonymous.org/◦ Support group for families and friends of those struggling with any form of addiction. Offers resources and understanding for dealing with loved ones' addictive behaviors.• National Council on Alcoholism and Drug Dependence (NCADD): https://ncadd.us/◦ Provides information and resources on alcohol abuse and addiction, including resources for families and loved ones.• The National Alliance on Mental Illness (NAMI): https://www.nami.org/Home◦ Offers support and resources for families and friends of individuals with mental illness, which can often co-occur with addiction.Boundaries and Advocacy:• National Domestic Violence Hotline: https://www.thehotline.org/◦ Provides resources and support for victims of domestic violence, which can be exacerbated by alcohol abuse.• The National Coalition Against Domestic Violence: https://ncadv.org/◦ Offers information and resources on domestic violence and how to help those affected.• The National Family Caregiver Support Program: http://acl.gov/programs/support-caregiversEpisode 211 - You Are Not Alone is definitely the most personal podcast episode I have ever done.  It begins with the death this week of my sister - an extremely talented lady who had a substance abuse problem.  The episode then briefly discusses Poe's problems with alcohol - and his attempts to get help at the Shockoe Bottom Sons of Temperance.  Covering  a difficult topic for me to personally discuss, the overall purpose of this episode emphasizes the importance of getting help to deal with substance abuse problems, and ends with specific contact information regarding some the available resources.

In this episode of the Treat Addiction Save Lives Podcast, Louis Baxter, Sr., MD, DFASAM, discusses what inspired him to pursue a career in addiction medicine and how he came to practice in the field. He also shares some stories of his experiences treating professional athletes and how he came to possess several championship and Super Bowl rings. Dr. Baxter talks about the evolution of his own substance use, how addiction can progress from a "kindling" to a "fire," and his journey to recovery. Stressing the importance of education, Dr. Baxter discusses efforts to increase addiction education in medical school, allied health training programs, and the community. He also talks about his involvement in and the process of starting the addiction medicine fellowship program at Howard University. He believes increased education will help combat the stigma surrounding addiction and address the fear of treating addiction experienced by some health care professionals. Dr. Baxter also feels that sharing about one's own addiction and recovery can serve as an inspiration and example for others who are suffering with addiction. In his new book, I Didn't Know, Dr. Baxter discusses his life, including childhood trauma, addiction, and road to recovery. He hopes his story will serve to help others and reduce stigma associated with addiction. Finally, Dr. Baxter shares his thoughts for the next generation of addiction medicine professionals. Dr. Louis Baxter, Sr., is the founder and director of the Howard University Addiction Medicine Fellowship, the first such program at an Historically Black College and University (HBCU). He holds assistant professor appointments at Rutgers University, Temple University, and Thomas Jefferson University. Dr Baxter is a member of the American College of Sports Medicine and a consultant to the National Football League (NFL), the National Basketball Association (NBA), and the US Olympic Anti-Doping Committee. He contributes time and talent to numerous national public agencies, such as the US Food & Drug Administration (FDA) National Advisory Council; the National Institutes of Health (NIH) National Institute of Alcohol Abuse & Alcoholism (NIAAA); the Office of National Drug Control Policy (ONDCP); and the Substance Abuse Mental Health Services Administration (SAMHSA). He has been recognized by The HistoryMakers (2022); The White House Office of National Drug Control Policy (2019); and ASAM, with the 2017 Annual Award and the 2022 Training Director Award. In May 2023, Dr. Baxter accepted an appointment to the Police Assisted Addiction and Recovery Initiative (PAARI), which aims to create non-arrest pathways to recovery and treatment for those with mental health and substance use disorders. Dr. Baxter earned his MD from Temple University Lewis Katz School of Medicine. He completed his internship and residency in internal medicine at the Cooper Hospital University Medical Center at the University of Medicine and Dentistry of New Jersey and a fellowship in addiction medicine at Portsmouth Psychiatric Hospital in Portsmouth, VA. He holds a bachelor's degree from the University of Pennsylvania. Dr. Baxter is a former president of ASAM.

When someone says “yes” to alcohol, they may not recognize that they're saying “no” to so many other things. But, when you say “no” to alcohol, you now can say “yes” and come into an experience with all those things, that for some people, didn't even know they were there. In this episode, Dr. Graham Taylor speaks with Jonathan Hunt-Glassman. Jonathan Hunt-Glassman is the Founder and CEO of Oar Health, an addiction recovery platform focused on making science-backed addiction medicine approachable and accessible for the millions of people who struggle with Alcohol Use Disorder (AUD). With over 15 years of experience in the healthcare industry, Jonathan has held key leadership positions in strategy at Humana, Optum, and Bain & Company. His motivation for transforming the addiction treatment field and founding Oar Health stems from his personal battle with alcohol addiction, a journey that ignited his commitment to enhancing the current landscape of addiction treatment. We're excited to have Jonathan with us today to discuss alcohol addiction recovery and an effective medication proven to help people drink less called Naltrexone   For more information about Oar Health and Naltrexone, please visit: https://www.oarhealth.com/quit For more information about prevention of alcohol use disorder, please visit the C3 Foundation at: https://cthreefoundation.org For more information about the National Institute on Alcohol Abuse and Alcoholism (NIAAA), please visit: https://www.niaaa.nih.gov For more information about the Substance Abuse and Mental Health Services Administration (SAMHSA), please visit: https://www.samhsa.gov Finally, for more information about Alcoholics Anonymous (AA), please visit: https://www.aa.org

In this episode of Inside Health Care, we present two interviews that each ask really basic, yet complex, questions about health care.The first question: Why is it so hard to develop a health care coordinator service for patients at the local level? It's something most of us could use: a helper to walk with us through a health journey, advise us in a crisis and make sure we get all the tests and records we should have.Taylor Justice is a U.S. Army veteran and co-founder of Unite Us. Unite Us provides end-to-end solutions that establish a new standard of care that identifies and predicts social care needs in communities, helps enroll people in services and leverages meaningful outcomes data to drive community investment. With services extending to at least 44 U.S. states, Unite Us creates accountable coordinated-care networks, interconnecting providers of social services to reduce the cost of care by integrating ALL social determinants of health.The other question: Why are patient alcohol and substance use issues so often overlooked in primary care? This interview will not only answer that question: it will point patients and providers in the right direction: toward adoption of universal alcohol screening and follow-up. Three experts remind us that there is help to implement evidence-based alcohol health care—free resources from NCQA and the National Institute on Alcohol Abuse and Alcoholism [NIAAA].At NCQA's second annual Health Innovation Summit, we interviewed Dr. Thekla Brumder-Ross, Dr. Katharine Bradley and Dr. Laura Kwako.Dr. Thekla Brumder-Ross is a clinical psychologist and national leader of addiction medicine. In her 14 years at Kaiser Permanente, Thekla led and implemented large-scale practices and policies in addiction medicine, treatment protocols and primary care behavioral health integration. Notably, she led the addiction medicine leaders of operations and research across the Kaiser Permanente Enterprise, facilitated the spread of the “screening, intervention and referral to treatment” methodology known as “Alcohol as a Vital Sign” across eight Kaiser markets, and developed a national “harm reduction” strategy. Thekla currently provides strategic consultation to the NIAAA.Dr. Laura Kwako is chief of the Treatment, Health Services, & Recovery Branch in the Division of Treatment and Recovery at the NIAAA. Her office supports research in broad categories, including behavioral health treatments, translational research and innovative methods and technologies across the continuum of care.Her work also focuses on under-served populations, including NIH-designated health disparity populations, individuals with co-occurring disorders and fetal alcohol spectrum disorders. During her time at NIAAA, Laura has been involved in development of the Healthcare Professional's Core Resource on Alcohol and the Addictions Neuro-clinical Assessment. She received her PhD in Clinical Psychology from Catholic University in Washington, DC.Dr. Katharine Bradley is a primary care general internist, and her research on unhealthy alcohol use and opioid use disorder has included developing trials of implementation of alcohol screening, brief interventions and shared decision making for alcohol use disorder across primary care clinics. She recently received NIAAA funding for the SIP trial, the full title of which is Systematic Implementation of Patient-Centered Care for Alcohol Use Trial: Beyond Referral to Treatment.Drs. Brumder-Ross, Kwako and Bradley collectively strive to link substance use disorders and treatment to behavioral health, which they see as just one part of a “whole health” approach to clinical medicine. We discussed some amazing tools now available to incorporate screenings for alcohol or drug use into mainstream primary care assessments. And those tools, by the way, take advantage of NCQA HEDIS measures. But let's hear it from them.Some resources discussed in this interview:The NIAAA Alcohol Healthcare Roadmap: A simple workflow that plans and providers can adaptHealth plans can adopt the NCQA HEDIS measure on Alcohol Screening and Follow Up – now publicly reportable, bringing potential financial incentives to health plansImplementation guides available in Core Additional LinksNCQA resources for patient screeningFree training from NIH: NIAAA's Healthcare Professional's Core Resource on Alcohol

Alcohol use disorder is extremely prevalent in the United States, affecting over 5% of the population 12 and older. We see patients suffering from this disease in our EDs - sometimes for complications of acute intoxication (like car accidents) and sometimes for withdrawal symptoms. In this two part series, we're joined by Addiction Medicine Specialists, Dr. Aimee Moulin and Dr. Liz Johnson, to learn more about acute alcohol withdrawal and management of alcohol use disorder. In part 1, we discussed the presentation and emergent stabilization of patients with severe alcohol withdrawal. In part 2, we'll focus on those patients who can be safely discharged, including ED management and outpatient medications and resources.  Special thanks for Phoebe for sharing her story of her personal battle with alcohol use disorder!  Do you prescribe naltrexone or acamprosate from the ED? How do you safely discharge patients with alcohol use disorder? Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Please encourage your friends and colleagues to listen and share their stories, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Professor of Emergency Medicine and Chief of the Division of Addiction Medicine at UC Davis Dr. Liz Johnson, Assistant Professor of Emergency Medicine and Addiction Medicine Physician at UC Davis Resources: Substance Abuse and Mental Health Services Administrarion (SAMHSA) Alcohol Facts and Statistics - National Institute on Alcohol Abuse and Alcoholism (NIAAA) and National Institute of Health (NIH) Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) Prediction of Alcohol Withdrawal Severity Scale (PAWSS)  Phoebe - The Dress Fiend *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Alcohol use disorder is extremely prevalent in the United States, affecting over 5% of the population 12 and older. We see patients suffering from this disease in our EDs - sometimes for complications of acute intoxication (like car accidents) and sometimes for withdrawal symptoms. In this two part series, we're joined by Addiction Medicine Specialists, Dr. Aimee Moulin and Dr. Liz Johnson, to learn more about acute alcohol withdrawal and management of alcohol use disorder. In part 1, we discuss the presentation and emergent stabilization of patients with severe alcohol withdrawal.  Special thanks for Phoebe for sharing her story of her personal battle with alcohol use disorder!  What is your go to med for acute alcohol withdrawal? Does your hospital have set protocols? We always appreciate hearing how things are done at different institutions. Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Please encourage your friends and colleagues to listen and share their stories, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Professor of Emergency Medicine and Chief of the Division of Addiction Medicine at UC Davis Dr. Liz Johnson, Assistant Professor of Emergency Medicine and Addiction Medicine Physician at UC Davis Resources: Substance Abuse and Mental Health Services Administrarion (SAMHSA) Alcohol Facts and Statistics - National Institute on Alcohol Abuse and Alcoholism (NIAAA) and National Institute of Health (NIH) Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) Prediction of Alcohol Withdrawal Severity Scale (PAWSS)  Phoebe - The Dress Fiend *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Addiction is at an all-time high in the United States and the results are deadly. During the COVID-19 pandemic, binge drinking increased by 21 percent and drug overdoses claimed more than 100,000 lives in just a 12-month period.    But what causes a person to develop an addiction? Why are substance use disorders so complicated to treat? And what new treatments are giving people hope that recovery is possible?   MPR News shares “Substance Use & New Paths to Recovery,” a special broadcast from Call to Mind, American Public Media's initiative to foster conversations about mental health. Through in-depth interviews and reported stories, we hear firsthand from individuals who have recovered from substance use disorders, clinicians leading research to transform the treatment field, and experts who work to decriminalize substance use disorders.   Call to Mind specials are hosted by Kimberly Adams, senior correspondent for APM's Marketplace who covers mental health, politics, business and the economy from Washington, D.C. Guests: Scott Edwards is an associate professor of physiology at LSU Health Sciences Center and the associate director at the National Institute on Alcohol Abuse and Alcoholism (NIAAA) a T32 Program.  Yasmin Hurd is the director of the Addiction Institute within the Mount Sinai Behavioral Health System and the Ward Coleman Chair of Translational Neuroscience. She is also a professor of psychiatry and neuroscience at the Icahn School of Medicine at Mount Sinai.  Carrie Kappel is a registered nurse and the board co-chair of the Minnesota Nursing Peer Support Network (NPSN), manager of operations of addiction services at Allina Health.  Dr. Joji Susuki is the director of the Division of Addiction Psychiatry at Brigham and Women's Hospital and an assistant professor at Harvard Medical School.   Subscribe to the MPR News with Angela Davis podcast on: Apple Podcasts, Google Podcasts, Spotify or RSS.  Use the audio player above to listen to the full conversation.   

Defining Recovery From Alcohol Use Disorder: Development of an NIAAA Research Definition The American Journal of Psychiatry The authors present a newly developed National Institute on Alcohol Abuse and Alcoholism (NIAAA) definition of recovery from the DSM-5 diagnosis of alcohol use disorder (AUD). This definition views recovery as a process of behavioral change and an outcome, incorporating two key components of recovery: remission from DSM-5 AUD and cessation from heavy drinking, a non-abstinent recovery outcome. It also emphasizes the importance of biopsychosocial functioning and quality of life in enhancing outcomes. By adopting a uniform definition, researchers and health care professionals can more precisely operationalize and measure recovery-related processes. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM

In This episode: Have you ever asked yourself; “Am I an alcoholic? Could I be a Gray Drinker? What exactly is grey drinking, and will it affect my relationships? And how can yoga, meditation, and physical activity help?” Stay tuned we're going to answer these questions and more about the “gray area” in alcohol consumption. Are you one of those individuals that whenever you have a tough day, or you feel a little bit anxious that you just grab a glass of wine or a beer to help you relax” what happens when you have to have another one to take the edge off of that really rough day. That's totally acceptable in today's society… or is it?According to Kimberly Dawn Neumann in an article in Forbes from April 2022: “Many people who drink alcohol think their consumption falls within the “acceptable” range for alcohol use, but that might not be so true. Gray area drinking (GAD) is that muddy space somewhere between social and destructive drinking and slipping into gray area drinking is much easier to do than most people think.” The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines heavy drinking for men as four drinks on any day or 14+ drinks a week, and for women as three drinks on any day or 7+ drinks a week.My guest in this episode is Carrie Schell who three decades ago began her career as a midwife. Over the years, her role in the health and wellness space has evolved with graduate school, becoming a yoga instructor, and as a Director of Health and Wellness, creating innovative programs at an addiction center, and presently as a speaker and author. She comes from a perspective of having been a gray drinker herself. We're going to learn through her journey how you can recognize whether you fall into this category and how Carrie's mind, body, spirit approach to wellness, along with her humor and wisdom, can help you with your desire to seek wellness. Welcome to the show.More info and how to contact Carrie visit https://beoreyougopodcast.comThis podcast uses the following third-party services for analysis: Chartable - https://chartable.com/privacyPodcorn - https://podcorn.com/privacy

When things get stressful, painful, or just hard, it's easy to lean on alcohol to get us through. Recent statistics revealed that 25% of US adults increased their drinking during COVID. So, how do you know what's an acceptable level of drinking versus a problem? That's what guest, Dr. George Koob, Director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) is here to discuss.  In our conversation, George walks us through what happens in the brain when we numb emotional pain with alcohol, both the immediate benefits and the many downsides. He defines what's acceptable vs. problematic drinking and how you can evaluate your relationship with alcohol. George offers steps on how to cut back on drinking and ways to still fit in socially without a drink in your hand. Finally, he shares the story of his mother's alcohol use disorder and offers ways to help those you love who may struggle with alcohol.  For show notes and links mentioned, visit: https://bit.ly/GTIPodcastNotes To sign up for 2 Tip Tuesday, visit: https://bit.ly/2TipTuesday 2 Tip Tuesday is a weekly email that break down podcast episodes into practical resilience tips you can put into action straight away.

On this episode we had the opportunity to talk with Faith Nyaenya and she share some way to prevent youth youth from getting involve on substance abuse. Resources YOUTH FRIENDLY SUBSTANCE USE ONLINE RESOURCES Kelty Mental Health Resource Centre: Resources are available on this website for youth and teens about substance use, including in-depth information on various substances and concurrent disorders, as well as steps to seek help. http://keltymentalhealth.ca/substance-use Partnership for Drug-Free Kids: This website works to reduce substance abuse among adolescents by supporting families and engaging with teens. http://www.drugfree.org/ Truth Campaign: This campaign provides information and uses videos and social media to engage youth in taking action against tobacco and tobacco companies. http://www.thetruth.com/ Your Room: This website offers information about alcohol and a wide range of drugs, their effects, withdrawal, and how to get help for yourself or for anyone else who needs it. http://yourroom.com.au/   SUBSTANCE USE RESOURCE INSTITUTES National Council on Alcohol and Drug Dependence: This informational website provides support to those who need assistance confronting the diseases of alcoholism and drug dependence. http://ncaddms.org/ National Institute of Alcohol Abuse and Alcoholism: NIAAA supports and conducts research on the impact of alcohol use on human health and wellbeing. They provide resources directed toward young people to evaluate your drinking and tools to stay in control. http://rethinkingdrinking.niaaa.nih.gov/ NIDA for Teens: NIDA provides a wealth of knowledge and resources including easy-to-read guides about various drugs. Their website for adolescents includes videos, blog posts, and drug facts. http://teens.drugabuse.gov/     TREATMENT SERVICE LOCATORS Behavioral Health Treatment Services Locator: Find treatment facilities for substance abuse/addiction and/or mental health problems. https://findtreatment.samhsa.gov/ Buprenorphine Treatment Physician Locator: Find physicians authorized to treat opioid dependency with buprenorphine by state. http://www.samhsa.gov/medication-assisted-treatment/physician-program-data/treatment-physician-locator Opioid Treatment Program Directory: Search opioid treatment programs by state. http://dpt2.samhsa.gov/treatment/directory.aspx Sober Nation Treatment Locator: An extensive  directory of recovery centers http://www.sobernation.com/ SUPPORT GROUPS Al-Anon Family for Teens: A group for problem drinkers who can find understanding and support through group meetings, podcasts, and other resources. http://www.al-anon.alateen.org/for-alateen Alcohol Anonymous: The AA website can help young people find AA meetings near them and has brochures directed at young people. http://www.aa.org/pages/en_US Narcotics Anonymous: The NA website can help young people find NA meetings near them and has resources including brochures for young addicts. http://www.na.org/ Smart Recovery: SMART Recovery is a leading self-empowering addiction recovery support group. The website provides resources for teens and youth support programs, meeting locations, and an online community. http://www.smartrecovery.org/teens/

JM4C Director Jane Golberg sits down with Jenny Hallett, a JM4C Board Member and a strong advocate for alcohol policy. Jenny shares her mission in life to help people avoid the disease of alcohol addiction after she lost her daughter Brittany to the disease on November 5, 2014. The tenth episode in a series of twelve. Resources shared: SmallTalksWI.org- How Wisconsin prevents underage drinking VIDEO: Understanding Why Addiction is a real brain disease…..Neuroscientist Dr. Stephen Dewey VIDEO (must start about 6:30 mark in the video): https://www.youtube.com/watch?v=WnEMxVdEFjw BOOK about Adverse Childhood Experiences: The Deepest Well by Dr. Nadine Burke Harris VIDEO (29 minutes in): https://www.youtube.com/watch?v=NqIhQlzntmg National Institute on Alcohol Abuse and Alcoholism: NIAAA.NIH.gov ADVOCACY Organizations: Partnership To End Addiction (Helping Family Members): DrugFree.Org Shatterproof.Org Mobilize Recovery / Recovery Advocacy Project Wisconsin HOTLINES: Rock County Crisis Intervention 24/7 Hotline: 608-757-5025 Wisconsin Addiction Recovery Hotline: 211

In this episode, we'll hear from Laura Kwako, PhD, a clinical psychologist at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and Katharine Bradley, MD, a senior investigator at the Kaiser Washington Health Research Institute. The NIAAA just released a Core Resource on Alcohol for healthcare professionals to help providers screen and treat patients for alcohol use disorder, as addiction and alcohol-related deaths have spiked during the pandemic. See acast.com/privacy for privacy and opt-out information.

The third of my Pro Tips series gives you sixteen little-known practical steps you can take TODAY to Find Help For Addiction.  Did you know that many states have a 24hr hotline at 211 that will give you soon intake appointments for treatment? That having a medical professional calling an ER in advance will get you better care? That patients usually do best when they are allowed to decide on treatment they wish to pursue; or not? That you can get a same-day appointment with your primary care physician to start treatment? That your health insurance will provide Telehealth medical evaluations to start treatment? That the National Institute on Alcohol Abuse and Alcoholism (NIAAA)'s Navigator search engine finds treatment with no commercial sponsors?  That sometimes residential rehabs don't help; or even cause harm?  That going in to a Safe Stations firehouse in some cities will get you a Recovery Coach with resources? Try to remain hopeful, recovery is always possible; don't give up on yourself!

FASD Hope is a podcast series about Fetal Alcohol Spectrum Disorder (FASD), through the lens of parent advocates with over nineteen years of lived experience. FASD Hope is honored to welcome Kathryn "Kay" Kelly in Episode 129, titled "A Legacy in FASD and Law". Kathryn Kelly, called Kay by most who know her, came to the University of Washington after an extensive career in criminal justice. She worked for nine years as a probation officer for the state of California, and for twenty years as a federal probation officer. She was retrained as a mitigation specialist and served for three years as part of a team assembled by the Capital Habeas Unit of the Federal Public Defender in Los Angeles to represent inmates on Death Row seeking redress of their death penalty sentences. In 2001, Kay joined the Fetal Alcohol and Drug Unit (FADU) at the University of Washington, working with Dr. Ann Streissguth. With a grant from the Robert Wood Johnson Foundation, she and Dr. Streissguth established the FASD Legal Issues Resource Center. In that role, Ms. Kelly has planned and/or participated in numerous trainings for judges, defense attorneys, prosecutors and other court professional throughout the United States, and in numerous foreign countries. Since 2013, she has organized a series of conferences about FASD and the law held in conjunction with the biennial UBC - Vancouver International Conference on FASD. Ms. Kelly was instrumental in the organization of the first forensic FASD diagnostic team, FASDExperts, and in the passage of an American Bar Association Resolution on FASD in 2012. Ms. Kelly is also a Research Coordinator for a National Institute of Alcohol Abuse and Alcoholism (NIAAA)-funded five year project: Fetal Alcohol Spectrum Disorders in Adults: Health and Neurobehavior.  Ms. Kelly is a Board member of the FASD United Affiliate - Washington. In this ENLIGHTENING episode, Kay discusses the following: her work and contributions in the FASD community, her amazing work with Dr. Ann Streissguth / FASD Legal Resource Center, her current projects and initiatives....and words of experience, encouragement and hope for parents and caregivers. EPISODE RESOURCES - Kathyrn "Kay" Kelly - faslaw@uw.edu Tel- 206-616-5408 https://adai.uw.edu/staff_members/kay-kelly/ University of Washington - FADU https://www.washington.edu/research/research-centers/fetal-alcohol-and-drug-unit/ FASD Resolution - ABA https://www.americanbar.org/groups/public_interest/child_law/resources/attorneys/fasd-resolution/   FASD Hope - https://www.fasdhope.com/ natalie@fasdhope.com Instagram - https://www.instagram.com/fasdhope/ Facebook - https://www.facebook.com/fasdhope1 Twitter - https://twitter.com/fasdhope LinkedIn- https://www.linkedin.com/in/natalie-vecchione-17212160/ Racket - @fasdhope Clubhouse - @natalievecc Check out our  book “Blazing New Homeschool Trails: Educating and Launching Teens with Developmental Disabilities” by Natalie Vecchione & Cindy LaJoy  BUY IT NOW!  

Show Notes:   Defining Recovery From Alcohol Use Disorder: Development of an NIAAA Research Definition  The American Journal of Psychiatry  The authors present a newly developed National Institute on Alcohol Abuse and Alcoholism (NIAAA) definition of recovery from the DSM-5 diagnosis of alcohol use disorder (AUD). This definition views recovery as a process of behavioral change and an outcome, incorporating two key components of recovery: remission from DSM-5 AUD and cessation from heavy drinking, a non-abstinent recovery outcome. It also emphasizes the importance of biopsychosocial functioning and quality of life in enhancing outcomes. By adopting a uniform definition, researchers and health care professionals can more precisely operationalize and measure recovery-related processes.     Benzodiazepine-Involved Overdose Deaths in the USA: 2000–2019  Journal of General Internal Medicine  Overdose deaths involving benzodiazepines and opioids are well studied and characterized. In this study, the authors examine all benzodiazepine-involved overdose deaths to better understand the pattern of use and overdoses between 2010 and 2019. While opioids were involved in 83.5% of all benzodiazepine related overdoses, antidepressants (18.8%), alcohol (16.3%), cocaine (13.4%) and psychostimulants (7.3%) were also frequently involved. Only 9% of benzodiazepine overdose deaths did not co-involve another substance. In addition, a larger proportion of deaths with benzodiazepine alone were due to suicide (36.2%) compared to those involving opioids (8.5%). Any interventions to reduce overdose deaths involving benzodiazepines need to consider co-involved substances and the role of suicide.     Differences in clinical features associated with cannabis intoxication in presentations to European emergency departments according to patient age and sex  Clinical Toxicology  Using presentations in the Euro-DEN Plus dataset from 2014 to 2019, this study investigated whether clinical features associated with acute cannabis intoxication in patients presenting to Emergency Departments for medical assistance differ according to patient age and sex. The most frequent clinical features in patients younger than 20 years were vomiting, reduced consciousness, and headache; and less frequently acute psychosis. Patients older than 49 years more often had hypotension and less frequently vomiting, anxiety, agitation, and reduced consciousness. Males more frequently presented with hypertension, psychosis, chest pain, and seizures.     Increased global integration in the brain after psilocybin therapy for depression  Nature Medicine  Two clinical trials assessed the subacute impact of psilocybin on brain function in treatment resistant depression. In both trials, the antidepressant response to psilocybin was rapid, sustained, and correlated with decreases in fMRI brain network modularity, implying that psilocybin's antidepressant action may depend on a global increase in brain network integration. Network cartography analyses indicated that 5-HT2A receptor-rich higher-order functional networks became more functionally interconnected and flexible after psilocybin treatment. Consistent efficacy-related brain changes, correlating with robust antidepressant effects across two studies, suggest an antidepressant mechanism for psilocybin therapy: global increases in brain network integration.    Non–prescribed buprenorphine preceding treatment intake and clinical outcomes for opioid use disorder  Journal of Substance Abuse Treatment  In this study, data were obtained from a large, multi-site, multi-state office-based opioid treatment (OBOT) network. Individuals (n=971) were randomly selected from a pool of 18,513 initiating buprenorphine care. At treatment entry, 60% tested positive for buprenorphine (TPB), and 73% of these were taking non-prescribed buprenorphine. The TPB group was less likely to test positive for opiates at treatment entry (25% vs. 53%) and continued to be less likely to test positive for opiates during the first several months of treatment. The TPB group was less likely to discontinue treatment (hazard ratio 0.52). There were no significant differences comparing those prescribed with non-prescribed use, in the TPB group. They suggest that use of “diverted” buprenorphine is a marker of patient motivation for treatment and conclude that “concerns regarding buprenorphine diversion due to misuse may be misplaced.”      What are the implications of the steady 40 year rise in US fatal overdoses?: Introduction to a special section  International Journal of Drug Policy  While overdose deaths due to opioids is understood to be the driver of current increase in overdose deaths and a well-recognized epidemic, in a series of recent studies it was demonstrated that overdose deaths have been steadily increasing over the last 40 years.  In this editorial, the authors discuss various commentaries responding to these studies and highlight various perspectives on these data. While much of the focus in recent years has been on opioid overdose deaths and access to medication assisted treatment, interventions may be needed to address broader factors associated with substance use, including both supply and demand side factors. In addition, data at more local levels may be useful in predicting substance use epidemics at more local levels for intervention.     The Effectiveness of Exercise as an Adjunct Intervention to Improve Quality of Life and Mood in Substance Use Disorder: A Systematic Review  Substance Use and Misuse  This review examined 42 papers (2531 individuals) regarding the effect of exercise on quality of life, depression, and anxiety during treatment of substance use disorder. The majority, 22 studies, took place in an inpatient rehabilitation setting. They examined a broad range of exercise modalities: aerobic, resistance, flexibility, tai chi, yoga, high intensity interval training, and increasing step count. The results support a beneficial impact of exercise on quality of life, depression, and anxiety. There was a dose response effect with greater benefit with increased number of sessions per week and over 12 weeks of program duration, however, some improvement was seen following a single session. The modality of exercise was less important and simply increasing daily step count was beneficial.      Addressing the substance use treatment gap in Africa using digital screening and brief interventions  The Lancet Psychiatry  Services and staffing for substance use treatment and prevention are scarce throughout many parts of Africa. One treatment option is a self-administered digital substance use screening and brief intervention (SBI). This literature search noted a paucity of research investigating the feasibility of SBIs in Africa. Such an SBI has the potential to increase access to care and decrease intervention delivery costs. Given the rapid increase in internet penetration rates, and smartphone usage across the continent, as well as limited access to treatment, there is an urgent need to explore the utility of this treatment tool across the continent. 

If you or someone you know is struggling with drug/alcohol abuse or addiction, please seek help through any of the resources linked below: SAMHSA's National Helpline – 1-800-662-HELP (4357) | SAMHSA: https://www.samhsa.gov/find-help/national-helpline National Institute on Alcohol Abuse and Alcoholism (NIAAA): https://www.niaaa.nih.gov/ National Prevention Resources: https://nasadad.org/prevention-resources/ Memphis Area Prevention Coalition: https://memphisprevention.org/

If you or someone you know is struggling with drug/alcohol abuse or addiction, please seek help through any of the resources linked below: SAMHSA's National Helpline – 1-800-662-HELP (4357) | SAMHSA: https://www.samhsa.gov/find-help/national-helpline National Institute on Alcohol Abuse and Alcoholism (NIAAA): https://www.niaaa.nih.gov/ National Prevention Resources: https://nasadad.org/prevention-resources/ Memphis Area Prevention Coalition: https://memphisprevention.org/

This Week In Wellness a diet high in fatty fish has been shown to reduce both the frequency and intensity of migraines when compared to a diet high in vegetable oils. Researchers from the National Institute on Aging (NIA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) studied 182 adults with frequent migraines Listen In The post TWIW 114: Swap seed oils for fish oils for a 30-40% migraine reduction appeared first on The Wellness Couch.

So, remember that episode of The Brady Bunch when Carol Brady found a pack of cigarettes in Greg's jacket pocket and the entire episode revolved around if the parents believed Greg's lie when he stated that they weren't his? I do! I remember it effecting me pretty hard, always thinking, "I would NEVER smoke!" Yet, I was also watching 90210, Degrassi, Criminal Minds, Family Guy and many other shows that depicted a lot worse then smoking. Why and how are we (as the viewing audience) affected and changed by the media we watch, and how does addiction shown in entertainment media change our opinions? Does it change our opinions? This episode I got the opportunity to sit down and talk about this, and much more, with the incredibly funny, smart and positive Even Smith. Not only is he the co-host of Delta Sparks Pod along with @Andie.At.Electrical, but he is also a recovering addict. Even gives us a peak behind the certain and lets us in on a world that I am not enterally familiar with. Through his experiences and history with addiction and recovery, we take a closer look at how addiction and recovery are portrayed, analyzed and discussed in many different entertainment mediums. How is the show, "Mom" showing their AA meetings, and how are they making it recognizable and relatable to others who have gone through it? Why are we not surprised and shocked that Dr. Gregory House is addicted to pain killers while still being employed? Why is it easier to digest animated shows that are portraying addiction such as; American Dad, Archer, The Boondocks? Is it the responsibility of those who are making the shows, movies, music videos, documentaries to educate and inform the viewing audience? When does the line get crossed, when do we we say that it is too much? When will Tabloids and Magazines stop using a relapse as "Breaking News"? Cover Art: @Psych_a_relic Intro Music: @RiRiRetro Find Our Guest Even Smith on Instagram @E.S.Sparks, Podcast: Delta Sparks Pod; Instagram, Twitter, Website and all podcast streaming platforms. Remember to #KeepTalkingFandoms with us on; Instagram, Twitter, and Facebook *Please Note* This episode contains some topics and discussions that might not be suitable for all ages. My guest and I suggest those under the age of 16 to be heavily advised of topics that are discussed in this week's episode. Please note that this episode contains Trigger Warnings that will be placed throughout this episode. Topics include; addiction of many varieties that include but are not limited to; drugs and alcohol, body dysmorphia and addictive behaviors. Along with; suicide, addiction recovery, criminal acts and behaviors. My guest will also be talking about their own experiences and history with addiction and recovery with himself and their family. Please note there will be stronger language than in most other episodes. Addiction Hotlines/Resources: Addiction Guide - Has a large list of beneficial and important websites/links Substance Abuse and Mental Health Services Administration: (samhsa.gov) 1-800-662-4357 (1-800-662- HELP) (24/7 365) The National Institute on Drug Abuse (NIDA) (drugabuse.gov) 301-443-1124 The National Institute of Alcohol Abuse and Alcoholism (NIAAA) (niaaa.nih.gov) 301-443-3860 The National Institute of Mental Health (NIMH) (nimh.nih.gov) 301-443-4513 Center for Substance Abuse Treatment (CSAT) (samhsa.gov) Substance Abuse Treatment Facility Locator (SAMHSA) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lets-talk-fandoms/support

Guest: Terry D. Schneekloth, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) According to the 2019 National Survey on Drug Use and Health, nearly 26% of individuals 18 and older reported that they engaged in binge drinking and slightly over 6% engaged in heavy alcohol use within the past month. Binge drinkers were 70 to 90 times more likely to have an alcohol-related emergency department visit. Based on their data from this study, they estimated that nearly 15 million people ages 12 and older had alcohol use disorder. It's also known that those with alcohol use disorder commonly seek care from primary care providers for alcohol-related medical problems. Our guest for this podcast is Terry Schneekloth, M.D., a psychiatrist and addiction specialist at Mayo Clinic. Specific topics discussed: Definition of alcohol use disorder Risk factors for alcohol use disorder Role of genetics Questions primary care providers should ask to explore the possibility of an alcohol use disorder in patients Physical exam or lab findings which could suggest an alcohol use disorder Available treatment options and their alcohol use disorder effectiveness Additional Resources: World Health Organization (WHO). Alcohol Use Disorders Identification Test (AUDIT). 2001 November 18; https://www.who.int/publications/i/item/audit-the-alcohol-use-disorders-identification-test-guidelines-for-use-in-primary-health-care National Institute on Alcohol Abuse and Alcoholism (NIAAA). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) study: https://www.niaaa.nih.gov/research/nesarc-iii Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Alcohol Use Disorder remains the largest cause of substance use disorder in our country. Sadly, the COVID pandemic has exacerbated the problem. There are science based dietary guidelines for alcohol consumption with definitions on how much is one drink. Test yourself to find out if you are a High Risk drinker by using the ReThinking Drinking calculators. Listen to Dr. George Koob, the leading scientist in the world on alcohol as he explains the pandemic effects on alcoholism as well as innovative solutions. George F. Koob, Ph.D., is an internationally-recognized expert on alcohol and stress, and the neurobiology of alcohol and drug addiction. He is the Director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), where he provides leadership in the national effort to reduce the public health burden associated with alcohol misuse. As NIAAA Director, Dr. Koob oversees a broad portfolio of alcohol research ranging from basic science to epidemiology, diagnostics, prevention, and treatment. Dr. Koob earned his doctorate in Behavioral Physiology from Johns Hopkins University in 1972. Prior to taking the helm at NIAAA, he served as Professor and Chair of the Scripps' Committee on the Neurobiology of Addictive Disorders and Director of the Alcohol Research Center at the Scripps Research Institute. Early in his career, Dr. Koob conducted research in the Department of Neurophysiology at the Walter Reed Army Institute of Research and in the Arthur Vining Davis Center for Behavioral Neurobiology at the Salk Institute for Biological Studies. He was a post-doctoral fellow in the Department of Experimental Psychology and the MRC Neuropharmacology Unit at the University of Cambridge. Dr. Koob began his career investigating the neurobiology of emotion, particularly how the brain processes reward and stress. He subsequently applied basic research on emotions, including on the anatomical and neurochemical underpinnings of emotional function, to alcohol and drug addiction, significantly broadening knowledge of the adaptations within reward and stress neurocircuits that lead to addiction. This work has advanced our understanding of the physiological effects of alcohol and other substance use and why some people transition from use to misuse to addiction, while others do not. Dr. Koob has authored more than 650 peer-reviewed scientific papers and is a co-author of The Neurobiology of Addiction, a comprehensive textbook reviewing the most critical neurobiology of addiction research conducted over the past 50 years. Dr. Koob is the recipient of many prestigious honors and awards for his research, mentorship, and international scientific collaboration. In 2018 Dr. Koob received the E.M. Jellinek Memorial Award for his outstanding contributions to understanding the behavioral course of addiction. In 2017 Dr. Koob was elected to the National Academy of Medicine(

Unintended consequences for secular AA is that atheists & agnostic groups and our meetings are zooming. How many more people are finding an attachment to AA while maintaining the authenticity of our secular worldview? No one, anywhere could visit one or two or three irreligious AA meetings a day - not a year ago anyway. The International Conference of Secular AA celebrates the science of addiction/recovery and folk-wisdom of AA with a 1/2 day virtual free mini-conference December 5, 2020. We kick off with Dr. George Koob, director of the National Institute for Alcohol Abuse & Alcoholism (NIAAA) talking to a packed house and an engaged audience. For slides of Dr. Koob's presentation, email us at secularaa@gmail.com In the second 1/2 hour we talk with our audience about diversity and AA and how zoom helps remove barriers of language, age, creed, gender, sexual orientation as well as the other barriers that are mitigated by virtual AA. How many people are finding recovery and how many stay clean and sober during COVID-19 For more recording from this and past ICSAA conferences, visit us @ https://aasecular.org To view Dr. Koob's slides, visit Rebellion Dogs Publishing HERE

Signs of alcohol poisoning. What happens to someone with alcohol poisoning that goes untreated. What to do if you suspect that someone has alcohol poisoning. Information used is adapted from the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

Learn about what your muscles go through when they get pulled, whether trees have heartbeats, and the real science behind the recovering alcoholics’ mantra “one day at a time.” What Happens When You Pull a Muscle? by Ashley Hamer Pietrangelo, A. (2019). Muscle Strains. Healthline; Healthline Media. https://www.healthline.com/health/strains#treatment4  Lee, S. (2016, February 17). What to Do When You Pull a Muscle From Working Out. Vitals; Vitals. https://vitals.lifehacker.com/what-to-do-when-you-pull-a-muscle-from-working-out-1759172514  Trees May Have a “Heartbeat” by Reuben Westmaas Original episode: https://www.curiositydaily.com/tree-heartbeats-morse-code-silurian-hypothesis-anc/ Neuroscience backs up the recovering alcoholic's mantra "one day at a time" by Steffie Drucker Why “one day at a time” works for recovering alcoholics. (2020). EurekAlert! https://www.eurekalert.org/pub_releases/2020-08/yu-wd082720.php Blaine, S. K., Wemm, S., Fogelman, N., Lacadie, C., Seo, D., Scheinost, D., & Sinha, R. (2020). Association of Prefrontal-Striatal Functional Pathology With Alcohol Abstinence Days at Treatment Initiation and Heavy Drinking After Treatment Initiation. American Journal of Psychiatry. https://doi.org/10.1176/appi.ajp.2020.19070703  Alcohol Facts and Statistics. (2019, April 25). National Institute on Alcohol Abuse and Alcoholism (NIAAA). https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics  Alcohol Abuse Differ From Alcoholism. (2019, October 30). Swift River Rehab Center. https://www.swiftriver.com/blog/alcohol-abuse-vs-alcoholism/  One day at a Time in Recovery -. (2019, April 5). Alcoholrehab.Com. https://alcoholrehab.com/addiction-recovery/one-day-at-a-time-in-recovery/  Subscribe to Curiosity Daily to learn something new every day with Ashley Hamer and Natalia Reagan (filling in for Cody Gough). You can also listen to our podcast as part of your Alexa Flash Briefing; Amazon smart speakers users, click/tap “enable” here: https://www.amazon.com/Curiosity-com-Curiosity-Daily-from/dp/B07CP17DJY See omnystudio.com/listener for privacy information.

Alcohol-related deaths increasing in the United States. A recent study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) scientists found that nearly 1 million people died from alcohol-related causes between 1999 and 2017.Alcohol-related deaths increasing in the United States. A recent study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) scientists found that nearly 1 million people died from alcohol-related causes between 1999 and 2017.  The analysis of yearly death certificate data revealed that the number of death certificates mentioning alcohol more than doubled from 35,914 in 1999 to 72,558 in 2017, a year in which alcohol played a role in 2.6 percent of all deaths in the United States. Joining Dr. Roizen to talk about these sobering statistics, and when we can do to combat this rise are Dr. Aaron White & Dr. Trish Powell, both from the NIAAA. Want better health and nutrition? Now you can get personalized supplement recommendations and custom vitamin packs delivered to your door! Go to PersonaNutrition.com/Roizen and take your free assessment and get 50% off your order today. - sponsor BonusHow Your Diet Affects Your Risk for Cancer

Alcohol-related deaths increasing in the United States. A recent study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) scientists found that nearly 1 million people died from alcohol-related causes between 1999 and 2017.Alcohol-related deaths increasing in the United States. A recent study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) scientists found that nearly 1 million people died from alcohol-related causes between 1999 and 2017.  The analysis of yearly death certificate data revealed that the number of death certificates mentioning alcohol more than doubled from 35,914 in 1999 to 72,558 in 2017, a year in which alcohol played a role in 2.6 percent of all deaths in the United States. Joining Dr. Roizen to talk about these sobering statistics, and when we can do to combat this rise are Dr. Aaron White & Dr. Trish Powell, both from the NIAAA. Want better health and nutrition? Now you can get personalized supplement recommendations and custom vitamin packs delivered to your door! Go to PersonaNutrition.com/Roizen and take your free assessment and get 50% off your order today. - sponsor BonusHow Your Diet Affects Your Risk for Cancer

Most folks are familiar with the character Forrest Gump. A guy who lived a remarkable life that intersected with Presidents, legendary coaches, international affairs and so much more. Sounds like a pretty good story, and it was. But there are folks out there who aren’t that far off the Forrest Gump mark. David Mucci is just such a person. His Gumpian life has ranged from politics to rock music to seeing the world through a colorful, 3D lens. We’re talking with him about his life, which has been anything but beige. Submit Your Story Idea! This Episode Sponsored by: Buzzsprout - Theresa Springer, Movement Mortgage - Must Love Dogs NWLinksThe Trevor ProjectParents & Friends for Lesbians and GaysNarcotics AnonymousC-Dependents AnonymousNational Institute of Mental HealthThe Substance Abuse and Mental Health Services Administration (SAMHSA)The National Institute on Drug Abuse (NIDA)The National Institute on Alcohol Abuse and Alcoholism (NIAAA)

George F. Koob, Ph.D., is an internationally-recognized expert on alcohol and stress, and the neurobiology of alcohol and drug addiction. He is the Director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), where he provides leadership in the national effort to reduce the public health burden associated with alcohol misuse. As NIAAA Director, Dr. Koob oversees a broad portfolio of alcohol research ranging from basic science to epidemiology, diagnostics, prevention, and treatment.

Start the New Year off on a healthy note. Dr. George Koob, Director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) discusses possible signs to an alcohol use disorder (AUD) and if taking part in "Dry January" (not drinking any alcohol during the month) can be a healthy step. He also talks about the newest treatment options now available, including medication and behavioral treatments by health providers and the role of mutual support groups.

Welcome to Episode 7, of the “Sober is Dope” Podcast, with your host POP Buchanan. Today we cover the many lifestyle benefits of sobriety. We also cover the health risk associated with alcohol consumption. Please enjoy, and share with anyone struggling with alcohol or drug addiction. Love you all. Sobriety is the condition of not having any measurable levels or effects from alcohol or drugs. Sobriety is also considered to be the natural state of a human being given at a birth. A person in a state of #sobriety is considered #sober. ... As such, sustained abstinence is a prerequisite for sobriety. The mental health benefits of sobriety include: * Longer and deeper sleep * Stabilized mood * Anxiety relief * Depression relief When you quit drinking, you may experience: * Greater academic success * Improved relationships * Fewer financial and legal problems * Increased confidence in yourself National Institute on Alcohol Abuse and Alcoholism (NIAAA) https://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/soberisdope/message

For some drinkers, it’s almost as reliable as the pounding headache and queasy stomach: the feeling of dread that follows a night of heavy imbibing. Your mind races as you frantically scroll through your text messages and Instagrams, replaying what you can remember from the night before. Did I say anything embarrassing? Did I offend anyone? Do my friends hate me now?For some, these doubts are just fleeting, run-of-the-mill nerves from letting their guard down after a few too many drinks the night before. But for others, these all-encompassing thoughts aren’t just regret from drinking too much or your mind’s effort to piece together a hazy night. The overwhelming feeling of nervousness after drinking too much is an experience common enough that Reddit has devoted threads to the term: “hangxiety.”Even model Chrissy Teigen, who is known for her silly, alcohol-fueled antics on social media, revealed that she's planning on cutting back on booze after “making kind of an ass” out of herself after drinking too much. “That feeling, there's just nothing like that. You feel horrible,” she told Cosmopolitan.Turns out, there’s a physiological reason for the anxiety you feel the morning after drinking.“I think of a hangover as, more or less, a mini-withdrawal from alcohol, and anxiety is one of the components,” George F. Koob, Ph.D., director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), tells SELF. Although not everyone experiences anxiety when they're hungover—some people feel just achy or have an upset stomach—Koob says it’s a relatively common symptom of a hangover. And for people who are already prone to anxiety, it’s even worse, sometimes lasting all day and disrupting your ability to function.Mainstream Mental Health: http://www.mainstreammentalhealth.org/

Ray Hoffman interviews Mike Iiams. The first thing you should know about this particular entrepreneur CEO is that his name isn’t what you think it is. If you’re looking casually at an article about the important social work being done by a Denver-based company known both as SCRAM Systems and Alcohol Monitoring Systems, you’d probably think the CEO’s name was Mike Ilams. Mike Iiams has a long list of credits working for the accounting firm Peat, Marwick, Mitchell & Co. in Alaska, during the building of the TransCanada pipeline; working for an oil and gas company in Colorado; a long senior executive role with the maker of accounting software JD Edwards, which is now part of Oracle; and now is the CEO of SCRAM Systems, whose ankle bracelets are keeping a lot of dangerous, habitual drinkers off the highways. Mike describes the career that led him to SCRAM as a wonderful learning experience — a wonderful ride!   Key Takeaways: [:22] Ray Hoffman introduces Mike Iiams. Mike says many people mispronounce his name. [1:38] Mike’s career has taught him product development skills, sales and marketing skills, and business process re-engineering skills. When Mike left JD Edwards, he found a unique project that a couple of guys were working on in their basement to measure alcohol as it evaporates through a person’s skin. [2:04] Mike was intrigued by the project for personal reasons. His mother’s father was a “Skid Row” drunk for a big part of his life. Through a number of events, he ended up sobering up and he lived to be just short of 100. Sober, he was a wonderful person. Drunk, he was a fight looking for a victim. [2:34] When Mike found these people who were trying to figure out a way of tracking people for extended periods of time to see whether they were drinking, in the back of his mind, a picture of his grandfather kept tugging on him. Eventually, Mike thought this would be a good project to invest his time and money in, with the money from the software. [3:09] Fortunately, the company survived to the point where it is a viable entity today. [3:17] When Mike worked in Alaska, there was risk, but he thought of it as a great opportunity to see and be part of a huge construction project, the Trans-Alaska pipeline. [3:48] Ray notes that there is risk in putting your money on the line for an opportunity like SCRAM Systems. Mike says for the first four years of SCRAM Systems he paid himself $1 a week, to qualify for healthcare coverage. [4:23] For the first four years, Mike wrote a check of $100,000 or $200,000, each month, to keep moving the company forward. That felt like risk at that time, but the opportunity to bring something new to the marketplace, to create a new market segment and make a difference in lives always drove his desire to figure out how to make it work. [4:57] Jeff Hawthorne, the inventor and co-founder who had been working for several years on a monitor to keep track of habitually drunk drivers, filed a patent in 1991 and the company — at first, named Alcohol Monitoring Systems — wasn't founded until 1997. [5:26] There were two co-founders. Jeff Hawthorne was an electrical engineer and Kirby Phillips was an entrepreneur. Kirby and Jeff had started a company to build small, portable, hand-held alcohol breath testing devices. At an event, one of them walked past someone who had had so much to drink they smelled it just walking past. [6:04] That spawned the idea to take breath-testing technology, redesign and repackage it, and get it to the point where you could measure the alcohol as it evaporates through a person’s skin. That was in 1991 and they filed a patent for the idea. Then they pursued funding sources but did not find people to back the project until 1997. [6:48] The two people that started backing Jeff and Kirby ultimately found Mike and looked at him as a “new victim” to join the funding cause. Mike started investing in 1999 and then the investment started scaling up in 2001 when they completed a proof-of-concept project and a clinical research study showing the device could work. [7:30] It was an interesting journey, from the creative idea to exploration in a basement or garage investing their own time, capital, and resources, to finding people to join the cause. [7:57] When Mike joined them, he brought the skill set of the background of large software systems that could host all the data and provide a meaningful solution to probation and managing the data of the population of people that are being monitored. [8:24] The stars aligned. Everybody came together and they found enough capital to get the company through the early stages. It took $20 million to fund the company until they got to the point of positive cash flow on customers’ money, not investors’ money. [9:07] In the early days, they had a total team of seven employees and a couple of subcontractors. It was clear that they could get the technology to monitor alcohol but they had to find a customer to work with that would start putting the software and hardware products into play and help work to develop a complete solution. [9:48] They got lucky with the Michigan Department of Corrections Electronic Monitoring Group for people on probation and parole. The group has always been innovative and willing to try new approaches and technology. Alcohol Monitoring Systems (AMS) asked Michigan if they would do a beta test with them. [10:23] AMS would do the beta test for free if Michigan would help provide the guidance and the response to get the product past proof-of-concept to industrial-ready. They ran the project for about two years before they fine-tuned things to the point they could take the product and make it revenue-ready. [10:52] Today, Michigan is one of AMS’s top five customers. They are a valued partner in helping AMS build the right kinds of products and solutions that effectively work for them and other agencies like them. [11:16] It’s not just the capital or the resources. When you’ve got disruptive technology, you’ve got to find that early customer that dreams about what your product could do and holds you accountable to get there. [11:32] This all came from a patent application in 1991. [11:38] Mike provides an executive summary of what the SCRAM Systems technology does. It measures a person’s blood alcohol content as that alcohol evaporates through the skin. You may have been close to a person who smells like alcohol as it comes through their skin. [12:08] 1% of all the alcohol you consume leaves your body through that constant perspiration process. About 5% of the alcohol that you consume leaves your body as you exhale. Your lung lining is a thinner tissue, so it’s easier for the alcohol to pass through it as you breathe. It takes more effort for the alcohol to evaporate transdermally. [12:48] As 1% of the alcohol you consume exits through the skin, Alcohol Monitoring Systems developed a sensor mechanism in a device that’s securely attached to a person’s ankle. It continuously monitors a person’s BAC and it wirelessly moves that data to a website that AMS hosts. [13:12] The website is intended for audiences where a court, for example, would take a repeat drunk driver and order them to abstain and do this kind of monitoring in lieu of incarceration. Once you send somebody to jail, they lose their job, they can’t pay rent for the family — everything starts to cycle down very quickly. [13:43] The intent of AMS is to work with agencies to build alternative programs. If a person isn’t drinking, they’re not drinking and driving. If they’re not drinking and driving, we’re meeting that public safety need to make sure these people aren’t posing a risk to society. [14:02] If they’re not drinking, then the money the courts spend on treatment and other services has a better chance of helping this person learn to manage this part of their life. [14:15] Mike says AMS got lucky because a lawyer called them up, and said they had a celebrity who just got out of rehab, and the lawyer wanted their client to be monitored for a host of reasons. That celebrity was Lindsay Lohan. Lindsay Lohan proudly wore the bracelet for weeks, with paparazzi following her all over. [15:02] In a short period of time, SCRAM Systems had hundreds of television-based news segments all over the world talking about them, their technology and Lindsay. That just propelled them to a level of prospective customers calling them for information about the systems. Lindsay Lohan helped SCRAM Systems more than she knows. [15:34] Lindsay Lohan, with a surfboard and a bikini, made their bracelet look good. [15:40] There was a treatment provider in Orange County, California, that looked at the technology, found SCRAM Systems on the web, called out of the blue and said, “You need to help us.” [16:02] Judges all over started having repeat high-risk drunk drivers in front of them and calling AMS for help. Mike tells of one offender arrested in Texas, from Tennessee, who was sent by court order to Denver to get a SCRAM Systems bracelet. [16:43] AMS got a number of one-off cases like that from individual judges who would call and say something like, “This person worries me. I need to do something. I can’t keep them in jail. Let’s give this a try.” And it worked. [16:56] SCRAM stands for Secure Continuous Remote Alcohol Monitor. The company’s legal name is Alcohol Monitoring Systems, but the marketplace never called them by that. People say, “You’re the SCRAM guys!” SCRAM resonated with people, so the whole product line today is SCRAM ”something.” [17:52] The products include GPS monitoring, home arrest monitoring, unsupervised breath testing, and the continuous alcohol monitoring with the ankle bracelet. This year, AMS is launching a completely new software experience for the probation officer called Nexis that is focused on what AMS has learned over the last 15 years. [18:32] Probation officers have very complicated jobs and very complicated caseloads. The requirements for supervising people vary from person to person. There are no software tools that do a good job of helping that probation officer make decisions day by day on how to react to the behavior that they see from their caseload. [18:59] AMS has worked with leading researchers and behaviorists for the last five years. Nexis, to be launched this year, is an evidence-based practice tool to help probation departments and officers make better decisions on how to incentivize and sanction people who are under their charge. [19:28] Mike talks about the future. AMS has garnered international interest. They have pilot projects in eight different locations around the world. This is a chance to expand their role in probation and in location monitoring. They have a chance to expand their role internationally and become a global player in this marketplace. [20:02] AMS is at “a fun stage” right now. They have a lot of risk, executing across all these fronts, but they’ve built a wonderful team that’s very excited about stepping up and managing these risks. [20:19] AMS has about 300 full-time employees making them a medium-sized entity today. When Mike became CEO 15 years ago, there were 10 employees. That is considerable growth. [20:42] AMS makes extensive use of blogging. One blog is Sobering Up, Covering drunk driving, alcohol addiction, and criminal justice. When AMS started, they looked for thought leaders to create a discussion around the issues of alcohol and crime. They tried a couple of approaches toward creating awareness and a forum for debate. [21:25] That blog has resonated for a number of years and it helps AMS stay in touch and get people to share the ownership of moving this journey forward. [21:42] AMS publishes case studies from areas where the SCRAM CAM (Continuous Alcohol Monitoring) has been heavily adopted, including one from Louisiana, which has the highest incarceration rate in the U.S. [22:09] We’re at a stage in the country where the criminal justice system is re-evaluating the policies that define whether somebody goes to prison or jail, or they don’t. It began with the War on Drugs. The unintended consequences of this movement was an explosion of the number of prisons and the number of people incarcerated. [23:00] The criminal justice system today is moving more to models that say, let’s separate the people we’re mad at from the people we’re afraid of. Violent criminals that harm society need to be in prison. Repeat drunk drivers (that haven’t killed anyone), if they are not drinking, do not need to be feared and do not need to be in prison. [24:00] AMS has projects in virtually every state focused on keeping people out of jail or prison, as long as they can demonstrate that they successfully do not drink, at the time that they’re being monitored. [24:19] The National Institute on Alcohol Abuse and Alcoholism (NIAAA) looked at the project six or seven years ago and looked at data on 1,000 people that had been monitored for more than a year. Almost all 1,000 had drunk every single day on average for 10 years before they were put on SCRAM. [25:16] The data on this population for the year they were monitored showed that every single day 99.3% of them did not drink. Even if they had a drinking event one, two, or three times during that year, it was a person who had been drinking every day, before being monitored. The monitoring allowed the treatment service to discuss it with them. [26:25] The hope is that as AMS helps people not drink for extended periods of time, the treatment services that are attached to these people can help them wrestle with ‘their demons’ and figure out better ways to manage their life stresses. Stress is never going to go away; they just need to find alternative outlets to manage that stress. [26:55] Keeping in mind that success, Mike estimates AMS is still in the early stages of marketplace adoption. Mike cites Scotland as an example, where the alcohol problem is so bad that the life expectancy of a male in Scotland is 58 years. You have alcohol issues throughout Europe and Asia. [27:43] The lessons AMS has learned in the States, and the research that has been wrapped around projects using SCRAM technology, clearly show that they need to be knocking on doors around the world and helping other markets come to grips with the drinker that turns into violence, whether with a car or in brawling. [28:26] There is a lot of correlation between people walking out of bars late at night and knife fights on the streets with guys that have just had too much to drink. The market opportunity for AMS is pretty big, if you think globally. [28:44] AMS has about 25 patents on these devices, some of which don’t expire until after 2030. Is there corporate complacency from all this patent protection? Mike doesn’t look at it that way. Their single biggest competition is the environment that says, “I don’t need to change.” The do-nothing decision is their single biggest competitive factor. [29:19] Patents don’t help with the do-nothing mindset. [29:24] The only thing that helps with that do-nothing decision is great people at the field level who knock on doors and wrestle with the marketplace over the magnitude of the problem and the options to deal with it. Mike and AMS keep focused on how to compete with that do-nothing decision. [29:46] AMS has a wonderful, diverse group of people that come from government and research organizations, that are continually carrying their message at the research level, the Federal policy level, state and local policy level, and then, of course, at the judicial level, and in sheriff's offices and probation offices. [30:20] There’s no shortcut to covering all the bases. [30:27] Mike says AMS has been extremely lucky in their workforce. Mike feels he has been lucky to be able to meet and convince people to come join the cause. [30:40] A lot of people at AMS have stories like Mike’s, with a close family member or friend that struggled with drug or alcohol addiction. They’ve seen the destructive impact on families. They look at what AMS is doing and say, “Yes! I’d like to join your team! Let’s figure out how to make a difference.” [31:06] Mike says, behind every good drunk is his grandfather waiting to be rediscovered. [31:16] As Mike looks back over his career, would he have imagined the course he took? He recalls his college days at the University of Colorado during the time of race riots and the unsuccessful experience in Vietnam. There was lots of social unrest. Mike’s generation wanted to find a way to make a difference. [32:23] With AMS, Mike lucked out. He found a project that is personal to him, that gives him a chance to make a difference. It challenges him to figure out how to make money and make a difference at the same time, and that’s a challenge worthy of his time. [32:50] Call it SCRAM Systems, or Alcohol Monitoring Systems, either way, what Mike Iiams is building is an important part of modern criminal justice technology.   Mentioned in This Episode: Mike Iiams SCRAM Systems Alcohol Monitoring Systems Peat, Marwick, Mitchell & Co. (Now KPMG) TransCanada Pipeline JD Edwards (Now part of Oracle) Trans-Alaska Pipeline The late Jeff Hawthorne Michigan Department of Corrections Electronic Monitoring Group NIAAA HHS University of Colorado Stephens.com This Is Capitalism

On this weeks episode of Expanded Perspectives the guys start the show off talking about how bee populations around the world have been in decline for years due to a number of reasons that make it extremely difficult to fix the problem. Urban development, insecticides, fungicides, illness, climate change, and many other factors have been determined to be responsible for the decline in bee populations. This week, the nonprofit Bee Informed Partnership and the Apiary Inspectors of America published their annual survey of 4,963 beekeepers in the United States and it seems that we still have a problem. But it was a slightly better year for our vital pollinating friends. Then, millions of Americans say they engage in extreme binge drinking — or downing at least eight to 10 drinks containing alcohol on a single occasion — and the behavior appears to be on the rise in the U.S., according to a new report. The findings are concerning because this high level of drinking is linked with health and safety risks, including an increased risk of injury or even death, according to the researchers, from the National Institute on Alcohol Abuse and Alcoholism (NIAAA). The study "reveals that a large number of people in the United States drink at very high levels and underscores the dangers associated with such 'extreme' binge drinking," George F. Koob, director of the NIAAA, said in a statement. The researchers analyzed information from more than 36,000 Americans ages 18 and older who completed a survey about their alcohol consumption in 2012 to 2013. The researchers asked the participants to report the maximum number of alcoholic drinks they consumed on a single day in the past year. Binge drinking was defined as consuming four or more drinks on a single occasion (for women), or five or more drinks on a single occasion (for men), while extreme binge drinking was defined as consuming double those amounts, or more. Then, for years, scientists have debated whether heavy inland snowfall on the vast East Antarctic Ice Sheet — Earth’s largest — balances out the rapid melting in West Antarctica. Given enough snowfall, the continent might not yet be contributing to sea level rise. Most research shows the melt rate is so high that the continent is indeed losing ice. But in 2015, a group of NASA scientists published a controversial study that found Antarctica was instead gaining ice. The NASA team combined space- and land-based measurements and found so much snow dropping in East Antarctica that even with drastic melting elsewhere, the continent was adding some 80 billion tons of ice annually. It contradicted prominent previous findings — including reports from the U.N.’s Intergovernmental Panel on Climate Change. The result drew global headlines and excited climate change skeptics. That’s despite warnings from the study’s lead author, NASA Goddard’s chief cryospheric scientist Jay Zwally, who predicted that melting would outpace increased snowfall in a decade or two. Then, An Arizona witness traveling by train through Apache County reported watching and photographing six hovering, “two-story” objects beaming light to the ground level. After the break Cam brings up the incredible tale of "The Black Flash". Shadowy figures have long haunted the pages of history. From ghosts to goblins to things less mentionable, the human psyche has a habit of inventing monsters to inhabit the dark reaches of the unknown. Several such figures have been chronicled: the Halifax Slasher, the London Monster, and Spring-Heeled Jack, to name a few. Today, we’ll be adding another cloaked and hooded terror to the rogue’s gallery, this one known by a name straight out of a comic book: the Black Flash. All of this and more on this weeks episode of Expanded Perspectives! Show Notes: A Third of America's Bee Colonies Died Last Year and That's Good News Extreme Binge Drinking Is On the Rise in the US Is Antarctica Gaining or Losing Ice? Nature May Have Just Settled the Debate Arizona Witness Sees 6 Hovering Disk The Black Flash Sponsors: GAIA Dollar Shave Club Music: All music for Expanded Perspectives is provided by Pretty Lights. Purchase, Download and Donate at www.prettylightsmusic.com. Songs Used: Pretty Lights vs. Led Zeppelin Cold Feeling At Last I Am Free My Other Love

On this weeks episode of Expanded Perspectives the guys start the show off talking about how bee populations around the world have been in decline for years due to a number of reasons that make it extremely difficult to fix the problem. Urban development, insecticides, fungicides, illness, climate change, and many other factors have been determined to be responsible for the decline in bee populations. This week, the nonprofit Bee Informed Partnership and the Apiary Inspectors of America published their annual survey of 4,963 beekeepers in the United States and it seems that we still have a problem. But it was a slightly better year for our vital pollinating friends. Then, millions of Americans say they engage in extreme binge drinking — or downing at least eight to 10 drinks containing alcohol on a single occasion — and the behavior appears to be on the rise in the U.S., according to a new report. The findings are concerning because this high level of drinking is linked with health and safety risks, including an increased risk of injury or even death, according to the researchers, from the National Institute on Alcohol Abuse and Alcoholism (NIAAA). The study "reveals that a large number of people in the United States drink at very high levels and underscores the dangers associated with such 'extreme' binge drinking," George F. Koob, director of the NIAAA, said in a statement. The researchers analyzed information from more than 36,000 Americans ages 18 and older who completed a survey about their alcohol consumption in 2012 to 2013. The researchers asked the participants to report the maximum number of alcoholic drinks they consumed on a single day in the past year. Binge drinking was defined as consuming four or more drinks on a single occasion (for women), or five or more drinks on a single occasion (for men), while extreme binge drinking was defined as consuming double those amounts, or more. Then, for years, scientists have debated whether heavy inland snowfall on the vast East Antarctic Ice Sheet — Earth’s largest — balances out the rapid melting in West Antarctica. Given enough snowfall, the continent might not yet be contributing to sea level rise. Most research shows the melt rate is so high that the continent is indeed losing ice. But in 2015, a group of NASA scientists published a controversial study that found Antarctica was instead gaining ice. The NASA team combined space- and land-based measurements and found so much snow dropping in East Antarctica that even with drastic melting elsewhere, the continent was adding some 80 billion tons of ice annually. It contradicted prominent previous findings — including reports from the U.N.’s Intergovernmental Panel on Climate Change. The result drew global headlines and excited climate change skeptics. That’s despite warnings from the study’s lead author, NASA Goddard’s chief cryospheric scientist Jay Zwally, who predicted that melting would outpace increased snowfall in a decade or two. Then, An Arizona witness traveling by train through Apache County reported watching and photographing six hovering, “two-story” objects beaming light to the ground level. After the break Cam brings up the incredible tale of "The Black Flash". Shadowy figures have long haunted the pages of history. From ghosts to goblins to things less mentionable, the human psyche has a habit of inventing monsters to inhabit the dark reaches of the unknown. Several such figures have been chronicled: the Halifax Slasher, the London Monster, and Spring-Heeled Jack, to name a few. Today, we’ll be adding another cloaked and hooded terror to the rogue’s gallery, this one known by a name straight out of a comic book: the Black Flash. All of this and more on this weeks episode of Expanded Perspectives! Show Notes: A Third of America's Bee Colonies Died Last Year and That's Good News Extreme Binge Drinking Is On the Rise in the US Is Antarctica Gaining or Losing Ice?

Sync Solver This app saves the day in some cases when your two apps don't talk to each other http://syncsolver.com/ Fitbit to health, Health to CSV. Health to Fitbit, and many combinations of all of the above. Here is a video.  Women Are Drinking More Binge drinking (defined as imbibing four or more drinks within two hours) increased by 3.7% annually among older women, but held steady among older men. In a single decade — from 2002 to 2012 — the proportion of women who drank rose from 44.9% to 48.3%, while the proportion of male drinkers fell from 57.4% to 56.1%. A survey conducted by the Centers for Disease Control and Prevention (CDC) between 2011 and 2013 indicated that 53.6% of women ages 18 to 44 were drinking, and 18.2% were binge drinking. The CDC followed up with an alert that three million US women were at risk of increasing the likelihood of sudden infant death syndrome and fetal alcohol spectrum disorders. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the gender gap has closed among teens, with about 20% of 17-year-olds drinking regularly and 13% binge drinking. See Full Story Make Your Bed: Little Things That Can Change Your Life...And Maybe the World The author of this book did a commencement speech and he points out how doing the little things can help you with a better attitude, but he also points out that life is not always fair. You can get a glimpse of this book in this commencement speech https://youtu.be/pxBQLFLei70 He points out that you are going to fail, and fail often, but if you don't quit you still have a chance of winning.  Why I Was Gaining Weight For me, weight loss is about food. Control your food, and you control your weight. Well, I used to plan out my meals ahead of time and as I mentioned last week, even if everything in your house is "healthy" you can still eat too much. Well, I use the Fitbit app. I'm also playing with the fooducate app. Both of these allow you to put in your food and your activity. The Fitbit takes in the steps you have for the day, and adds up the calories burned. This is good and bad. The good thing is it's easy. It happens automatically. The bad news is now if you have more than usual steps it shows you that you can eat more calories (and I was).  If the calories it says you are burning is inaccurate, then you have a problem.  So Im taking the extra step to go in and look at the number of calories IN, instead of the net calories (calories in and then subtract a number of calories burned).  From the Mailbag From Laura: Dave I love your podcast! I look forward to it very week. Keep up the great work. Stay honest. Stay true to yourself. You are such an inspiration for me. My current struggle is trying to cut out the C-R-A-P that has found its way back into my daily life. I lost 50 pounds (from 200-yikes! down to a sleek150-size 8) by cutting out all the processed, nutrition-less, Franken foods. Yep just like you, I was focused on hydration, real food (mainly meat & vegetables), sleep and fitness. I lost weight by having as many four-star days as possible. It took 9 months but I’ve kept it off since 2011. Well almost. Truthfully, I’m bouncing around 157 now. I’m writing you because I’ve got to nip this in the bud. I look good. I feel good. I can still wear the same clothes, but everything is just a little too snug. I’m reeling it in right here, right now. No cheats. No slips. No skipping exercise. For 30 days. 30 consecutive 4-star days should get me back down to 150 pounds and back on track to a lifetime of clean eating. Come on Dave – we can do this!! Thank For Supporting the Show Go to www.logicalloss.com/support and shopping at Amazon and for contributing on Paypal. 

Alcohol Use Disorder is a serious problem impacting families throughout the world. Join your family radio talk show Let's Talk America with Host Shana Thornton as we highlight this concern with expert Dr. George Koob of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). We keep you informed.    Thank you for visiting our page. Please visit www.ltaradio.com.   #LTARadio 

  Join me as I welcome Dr. Patricia O’Gorman Back to Red Velvet Media!  Dr. Patricia O’Gorman Ph.D is an internationally-recognized public speaker known for her warm, funny, and inspiring presentations, coach, psychologist, and a consultant to Lifescape Solutions in Delray Beach, Florida. She is noted for her work on women, children of alcoholics, and trauma, in the child welfare, mental health, and substance abuse systems.She was one of the first researchers in children of alcoholics in the early 1970’s, documenting the impact of alcoholism and sobriety on adolescent development, and went on in 1974 to create the Department of Prevention and Education for the National Council on Alcoholism and Drug Dependence (NCADD). She has served as an international consultant to organizations in preventative and clinical strategic planning. Dr. O’Gorman is a co-founder of the National Association for Children of Alcoholics, where she serves on the Advisory Board, and has held positions ranging from Clinical Director of a child welfare agency, Executive Director of an agency serving mostly female survivors of crime and abuse, to Director of the Division of Prevention for the National Institute on Alcohol Abuse and Alcoholism (NIAAA). She is currently Chairperson of the Advisory Board of Horses Healing Hearts (HHH), Inc. a nationally recognized equine therapy program for children of alcoholics located in Delray Beach, Florida.She is a veteran of numerous television appearances, including Good Morning America, Today, and AM Sunday and the author of numerous articles in magazines including Addiction Today Counselor, and Recovery.