On February 27, I celebrated my 90th year on the planet. In all the years, alcohol was my only drug of choice. It served me well until it didn’t. Active in the recovery movement for many years in Colorado, I returned to California in 2019 and helped to start a new non-profit called The Purpose of Recovery (TPOR). At The Purpose of Recovery we value positive recovery language through our peer support services and community advocacy. Recently I noted that Alcohol Awareness was being diminished by all else going on and I determined to edit my recovery language to feature alcohol and its effects. What I noticed is that my language works in any month, whether it is Alcohol Awareness Month (April) or not. Ok, so who do we help (individuals, families and those in recovery) and what do we tell them about alcohol? Particularly, how do we guide their research on talking to kids? Each April since 1987, the National Council on Alcohol and Drug Dependence, Inc. (NCADD) has sponsored Alcohol Awareness Month to increase public awareness and understanding, reduce stigma, and encourage local communities to focus on alcoholism and alcohol-related issues. Most adults in the United States who drink alcohol drink moderately and without complications. At the same time, alcohol-related problems are among the most significant public health issues in the country. Alcohol use disorder (AUD) affects about 15 million adults in the United States, and an estimated 88,000 people die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the nation. Read more here. A young person’s brain is not fully developed until they reach their mid to late 20s, and any drinking while the brain is still developing can be problematic. Regardless of age, alcohol lowers inhibitions and impairs judgment and coordination. It can also increase the incidence of aggressive or violent acts. Consuming large quantities in a short period of time — or binge drinking— which is defined as having 4-5 drinks on one occasion and is common among young people — can cause alcohol poisoning and even death. More than 16 million Americans misuse or are addicted to alcohol, which is a legal substance that is widely available and normalized in our society. Prolonged, heavy use of alcohol can lead to addiction as alcohol use disorder, or alcoholism. There is liver and heart disease, and other health consequences such as a weakened immune system and increased risk of developing certain cancers. Accidents related to alcohol use are among the leading causes of death for teens. Every April the National Council for Alcoholism and Drug Dependence (NCADD) sponsors Alcohol Awareness Month to increase awareness and understanding of the causes and treatment of the nation’s #1 public health problem: alcoholism. As part of Alcohol Awareness Month, the NCADD says local, state, and national events will be “aimed at educating people about the treatment and prevention of alcoholism, particularly among our youth, and the important role that parents can play in giving kids a better understanding of the impact that alcohol can have on their lives. Alcohol Awareness Month Resources —NCADD has several helpful resources on its website. The Substance Abuse and Mental Health Services Administration’s (SAMHSA) underage drinking prevention campaign, ‘Talk. They Hear You,’ has talking points and tools for coalitions, parents, and caregivers so they can start talking to their children early—as early as 9 years old—about the dangers of alcohol. The Alcohol Action Network (AAN) is a project of the American Public Health Association and is a nationwide network of alcohol prevention practitioners and researchers engaging in alcohol policy issues in their states or local communities. AAN was initially established to address the shifting alcohol policy landscape at the start of the COVID-19 pandemic and continues to bring prevention specialists together to address policy issues as they arise. I grew up in South Dakota with the awareness that Sioux Native-Americans were a seen and unseen part of life. A friend, Don Coyhis, is a recognized leader and mentor of the Sioux Nation. He posted the following: Thinking positive thoughts will flush out negative thoughts. There is not enough room for both. When we do have both, there is an internal argument with ourselves until we decide which one should go. There is only room for one. We change ourselves by being convinced, which means “to be persuaded by argument or evidence. – Don Coyhis Look forward to becoming a positive thinker and using language that supports others in recovery whether from alcohol or other substances.
You may be surprised when your friends become a “flusher” of negative thoughts too. Merlyn Karst, Recovery Ambassador
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I write this as we celebrate another special holiday. Thanksgiving. It is indeed a grateful deed. Though we should give thanks for many things each day, we single out this day to express gratitude. It is a time of family, fellowship, food, and fun—as it should be. For those of us in active and sustained recovery it is a special day to give thanks. Family dynamics may differ, cultures play a role, but at the core is thankfulness and gratitude with family and friends. Those who experience the fellowship of AA recognize that the two most favored subjects for meeting discussion are gratitude and acceptance. My activity in mindfulness always includes both. At this point, I will add a bit of humor. Discussing politics at a family gathering can result in saving money on Christmas gifts. Considering inflation, it could benefit. The pandemic changed this holiday event in so many ways. Gratitude was limited to thoughts of survival and “I don’t have it—yet”. However, we could come together virtually and maybe be more forthcoming and open with feelings. No masks to show frowns and hide smiles. We talk of turkey, gravy, dressing, cranberry sauce, and pumpkin pie. Seldom is it said: “and alcohol”. Alcohol is legal, cheap, available, and acts as intended and more. We do know that alcohol causes more family turmoil, distress, and death than the other drugs. Alcohol kills slower, but Fentanyl has now entered the picture which is quickly deadly, and family gatherings need to share this information. Addicts must take risks to avoid “dope sickness.” There can be controversy but if balanced with care and concern for each other, there can be help, hope, and healing where needed. All were present as my brother, brother-in-law, and I accumulated over 100 years of sobriety. I am grateful and accept the science of addiction. It explains the why of “why doesn’t he/she just quit.” To know and understand the role of the brain in alcohol and other drug use is vital to living life with health and well-being. Naloxone (Narcan) is defined as an opioid antagonist and defies death from overdose. I am grateful and accept the knowledge of the many paths to, of, and in recovery from substance use disorders. I am grateful and accept the knowledge of the elements of harm reduction and medically assisted recovery. Both are a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. Just as the many paths to and of recovery do, it broadens the spectrum of chance, choice, and change and serves persons and families. In early recovery, the first steps are investigation and contemplation. Now there is more to contemplate. Another word to contemplate is one I just learned--gradualism. The goal can be abstinence but a commitment to a process and toward progress should prevail. William White has written countless papers over the years. A most recent one is titled On the Shoulders of Giants, which honors the addiction treatment and recovery advocacy pioneers and profiles 35 people upon whose shoulders the infrastructure of our field stands. Among names I recognize are Bill Wilson, Jimmy Kinnon, and Jean Kilpatrick, founders of AA, NA, and Women in Sobriety, respectively. There are the more recent prominent pioneers such as Lillian Roth, 1910-1980, and Jason Robards, 1922-2000, who Bill says, Challenged prevailing stereotypes about addiction and addiction recovery through public disclosure of their own recovery stories. Names I learned early on were the policy advocates who politically nurtured the birth and evolution of modern addiction understanding (e.g., Marty Mann, 1904-1980, Senator Harold Hughes, 1922-1996, Senator Paul Wellstone, 1944-2002). I met Senator Wellstone and Betty Ford. I have maintained connections and associations “Beyond Betty” over the years. They include the Betty Ford Center, Hazelden, and the Children’s program. Bill White, whose shoulders I have perched on, said with gratitude to the many of those, Who stretched my mind, mentored my work, and showed me by their example how to conduct one’s life in this unique service ministry. I am personally grateful and so should the millions in active and sustained recovery be what for may be termed the grateful deeds of the pioneers and present advocates in the recovery movement. There is no vaccine for addiction. However, choosing a path to recovery and choosing to be vaccinated for COVID both lead to health, well-being, and peace of mind. Both serve the person, family, and community. November is gratitude month and as it ends, we look forward to the next holidays. Though some don’t do deities, there is a Christ in Christmas. It is a time of caring and sharing. As I once read and wrote, before the sermon on the mount, Jesus was reported to have said; If you don’t believe in me, believe in what I teach. One of those teachings called for us to love one another. Happy Holidays, from The Purpose of Recovery Team.
Merlyn Karst — Recovery Ambassador In the old West, when a community was plagued by bad guys, the townsfolk got together and formed a posse and chased the bad guys out of town. Western movies starring the Lone Ranger usually ended with the Lone Ranger riding into the sunset and a townsman asking, “who was that masked man” Any irony in this today? We might define each peer posse as being a group of peers with a common purpose to overcome the “bad guys”— Substance Use Disorders (SUD). First responders respond to the purpose and needs of the moment.
Clinicians and Peer Specialists respond to the purpose and needs of the future and the sustainability of positive outcomes. It takes passion and courage but they get a big bang for their pluck. In a previous blog, I wrote, Together We Are Stronger. A voice is a whisper, many voices are a shout. I note that there are many communities, collectives, coalitions, consortiums, and cultures seeking a broad spectrum of choice, chance, and change. With all these words and labels starting with “C”, there must be some relationship to the term “C” — change. It simply means transformation, so “Cs” the day. Between the pandemic and politics, its happening. Indications are that both parties are giving attention to the needs for clinical and peer support rather than incarceration. There is growing attention to the various mental health issues developing and growing due to the negative social impact of COVID-19. These include depression, suicide, addictions, and domestic abuse. In 2018, mostly in response to the opiate crisis, congress took action in the passage of the SUPPORT for Patients and Communities Act. It includes policies and resources that support people in recovery from addiction across the lifespan. This provision reauthorizes and modifies the Building Communities of Recovery program to include peer support networks. It provides funding for community organizations providing long-term recovery support services related to substance use disorder. There are opiate funds available. Seek and you will find. Recovery Community Organizations are being formed at a growing rate with knowledge that the pandemic will put new burdens on the community from increased mental health and substance use disorders. Nothing About Us Without Us. People with personal knowledge of the recovery process and the historical challenges faced by people seeking and in recovery free of conflicted interests are the best suited for recovery advocacy leadership. RCOs can motivate and educate the newly elected or re-elected community leaders. “By repairing past and current harms in our communities, we bring new possibilities to the future.” Community leaders will be true and valuable servants. The founders launched Orange County, California’s first Recovery Community Organization recently, The Purpose of Recovery—TPOR. Preceding the launch were conferences, trainings, virtual meetings. Legal matters and site visits to providers of Substance Use Disorders. Our focus was on peer support services. It was gratifying to learn about so many humans doing for other humans being. A fun experience for me was a visit to a new resource, Recovery Road providing food, clothing, and a place of fellowship. I loved the sight of stacks of Vienna sausages. Yum. The Salvation Army complex was a wonder of complete services to men and women. It was a community unto itself. It rang my bell. There are many providers and partners with TPOR with mutual opportunity to serve the local communities. Websites, Facebook and social media provide a broad range of information and resources. Working in peer support is an especially rewarding experience. You get to share the tools, skills, and information you have learned to transform your own life with individuals going through similar struggles. Not only do you get to contribute to the lives of others, but you also sustain your own recovery and wellbeing in the process. As more and more learn about the impact of peer support, opportunities, and career paths for peer specialists the support will grow and expand. The growth of peer support has the potential to radically transform the ways we support people in the behavioral health system. All states have a certification program with defined paths to career opportunities. Our California certification entity is CCAPP, California Consortium of Addiction Programs and Professionals. The Association of Recovery Community Organizations—ARCO, provides a broad spectrum of information about Peer Recovery Services and vital insight into the national recovery movement. Remember, they don’t care what you know till they know that you care. Merlyn Karst – Recovery Ambassador I observed and I write. Over the last year the nation has gone through an incredible test of wills. Hindsight can’t be 2020. Alarmingly instructive but so filled with events and irony it sinks under its own weight. The only thing we have to fear is fear itself. Pretty shallow when weaponized for misinformation and here and there it seems the Dementors from the Potterverse were filling the sky. Voldevirus was anywhere and everywhere. A banner’s four words have had more improbable impact for cause than reason or truth. You can name some. Peer’s pressure and protests migrated into mob manipulation and intimidation. I can’t breathe. I note most impactful but diminishing words started with a “V”. Violence, vengeful, vitriol, voice, voter, and vicious. Look close, even Word has two V’s” in it. Verily, only virtual and vaccine are positive. Words have different meaning, use and understanding depending on cultural identity in the worlds of “woke” and the threat of “cancellation.”. This ostracism is akin to stigma and discrimination which has been an ever-present burden for those pursuing recovery from Substance Use Disorders (SUD) and mental issues. Which brings me to the title, The Power of Will and its historical relevance to long-term recovery. Willpower is defined as the ability to control your own thoughts and the way in which you behave. In the early days of attention to alcoholism, it was often heard, as a moral judgement, why doesn’t he/she just quit? Certainly AA, the 12 steps and support of others provided choices, chances, change. and continuity. I met and heard Nora Volkow, M.D. of the National Institute of Health in 2002. I gained my first insight about the work on the science of addiction. It was exciting and hopeful for future medically assisted recovery that has evolved and in use today. I attended training with Flo Hilliard, Faces and Voices of Recovery. Her training program was titled The Science of Addiction and Recovery. We understand clearly that not understanding and overcoming craving and fear of the pains of withdrawal will drive wrong choices. With medical assist, and other therapies and recovery support, the brain will resume important activities. Remember, if you are not earning, keep learning. There are countless virtual opportunities. I recently was more informed about what I have written. You Tube, Many Paths to Recovery 11/20/2020. A New PATH—California RCO and ARCO member. Many years ago, I stated that if it is called willpower, it must be intended to have power. That power to make wise and healthy choices about behavior is reduced and at some stage eliminated with the intake of mind-altering chemicals or actions. More education is needed. Abstinence, where possible, remains the best solution. Current medicines, and there are several, provide restoration and stability and allow the brain to use them to overcome craving and fear of pain of withdrawal and to resume a more normal life. Oddly, in the recovery community, there is still a stigma associated with MAT. Another recovery advent, harm reduction programs, are controversial. In the aforementioned virtual presentation, Dr. Tom Horvath, Practical Recovery outlines principles, beginning with the first principle, that recognize self-guided change (natural recovery) as the foundation of all successful treatment. So, a properly functioning brain is essential for self-healing. The pandemic has had a disastrous effect in elevating all the elements and possibility of a set-back —perhaps a better word than relapse in the recovery process. We need all to get-back and on track. Medical assist and virtual fellowship on the chosen path to active and sustained recovery will help. We have to use resources virtually and wisely and quickly. Victory over the Virus and use newly learned Virtualocity. As the year closes, we revere the word vaccine. It has literally provided the wind beneath our wings of hope as we proceed to 2021. Close your happy eyes and enjoy the uplift into the New Year! Nothing is so bad it JUST couldn’t be verse Don’t just wake up feeling captive, You better just wake up The Positive. OR The Positive will just keep sleeping, doom and gloom just keeps creeping. Feeling really down is just really dumb, as there is just no point in staying glum. Covid vaccine? you can just wait for your big stick. Just follow protocol and parry the big sick. Each day It just may seem there’s no justice. Just don’t worry because eventually there just is. Just don’t fret about things not legit, The Positive will shadow you, so don’t worry—just do it. Merlyn Karst – Recovery Ambassador
Good Afternoon. Thank you for your virtual presence. I am, virtually and otherwise, Merlyn Karst, a person in long-term recovery, as a result, I haven’t found it necessary to take a drink of alcohol for 22 years, my only drug of choice.
My standard answer to how much did you drink is—just enough—until it wasn’t. I found that alcohol is out to kill us, but first wants to get us alone. I retired early and went from corporate executive to consultant while paying the consequences of DUI’s through Nancy Clark’s Alternative Sentencing Program. No jail time and the positive experience led me to stay with the program as administrator for several years. Time in our Recovery Centers, instead of jail, saved lives, families, and productive careers. In sustained recovery, I have had a full and healthy life and have accumulated 88 years of lived experience. After 27 years in Orange County, my wife and I relocated to Denver, Colorado. I immediately pursued activities in the justice system and the agencies serving the recovery community. It led to a meeting in St Paul, Minnesota in 2001. The meeting centered around the fact that by our silence, we let others define us. We needed to put a face and a voice on recovery. With respect for anonymity and its role in recovery, we set forth to develop a language, an identity, and a message so that individuals in recovery could stand up, stand out, speak out, and be proud about their reality of their recovery. Faces and Voices of Recovery was born. It birthed a movement that is now national and international. We adjourned the meeting with the words, from our movement’s leader, Bill White. Let’s go make some history—and so we have and so we are. I was privileged to be its board chair for the first six years. At the same time, we started the RCO, Advocates for Recovery-Colorado. We featured advocacy and peer supported services and training. We assisted in bringing the Betty Ford Children’s Program to Denver. I learned very quickly the value of an executive director to the growth and success of a national and/or recovery community organization. I praise and appreciate Pat, Patty, Tonya, and now Donella. A few months ago, we moved back to California and Orange County from Denver. Denver was the birthplace of an organization many of you know as The Phoenix, now growing nationally and internationally. Besides renewing a relationship with Nancy and Alternative Sentencing Programs, I made contact with Lauren Deperine, the Director of The Phoenix in Orange County and San Diego. Through Lauren, I was introduced to Donella Cecrle, and through her, Janie Tsao. Our common interest was the development of a Recovery Community Organization (RCO) that could serve the needs and interests of a variety of those principally involved in Substance Use Disorders (SUD). We want to be a catalyst for expanding peer specialist training and support, with an eye to providing career path opportunities. Though Donella, Janie, and I have not physically met until this week, (from 6 feet) The 3 of us have contributed to the ZOOM Boom through countless virtual meetings and attended several trainings and conferences. Following the work of Donella and several others, we are together today to share progress in the development of our new RCO, The Purpose of Recovery. We invite you to be a part of our purpose and promise as we become a collective of the purpose and promise of recovery for all. As our logo portrays, our heart is truly in it. We must always remember, they won’t care about what we know until they know that we care. Merlyn Karst - Recovery Ambassador Good Afternoon. Thank you for your virtual presence. I am, virtually and otherwise, Merlyn Karst, a person in long-term recovery, as a result, I haven’t found it necessary to take a drink of alcohol for 22 years, my only drug of choice. My standard answer to how much did you drink is—just enough—until it wasn’t.
I found that alcohol is out to kill us, but first wants to get us alone. I retired early and went from corporate executive to consultant while paying the consequences of DUI’s through Nancy Clark’s Alternative Sentencing Program. No jail time and the positive experience led me to stay with the program as administrator for several years. Time in our Recovery Centers, instead of jail, saved lives, families, and productive careers. In sustained recovery, I have had a full and healthy life and have accumulated 88 years of lived experience. After 27 years in Orange County, my wife and I relocated to Denver, Colorado. I immediately pursued activities in the justice system and the agencies serving the recovery community. It led to a meeting in St Paul, Minnesota in 2001. The meeting centered around the fact that by our silence, we let others define us. We needed to put a face and a voice on recovery. With respect for anonymity and its role in recovery, we set forth to develop a language, an identity, and a message so that individuals in recovery could stand up, stand out, speak out, and be proud about their reality of their recovery. Faces and Voices of Recovery was born. It birthed a movement that is now national and international. We adjourned the meeting with the words, from our movement’s leader, Bill White. Let’s go make some history—and so we have and so we are. I was privileged to be its board chair for the first six years. At the same time, we started the RCO, Advocates for Recovery-Colorado. We featured advocacy and peer supported services and training. We assisted in bringing the Betty Ford Children’s Program to Denver. I learned very quickly the value of an executive director to the growth and success of a national and/or recovery community organization. I praise and appreciate Pat, Patty, Tonya, and now Donella. A few months ago, we moved back to California and Orange County from Denver. Denver was the birthplace of an organization many of you know as The Phoenix, now growing nationally and internationally. Besides renewing a relationship with Nancy and Alternative Sentencing Programs, I made contact with Lauren Deperine, the Director of The Phoenix in Orange County and San Diego. Through Lauren, I was introduced to Donella Cecrle, and through her, Janie Tsao. Our common interest was the development of a Recovery Community Organization (RCO) that could serve the needs and interests of a variety of those principally involved in Substance Use Disorders (SUD). We want to be a catalyst for expanding peer specialist training and support, with an eye to providing career path opportunities. Though Donella, Janie, and I have not physically met until this week, (from 6 feet) The 3 of us have contributed to the ZOOM Boom through countless virtual meetings and attended several trainings and conferences. Following the work of Donella and several others, we are together today to share progress in the development of our new RCO, The Purpose of Recovery. We invite you to be a part of our purpose and promise as we become a collective of the purpose and promise of recovery for all. As our logo portrays, our heart is truly in it. We must always remember, they won’t care about what we know until they know that we care. Merlyn Karst, Recovery Ambassador September is designated as Recovery Month. Recovery Month promotes the societal benefits of prevention, treatment, and recovery for mental and substance use disorders. It celebrates the millions of people as they live in the joy and reality of recovery. I have participated in Rallies and events primarily in Denver, Colorado since 2002. In 2018, Advocates for Recovery-Colorado, was the host to the national hub event. Country wide, these events provided the opportunity to announce the birth and carry the message of Faces and Voices of Recovery. Making history year by year, Recovery from Addiction is now a growing national and international recovery advocacy movement. I now live in Orange County, California, I recently participated in an event named Recovery Happens originating in California’s capitol. Three well-known names were among sponsors. Faces and Voices of Recovery, Young People in Recovery, and The Phoenix. It is usually held on the Capitol steps, but as is today’s normal, It was virtual instead. I’m a fan of virtual technology. Unfortunately, it does not have the value of human togetherness and fellowship. We are involved in a Zoom Room Boom. It does allow an important factor. To achieve and maintain connections. I am participating in a Peer Coach Training with Peer Coach Academy in Colorado. SAMSHA’s theme banner says: Join the Voices of Recovery: Celebrate Connections. We are virtually connected in so many ways—apart but together. We are getting good at it. The definition of virtuosity is to have a skill and expertise as we see in virtual activities. I think it leads one to a new word --virtualocity. I find it worth repeating what I wrote in a recent blog. In the real and virtual world, I make my bed, shower, and dress presentably for viewing and being viewed. No travel involved. Bed and board are at hand. check the “set”, settle in my comfortable chair, and put my best face forward. The virtual world has merit through selective learning and social sensibility. If you are not earning, you should be learning. It will be of benefit to the establishment of health and well-being and even might allow being better than well. Recovery Community Organizations are being formed at a growing rate with knowledge that the pandemic will put new burdens on the community from increased mental health and substance use disorders. Unfortunately, there has been an increase in use and misuse of the drug alcohol. Communities need resources, information, and leadership. I recently read this, By repairing past and current harms in our communities, we bring new possibilities to the future We have a role to play.
In a recent Bill White and Bill Stauffer paper, Nothing About Us Without Us, I noted the following: People with personal knowledge of the recovery process and the historical challenges faced by people seeking and in recovery free of conflicted interests are the best suited for recovery advocacy leadership. Guidelines: 1) Members of recovery communities are provided a voice in the selection of persons who represent their experience and needs. 2) Those representing the recovery experience at public and policy levels possess rich experiential knowledge of personal and/or family recovery from addiction. 3) Persons representing the experiences and needs of people seeking and/in recovery are free from ideology, political, or financial conflicts of interest that could unduly influence their advocacy efforts. This paper is important. Read this and another, Recovery Advocacy For a Country is Crisis. We recently formed the first RCO in Orange County, The Purpose of Recovery. Our primary purpose is to promote and perpetuate connections, resources, and a collective purpose for providers of recovery support services in Orange County. It was established with support and guidance with connection to other RCOs in Northern California, Texas, Georgia, and Colorado. All members of Faces and Voices of Recovery’s ARCO, the Association of Recovery Community Organizations. ARCO links RCOs and their leaders with local and national allies and provides training and technical assistance to groups. ARCO helps build the unified voice of the organized recovery community and fulfill our commitment to supporting the development of new groups and strengthening existing ones. As the SAMSHA banner says, Celebrating Connections. A great purpose to be served during Recovery Month. Together We Are Stronger. Merlyn Karst, Recovery Ambassador |
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