The SMART Recovery® 4-Point Program®

Bringing Science and Reason to Self-Help with Addictive Behavior Volume 17, Issue 4 • Fall 2011 A. Thomas Horvath, Ph.D., President Rosemary Almond, Editor

this last year has been more about • I rekindled a relationship with my Inspirations equilibrium and I just take for granted parents and spent last Christmas today so many of the things I wanted on with them. my original Cost Benefit Analysis (CBA). • My word is good again. I am no Wow, this has me thinking. It seems longer afraid to promise or say I am that I will be the one who gets inspired going to do something. by the process of writing this as it has • I scored pretty high on the been a while since I truly thought about SMART progress checklist where I was two+ years back. circulated a while back. Two years ago, I followed my habits to (Continued on page 2) a much lower place than I swore I would Two Years Today ever allow. With no job, money, accom- by john11, Message Board Volunteer Inside: modation, self-esteem or hope, I booked Inspirations I wanted to write something, maybe myself into the same residential treat- Two Years Today ...... 1 something inspirational, for those who ment I was in a year or two previously. 4-Point Program® ...... 1 are struggling with their changes. Last It’s good for me to remember the People Power year at his time there seemed to be more Two Years Ago ...... 2 despair back then once in a while (lest Introducing Our New Editor ...... 2 fireworks. My first year anniversary was a we forget), but let’s skip ahead two years Recovering from a Busy huge goal reached. It took so much work and list a few of the things I have to be Recovery Month ...... 3 and personal change to get there and I SMART Ideas grateful for: ® was so proud and happy that I had Volunteers Present SMART Recovery • I am back with my wife and she Overview to State Treatment Staff ...... 4 achieved what I had perceived as greets me with a smile when I come It’s a ‘B,’ Not a ‘T’ ...... 4 impossible for so long. War and Peace or the Right Tool? ...... 5 home. I can be there for her and Bringing Sexual Addiction Today there is still a part of me once in a while she tells me she is Out of the Shadows ...... 5 saying, “Two years clean and sober. proud of me. Four things in those SMART Progress Dude, that’s amazing. Well done.” The two sentences that are just natural SMART Recovery® Appoints part of me that is amazed and proud this Volunteer Research Directors ...... 6 for most of society but I had to Get SMART FAST year is much smaller. I think it’s because work hard to earn them back. Distance Training News ...... 7 Florida Judicial System Getting SMARTer Every Day ...... 7

® Volunteers Keep SROL Humming ...... 8 The SMART Recovery Fabulous Speakers Captured in ® The program offers specific tools and Growing Podcast Library ...... 9 4-Point Program techniques for each of the program points: Two New Publications Available from SMART Recovery® ...... 9 he SMART Recovery® Point #1: Building and Maintaining President’s Letter (Self-Management And Motivation Volunteering for and with SMART Recovery® ...... 11 Recovery Training) T Point #2: Coping with Urges Book Review program helps individuals REBT Guide Useful in Meetings gain independence from or On Your Own ...... 12 addictive behavior. Point #3: Managing Thoughts, Feelings, International Development Our efforts are based on and Behaviors Australia Update ...... 13 scientific knowledge and evolve Point #4: Living a Balanced Life SMART's UK Footprint Keeps Growing . . .14 as scientific knowledge evolves. Success Stories from a SMART Country . . .15 Inspirations Continued

• I am OK being me. There is a level Two Years Ago People Power of personal comfort that I don’t ® think I ever had, even before by Olive, SMART Recovery Online Chat Volunteer straying to the dark side. Two years ago, checklist for going to • I can answer the door or phone the park: without the sense of fear I had. • Had I had enough to drink to • I have assets. Not large, but some knock out the shakes? equity; it’s a start. • Was there alcohol where I was • Payday no longer seems like it’s a going? week and a half late, if you know • If not, what should I bring? How what I mean. much? How could I hide it? How • Urges? I’m pretty sure I could start could I keep it cold? Introducing Our New Editor one if I put some effort into it. • Go to the bathroom. Getting SMARTer every day • I have no pseudo-friends whom I • Did I have enough cigarettes? by Rosemary Almond, News & Views editor must be wary of. Better bring a full pack. If she walks like a • My playgrounds have changed: • Go to the bathroom. duck, quacks www.facebook.com/media/set/?set= • Pack cell phone, book, cigarettes, occasionally, and a.1118042246986.13814.1704928 two lighters. Better bring another goes by 087&l=0319a32137&type =1 pack of cigarettes. DuckWalk, she Well, sorry folks, but I guess there • Go to the bathroom. Is there a must be the new will be no lightning bolt revelations bathroom at the park? If not, bring editor of News & here. You see the new me and the new some toilet paper. Views. beliefs have just become the norm. • Pack beer last, so it stays cold. Well, it's true. I'm very proud to be That thought in itself may be of the new News & Views editor, although comfort to some. I have heard many One year ago, checklist for going to I wish I'd come into this position under times in the past that given enough the park: different circumstances. time and effort, sobriety and rational • Fill water bottle. SMART has been an important part thought become second nature. I can • Make coffee in travel mug. thankfully say that I think I am 95 of my life for the past year. While I percent there. That’s 95 percent with • Pack book, cell phone, towel. struggled with addictive behavior until regard to sobriety. As for sane and • Do I have enough cigarettes? Better 11 years ago, I came to SMART as a rational, I’ll leave that score for others bring a full pack. Two lighters. concerned significant other (CSO). I to decide and just hope I never give Today, going to the park: was thrilled to attend the first redesigned them cause to reveal it. Friends and Family meeting last fall, and • Towel the next 11 meetings without fail. What the heck will we learn • Book Facilitator Mom Rox rocked, and so tomorrow? It’s a whole new bucket did Twoputts. of monkeys. • Sunglasses • Keys I was so impressed with their sincere This, to me, is freedom. concern and empathy and patience, I decided to go through facilitator training, which I did in March with my partner.

Published by the Alcohol & Drug Abuse Self-Help Network, Inc. D.B.A. SMART Recovery® 7304 Mentor Avenue, Suite F, Mentor, OH 44060 • Phone: 440/951-5357 • Fax: 440/951-5358 • E-mail: [email protected] • www.smartrecovery.org

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 2 People Power Continued

If you've ever been through training, When I went through recovery, I you know that the Facilitator's Manual basically did it on my own with the help Recovering from a Busy (and the Handbook) is a little outdated. of an amazing therapist. My 4-year-old Recovery Month They are fabulous documents, they daughter was my motivation; I didn't by Hugh F. Delaney, SMART Recovery® just need a 21st century makeover want to pass my dysfunctional behavior Regional Coordinator, Maryland and facelift. So, my partner and I asked on to her. She deserved so much more As a SMART facilitator, I find that the Shari in April if it was possible to from a mom. most difficult discussion of SMART’s re-write, update, and redesign the ® Entering a 12-step program never 4-Point Program is the fourth point: Handbook and Facilitator's Manual. even entered my mind because of the Living a Balanced Life. Shortly after that, Shari and Tom higher power thing. How I would have Horvath asked me if I'd be interested in Google the phrase and see what benefited from the support and friend- comes up. Yes, you can find many becoming the new News & Views editor. ship of SMARTies. If I'd only known. While sincerely flattered, it was a activities to help you “live a balanced So, I'm here now, and so excited weighty request that I had to consider life,” but some may lead you back into about this wonderful opportunity to use seriously. the communities you associated with my skills for something I truly support while using. A week later, I said yes. and believe in. I'm so looking forward to September, however, provided a great Writing has always been my "first" News & Views team of working with opportunity to find people on the language. I grew up, as many of us did, dedicated contributors, and hope we can “recovery” path. in a home where expressing emotions bring some of the more uncomfortable wasn't safe. Needing to express my topics and addictions into the open Why? Because September was feelings, I started keeping a journal when where they belong. National Recovery Month. For the past 21 years, Recovery Month—each I was a pre-pre-teen. Journals were my If you're a reader, and would like to September—promotes the philosophy emotional receptacles. become a contributor, want to comment that recovery in all forms is possible. The I've been a journalist/editor/designer on anything you read in News & Views, observance’s focus is to laud those in for the past 25 years. I've owned two or have an idea for a story or topic, recovery, just as we would those who are successful businesses (an arts and please contact me, rosemaryalmond@ managing other health conditions such entertainment weekly and a marketing/ gmail.com. as heart disease, cancer, diabetes, and desktop publishing biz), worked for Take care, SMARTies! asthma. newspapers, and was even a dental xoxoxox hygienist for several years. Millions of Americans’ lives have been transformed through recovery. Currently, I'm the public information Many recovery-related events celebrate officer (spokesperson) for an Oregon these transformative accomplishments. state agency.

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SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 3 People Power Continued

Events include rallies, walks, motorcycle The Michigan State Bar recognizes The point of an ABC, (and “D”— rides, seminars, and workshops, to name the need for alternative self-help models Disputing, and “E”—new Effect), is to a few. and for offering more treatment options. change the “B”—Beliefs, not “Ts”— How can you find events in your area The hope is that, as lawyers and judges thoughts. What you are or aren’t next September? The National Recovery learn more about SMART through the thinking is never the problem. The Month website— www.recoverymonth. clinicians who treat them, SMART will problem is what you believe. Most gov—lists events in your area and get more recognition and resources to people reading this column could think, provides information about recovery. As expand face-to-face groups. “I’m a banana,” all day long and be none I wrote this, there were 283 events listed One observation from this orientation the worse. Why? Because, they won’t for September. This year, I found 23 is how well SMART fits into a Recovery believe it. It might be annoying to think events within 50 miles of my home. Oriented System of Care (ROSC), a all day long, “I’m a banana,” but it would get to be rather annoying to think Next September, participate in model the Substance Abuse and Mental anything over and over, including, “I’m Recovery Month events in your area. It’s Health Services Administration nature’s gift to the human race.” a great way to meet people traveling the (SAMHSA) identified as best practice. path toward Living a Balanced Life. Invite SAMSHA is funding ROSC in locations “D”—Disputing, isn’t about changing your friends and family. Let everyone across the United States SAMHSA your thoughts. It’s about changing your know that September is Recovery Month. recognizes that there are many paths beliefs. If you spend all day thinking, “I to recovery; we feel that with the intro- must have a drink,” or “I must cut Volunteers Present SMART duction of the ROSC model, the future myself,” or “I must smoke a cigarette,” ® is bright for SMART. there won’t be a problem as long as you Recovery Overview to don’t believe those thoughts. State Treatment Staff In fact, if you think, “I choose not to by Karen Amon and Victor Braatz use” while believing, “I must use,” you’ll Karen Amon, Bay City SMART soon be doing whatever addictive Recovery®, and Victor Braatz, behavior you decided to stop regardless Mid-Michigan SMART Recovery®, of your efforts to think, “I choose not to presented a 2-hour orientation in June to use.” Why? Because, changing your 25 clinicians from the state of Michigan’s SMART Ideas thoughts isn’t changing your beliefs. clinical treatment program. Karen and We’re forced to use words to talk Victor were invited by the Michigan about anything, but the words aren’t the State Bar Lawyer’s and Judge’s Assistance thing we are talking about. I can say that Program to the meeting hosted in I’m typing on a computer and the word Lansing, Michigan. It’s a ‘B,’ Not a ‘T’ “computer” isn’t the thing I’m typing on. Karen gave an overview of SMART by Hank Robb, PhD, ABPP If I wanted to type on an old fashioned materials, and led a question-and-answer typewriter, I couldn’t simply strike When I say, “Let’s do an ABC,” most period. There was so much discussion through the word “computer” and folks who have been to even a few and positive feedback, Karen and substitute “typewriter.” I would have to SMART meetings know that “A” stands Victor were invited to do another make physical contact with a typewriter. for Activating Event; “B” for Belief; and orientation in Detroit later this fall. We use words to talk about our beliefs, “C” for Consequence. However, I often Victor, who is also a holistic healthcare but the words aren’t the beliefs. Whether notice that folks sometimes talk about practitioner, was invited to the state we say the words or just think them, “disputing their irrational thoughts” bar’s retreat in September. He did they’re still just words. If we don’t believe rather than “disputing their irrational auricular acupuncture on the service them, they have no power. beliefs.” There’s a big difference. staff from the Lansing office.

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 4 SMART Ideas Continued

We often use Disputes that show that insisting that your opinion is correct I've wrestled with my problem almost certain beliefs aren’t true, but we can or that your beliefs are better than all my adult life. I've wrestled with also use Disputes that show certain someone else's beliefs? Can you allow recovery for the last 10 years. Now beliefs “don’t help.” I may not be able to others to hold their opinion even when I'm settled into a healthy, intimate dispute that I believe I want a drink by it opposes yours? relationship with a woman who can showing myself it isn’t true; maybe it is And sometimes we don't even bother relate to every quirky aspect of my true. Nevertheless, I can show myself to argue our side. Sometimes we just past, so the story has a happy ending— that repeating, “I want a drink,” isn’t make the other person wrong without probably the only real happy ending going to help me live a better, balanced even needing an opinion of our own. I've had in decades. life, free from addiction. After all, the Because if you can prove that someone To put this in clinical and academic point of giving up an addiction is that it else is wrong, then you must be right. terms, sexual addiction sucks. just doesn’t fit with the big picture of the By allowing others to hold their And I do prefer the term addiction to life you choose—even if the addiction opinions, even when they differ from sexual maladaptive behavior (SMB) seems to work in the little picture of the yours, you free yourself up to find peace even though the latter may be more moment. and tranquility in your life. You will clinically accurate. Addiction does a Dispute beliefs, not thoughts. There is always find people who disagree with better job of capturing the cycle of no “T” in an ABC! your stand. You will always find people triggers: chase, relief, regret, rinse, who want to argue with you. And and repeat. War and Peace or the Right Tool? there is nothing wrong with a healthy by Lorie “Hammer” Hammerstrom discussion. But when you have that We spend a lot of time and energy trying need to be right—or to make the other Wanted: to determine who is right. person wrong—you set yourself up for Recovery-related frustration and anger. Much of that energy is spent because books, articles we want to feel OK about ourselves. We It’s just another "should." You should measure our opinions against others’ agree with me. And you are terrible if You may have noticed many changes opinions, then continue to assess "self- you don't. happening in different areas of SMART ® worth" and "other-worth" based on Bringing Sexual Addiction Recovery —and we’re not done yet! whose opinion we perceive is right and A new committee, the Document whose opinion we perceive is wrong. Out of the Shadows Update Team, is updating the SMART Whole wars are fought over who is By Nussbaum Recovery® Handbook and the right and who is wrong. There is a Dr. Facilitator’s Manual. As part of the It was over a decade ago that I first faced Seuss book entitled The Butter Battle process, they’re looking for suggestions the notion that I may have a sexual Book that highlights this very concept. for an updated recommended reading addiction. Years earlier, I suspected I People on one side of the wall butter the list to include in the publications. had a problem but found many ways to top side of their bread while people on rationalize my behavior—I didn't have You may submit the names of up the other side of the wall butter the the right partner, I had a strong drive, to five recovery-related references at bottom side of their bread. They have etc. When a family friend—a practicing www.surveymonkey.com/s/ an entire war over who is right and who psychologist—uttered, "You may have recommended_reading. is wrong. sexual addiction," I finally took notice. Please don’t submit works already Have you ever stopped to pay But taking notice wasn't enough. Yes, on the list. attention to your need to be right? I noticed, but my behavior continued You may submit your favorites until Notice the times when you begin unabated, which eventually led to the October 31. to feel or sound defensive. Are you demise of my second marriage.

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 5 SMART Ideas Continued

It also conveys the sense of despair On one hand, we've sexualized our sexual addiction is pretty well divided and hopelessness that many sufferers society and brought it into primetime. We between the sexes. experience. I'm sure anyone who's laugh at the strong sexual content in Two The expression differs: Men find relief struggled with some addiction or and a Half Men, South Park, and other in brothels, massage parlors, streetwalkers, abnormal behavior feels the same way shows. On the other hand, we condemn porn theaters, strip clubs, adult bookstores, to some extent. But I think there is an self-confessed sex addicts (I know, no and other fronts. Women find partners in aspect to sexual addiction that does labels. Think of it as literary shorthand.) as bars, stores, work, and through the separate it from others. morally weak, devoid of self-control. Pity internet. They become sex workers— Our world has cultural dissonance the politician or celebrity who’s paid for dominatrices, massage therapists, or escorts. around sex. Sex surrounds us 24 hours a their compulsions with their careers. I'm not suggesting that every woman who day. Sex propels our species. We're hard Is it any wonder that some refuse to see goes into these fields is sexually addicted, wired for sex. We buy based on sexual a problem or get help? It's fine to laugh but it’s easy for a woman to gravitate to images. Yet, we don't like to talk about it about it, delight in others’ exploits, even those occupations if she is. Many women and when we engage in it, it's a private live vicariously at the sexual prowess of (and some men) express their addiction matter. In many ways, it's still culturally celebrities, but if we develop a problem through serial relationships. Each taboo to talk about it openly. And with it, we're feeble. Doesn't that just make successive lover the ultimate partner admitting that we are compulsive about you want jump up and declare, "I'm a sex whose appeal quickly ebbs when the next it is tantamount to moral failure. addict"? true love appears. Admit that I'm a sexual addict? No When I started recovery about 10 years Are compulsive relationships just way. The best piece of advice I got from a ago, I asked my therapist what percentage dressed up sexual addiction? therapist specializing in sexual addiction of the population shared my affliction. If—no, when—you hear someone was "don't disclose." When I didn't follow Back then, the best estimate was around reveal in a SMART meeting, the chat that advice, the costs were high: lost 6 percent. Today, best estimates still room, or anywhere else, that sex friends and excommunication. One close hover around the 3-to-5-percent level; is their DOC, don’t recoil. Reach out, friend told me that her psychologist exact numbers are difficult to obtain accept, and support them as you would advised her to break off all communica- because many people don't seek help any other sufferer looking for relief from tions with me. The very friend who first (www.myaddiction.com/education/arti- their problems. got me thinking about sexual addiction cles/sex_statistics.html). turned her back on me and severed all Let's put this in perspective. contact. She also strongly encouraged my Washington has more than 400 elected second wife to divorce me. officials, so, statistically, there are between A stigma accompanies the words 12 and 20 elected sex addicts. We've "sexual addiction." For some, the words recently uncovered two possible candidates conjure up images of men and women— so 10 to 18 are left. Over a quarter of men mostly men—running amok, out of and women who have internet access at control. work report using it to access pornography. Because virtually every major organization Hide your women, children, and sheep. I know monitors internet usage, this Think I'm exaggerating? Several months disturbing statistic clearly points the SMART Progress ago, I was in the SMART online chat unnecessary risks people will take. Look room. We started talking about SMB. around at work. Chances are that, at some When I confessed that my drug of choice ® point, every fourth person is surfing porn was sex, one person quickly asked if I was SMART Recovery Appoints on the company's dime. "one of those perverts." Fortunately for me, Volunteer Research Directors What about gender differences? I the room's moderator and the other partic- We are pleased to announce that John haven't studied this scientifically, but from ipants quickly jumped in. Kelly, Ph.D., accepted a volunteer my anecdotal experience, I would say that

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 6 SMART Progress Continued position as SMART’s research director, exploring options, with the goal to SMART meeting facilitator, or assisting and Julie Yeterian is our new assistant increase the availability and flexibility with any of our online activities, visit research director. of the training. www.smartrecovery.org/facldtrain/index. They will maintain an updated After a July test-run, we officially htm for information. summary of the scientific literature on launched the new Get SMART FAST SMART, consult with investigators who Program, using the online Moodle Florida Judicial System Getting want to use SMART participants as e-learning platform, in September. The SMARTer Every Day research subjects, review SMART new format allows training sessions to by Harriet Castle, Court Outreach Team Volunteer Member materials for consistency with scientific take place monthly instead of every literature, and promote SMART in the other month. This year has been an exciting time in scientific community. Florida. The state’s drug courts and “We believe this new training plat- Department of Corrections are starting Dr. Kelly is affiliated with form will meet the increasing demand to recognize other recovery options. Massachusetts General Hospital (MGH) for the training of our online and and Harvard Medical School. Ms. face-to-face meeting facilitators, and I am happy to report that within Yeterian works with Dr. Kelly at the our online message board and chat the 7th Judicial District, two out of Center for Addiction Medicine, MGH. volunteers well into the future,” said four of its drug courts, in Volusia and Dr. Horvath. Flagler counties, now recognize Get SMART FAST SMART as an option to AA/NA meet- Training participants will view all ings. I look forward to the entire judicial Distance Training News training materials—text, DVDs, district allowing choices in recovery. PowerPoint, and video presentations— by Jim (GJBXVI) Braastad, Volunteer Distance Michael Jewell, the district’s drug Training Program Coordinator entirely online. After completing the study training on the Moodle site, court manager, listened to the concerns It’s been a year of change for SMART of people in recovery who said they ® participants attend two live meetings in Recovery ’s Get SMART FAST the voice distance training room on wanted to attend secular meetings—face- Distance Training Program. SMART Recovery Online (SROL) to-face or online—that can provide the Shortly after announcing the message board. The first meeting is a courts with verification. program’s new name at the first of the role-play of a SMART meeting. The As of July 1, 2011, the language in year, we began experiencing “growing final meeting is a presentation and Q & Florida’s Unified Probation Order no pains,” as our training sessions were A session with SMART President Tom longer includes any specific references to filling up well before the scheduled Horvath. AA/NA. The order instead refers to cut-off date for registrations. In addition to the volunteers who recovery meetings as “support groups.” It We were faced with a dilemma: While participated in the test-run, access to the also enables probation officers to allow our training participants consistently new training platform was provided to support groups such as SMART. This gave high marks to the distance training the participants of the final session using shift is great news for those seeking program, we knew we couldn’t keep up our old training format. choice in recovery options. with increased demand for training using One training participant said, “I just In May 2011, clinical counselor Mark the existing format. More than once, now had a chance to take a peek and I Fitzpatrick led the 7th Judicial District’s individuals expressing a desire to start a am blown away! It is excellent! The first SMART face-to-face meetings in St. SMART meeting were being told they format is very approachable and well Augustine. Mark also met with the drug had to wait up to three months before organized … I was immediately drawn court in August and we hope to see it being able to attend a training session. in and engaged. I am envious of the recognize SMART as a recovery option. While these growing pains are a good opportunity your future students have Mark said there is “powerful interest” in thing for SMART, we knew we had to with this new format…” SMART in northeast Florida, and his face-to-face meetings continue to grow. do something to keep up with demand. If you are interested in becoming a The Distance Training “team” began He said some participants even drive

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 7 SMART Progress Continued from other counties to attend SMART day, volunteers greet these people on procrastination. All of these were meetings. You can contact Mark at the message board and in the chat recorded as podcasts and are available on 904-797-5680. room. Every day, our volunteers answer our website, http://smartrecovery.libsyn. I hope to see continued growth in the questions, give information about com/. arena of choice for all people who suffer SMART tools, and provide support. April was SMART’s Volunteer Month from addiction, and more flexibility of Every day, volunteers facilitate meetings. (that was Charlie the Webmaster’s idea). the judicial systems across the country to These volunteers also lead by example. It worked so well, we now have several allow alternatives to AA/NA. They share their own struggles with new chat and message board volunteers addiction and their experience with For more information about how and facilitators. In fact, we’re still getting SMART tools. It is this daily, somewhat new volunteers from that effort. SMART can help in your area, call mundane work that is truly spectacular. 1-866-951-5357. And it is what makes SMART so smart. Fall FUNdraising Day The FUNdraising Committee is another SROL administrators, also volunteers, Volunteers Keep SROL Humming group of hardworking volunteers. In fact, do an outstanding job of keeping things by Jonathan von Breton, Director, SMART Recovery® Online the members are working hard right now running behind the scenes. They move putting together this fall’s FUNdraiser, Ordinarily, this is where I talk about the out-of-place posts, create the monthly which will be Saturday, November 5. spectacular fundraising and special events check-in threads, handle technical prob- ® we do at SMART Recovery Online lems, and answer technical questions. Our very own FUNdraising auction (SROL). And fear not, I will later. They do all of this with little fanfare diva, Allie, is collecting all sorts of First, what I really want to talk about and no drama. interesting items for our bidding pleasure. Volunteers and participants is the day-to-day work of SROL. Thank you, every SROL volunteer, are donating fabulous auction items, Every day, new people come to SROL all for the work you put in every day to including handcrafted jewelry, hand- hoping to overcome addiction. Every provide this valuable virtual home. painted travel mugs, bacon peanut SROL’s special brittle, autographed books, an auto- events are spectac- graphed Yankees baseball, and more! ular. Our special You can see the auction items at event coordinator is http://bit.ly/og9mBb. Dee who does an outstanding job of Dee is organizing an exciting speaker recruiting guest line-up for the day. The event will be speakers on a hosted in the SMART Room, which is a variety of topics: Ed voice meeting room. If you have a Garcia did a work- microphone, you can speak, but you shop on the simply need speakers in order to hear, anatomy of and can type questions or comments if emotions. Michael you do not have a microphone. Edelstein gave a Here’s the schedule so far (subject to presentation on change). All times are Eastern Daylight practicalrecovery.com Rational Emotive Time, USA. Behavioral Therapy 8 a.m. Bill White – The Changing 858-453-4777 (REBT), which is Culture of Recovery in at the foundation of America SMART. And Bill La Jolla (San Diego), CA; PSY7732 Knaus 9 a.m. Michael Edelstein – REBT has conducted Discussion workshops on 10 a.m. Jonathan von Breton – An advertisement

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 8 SMART Progress Continued

Insider’s Guide to the ABC’s Anatomy of Emotions. He presented audio/IT consultant creating these for us. 11 a.m. Henry Steinberger – Anger & Fear in May and finished the Many volunteers help with these efforts. Acceptance: The ABCs of series in August with Guilt & The support from all directions has REBT, Version 2.0 Depression, and Building Emotional been incredible. Muscle. His unique slant on REBT Noon Bill Knaus – Procrastination All of the events mentioned above and style of engaging the audience are available in our rapidly growing 1 p.m. Joe Gerstein – Hierarchy of is fantastic. He has quickly become SMART podcast library, Values and the Time Matrix a highly popular speaker at SMART. www.smartrecovery.libsyn.com. CBA Dr. Michael Edelstein spoke about Special events are slowing down a 2 p.m. Anne Fletcher – Many Routes REBT and the Three-Minute Therapy little through the fall so that we can to Recovery. She’ll also talk approach he developed. Attendees concentrate on the conference in about her new book on addic- reported a lot of benefit from hearing Dr. Baltimore, October 6 and 7. tion rehab centers Edelstein’s concise thoughts about Mark your calendars: SROL’s Annual various challenges with plain language. 3 p.m. Steve Gumbley – Being a Face Fall FUNdraiser will be Saturday, His theme of hard work and effort to in Voice of Recovery November 5. We have an incredible achieve the results we want is direct and 4 p.m. Bob Meyers – CRAFT and lineup of speakers for the entire day. This to the point. Trust Issues in the Recovery is a DO NOT miss event. We’ll post more Process Bill Knaus, Ed.D., presented a information on the SMART website and successful mini-workshop on procrastina- 5 p.m. Hank Robb – Being Where SROL message boards. I am tickled that tion in July. He combined materials from You Are and Doing What’s we have many speakers who are sharing his books End Procrastination Now and Important their time and wisdom with us. The Procrastination Workbook with new If you have comments or suggestions, Join the speakers and the auction to material to create an abbreviated version or just want to help, please contact me, show your support. All funds raised are of the professional workshops he offers [email protected]. Help us create what used to keep SMART Online growing around the country. This is the first-ever is most helpful and intriguing to you. and thriving. Contributions are tax event of this kind. Dr. Knaus also created deductible and you’ll receive a thank you an e-book just for SMART: Beat and an “official” letter for tax deduction Two New Publications Available Procrastination Now! This little booklet ® purposes at the end of the year. is filled with clear, vivid explanations, from SMART Recovery and practical suggestions for addressing The expectation in healthcare is that Fabulous Speakers Captured in procrastination. providers are immune to personal drug or Growing Podcast Library We’re creating a PowerPoint version alcohol problems. Intolerance among by Dolores “Dee” Cloward, Special Events Coordinator of the workshop. Dr. Knaus mentioned professionals contributes to denial. Until a drug or alcohol problem is obvious, the We are delighted with the hugely SMART many times in his weekly impaired professional is more likely than positive response to the special events Psychology Today blog. We are nonhealthcare professionals to avoid we hosted at SMART Recovery Online immensely grateful for his enormous seeking help. (SROL) over the spring and summer. contributions to SMART and his will- Highly knowledgeable and credentialed ingness to freely share his knowledge and To meet the needs of healthcare professionals spoke about many thought- energy with us. professionals, SMART announces a new provoking topics and areas, all with a In the last issue of News & Views, I publication, written by Maria Elsa common base of Rational Emotive wrote about our podcasts that we had Rodriguez, DNP, ACNS-BC. Maria has Behavioral Therapy (REBT). just started producing. I reported that worked as an acute care adult health nurse for 21 years and as a nurse educator Here are some of the highlights: we had 900 downloads as of mid-May. We’re now up to nearly 6,000! We are for eight years. She found it a paradox Ed Garcia, CSW, presented two extremely lucky to have a highly skilled that healthcare professionals in recovery fabulous sessions in his series on The

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 9 SMART Progress Continued lack resources that are The manual was developed in the specifically focused to their needs. forensic unit at Brockville Mental With this observation, she devel- Health Centre, a division of the oped this new workbook. Royal Ottawa Health Care Group. In 2008, 10 million persons age “A significant percentage of 12 years or older reported driving individuals within the forensic service under the influence of illicit drugs have drug-related problems, either as during the prior year. Among those the principal diagnosis or as a millions who daily abuse drugs or co-morbid condition,” said co-author alcohol, thousands are physicians, Dawn Adamson. “This program and nurses, and other healthcare profes- manual aim to engage the individual sionals. The resulting drug or view of Cognitive-Behavioral Therapy; in the recovery process, increase indi- alcohol impairment can have devas- the Transtheoretical Model of Change; vidual insight, motivate, and sustain tating effects on their patients who trust and information on the history of change through education and healthcare providers to be focused and narcotic and alcohol use in the United skill development.” conscientious. Healthcare professionals States. Many interactive activities are She said the program has been have a unique ability to respond to included throughout the workbook. adapted and delivered in a community medical challenges and pressures on setting to individuals with co-occurring behalf of others. This workbook helps Addiction and Co-occurring Disorders mental disorders. healthcare professionals apply that care from a SMART Recovery® Perspective: The program incorporates the to themselves. A Manual for Group Therapists Integrative Model of Change (Prochaska This 282-page manual is co-authored by Some of the topics include the preva- and DiClemente, 1984), Rational Dawn Adamson, RN, CPMHN(c), lence of addiction in healthcare Emotive Behavior Therapy (REBT) CARN, and A.G. Ahmed, MD, FRCP, providers (physicians, nurses, psycholo- (Ellis, 1991), and Solution Focused both of whom have extensive back- gists, pharmacists, and dentists); the Therapy (DeShazer, 1991). brain, drugs, and motivation; an over- grounds working with individuals with mental health and addiction issues.

SMART Recovery® Program Tools & Techniques

SMART's 4-Point Program® uses many tools and tech- We encourage you niques that may help you gain independence from to learn how to use addictive behavior. • Change Plan Worksheet each tool and to • Cost/Benefit Analysis practice the tools • ABCs of REBT (Rational Emotive Behavior These Therapy) for Urge Coping and techniques • ABCs of REBT for Emotional Upsets to help you tools • DISARM (Destructive Images Self-talk Awareness and Refusal Method) progress toward include: • Brainstorming Point 4: Living • Role-playing and Rehearsing • Hierarchy of Values a Balanced Life.

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 10 SMART Progress Continued

The program’s three main Started/Motivated (4 sessions); recovery. To accomplish these tasks there objectives are: Changing Your Beliefs (8 sessions); is a lot of maintenance, including 1. This nonjudgmental approach Coping with Cravings (10 sessions); updating the website, providing initial engages the individual in a thera- Following Through (9 sessions); and 8 facilitator training and ongoing training peutic relationship and motivates optional sessions addressing drug facts, and support, reviewing and updating change through education. It focuses definitions, relationship between drug publications, hosting an annual confer- on the relationships between drug use, mental disorder and offending ence, publicizing our activities, use, mental disorders, offending behavior. interfacing with other organizations, behavior, self-defeating behaviors, Both publications are available at the publishing a newsletter, and so forth. and the process of change. SMART Online bookstore, www.smart- Even if you think of yourself as a 2. Facilitate sustained cognitive and recovery.org. facilitator only who’s not involved in behavioral changes using REBT Workbook: 80 pages, $12.99, © 2011. maintenance tasks, you still engage in Manual: 282 pages, $49.99, ©2011. them. For example, you might order and Solution Focused Therapy. ® The individual receives ongoing SMART Recovery Handbooks so participants can buy them from you; motivational support while learning make copies of local meeting lists and of specific strategies to achieve and meeting handouts; send in monthly maintain abstinence. donations, contact referral sources, and 3. Encourage individuals to seek post flyers about meetings, to name a few. ongoing support and provide an President’s Letter One purpose of this column is to introduction to the SMART remind us that to accomplish our program and tools. purpose, we need not slight either the “This is an accessible, easy-to-use task or the associated maintenance. It therapy manual with helpful exercises is easy to overlook the maintenance and a strong scientific base. The group Volunteering for and with ® functions. We occasionally hear that a therapy format is particularly desirable SMART Recovery business or organization has “deferred for front-line treatment programs,” said Activities can often be divided into two maintenance” while it focuses on tasks, Barbara McCrady, director of the Center components: perhaps to maximize profit. But we never on Alcoholism, Substance Abuse and hear about “deferred task!” Addictions, University of New Mexico. 1. the task, and 2. the associated maintenance. In the title of this column I mention Each session includes discussion, exer- both “volunteering for” (maintenance) cises or role-plays, discussion questions, We own cars to transport ourselves, and “volunteering with” (task) to and self-help homework. and we need to maintain them to emphasize that the “volunteering for” Chapter topics include: Getting accomplish this. An army has soldiers functions are just as important as the task who engage in combat, and a far larger functions. Meetings would cease to func- number of individuals who support those tion if the background activities listed in soldiers—food, supplies, transportation, the second paragraph did not occur. To Articles are Welcome! medical care, repairs, etc. express this distinction in another way, If you have a story or information The primary task of SMART is to an organization is only as good as its you would like to see published in provide donations-requested, science- admin staff. The mechanic is just as the News & Views, please feel free based, self-empowering support groups important as the driver (think race cars), to submit a copy to and related services to individuals even if the driver may get more glory. Rosemary Almond, Editor, desiring to abstain from any addictive I hope that everyone who volunteers via e-mail: [email protected]. activity or substance. SMART’s with and for SMART feels a deep Unsolicited material is most welcome! secondary task is supporting choice in connection with the purpose of this

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 11 President’s LetterContinued organization, even if their sometimes- While the book’s intended audience The very first activity I used from the mundane maintenance tasks seem is wide, it may be overwhelming for book came from Chapter 8, “Why removed from interactions with someone trying to do this type of Whining Isn’t Good for You.” It includes participants. We function as a team. therapeutic work on their own. I think one exercise broken down into several Facilitators are closest to feeling the the individual who already has a strong action steps. First, you’re asked to make a deep satisfaction that can arise from base in the concepts of Rational list of 10 things you whine about. Next, observing the moment-to-moment Emotive Behavior Therapy (REBT) may you’re asked to write down something changes in meeting participants as appreciate this book the most. Someone that you tell yourself about each of those participants grasp the implications of a who is receiving some type of formal things. Next, you review your original cost-benefit analysis or realize a new “B” guidance as they learn about the REBT list, and write down what you could be (a new way of interpreting a situation) approach will also probably get the most telling yourself if you adopt a “NO that reduces emotional pain. benefit from the book. WHINING” policy. Finally, you create a And even though facilitators are The book is thoughtfully organized. list of five reasons you don’t want to closest to the scene, all of us make Dr. Garcy mentions that it can be read whine anymore and why, instead, you’re it happen! in order or by skipping around. Because I going to start solving your problems. was often looking for strategies that fit a This was a great activity to do in a particular situation, I skipped around, meeting because it enabled us to brain- using the table of contents as my primary storm and to laugh at some over-the-top roadmap. The table of contents is a suggestions. I was pleased at how it Book Review resource in and of itself; I frequently helped to bring a room of relative found myself scanning it just to get a strangers together, and I was delighted quick REBT primer. with the participants’ reactions. They Each of the 52 weeks is given its own were engaged and genuinely stimulated. chapter, and though each chapter is two The second activity I used in a to four pages long, they are packed with SMART meeting also came from information. The format presents an Chapter 8, although I used it in a overview of the topic, then provides an different context. In this chapter, Dr. approach to the topic from an REBT Garcy tells the reader “Whining is debil- perspective. Dr. Garcy often references itating. Whining shuts you down. REBT Guide Useful in Meetings Dr. Ellis in this section. At the end of Whining blinds you from looking at or On Your Own each chapter, she presents one or more what you can control…” I wrote these by Ana Stella Troncoso action steps to illustrate the concepts she sentences on our whiteboard, only I introduced. replaced the word “whining” with the Dr. Pamela D. Garcy’s book, The REBT word “worry.” This was an effective Super-Activity Guide: 52 Weeks of Some examples of chapter titles starting point for a discussion about REBT, promises “success strategies to include: anxiety. help you shift out of unhealthy emotions • Is this a Preference or a Demand? Another chapter that I found particu- and into action,” and it largely delivers. • Setting Anti-Mustubatory Goals larly helpful in a SMART meeting was To apply the exercises from the work- • What Can You Change? Chapter 13, “Understanding Some of the book in several settings, I used the book • How Can I Dispute That? IBs (irrational beliefs) of Unhealthy both as a resource for techniques that Anger.” This chapter draws a parallel could be introduced during SMART • Anti-Awfulizing Exercises between being drunk and being angry, meetings, and as a tool for things I could • Accepting Ambiguity and which was a useful analogy to lead into a do on my own, at home, in a less formal Uncertainty conversation about anger and some of its setting. • Anti-Procrastination effects. Three action steps are included in

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 12 Book Review Continued this chapter, one of which asks the reader I highly recommend The REBT the Bush Mob invited SMART to to “identify all the demands behind your Super-Activity Guide. conduct a two-day facilitator training in anger” by writing down their beliefs and September. The Grog Mob is an alcohol underlining the “shoulds, musts, have tos, and other drug treatment program that ought tos, need tos” they’re allowing helps Aboriginal people with alcohol themself to believe. Again, this brain- and drug addictions. storming exercise kept the group’s energy The Bush Mob runs programs for high and teased out some of the demands young people at risk of being disengaged participants had been making in their and marginalized in their home or lives. communities. They may be subject to Finally, Chapter 35 had a strong substance abuse, violence, unsafe living impact on me, “Working on Acceptance environments, and disempowerment. of the Self.” Dr. Garcy tells the reader to The Bush Mob takes kids to the desert to “…think of someone that you love International Development reconnect with their culture. The aim to unconditionally. It could be a friend, incorporate SMART during these expe- a relative, a baby, or an animal…. Australia Update riences. Pretend this special someone made a by Jim Villamor, Coordinator, SMART Recovery AU® Aboriginal Cultural Awareness Workshop mistake of some kind. List 10 things In July, Josette attended the that you would say in order to express SMART Recovery® Indigenous Project Aboriginal Cultural Awareness your unconditional love….Now…say For the past two years, SMART has Workshop hosted by the Network of them to yourself out loud.” been looking for an indigenous Alcohol and Drug Agencies (NADA) I often use a suggestion similar to this consultant to help us develop a more with Felicity (Flic) Ryan, a Wadi Wadi one when I sense that someone is feeling culturally sensitive facilitator training. and Wamba Wamba woman who is an great shame or guilt, and is looking for a Our goal is to educate indigenous accredited trainer specializing in the way to forgive themselves, or simply communities about SMART and to development and delivery of training, when they would benefit by being kind create more indigenous-specific SMART including cultural awareness and compe- to themselves. However, until I read groups throughout Australia. tency, Aboriginal health and Dr. Garcy’s book, I’d never had a tool In July, we formed a working relation- employment, and child protection. that allowed me to demonstrate this idea ship with Cathy Cooper. She has a The workshop will help SMART in a tangible way, nor had I ever taken master’s degree in community health better understand Aboriginal cultures, the time to do this for myself. Since and years of experience working with nations and protocols, and family then, it’s an exercise I turn to weekly, indigenous people in Sydney and rural and kinship systems. It also covered with excellent results. areas of NSW. Cathy is indigenous discussions on discrimination, myths I’m grateful that I had the opportunity and has a professional and personal and stereotypes, and strategies on how to read Dr. Garcy’s book and share my experience with addiction. She believes to work with Aboriginal people to experiences with a new audience. The SMART is applicable to indigenous develop culturally appropriate programs Activity Guide will be a resource for any communities and important in recon- and services. facilitators looking for tools they can use necting people to their families and SMART Media Project communities. This plays a big part in in a group to increase crowd participa- SMART has been working with reclaiming their culture, which in tion and stimulate brainstorming Kevagne Kalisch since 2006 on our first turn supports them. sessions. Participants can then do the media project. Kevagne has been action steps on their own to reinforce Cathy will start by helping us pilot involved with SMART for the past six the skills they’re learning in group or facilitator training in Alice Springs, years as a participant and most recently with their counselors. Northern Territory. The Grog Mob and as a volunteer. Kevagne brings a wealth

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 13 International Development Continued of knowledge, enthusiasm, and compas- SMART AU and juvenile justice, NSW SMART's UK Footprint sion to this project. He has experience in To prepare drug and alcohol workers, public relations and has assisted SMART counsellors, and psychologists for the Keeps Growing over the past six weeks to receive testi- introduction of SMART into their by Richard and Carol, SMART Recovery UK® Office monials from SMART participants on centres in 2012, SMART Recovery The last few months have seen huge the benefits of attending SMART meet- ® AU will conduct two information progress, with all the work in putting ings and working the SMART program. sessions in September and October. together the partnership model and You can read some of the testimonials at training platform finally bearing fruit. www.smartrecoveryaustralia.com.au. Drug court, NSW, and SMART AU Drug courts are specialist courts that There are currently 89 SMART SMART's Vietnamese Project deal with offenders who are dependent meetings in the UK, which is an increase The Drug and Alcohol Multicultural on drugs. They emerged as a result of of 150 percent over 2010. We think we’ll Education Centre (DAMEC), a growing disenchantment with the ability maintain this pace as more people come nonprofit, nongovernmental organization of traditional criminal justice approaches through facilitator training and partners funded by NSW Health received funding to provide long-term solutions to the encourage the formation of more peer- from the Network of Alcohol and Other cycle of drug use and crime. Drug led meetings. Drugs Agencies (NADA) to develop the courts help drug-dependent offenders The growth of the partnership scheme SMART Vietnamese Project. Its goal is overcome their drug dependence and has exceeded expectations. Our target to produce a Vietnamese language criminal lifestyle. was for 100 sites by September; we’ve specific, culturally appropriate version of This objective is to divert drug-depen- now got more than 200. The four largest the SMART program, and to pilot this dent persons who have been charged treatment providers in the UK are in with Corrective Services clients. with criminal offences, into programs partnership with us and agree to Currently, SMART sits on the designed to eliminate, or at least reduce, encourage their service users to engage advisory board for this project. We dependency on drugs. Reducing a with SMART and set up meetings. advise on project and evaluation strate- person’s dependency on drugs should We welcome Jardine Simpson to the gies and support DAMEC in project reduce the person’s need to resort to team. Jardine is our regional coordinator. implementation. SMART and DAMEC criminal activity, and should also increase She’ll support and kick-start SMART hope to develop other language-appro- the person’s ability to function as a law- across a large area of Scotland where priate versions of SMART if this project abiding citizen. there were no SMART meetings. We is successful. Drug court, NSW has recently received funding that enables us to keep SMART Recovery® Volunteer Program adopted SMART as one of its diversion Jardine for one year. SMART joined forces with Volunteers programs for offenders. Since January, 500 people have Australia in July to recruit volunteers Facilitator Training Sessions Booked enrolled in our online training course. interested in facilitating SMART groups Roughly half are in recovery and half are and supporting SMART on various proj- Through End of 2011 ® professionals who want to learn about ects. Some of these projects include the SMART Recovery AU facilitator recovery. So far, 109 people have Be SMART: Family and Carer’s Program; trainings are booked until the end of completed the 20-hour training. media; ongoing networking; in-services; 2011. We’ve had an overwhelming and training. So far, more than 50 people number of training requests, which will Our national profile is still rising. A have expressed interest. take us to many places over the next steady stream of conference and speaking three months, including Newcastle, requests are coming through. There’s As a result, SMART Recovery AU® NSW, Brisbane, Queensland, Bateman’s interest in what we’re doing at national will conduct its first Volunteer Training Bay, NSW, Hobart, Tasmania, Gundagai, policy level. This helps get the message in September, and again in November and NSW, to name a few. out and raise SMART’s UK profile and December. even more.

SMART Recovery® News & Views Volume 17, Issue 4 • Fall 2011 Page 14 International Development Continued

Success Stories from a with SMART, but now they’re getting self-management aspect of SMART. their children back, too. WOW! What works for one person may not SMART Country The Provincial Probation System work for the next, or even the next. We by Curtis Boudreau, Facilitator & Regional Administrator contacted me in June to do a presenta- are four points and five tools that can be for Western Canada tion on SMART. As a result, it basically added to any existing program, and if the Hello from Alberta! accepts SMART as a valid option for individual doesn’t currently have a those who have mandatory addiction program, ours can stand on its own two It sure is great to report more success feet. When a person is working the 12 from up here in Canada. meeting attendance requirements for their probation or parole. A new steps, they are developing a relationship Our meeting attendance has been attendee showed me his probation letter; with a higher power. When working the solid, averaging between about 25 to 35 the officer wrote “SMART Recovery® X SMART program, people are developing participants at each meeting. The word 2 per week,” as his obligation. a relationship with themselves, and can is getting out about what SMART does finally look in the mirror for a solution. One of the reasons we’re seeing so and what it offers. We get two to eight Both paths lead to the individual getting much success is that five years ago, I newcomers each meeting. One meeting their head to the pillow clean for basically stopped fighting to change recently we had 20 newcomers! another day, which is success as far as I people’s thinking about SMART. I am concerned. Tim in Edmonton reports they started practicing “Unconditional average 12 to 14 people each meeting. Other Acceptance” (UOA). I let I’m the Narcotics Anonymous He says things are a-ok up there. A people know we are in no way Activities Committee chair, and meeting should also be starting soon competing with 12-step programs. certainly don’t want to compete with in Lethbridge. When we compete for the addiction myself. I just let people know that the Facilitator training will start soon in “business,” people can fall through the two programs aren’t like apples and Saskatoon, Saskatchewan; Red Deer, cracks and end up dead. oranges; more like apples and giraffes. What one would get from a 12-step Alberta; and Winnipeg, Manitoba. I recognized that the 12 steps do work meeting is nothing like what they get Maddalena in Montreal, Quebec tells me for a lot of people, and that they don’t from a SMART meeting. I wouldn’t her meeting is now up and running. work for everybody. I believe that in want to “cookie cutter” my recovery on Treatment centres and the psycholog- order to be accepted, I should practice anybody. ical community are recognizing that we acceptance. When people have the bring a breath of fresh air to the addic- wrong idea about SMART, I don’t argue I love that SMART teaches us to tion world. My psychologist is well with them. Instead, I calmly say that I’m “own” our program of recovery, because known in the community of addiction sorry they have the wrong idea about us, when you own something, you take treatment providers. He told me recently and why don’t they come down to one of pretty good care of it. that the word is out about us, and that our meetings and check out what we are Chat at ya’ next quarter. we can solidly say we’ve been accepted. all about. By being kind and considerate, I’ve been getting the word out for the people see that I actually have recovery, past five years; the effort seems to be and want to see how I got it. The old paying dividends. adage “kill them with kindness” seems to Child Protection Services accepts be what has worked for me. SMART as a valid recovery model. One of the most important things I People are not only rebuilding their lives focus on when selling our program is the

SMART Recovery® relies on volunteer labor and donations. Please be generous with your time and money!

©2011 ADASHN, Inc., 7304 Mentor Avenue, Suite F, Mentor, OH 44060, all rights reserved. All statements regarding self-help in this newsletter are the views of the author and are not an official endorsement of the Alcohol & Drug Abuse Self-Help Network, Inc.

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