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Inspiring Success on the Road to Recovery

Wednesday, August 17, 2016

Which Rehabs are Legit?

Which Rehabs are Legit?

By Jim Kreitler, CEO, Calvary Addiction Recovery Center

There are many factors to consider when choosing or referring to an addiction treatment program. Is it safe? Are their business practices fair and legitimate? Do they follow sound clinical guidelines in regards to therapy, documentation and confidentiality? Does the program have a track record of success?

These considerations take on added legal and ethical consideration when a licensed professional or program is referring a patient that has been under their care. If it ends tragically due to unsafe conditions or the finances become problematic what is the liability for the referral source?

Many individuals look for treatment options on the internet. Unfortunately that has drawbacks. Treatment program websites can make the cheesiest facility look like paradise. There are also examples of programs paying unscrupulous online marketing companies to redirect searches. So I Google “Integrity Rehab” and it directs me to a page that provides some basic information about that program but the phone number is to a call center for a completely different company.

There are two criteria that I propose should always be considered. Is it properly licensed? Is it accredited? While this may not be an iron clad guarantee it speaks strongly to the professionalism and integrity of a program.

Licensing
In Arizona there are several levels of licensure: 
  • ·         Acute behavioral health hospitals handle the most serious cases and may offer detox and IOP but rarely residential rehab. Operated as hospitals they can handle higher medical and psychiatric acuity. Examples are Aurora, St Luke’s, Banner, Valley and Quail Run.

  • ·         Inpatient Behavioral Health Facility. These are for primary inpatient rehab and also detox. They are staffed 24/7 with RNs, offer physician and psychiatric visits usually onsite, facilities meet stringent safety and anti-ligature requirements, etc… These are the appropriate placement for those requiring 30 day inpatient due to; risk of relapse, post-acute withdrawal, med management, co-occurring disorders and an intensive program of treatment. They tend to be the oldest most established program such as The Meadows, Cottonwood, Sierra Tucson, Calvary, Valley Hope and River Source.

  • ·         Recently several levels of residential have been combined into one for licensure. It may or may not include counseling. The licensure requirements while not onerous reflect a level of safety, client’s rights, record keeping, rules for medication management and reporting requirements. Examples in the valley include; A Better Today, Crossroads, Maverick House, Soba Mesa, Sundance, Unhooked and recently opened Blue Sky.

  • ·  Outpatient. Not much to say here. Very basic safety and proper storage of records. The easiest licensure but seems to be overused by programs really providing residential.

  • ·         Laboratory License is mainly used in addiction treatment for urine drug testing. CLIA is the Clinical Laboratory Improvement Amendments and is regulated by the federal government through the state agency, the regional office and the central office. This is not required for simple point of care test cups. If programs are CLIA licensed they are almost always billing insurance for this testing and that practice has been ripe with reported abuse.

It is very important that folks use and refer to properly licensed programs. The recent phenomenon of “Florida Model” programs that license as outpatient but market and provide residential is troubling. ADHS is aware but lacks jurisdiction unless the facility helps manage medications or does counseling on site.

Referring to programs that do not license their homes carries liability. A former state BH license regulator reports an instance where a family sent their son for Florida model treatment in AZ from Michigan. The young man relapsed, overdosed and died at the house. When the Mother called the state for the detailed report she was told the facility was not licensed, had never been inspected and there was nothing the state could do.

Accreditation
I am a big fan of accreditation. It confirms that you are operating at a high standard and always working to improve. If your program is not accredited, why not? Are you referring to non-accredited programs? Why? There are plenty of properly licensed and accredited options available.
The two most widely held national and international accreditations for rehabilitation treatment centers and other behavioral health organizations are The Joint Commission (JCAHO) and CARF (Commission on Accreditation of Rehabilitation Facilities).
The National Association of Addiction Treatment Providers NAATP recently said: "Accreditation matters. While no single factor is dispositive of high quality care, accreditation is strong indicia of such. When considered in conjunction with other factors a center might include in its prospectus, such as quality of staff, comprehensive programming, and years in operation, accreditation gives a consumer valuable information with which to assess options. Our consumer base needs and deserves that. We all do.”
Rebecca Flood, Executive Director/CEO of New Directions for Women writes in an article for Addiction Professional magazine “As an accreditation advocate, I advise all of our patients, inquiring families and friends, and referral sources such as therapists, hospitals and physicians who are looking for care to not only check licenses and state certifications, but also national and international accreditations, and to confirm that the facility is accredited for the level of care needed and wanted for the patient. Accreditation is the determinant for whether or not I would utilize its services, or send a family member there, and it should be for any family looking to place their loved one or any organization looking to refer a patient.”

For those programs concerned that accreditation is expensive and onerous JCAHO reports cost as: “a small organization would pay about $1,689 in annual fees every year, plus a survey fee of around $2,835 in the year we do the on-site survey.” And it doesn’t have to take forever. Foundations Recovery Network FRN recently opened Skywood Recovery a 100 bed inpatient facility in Michigan this past spring. They achieved Joint Commission Accreditation in just less than 90 days. It would have been sooner but you have to have closed charts from discharged patients for JCAHO to review.
Accreditation can be checked at http://www.carf.org/providerSearch.aspx for CARF and https://www.qualitycheck.org/ for JCAHO.

Conclusion
If you are referring a loved one or client carefully consider the quality of a program by using the best tools at your disposal. Proper licensure gives you assurance that the program meets appropriate regulations for safety, confidentiality and clinical standards. Remember that if you are referring to residential to be sure that is the level of licensure. Accreditation is another tool to determine the quality of a program and gauge their commitment to professionalism. Insurance will not contract with any unaccredited program.

If you work, run or own a program, do it right! Get in the game! Get licensed and accredited properly. You can feel pride and your clients can feel confident, A winning combination!


Jim Kreitler, MS, LASAC, is  CEO Calvary Addiction Recovery Center. After a successful 29 year corporate career Jim answered a calling to serve those with addictions in 2008. Since then he has served in many capacities including residential unit staff member, intake director, licensed counselor and since 2012, CEO. Jim currently leads Calvary Addiction Recovery Center,  a state licensed and accredited inpatient facility with all levels of care. Calvary is a contracted in-network insurance provider that relies on local relationships and reputation for referrals.

Thursday, August 4, 2016

Trauma, Recovery, and Resilience

By Kathleen Parrish, MA, LPC, Clinical Director, Cottonwood Tucson  

It is difficult to watch the news today. There seems to be near daily reports of violence and unrest in our world. A friend recently told me she had made a conscious decision to eliminate television and other news sources from her life. She said it is too frightening and painful to watch the trauma happening around us. And do you know what? She is right. We are living in tumultuous times, with frequent reports of violence happening right in our own backyard. We are living in an atmosphere of increased tension, chaos, and unpredictability. We are living in an environment of trauma. 

A recent CNN reports suggests there are more mass shootings in the U.S. than in any other country in the world, with 136 mass shootings occurring in the first 164 days of 2016. We are facing increasing tensions among ourselves, with frightening clashes and tragic deaths and we are trying to find a resolution. Many people suffer with long term effects stemming from these traumatic events. In fact, the National Institute of Health reports that approximately 7.7 million Americans are living with Post Traumatic Stress Disorder, or PTSD. 

PTSD is a trauma and stressor related disorder that results from experiencing, witnessing, or being confronted by an event that causes intense feelings of fear or horror and in which safety and well-being are threatened or compromised.  Many military veterans suffer from PTSD due to exposure to horrific events that are often imprinted on the mind and body, making it difficult for them to function in the day to day routines of life. Others suffer PTSD from events that occurred in their childhood, such as abuse, neglect, or violence. Some people suffer from PTSD from events that occur in our environment, such as the escalation in violence in our society.  

Whether trauma occurs in a war zone or in the lives of civilians, it seems to happen on a regular basis. In many respects, technological advancements have increased our exposure to the gory details of global trauma. We can view the bloodshed, suffering, and chaos on our high definition televisions.  
We are so saturated by trauma that we may underestimate our physiological and emotional response to it. Our brains and bodies are being forced to adapt to life in a world where events are unpredictable and our environment is remarkably unstable. 

The reverberations of trauma can not only be expected in our current generation, but in the generations to follow. Emerging new research indicates that we can inherit trauma from our ancestors. The epigenetic inheritance theory proposes that environmental stressors, such as trauma, can affect the genetics of sufferers and be passed down to future generations. This theory suggests that stressful and traumatic events can act as chemical markers which change the function but not the structure of our genes. The genetics of trauma are then passed down with these new chemical markers, allowing the stress responses of trauma to be inherited by those of future generations. 
In spite of the dire news and the fear we may feel about the events happening around us, there are many who seek to heal their wounds in powerful ways. Memorials are often held in the wake of shootings or violence, and marches are organized to allow for expressions of unity or peace. Many people who suffer profound traumatic losses create foundations to memorialize a loved one or to create community awareness. Some people may stay close to home, avoid going out, turn off the television, pray, and hope for peace. While none of these actions can guarantee healing or prevent further trauma, they do allow the sufferers to have a voice, to heal, and to search for meaning in what they survived.

The Power of Resilience 

There are so many examples of people who are suffering unspeakable heartbreak and sadness. In spite of all that is shattered, there are certain people who exemplify resilience in the face of what is broken.  These are the people who stand up in the midst of their pain and refuse to be hardened by it. In the throes of the chaos and darkness, they still believe in the tiny ray of light that emanates from within themselves and others. They search for understanding when confusion abounds and they look for ways to heal themselves and those around them.  They are living proof of an unwavering resilience and the capacity to heal a broken heart.

Just as the study of epigenetic inheritance points to inherited trauma, it also points to the potential for inherited resilience. We are born with traits that give us buoyancy and a bounce-back-ability that stem from our parent’s fierce and unyielding determination to move on. So, while we may inherit their trauma, we may also inherit the strength that enabled them to survive it.  In addition, resilience can be cultivated by practice and determination. Those who truly seek to recover from the crushing blow of trauma can employ resiliency as both a foundation and a goal. 

Resilience is defined as the power or ability to return to the original form, position, etc., after being bent, compressed, or stretched; elasticity. The concept of resilience is a popular topic in our modern culture. Resilience theories suggest that the idea be applied to the following groups of people: 1) those that have experienced traumatic events but have recovered from them 2) those who are in high-risk groups but have had a more positive outcome that expected 3) those who adapt well to significant stressors in their environment. 

By definition, resilience is not just the capacity for positive thought and action, it is also the ability to return to who we were before; our original selves. Sadly, traumatic events often quell our ability to function in the same way. Following a trauma, we are often self-protective. We may feel intense sadness and fear. We may be more guarded and suspicious of others. We may struggle with negative beliefs about ourselves and the world around us. We may grapple with the neurological implications of PTSD, such as flashbacks and panic attacks. These factors may cause significant impairment in our life and leave us wondering how we can return to the trusting and carefree person that once walked in our shoes. It stands to reason why so many people who suffer a trauma feel lost. 

Trauma does changes us 

Recovering from trauma and embracing resilience requires an understanding that we may never completely return to who we were before the trauma occurred. Trauma does changes us—sometimes forever. In fact, research suggests that trauma causes identifiable changes to the function and structure of certain parts of the brain, setting the stage for other co-occurring disorders such as addiction, depression, and compulsive behaviors. Many people believe that they need to “get over” their trauma without fully recognizing the impact that traumatic events have had upon them. Others may become fully emerged in a trauma identity, living a life of hopelessness and powerlessness while engaging in rampant self-destruction. Considering these implications of trauma, the idea of resilience and recovery may require a new way of thinking. 

Perhaps we should consider that resilience is returning to a new self, endowed with a powerful capacity to survive, and thrive. Recovery may begin with the acknowledgement that we are strong, wise, and powerful because of and in spite of what happened to us. In spite of and because of our pain and anguish, we survived difficulties that were likely to destroy us. In spite of and because of what happened to us, we refused to stay down when we fell. Instead, we chose to stand back up, again and again. We did this because we have an innate determination to survive; we did this because we are resilient.

Trauma survivors often struggle to see themselves as resilient. Instead, they may only see themselves as marred by the painful events in their lives. It may be difficult for them to recognize the beauty in their survival or the sheer force of determination that allowed them to live. Many trauma survivors have experienced a lifetime of suffering, seeming to move through one traumatic event only to be faced with another. When trauma becomes a way of life, it is difficult to extract the evidence of their resilience from the rubble around them. 

Recognizing personal resilience starts with understanding survival. How did you survive? What were you able to accomplish in spite of what you went through in your life? What are you most proud of in your life? How were you able to accomplish those things?  The answers to those questions point toward resilience. Resilience is not always evidenced by great strength and ability on display for all to see. Rather, it is seen in the quiet ways that we embrace a life of recovery. Resilience is embodied in our capacity for compassion or our determination to live a life of integrity. Resilience can also be seen in our willingness to forgive others and ourselves. Resilience is often that quiet voice that whispers in the darkest of night “I won’t give up”.  

Resilient people are those who aren’t defined by their suffering but by their ability to shine brightly, in spite of their suffering. Trauma recovery must begin with an intention to harness and cultivate resilience in all of its forms. While we are required to examine our wounds, we are also invited to appreciate the strength of our character and the depth of our hearts, in spite of and because of those wounds. Conversely, we cannot appreciate our resilience until we understand the extent of our suffering.  True recovery allows us to hurt and to heal; to fall and to stand once again.  

We are powerless over the trauma that is swirling around us today. We can neither predict nor prevent the next tragedy that might bestow us. We may acquire more wounds in our life as we walk through tumultuous times. These are difficult and frightening things to consider. But, in spite of the air of uncertainty and unpredictability in our lives, our country, and the world around us, we can live lives of resilience and strength. We can recognize and embrace the indefatigable spirit that lives within us and refuse to give in to hate, violence, or fear. While trauma becomes a part of the landscape of our culture and our lives, we can hold on the anchor of our resilience.



Kathleen Parrish is a Licensed Professional Counselor in Arizona and the Clinical Director of Cottonwood Tucson, an internationally renowned, residential treatment program for co-occurring disorders in Tucson, Arizona.  She earned a Master of Arts degree in Marriage and Family Therapy and a Master of Arts Degree in Religious Education from Southwestern Baptist Theological Seminary in 1999.  Kathleen has worked in private practice, outpatient treatment, and residential treatment settings. Kathleen has worked with trauma survivors for over 20 years, focusing on story, mindfulness, and self-compassion. She has written articles for Counselor, Addiction Professional, Addiction Today and Together AZ magazines. She has presented seminars on trauma and eating disorder in the U.S. and Europe. For information on Cottonwood and their treatment programs visit www.cottonwooddetucson.com or call 844.802.9535. 

Pre-order your copy of The Essence of Resilience at https://www.hcibooks.com/p-4380-the-essence-of-resilience.aspx





Are Arizona Addicts for Sale?

By Jim Kreitler, CEO, Calvary Addiction Recovery Center


Florida and California have well-earned reputations as states where addiction treatment programs play fast and loose with ethical guidelines, regulatory requirements, and the law. Now, national publications are naming Arizona as one of the next worst states for these violations. I am disheartened to learn that some addiction programs in Arizona are paying marketers for referred addicted patients, a practice that is not only unethical but likely illegal. 
I have been lucky in my time in this field to work for three great organizations: Banner Behavioral Health Scottsdale, The Meadows, and Calvary. All are licensed at the highest level, are fully accredited, employ full time compliance officers, and hold internal ethical and safety standards that are higher than required by state regulatory agencies. I didn’t know anyone did it differently. But apparently they do! If something doesn’t change, Arizona’s premier reputation as a great place to recover will suffer. I am already hearing that programs in other states are becoming reluctant to refer patients here due to the worsening reputation for patient brokering and other questionable practices.

Patient Brokering
Patient brokering is the practice of accepting or paying remuneration for a referred patient. But brokers don’t call themselves brokers; instead, they refer to themselves as “treatment advisors”, “referral” or “placement services.” They may advertise on the internet as such, or troll 12 Step meetings, in search of sources of increased commissions (that is, people). 

MyPalmBeachPost.com reported last year that, “Halfway house owners pay a bounty, often $500, to “junkie hunters” for every new addict they can deliver to the halfway house. Separately, if an addict in the halfway house relapses, detox businesses may pay bonuses to managers of the houses if they refer the addict to the detox facility.”

Robin Bright, CEO and Founder of Vive Media Group blogged last month that some of the marketers, interventionists, and individuals making referrals to treatment centers are actually getting paid up to $4,000 per head to do so .

“Is this compassion?” she asks, “Do these people actually care about the addict?” to which the answer is, no —or at the very least, not required. Brokering is ultimately about numbers, not people, about monetary needs over human ones. Compassion is optional. 

Patient Brokering, is it legal?
When Medicare or Medicaid are involved, patient brokering is clearly illegal, and penalties are severe, including prison. 
Brokering is also in direct violation of ethical codes for licensed professional. For example, the American Counseling Association Code of Ethics states, “Counselors do not participate in fee splitting, nor do they give or receive commissions, rebates, or any other form of remuneration when referring clients for professional services.”
However, when it comes to non-licensed persons referring to a facility that bills private insurance, the legal and ethical guidelines are less clear. Florida cleared up this ambiguity by creating the Florida Patient Brokering Statute, which states 
 (1) It is unlawful for any person, including any health care provider or
health care facility, to:

Offer or pay any commission, bonus, rebate, kickback, or bribe, directly or indirectly, in cash or in kind, or engage in any split-fee arrangement, in any form whatsoever, to induce the referral of patients or patronage to or from a health care provider or health care facility;
Solicit or receive any commission, bonus, rebate, kickback, or bribe, directly or indirectly, in cash or in kind, or engage in any split-fee arrangement, in any form whatsoever, in return for referring patients or patronage to or from a health care provider or health care facility; 

Efforts are underway to urge state legislators in Arizona to pass a similar law. It cannot come soon enough as the problem in our state is only getting bigger. 

M. David Mick Meager, Esq. writes: “A few years ago I met with the director of an addiction treatment center in Southern California. He offered me a payment of $4,000.00 per client that I referred to his center. He stated that with this payment and the amount of money I collected for the Intervention, I could make a very comfortable sum by simply putting 2 clients in his center each month. When I pointed out that his offer was a violation of B&P Code 650, and the prohibition of paying for referrals, his comment was an astonishing reflection of his lack of ethics. He said no one will ever know. He was wrong, I would know.” 

Credibility and Integrity
Bounty payments for referring patients hurts the credibility of our industry, our state, and — are likely illegal. If you are offering or receiving payment for patient referrals, please stop. Remember what this industry is really about: saving lives, whatever the cost. Our addicted patients are vulnerable and need their referral decisions to be made based on what is best for them. When they become pawns in a game of money and manipulation, treated as commodities and sold to the highest bidder, they are exploited by the very people they came to for help. 
 
Jim Kreitler, MS, LASAC, is  CEO Calvary Addiction Recovery Center. After a successful 29 year corporate career Jim answered a calling to serve those with addictions in 2008. Since then he has served in many capacities including residential unit staff member, intake director, licensed counselor and since 2012, CEO. Jim currently leads Calvary Addiction Recovery Center,  a state licensed and accredited inpatient facility with all levels of care. Calvary is a contracted in-network insurance provider that relies on local relationships and reputation for referrals.




* Beall, Pat and Stapleton, Christine. “County’s $1 billion gold rush: Addiction treatment draws FBI.” MyPalmBeachPost.com., 14 Aug. 2015. 
* Bright, Robin “Paid to Care?...Addiction Treatment Marketers.” Thatsoberlife.com, 16 June. 2016.
* Meager, M David Mick “Can Our Addiction Industry Withstand a “Fearless and Searching Moral Inventory” of Our Business Practices?” Serenescenemagazine.com, N.D.


Recreational marijuana? The price is too high

By Seth Leibsohn and Sheila Polk, AZ We See It

Advocates say we need to regulate pot like alcohol in Arizona, but their measure doesn’t even do that.

If insanity is repeatedly doing the same thing and expecting different results, no word better describes the legalization of marijuana for recreational use in Arizona.
Colorado and Washington, the first states to do this, have seen increases in teen use of marijuana, traffic fatalities and emergency room visits (including of toddlers) — all tied to marijuana. In Denver, home of most of the pot shops, more than one in three 11th- and 12th-graders are now regular marijuana users, an increase of 20.5 percent from two years ago, according to the latest Colorado youth survey.

Big protections for pot industry

Arizona should expect similar results, especially since this 20-page initiative is chock full of protectionism for the marijuana industry. Written by out-of-state lobbyists and Arizona marijuana-business owners, it creates two new government agencies, including a seven-member commission with three members mandated to come from the marijuana industry so they can “regulate” themselves.

This initiative gives current medical-marijuana dispensaries a virtual monopoly on retail stores and cultivation. This is not simple legalization, but increased government protecting special interests to the detriment of everyone else.

  • The initiative would legalize hashish as well, opening the door to high-potency marijuana candies. The marijuana of the 1970s had potency levels of less than 1 percent. Colorado’s marijuana edibles have potency levels of 60 percent.


Stiffer penalties for alcohol than pot

The proponents’ claim that this initiative regulates marijuana like alcohol is disingenuous. The alcohol industry doesn’t dream of being treated as lightly as this initiative would treat marijuana. At every opportunity to advance public safety, the initiative protects marijuana use instead:
Using marijuana under the proposed initiative becomes a legal right. Someone who shows up for work drunk can be disciplined or fired based on an alcohol test. But under this initiative, showing up for work impaired by marijuana would be shielded from discipline until after the commission of an act of negligence or malpractice.

Any driver with a blood alcohol content over 0.08 percent is legally drunk. The Arizona law would prohibit a THC limit from ever being set.

Penalties for a minor using a fake ID to buy marijuana would be far lower than for his friend who uses a fake ID to buy alcohol. Same for someone selling marijuana to a minor using a fake ID.
The experiment in Washington and Colorado shows how disastrous this proposal is.

Fatal accidents involving drivers who recently used marijuana more than doubled in Washington in the year after legalization.

The rate of people going to Colorado emergency rooms with marijuana-related symptoms rose 44 percent from 2012 to 2014.

Employers there report having to hire out of state for a sober workforce. No amount of cash can justify this. Just as in Arizona, marijuana’s apologists in Colorado and Washington said they wanted to keep marijuana away from children. It didn’t work out that way there and it won’t be different here.

And this is why that matters: Marijuana is “addicting, has adverse effects upon the adolescent brain, is a risk for both cardio-respiratory disease and testicular cancer, and is associated with both psychiatric illness and negative social outcomes,” according to the American College of Pediatricians.

At what cost? According to the Arizona legislative budget staff, expected revenue from legalizing marijuana could put $30 million into our education system, barely 0.33 percent of what Arizona now spends.

Now balance that minimal amount against the costs of treatment, tragic loss of life from traffic fatalities, workplace accidents, or the lost potential of young brains harmed by marijuana. No amount of money can justify that.
This law would contribute nothing positive to Arizona. Instead it exacts a tremendous cost, all to benefit a handful of marijuana-industry insiders. Arizonans do not need this and will not be able to afford it. The price is too high.

Seth Leibsohn chairs Arizonans for Responsible Drug Policy. Sheila Polk is the Yavapai County Attorney and vice chair of ARDP. Email them at info@ardp.org.

What’s Your Next Move?

By Dr. Dina Evan

Einstein said, “Like energy draws like energy.” It appears we have reached a tipping point in the energy of separation, hatred and extraordinary acts of violence. We live in a time filled with more contempt, violence and total disrespect for integrity and character than ever before. Integrity and character are labeled weakness today, classified as a lack of strength. Many of us are standing back aghast, wondering what the hell do we do and where do we even start to make things better.

Our systems are corrupt. Many of our politicians are corrupt. Safety and peace seem to be a notion from the past, long since gone. I don’t know about you but I am hard pressed to find a television show or movie that isn’t filled with the misuse of power as the main theme that includes killing (mostly women), deception and manipulation. It’s dripping from the top of corporations and politics down like an old syrup that sticks to everything and creates the worst kind of nausea and stomach ache from which you can’t get away.

Crimes, wars murder, deception, contempt, lawlessness and hate all depend on a basic belief in separation. We have to push away, because we can’t see ourselves as part of something we want to hate. We have to make someone, some country, some gender, some belief system an other, in order to push them away and hate them. In addition, we abhor difference and we are a society addicted to sameness. If you dare to be different there must be something wrong with you, or worse yet, wrong with me. So, for those of us who still long for a saner world, what’s our next step?

Exactly what would help? 

Shall we march en masse to Washington? That’s been done, hasn’t helped much. Shall we write letters, send emails, make phone calls, go door-to-door? That hasn’t helped much either. We know the abuse of power certainly isn’t limited to politicians or criminals. In my practice I see it all the time in managers, husbands, wives, partners and even children. It’s about dominating others, gaining control and it is always driven by a lack of confidence in one’s self. True power never seeks to control or manipulate. It leads by example and exercises compassion and respect. It’s not power that corrupts, its corrupted individuals who misuse power.

What are we to do to change this? 

Perhaps ignore it? Well yes, in the metaphysical sense at least, meaning we stop talking about it, feeding it and creating more energy around it. Instead I think we should Nike, Jordache or Apple it. You know...start a revolution of sorts and let it catch fire. Let’s create a new level of consciousness and check out of the fear and hatred.  What might happen if you walked up to someone you ordinarily wouldn’t give a second thought to or had a judgment about and said, “Would you be willing to create a space of peace with me for the next minute or two? What if you took that person’s hand or just stood for a moment with a smile on your face and then made a mutual promise to pass the experience on at least once a day, everyday? What if we told our kids to do it and they did it with other kids?

Maybe it’s time to stop fighting the negativity and create what we want instead of feeding what we don’t want. Our next move may simply be to start a movement that creates peace. What if we did that once a day every day? What if thousands of people were doing it?

How do we create a world filled with peace? Well if like energy draws like energy, let’s make peace and feed it like our lives depend on it because they do. Sounds Pollyannaish? Nike, Jordache and Apple didn’t think so. Want to know what your next move looks like? Let’s create some harmony and peace at least once a day, every day starting right now!


Dr. Evan specializes in relationships, personal and professional empowerment, compassion and consciousness. 602-997-1200, email DrDinaEvan@cox.net and www.DrDinaEvan.com.

The COACH of AVON

By Coach Cary Bayer  www.carybayer.com

The writing of William Shakespeare, the Bard of Avon who died 400 years ago this year, is so abundant with wisdom, he might also be called the Coach of Avon. Percy Shelley, the great British Romantic poet, wrote, "Poets are the unacknowledged legislators of the world." So can we conclude from this that playwrights can be the unacknowledged life coaches of the world? Imagine Shakespeare as one. Below might be his life coaching brochure.

WILLIAM SHAKESPEARE, LIFE COACH
Purpose & Spiritual Coaching
“This above all; to thine own Self be true.”

It is not in the stars to hold our destiny but in ourselves. You’ll discover in my Purpose and Spiritual Coaching program that the fault, dear prospective client, lies not within the stars, but in ourselves, that we are underlings. You can consult astrologers, or past-life therapists to discern your karma, or even a biologist to understand the influences in your genetic makeup, but ultimately you’ll realize that the choices you make with your own free will helps create fulfillment or the lack thereof in your life. As I tell each and everyone ofmy clients, “life’s but a walking shadow, a poor player, that struts and frets his hour upon the stage, and then is heard no more; it is a tale told by an idiot, full of sound and fury, signifying nothing.”
It’s up to you to create significance and meaning. The sign on my desk says,
“All the world’s a stage, and all the men and women merely players. They have their exits and their entrances; and one man in his time plays many parts.”
 Dost thou want to play the role of father or mother, Christian or Jew, lower self or higher Self? The choice is yours, but if you choose higher Self then awakening can be yours. After all, we are such stuff as dreams are made on, and our little life is rounded with a sleep. My Purpose and Spiritual Coaching Program will help you wake from that sleep, and discover your higher Self to live an awakened life.
Part of becoming awakened involves changing your belief system from one of disempowerment to one of empowerment.
As I like to say: There is nothing either good or bad, but thinking makes it so. Changing the way you think is critical to creating a life based on purpose, but awakening the foundation of your thinking—in the field of transcendental Being—is even more imperative. I frequently tell my clients that it’s all about awakening that level of Being. In other words, choose: To Be or not to Be. That is the key question. The courageous choose life and enlightened life at that.

Relationship Coaching

“The course of true love never did run smooth”
Let me not to the marriage of true minds admit impediments. While I recognize the universal principle that love and marriage bring up everything unlike themselves for the purpose of release and healing, I also understand that with the learning of important relationship skills, everyone in a significant other relationship can overcome all that is not smooth and learn the love that looks not with the eyes, but with the mind. This can achieve ongoing love and happiness.

Prosperity & Empowerment Coaching

"Cowards die many times before
their death, the valiant never taste
of death but once."
Some are born great, some achieve greatness, and some have greatness thrust upon them. My coaching program enables you to achieve greatness or enable you to become so in tune with the Universe that the Fates thrust greatness upon you. If you want to empower your financial life, create harmony in your income, saving, spending and investing.
Toward that end, I say:
“Neither a borrower nor a lender be; for loan oft loses both itself and friend, and borrowing dulls the edge of husbandry.”
I wouldst speak to thee in this brochure because parting is such sweet sorrow, but I must sign off, for brevity is the soul of wit. I leave you with this thought: You may know what you are, but you know not what you might be.



Why College Kids Are Sobering Up and Enjoying Partying Without the Booze

The fun no longer outweighs the risks


By Andrea Jones

College and drinking: two concepts so closely linked that many students can’t conceive of one without the other. It may be surprising to learn binge drinking among college students has dropped 13% over the past decade. While it would be foolish to pretend binge drinking isn’t still prevalent on many campuses, this is a very significant (and fortunate) decrease.

What’s behind the fall in binge drinking students? 
What’s the reality of being a sober scholar, and can college be just as fun without drinking?

While many see binge drinking as more of a modern plague, young people have been drinking too much at college for a long time. 
The National Institute of Alcohol Abuse and Alcoholism (NIAAA) reports some startling statistics: 
  • 1,825 college students between ages 18 and 24 die each year from alcohol-related unintentional injuries,
  • 20% of students struggle with an alcohol use disorder each year, 
  • Over 690,000 are assaulted by another student who has been drinking,
  • 97,000 become victims of alcohol-related sexual assault or date rape.
The long-term consequences 
About 25% of college students report damage to their academic performance as a result of their drinking. 

The consequences? 

Missed classes, falling behind, doing poorly on exams or papers, and receiving lower grades. Most upsetting of all, more than 150,000 students each year develop an alcohol-related health problem.
Things have gone too far, and it was statistics like this that began to tip our academic establishments over the edge. Many colleges let drinking culture dominate so much that students were attending with the main intention of partying, not studying. For several schools, that was the last straw.
Frostburg State University is one college actively fighting against the domination of drinking culture, and the results are encouraging. When FSU president Jonathan Gibralter joined the college in 2006, over half the students said they binged on alcohol at least once every two weeks. There was a culture of 24-hour beer pong tournaments, dime beer nights, and even a “drink of the week” section in the student paper. Today, bi-weekly binge drinking at FSU has dropped dramatically thanks to a series of strict measures imposed by Gibralter. What were these methods?

Gibralter introduced a campus police patrol in student neighborhoods and launched a number of "dry" programs like crafts, magicians, and sober karaoke. He paid to train local bar employees and student group leaders on how to deal with drunken behavior, and new freshmen must now pass an online alcohol education course, with in-person counseling for those who seem at risk. Frostburg's attitude reflects a growing national consensus, but it isn’t just the colleges cracking down on binging — students are too.
The rise of sober partying in the past couple of years highlights a new thirst for clean, conscious clubbing, and though this movement began in New York City, it quickly spread through much of the U.S. and is now a hugely popular global movement. Events like the No Lights, No Lycra sober dance party and the sober rave Morning Gloryville reflect a shifting attitude among many young people: Alcohol is not a requirement to let your hair down and have fun.
The popularity of sober partying has spread onto many campuses, and alcohol-free dance parties and raves are a welcome addition for sober students who don’t want to compromise on fun.
Be that as it may, it would be foolish to pretend that abstaining from alcohol at college is easy.