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Thursday, October 9, 2014

NANCY WAITE-O'BRIEN RECEIVES "SPIRIT OF RECOVERY" AWARD

NANCY WAITE-O'BRIEN, Ph.D., OF WIND HORSE CROSSING, INC., has been named the 2014 Joseph L. Galletta “Spirit of Recovery” Award winner. Nancy received multiple, heartfelt nominations for the esteemed, fifth annual award.

Formerly Vice President of Clinical Services at the Betty Ford Center, Nancy directed inpatient, residential, day treatment, outpatient, and family programs - as well as training programs for professionals and medical students countrywide. She currently owns and oversees Wind Horse Crossing, Inc., devoted to providing training and therapeutic experience to individuals and groups wanting to increase self-awareness through the practice of equine-assisted psychotherapy.

Dr. O'Brien is also a founding director of Shaky Acres; a half-way house in St. Thomas, US Virgin Islands, and former faculty member of Prescott College’s Master’s Degree program in Equine Assisted Therapy. Currently, along with operating Wind Horse Crossing, she has a private practice in Palm Desert, CA and is a consulting psychologist at the Betty Ford Center, a part of the Hazelden Betty Ford Foundation.

Waite-O'Brien began her association with the Betty Ford Center in 1989 and played a pivotal role in the design of the center's unique women's program. She is a frequent lecturer on issues related to women's recovery.
"Nancy's willingness to help, no matter the situation or capacity, reflects her professionalism and genuine interest in the field. She is a champion for women, showing great compassion and insight," explains Joan Connor Clark, editor, Betty Ford Center. "I have known Nancy since her internship at Betty Ford Center over 20 years ago, and she still radiates the same aura of comfort and willingness to help."
Waite-O'Brien has more than 20 years of experience in addiction treatment both in the United States and in the Caribbean. She has co-authored articles on adolescent treatment and women's treatment issues, taught at Chapman University and published research on shame and depression in early recovery.
"Nancy is one of the most honored and respected women in the field of addiction and recovery, " said Juliana Weed, Director of Operations, Desert Palms. "Nancy has an impeccable reputation. She personally and professionally appears from a place of integrity and honesty and upholds high ethics and standards."
Hemet Valley Recovery Center and Sage Retreat named Nancy Waite O'Brien, Ph. D., as its recipient of the 2014 Spirit of Recovery Award because she embodies the spirit of the award’s namesake, the late Dr. Joseph Galletta. Like Dr. Joe, Nancy is a noted, respected, trained professional in the field of addiction and has assisted and touched thousands of people over the years, helping them find the courage to recover.

Hemet Valley Recovery Center & Sage Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website.

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Friday, October 3, 2014

NY TIMES FEATURES HVRC & SAGE RETREAT'S SYLVIA DOBROW

Below is the full article from the October 3rd, 2014 edition of the New York Times. 

More Older Adults Are Struggling With Substance Abuse
By Abby Ellin Oct. 3, 2014
Sylvia Dobrow, 81, now works as a counselor at the rehabilitation center in Hermet Valley, Calif., where she was treated for alcohol abuse. CreditJ. Emilio Flores for The New York Times
Before her drinking spiraled out of control, Sylvia Dobrow “drank like a lady,” as she put it, matching her wine to her sandwiches: “Tuna and chardonnay, roast beef and rosé.” But soon she was “drinking around the clock,” downing glasses of vodka and skim milk.

“When you try to hide your drinking from your grandchildren, you do whatever you can,” said Ms. Dobrow, 81, a mother, grandmother and great-grandmother living in Stockton, Calif.

A former hospital educator, Ms. Dobrow’s alcohol consumption became unmanageable after she lost her job and subsequently “lost my identity,” she said.

One night in early 2007, after a particularly excessive alcohol binge, Ms. Dobrow fell out of bed and suffered a black eye. That was when her two daughters, one of whom was a nurse, took her to Hemet Valley, a recovery facility in Hemet Valley, Calif., that caters to adults age 55 and older. Ms. Dobrow, who was 73 at the time, stayed for 30 days, which cost roughly $20,000, about $13,000 of which was covered by insurance. When she returned home, she continued with a 12-step program. She has been sober ever since.

An estimated 2.8 million older adults in the United States meet the criteria for alcohol abuse, and this number is expected to reach 5.7 million by 2020, according to a study in the journal “Addiction.” In 2008, 231,200 people over 50 sought treatment for substance abuse, up from 102,700 in 1992, according to the Substance Abuse and Mental Health Services Administration, a federal agency.

While alcohol is typically the substance of choice, a 2013 report found that the rate of illicit drug use among adults 50 to 64 increased from 2.7 percent in 2002 to 6.0 percent in 2013.

“As we get older, it takes longer for our bodies to metabolize alcohol and drugs,” said D. John Dyben, the director of older adult treatment services for the Hanley Center in West Palm Beach, Fla. “Someone might say, ‘I could have two or three glasses of wine and I was fine, and now that I’m in my late 60s, it’s becoming a problem.’ That’s because the body can’t handle it.”

Many, although certainly not all, of these older individuals with alcohol problems are retired.

Over the course of 10 years, Peter A. Bamberger and Samuel B. Bacharach, co-authors of “Retirement and the Hidden Epidemic,” conducted a study funded by the National Institutes of Health on substance abuse in older adults. They found that the impact of retirement on substance abuse was “anything but clear cut, with the conditions leading to retirement, and the economic and social nature of the retirement itself, having a far greater impact on substance use than simple retirement itself,” said Mr. Bamberger, who is also research director of the Smithers Institute at Cornell University.

But events that arise in later life often require coping skills older adults may not possess. Some retirees are lonely and depressed, and turn to alcohol or drugs to quell their anxieties. Others may drink to deal with late-life losses of spouses, friends, careers and purpose.

“In retirement there can be depression, divorce, death of a spouse, moving from a big residence into a small residence,” said Steven Wollman, a substance abuse counselor in New York, . “For anyone who’s an addict, boredom’s the No. 1 trigger.”

Sandra D., 58, who works in the financial services industry in Toronto, said that her father’s drinking increased so much after he retired that she often took the car keys away from him.

“He and his friends meet for cocktails at about 3 or 4 and then he passes out, which he calls a ‘nap,’ ” said Ms. D., who asked that her full last name not be used. “My dad didn’t plan out his retirement well. My mom was very ill for many years before she passed away, and my dad was a caregiver. He was pretty well looking after the house and taking care of her. When she passed away, there was a very big void for him.”

Ms. D. said her father, an 82-year-old former maintenance worker, doesn’t believe he drinks too much, a common perception among many seniors.

“People are really good at redefining things,” said Stephan Arndt, a professor of psychiatry at the University of Iowa and director of the Iowa Consortium for Substance Abuse Research and Evaluation. “They say, ‘I don’t have a problem, I just like to drink.’ Or, ‘I’m a big guy, I can handle it.’ In the case of prescription drugs, it’s, ‘Well, I got it from my doctor, and it’s for my pain. It’s medication.’ Consequently, they don’t seek help.”

Physicians often aren’t trained to talk to their older patients about chemical dependency — or, perhaps more pointedly in an era of managed care, they often don’t have the time to thoroughly screen a patient. Also, many signs of chemical dependence like memory loss and disorientation resemble normal symptoms of aging. “Is this person confused because they’re messing up their meds, or is it dementia?” said Brenda J. Iliff, the executive director of Hazelden, a residential treatment center in Naples, Fla., that offers special programming baby boomers and older adults for about $21,000 a month. “Is their diabetes out of control, or did they fall and break their hip because they were woozy from Atavan?”

Another misconception is that older adults don’t benefit from treatment. “There’s this lore, this belief, that as people get older they become less treatable,” said Paul Sacco, an assistant professor of social work at the University of Maryland in Baltimore, who researches aging and addiction. “But there’s a large body of literature saying that the outcomes are as good with older adults. They’re not hopeless. This may be just the time to get them treatment.”

Pamela Noffze was 58 when she arrived at Hazelden‘s center in Naples for treatment. At her worst, she was drinking a case of light beer a day, but she didn’t think she had an issue until her daughter threatened to ban her from seeing her grandsons again unless she sought help. “That’s when I knew I had to do something,” said Ms. Noffze.

On her first night at Hazelden, she discovered that she was also addicted to Klonopin, an anti-anxiety medication that her psychiatrist had prescribed in 2009 to help her cope with a divorce. Weaning herself off prescription medications was harder than stopping drinking, she said. Still, she has not had a sip of alcohol or any pills since rehab.

Ms. Noffze, now 61, who lives in Naples and is unemployed, regularly attends 12-step meetings. She said she was astonished at the number of people who “have their cocktails every night, and the next thing they know they find themselves addicted because some doctor gave them Ambien to sleep or they were on pain pills for arthritis or whatever,” she said. “You put those two together and you put yourself over the edge.”

As for Ms. Dobrow, she was so emboldened by her recovery that in 2010 she went back to school to get a credential as a substance abuse counselor. She now works part time counseling older adults at Hemet Valley.

“Losing your purpose in life is the singular thing that hurts people,” said Ms. Dobrow. “We involve so much of our ego in our career, but these last seven and a half years have been the most fulfilling of my life, because I can help people. What is when people used to wear a sandwich board and walk around in a commercial? I feel that mine says ’Hope’ on the front and on the back.”

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Hemet Valley Recovery Center & Sage Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website.

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Saturday, September 20, 2014

HVRC & SAGE RETREAT RECEIVE OPTUM'S PLATINUM STATUS

HVRC & Sage Retreat has been honored as a Platinum status facility by Optum, formerly known as United Behavioral Health

HEMET, CA, SEPTEMBER 19th, 2014 —With the continuing escalation of costs and the myriad issues surrounding the delivery of health care, it seldom seems there’s a positive story about health care that is newsworthy. But one local substance abuse facility has been recognized for delivering highly effective inpatient care while doing so in a cost-efficient manner, and is having a great impact benefitting patients. HEMET VALLEY RECOVERY CENTER & SAGE RETREAT (HVRC.COM) has recently been awarded the Platinum designation by Optum, formerly known as United Behavioral Health, for the remarkable work the facility does here in Hemet Valley, working with those recovering from alcoholism and drug addiction.
“I believe HVRC & Sage Retreat truly represents the epitome of what outstanding substance abuse treatment can and should be,” said Dr. Rick Jemanez, National Medical Director, External Health Plans. “They are a credit to their community and to the addiction treatment profession at large.” 
HVRC & Sage Retreat was honored with the Platinum distinction based on clinical data collected by Optum over the course of an entire year. Optum looked at specific criteria, such as readmission rates and average length of inpatient stay, and compared HVRC’s data to that of other regionally-based facilities. Of the several key data points examined, HVRC exceeded nearly all.
“We are extremely proud and honored to have received this Platinum distinction,” said Steve Collier, Executive Director and Co-Founder. “I think it’s truly a well-deserved acknowledgement of the great work being performed by our team here at Hemet Valley Recovery Center and Sage Retreat. “When one of our providers refers a patient to our facility, they know that patient is going to receive excellent care. That is the kind of trust we’ve built with our providers over the years. And receiving Optum’s Platinum award serves to affirm that our providers’ trust is well placed with HVRC."

Hemet Valley Recovery Center & Sage Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website.

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Saturday, August 30, 2014

HVRC'S GORDON SCHEIBLE TO PRESENT AT US JOURNAL CONFERENCE

("Spirituality: From the Negative to the Positive" Among Friday 's Agenda at the 5th Western Conference on Behavioral Health Addictive Disorders)

Scheible
Friday, September 5th, 2014 (SAN FRANCISCO, CA) - Hemet Valley Recovery Center and Sage Retreat is sponsoring "Spirituality: From the Negative to the Positive," a workshop conducted by Gordon Scheible, MDiv, CADC-II, ICADC.

Gordon manages and facilitates the Older Adult Program at Hemet Valley Recovery Center. He is trained in Critical Incident Stress Management and developed and implemented an extensive Suicide Prevention Training Program.

Spirituality is often described as a connection to yourself, others, society and the world around you, and for many, with a God of their own understanding. It is ultimately a dynamic of relationship. To heal addiction, which is a process of disconnection from self, others and God, people must embrace recovery, which is a process of re-connection. This presentation will explore the true nature of spirituality, how addictive thinking and behavior has replaced it, and what steps one can take to begin to reclaim a positive spirituality which is crucial to building a new, meaningful and happy life in recovery.

The workshop will be held as part of the 2014 5th Western Conference Conference on Behavioral Health and Addictive Disorders, in San Francisco, CA, September 4-6th at the Hotel Nikko San Francisco

The workshop takes place on Friday,September 5th 4:00 pm - 5:30 pm at the Hotel Nikko San Francisco. To register for the event visit the conference web site. 


Hemet Valley Recovery Center & Sage Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website.


US JOURNAL TRAINING, INC - 5th WESTERN CONFERENCE ON BEHAVIORAL HEALTH AND ADDICTIVE DISORDERS
Hotel Nikko San Francisco, San Francisco, CA | September 4-6, 2014
Program Focus: 

The 5th Western Conference on Behavioral Health and Addictive Disorders is a premier training event, specializing in mental health and the addictions field. It is where a unique combination of nationally recognized faculty address a wide variety of today’s most relevant topics. The result is a highly acclaimed national training event featuring customized training opportunities for developing new t  reatment strategies and the sharing of research advances for clinicians and counselors. US Journal Training, The Institute for Integral Development and COUNSELOR Magazine present an exceptional combination of inspiring speakers and trainers, addressing today’s most relevant topics.

This year’s Western Conference tackles the issues of behavioral health and addictions using an integrated approach which considers the complex emotional, social and spiritual dimensions of each individual.

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Tuesday, August 19, 2014

A WEEK'S WORTH OF TRAGIC AFTERMATH

It has been one week since the tragic suicide death of actor/comedian Robin Williams. And while there has been a groundswell of support from his loved ones and fans taking to social media, the death has also exposed a dark side to these outlets.

Among the highlights of Facebook and Twitter: Fans expressing thoughts and prayers, as well as commemorative messages, quoting his infamous movie quotes, such as "Oh Captain My Captain!"
A Scene from the movie, Dead Poets' Society

The bad: Well, the bad has just been flat out ugly.

Williams' daughter, Zelda, was bullied off of Twitter by Internet trolls, who decided to post phony photos of her father with bruises around his neck. Her signoff: "I'm sorry. I should've risen above. Deleting this from devices for a good long time, maybe forever. Time will tell. Goodbye."

There are also reports of scammers trying to take advantage of the situation.

"Social media posts are being provided linking to video claiming its unreleased police footage from the time of his death or information where you can see is last words before he died," said Caitlin Driscoll with the Better Business Bureau.

They call it “click-jacking,” because if you click on the links, it takes you to somewhere you don’t expect. “If you do click, it will either likely lead you to a video player – where it asks you to download the latest version in order to view the information – you’re really just downloading a virus,” said Driscoll.

Robin Williams, circa 2013
“Or it may take you to a survey that you have to complete.” “By doing that – they’ll have your information that they can sell to companies for solicitations and you’ll just end up being put on a number of different spam lists,” Driscoll added.

As if the news of one of the greatest comedic actors of our time taking his own life wasn't sad enough.

One week later and many of us are still reeling from his shocking death. However, the media attention is loathsomely centered on Cyber-pariahs - those who choose to spew hate and look for ways - any way to pilfer data and dollars from people.

What we should be remembering, what we should be taking from this tragedy, is a message of awareness and recovery. Our good friends at Pavilion Recovery said it best in a recent Facebook post:
"Tonight we learn about the passing of Robin Williams. It strikes us once again how this disease doesn't care how talented, famous, beautiful or rich a person is. We do not know what caused his passing....but we do know that this is a man who was strongly committed to his sobriety. After 20 years sober, he relapsed - and sought help. When he felt himself slipping again - he sought help before he picked up that first drink. He was open and honest about his recovery. As his family asks that people think about the laughter and joy of his life, it seems only appropriate that the recovery community celebrate his recovery and his willingness to share his journey with others. Williams said he had spent years thinking he could handle his alcohol problem on his own.
"But you can't. That's the bottom line," he said. "You really think you can, then you realize, I need help, and that's the word."
So instead of searching for grotesque footage, images, or unreleased information for the purpose of rumor mill and gossip, think of your loved ones. Think of those who may need your help. No matter how much they seem to have, depression and addiction never discriminate. What they really may need is support from those whom they love.

Take the First Step. Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website. Hemet Valley Recovery Center Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.Related articles

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Thursday, August 7, 2014

DECRIMINALIZATION: IS IT THE ANSWER?

America used to engage in wars that had a clear beginning, end, and most importantly, purpose. Remember that? Then there was Vietnam. Then there was Iraq. The war on terror. I can't begin to identify the familiar components of something linear in these examples. Even more befuddling is the almost century long War on Drugs

We have heard the declaration from Nixon, Reagan, Bush I, and Bush II. War on Drugs. War on Drugs. War on Drugs. War on Drugs. (yawn).

By now, we should recognize that this is a war that we cannot win. Drug abusers are crowding our courts, hospitals, and prisons. They should be in the care of treatment experts. Learning. Understanding their disease. However to no avail, we have spent years and billions of dollars incarcerating the user. We have focused most of the effort on criminalizing drug use. This blogger is NOT in favor of legalization of drugs. This blogger is in favor of focusing more effort and more funding on treatment, rehabilitation, education, prevention and reinsertion of the user into society. Our efforts to eradicate the supply of drugs have failed. Drugs are still readily available. In fact, many would argue the only beneficiaries of our longstanding war on drugs are members of organized crime, traffickers, and drug dealers.

Let's examine at another approach... The Portuguese Plan.

The following is an excerpt from an online New York Times article from March 17th, 2014:
(read the article)

"In 2000, Portugal decriminalized the use of all illicit drugs, and developed new policies on prevention, treatment, harm reduction and reinsertion. Drug use is no longer a crime, but it is still prohibited. Possession of what a person would use in 10 days or less is no longer a matter for the courts. Users are referred to Commissions for Drug Addiction Dissuasion, which educate them, discourage them from consuming drugs and help them find treatment. The idea behind the new law is that drug addiction must be addressed as a health or social condition. While critics of the law warned that drug use would swell, it has not risen. We have seen significant reductions in H.I.V. infections and in overdoses, as well as a substantial increase in new patients seeking drug treatment. Much of this reduction in the harm suffered by drug users, I believe, is due to the commissions' outreach, treatment programs and measures to protect users' health. Police and customs authorities continue to suppress trafficking, but they now have added resources that were once allocated to pursuing users."
Again, this blogger is NOT in favor of legalization. Decriminalization as you have just read, is NOT legalization. However is it necessary to have such stiff penalties for the user? Drug trafficking and drug dealing should remain a serious criminal offense, but going to jail for a small amount of marijuana is excessive. And costly. The punishment does not match the crime.


It's time America stops looking at the drug user as sinful and morally defective. The government has publicly acknowledged that addiction is a disease, so it's time to implement a drug policy which reflects this concept. Focus on the demand side. This war may have no clear beginning or end - but it's time we focus our purpose. To help our addicts get well again. We can only better our society through the prevention, education, and treatment of the user.



Take the First Step. Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website. Hemet Valley Recovery Center Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

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Thursday, July 24, 2014

GORDON'S TROUBLES DEMONSTRATE NFL'S ADDICTION AWARENESS STRIDES

Josh Gordon may be forced to miss the entire 2014 season 
Last week, while Cleveland Browns receiver Josh Gordon was awaiting a late July suspension appeal hearing for a failed drug test, he was arrested on a DUI charge. Another troubled athlete who just can't seem to figure things out. Arrest on top of arrest. Ho hum. Business as usual in the NFL.

However, a number of stories have arisen due to Gordon's most recent incident. Several athletes and public
figures are commenting. In the past, one might expect these comments to follow a theme of disappointment, frustration, or even anger. But today, the soundbytes carry a much different tone. Support. Redemption. Understanding. Awareness. These are the words of the new NFL. When one of its brethren falls victim to substance abuse, expect to be now be enlightened.

For instance, former NFL player Cris Carter released a statement, drawing on his own his experience when he too battled addiction early in his career. He feels that the Browns, like the Eagles did to him, should release Gordon.

"My situation was very, very similar. If I'm the Cleveland Browns -- and it's gut-wrenching for me to say this -- I really think that the only thing that's going to help the kid is if they release him."

"We're dealing with addiction. We're dealing with a disease," Carter continued. "If Josh had cancer we'd put him in a treatment center. And right now that's what we need to do for him. But no one wants to do the hard thing. Everyone wants to keep coddling him, the same way they did him in high school, the same thing they did him at Baylor, where he had problems. Eventually it's going to blow up. Now it's blowing up in the National Football League, and his career is in jeopardy."

If Josh had cancer... Cris Carter just REALLY let us know that addiction is a serious disease.

Soon after, Michael Irvin chimed in. He disagreed with Carter's recommendation but too is highly supportive of the treatment process:

l-r: Cris Carter, Michael Irvin

"The people start thinking that you have insight on the situation or the issue or the problem so when you come out and make those kinds of comments and you're not in his sessions with his professional help, you don't know what's going on in those sessions, then you're being irresponsible," Irvin said. "I was a bit disappointed Cris Carter made that statement."



He went on to add:

"Now, isolation for Cris may have been the best thing. Separation, for Cris, may have been the best thing. For Josh, maybe it's the worst thing."

Treatment sessions. Isolation and separation. Disease of addiction. These are former NFL players, using the words of a clinician. Today's NFL is very aware of this complex disease.

Even the Honey Badger, Tyrann Mathieu, a rookie last season, had pearls of experienced wisdom to share:

"No one could tell me anything when I was going through it; I had to figure it out for myself. Hopefully he will get the point," Mathieu said. "Hopefully he will get the message, but most of the time it takes for people to hit rock bottom for them to start believing in their self and start seeking help. A lot of people can reach out to you but that doesn't mean you always take that help and take that advice. He just has to want it for himself."

They say Honey Badger fears no man (well at least hall of fame broadcaster Brent Musburger thinks so). His comments, however sound very much like Step One - Admission. Powerless. Help. These are the words of a new addiction aware NFL. We have come a long away from an awareness standpoint.

Take the First Step. Call Hemet Valley Recovery Center & Sage Retreat 866.273.0868 or visit our website. Hemet Valley Recovery Center Retreat offers a full continuum of care including: Acute Medical Detoxification, Rehabilitation, Residential, Partial Hospitalization and Recovery Residences.

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