Handling Employee Alcohol and Drug Use #alcohol #and #drug


Handling Employee Alcohol and Drug Use

Employees who abuse alcohol and drugs (including illegal drugs, prescription drugs, and over-the-counter drugs) — either on their own time or at work — can pose significant and wide-ranging problems for their employers, managers, and coworkers. These problems can include diminished job performance, lowered productivity, absenteeism, tardiness, high turnover, and increased medical and workers’ compensation bills. Employees who abuse drugs and alcohol can also make a workplace more volatile and more dangerous, and they can expose employers to legal liability.

Alcohol Use at Work

Your company’s employee handbook (or its verbally announced workplace policies) should state that drinking on the job is not allowed. If you catch an employee actually using alcohol at work, you can deal with it through your company’s standard disciplinary procedures. Depending on the circumstances and on your company’s policies, the punishment can range from an oral reminder to immediate termination.

The consequences should depend in part on whether the employee has endangered the health and safety of others. For example, an employee who has a few beers at lunch before returning to work operating a forklift might warrant more severe discipline that a waitress who has a glass of wine at lunch.

Off-Hours, Off-Site Alcohol Use

Many people drink alcohol when not at work. Most employers aren’t concerned about an employee’s occasional drink — or even the occasional overindulgence — as long as it doesn’t affect the employee’s work performance. But when off-site, off-hours drinking begins to take its toll on the worker’s ability to do the job, employers may have reason to take action.

Handling a worker with a drinking problem or alcoholism is tricky business. The federal Americans with Disabilities Act (ADA) and many state disability rights laws protect alcoholics from workplace discrimination. The ADA doesn’t allow employers to make an employment decision based solely on the fact that an employee is an alcoholic. An employer can, however, make a decision (including a decision to discipline or terminate an employee) based on the employee’s inability to meet the same performance and productivity standards that it imposes on all employees.

Legal Drug Use

Many employees properly use prescribed or over-the-counter drugs, such as sleeping aids, cold medicine, or painkillers. Most employers sensibly believe that this is none of their business, as long as the drugs don’t impair the employee’s job performance.

Things get trickier, however, if legitimate drug use affects an employee’s ability to do the job safely and well. For example, medications that cause drowsiness might make it downright dangerous for a worker to do a job that requires driving or operating machinery. Medication may also impair judgment and abilities, which could impair a worker’s ability to meet job requirements.

If an employee’s performance is affected by the proper use of prescription or over-the-counter drugs, state and federal disability laws may limit an employer’s options. Depending on how the drug affects the employee, and whether the employee suffers from a disability within the meaning of these laws, your company may have to accommodate the employee’s use of the drugs.

Illegal Drug Use and Possession

If an employee is under the influence of illegal drugs at work, disability rights laws do not limit your company’s options. You may deal with that employee through your company’s standard disciplinary procedures. If the employee has not created a safety threat and does not hold a highly sensitive position, a written reprimand might be appropriate for a first offense.

If the employee endangers the physical safety of others — for example, by driving the company van after smoking marijuana at home — something more drastic is called for. If the employee has a drug problem, one option is to suspend the worker until he or she successfully completes a treatment program. Some employers, however, opt for a zero-tolerance policy under these circumstances and immediately suspend and then terminate the employee. Because using, selling, or possessing illegal drugs is a crime, many employers immediately terminate employees who engage in this type of behavior at work.

Drug Testing Current Employees

Drug testing is a dicey legal issue for employers — and one that should be approached with caution. Drug tests are highly intrusive, yet they can also be invaluable tools for preventing drug-related accidents and safety problems. For more information, see Nolo’s article on Testing Employees.

The law of drug testing is changing rapidly as more courts rule on employee lawsuits claiming that a particular drug test violated their right to privacy. Because drug testing is intrusive, a worker who sues you and convinces a jury that a test was illegal (in violation of either your state’s drug testing laws or your state’s privacy laws) could cost your company a lot of money — and ruin its reputation as a fair employer.

Before performing any drug test or adopting a drug test policy, you must get some legal advice. Here are some guidelines to consider.

Whom to Test

Avoid testing every employee for drugs, and avoid random drug testing. Unless all of your company’s workers perform dangerous jobs, these sorts of tests cast too wide a net. A drug test is most likely to withstand legal scrutiny if you have a particular reason to suspect an employee of illegal drug use or the employee’s job carries a high risk of injury.

When to Test

Your company will be on the safest legal ground if your primary motive is to ensure the safety of workers, customers, and members of the general public. Employers are most likely to withstand a legal challenge if they limit testing to:

  • employees whose jobs carry a high risk of injury to themselves or others (such as a forklift operator or pilot) or involve security (a security guard who carries a gun, for example)
  • workers who have been involved in accidents (for instance, a delivery driver who inexplicably ran a red light and hit a pedestrian)
  • employees who are currently in or have completed a drug rehabilitation program, and
  • workers whom a manager or supervisor reasonably suspects are illegally using drugs.

How to Test

Even if you have strong reasons for testing, your company can still get into legal trouble over the way the test is administered and interpreted. To be safe, employers should:

  • use a lab that is certified by the U.S. Department of Health and Human Services or an equivalent state agency
  • consult with a lawyer in developing testing policy and procedures
  • use a testing format that respects the privacy and dignity of each employee
  • have a written policy in place about drug use in the workplace (including a discussion of the disciplinary steps the company will take and under what circumstances) and testing procedures (including when the test will be given, how the test will be administered, and what substances — at what levels — the test will detect)
  • require employees to read the drug and alcohol policy and testing policy and sign an acknowledgment that they have done so
  • for every drug test administered, document why it was necessary and how the test was performed
  • keep the test results confidential, and
  • be consistent in how the company deals with workers who test positive.

Employers cannot force workers to take a drug test against their will. However, an employee who refuses to take a drug test can be fired for that reason, as long as the employer had a solid basis for asking the employee to submit to the drug test in the first place.

For more information on testing your employees, see Nolo’s article on Testing Employees. For information on using pre-employment tests to screen out potential problem employees, see Nolo’s article Testing Job Applicants. Finally, for more information in general on employee drug and alcohol use and many other human resources issues, see the book The Manager’s Legal Handbook . by Amy DelPo and Lisa Guerin (Nolo).

Talk to an Employment Rights attorney.

Addictive Disorders Counseling: Welcome to Addictive Disorders Counseling – Santa Barbara City College #drug #and #alcohol #counseling #degree, #santa #barbara #city #college #online #college #central #coast #of #california #coastal #beautiful #seaside #campus


Addictive Disorders Counseling

Welcome to Addictive Disorders Counseling

Program Description

The Addictive Disorders Counseling Program is designed to prepare students to work in the field of addictions counseling. Both a Certificate of Achievement and Associate Degree are available. The program provides students with the education and training to develop paraprofessional expertise and to qualify for employment as entry-level addictions counselors. A required fieldwork component offers students invaluable hands-on experience working at a facility dedicated to the treatment of alcohol and drug addiction.

Licensed clinicians seeking expertise in addictions can complete the new non-fieldwork based Skills Competency Award: Post-Professional Practice in Addictive Disorders Counseling.

Program Student Learning Outcomes

  1. Implement a systematic approach to screening and assessment of individuals thought to have a substance use disorder and who are being considered for addiction-related services in a crisis situation.
  2. Use a collaborative process in which professionals and the client develop a written document that identifies important treatment goals within measurable, time-sensitive action steps toward achieving those goals with expected outcomes.
  3. Employ the administrative, clinical and evaluative activities that bring the client, treatment services and other resources together to focus on the issues and needs identified in the treatment plan.
  4. Facilitate the client’s progress toward mutually determined treatment goals and objectives, including counseling methods that are sensitive to individual client needs and to the influence of significant others, as well as the client’s cultural and social norms.
  5. Present clients, families, significant others and community groups with information on risks related to psychoactive substance use, as well as available prevention, treatment and recovery resources.
  6. Record the screening and intake process, assessment, treatment plan, clinical reports and progress notes, discharge summaries and other client-related data.
  7. Adhere to the obligations of an addiction counselor within accepted ethical and behavioral standards of conduct and professional development.

Department Offices
Division: Health/Human Services
Dean: Alan Price (A-218, ext. 3044)

Faculty and Offices
Department Chair: Gordon Coburn (ECOC-3, #5, ext. 3021)

Addictive Disorders Counseling Program
Santa Barbara City College
721 Cliff Drive
Santa Barbara, CA 93109

Miley Cyrus Releases ‘Malibu’; Fans React To Her New Sound On Twitter #malibu #alcohol


Miley Cyrus Releases ‘Malibu’; Fans React To Her New Sound On Twitter

Miley Cyrus is back with new music and a new sound. Fans have been anxiously awaiting the release of “Malibu,” the controversial pop star’s latest single, since it was announced.

Cyrus, 24, previewed the song for fans on Thursday announcing that the it’ll be performed for the first time at the Billboard Music Awards. Reactions to the track, which features country-esque vocals and a romantic message, varied. Most were elated to see Cyrus depart from her party song past.

Loyal fans, many of whom seem to think the award winning musician can do no wrong, flooded Twitter with positive reviews. “Malibu” was described as “a hit,” “AWESOME,” “simply and beautifully written” and more. Even Cyrus’ father, Billy Ray Cyrus, tweeted about the song.

Miley’s sound isn’t the only thing that’s different about “Malibu.” The video accompanying it is a major departure from others she’s released. The Tennessee native is seen frolicing on a beach, sporting a much less edgy look than the one she’s become famous for.

Miley’s venture into a more stripped down look and sound should come as no surprise. In fact, she revealed during an interview with Billboard that she veered away from hip-hop influences — not by choice, however. She told the publication misogynistic and materialistic lyrics forced her to reconsider her relationship with the genre.

“I can’t listen to that anymore. That’s what pushed me out of the hip-hop a little,” she said in regards to song lyrics laden with sexually explicit content and celebration of materialistic things. “I am so not that.”

Her comments drew serious backlash from fans who felt she rose to fame in the music industry by appropriating hip hop culture. Miley later clarified in a lengthy Instagram post, explaining that what she said was taken out of context. She claims she and the writer spoke “for hours,” adding that much of their conversation didn’t make it into the piece.

“When articles are read it isn’t always considered that for hours I’ve spoken with a journalist about my life, where my heart is, my perspective at that time, and the next step in my career,” she wrote. “Unfortunately only a portion of that interview makes it to print a lot of the time publications like to focus on the most sensationalized part of the conversation.”

Miley’s apology tour didn’t stop there. She went on to express her love for “ALL artists who speak their truth,” adding that she was grateful to have gotten the opportunity to collaborate with some especially talented hip-hop artists. Miley claimed that she’s simply moved on and is now listening to more “uplifting, conscious rap.”

“As I get older I understand the effect music has on the world seeing where we are today I feel the younger generation need to hear positive powerful lyrics!” she said.

She hasn’t said anything more about the topic. Miley’s been spending much of her downtime focusing on the positives in her life — like beau Liam Hemsworth and her adoring pets. The couple was spotted out for a stroll together in April and it appeared as though they were going stronger than ever.

Viewers can catch Miley at the 2017 Billboard Music Awards on May 21, 2017 at 8 p.m. EDT. What do you think about her new sound?

Miley Cyrus, photographed during the iHeartRadio Music Awards in Inglewood, California, on March 5, 2017, debuted her latest single on Thursday. Photo: Getty Images

Alcohol Cupcake Recipes – Cupcakes With Alcohol #alcohol #cupcakes, #alcohol #cupcake #recipes, #cupcakes #with #alcohol


Booze-Infused Cupcakes

Not only does cooking with liquor make the whole process a hell of a lot more fun (Step 1: Pour yourself a cocktail!), but it also enhances the flavors. Start with the basic cupcake and frosting recipes below, following the instructions for the alcoholic variation of your choice (see all 9 ways underneath the recipe — why not try them all?). Think of it as a party in your mouth!

Simple Vanilla Cupcakes

Makes 24 cupcakes

2 1/2 cups all-purpose flour

2 teaspoons baking powder

1/4 teaspoon salt

12 tablespoons (1 1/2 sticks) unsalted butter, softened

1 1/2 cups granulated sugar

2 teaspoons vanilla extract

1 1/4 cups milk (preferably whole)

Preheat the oven to 375°. Line two cupcake pans with paper liners and set aside. In a medium bowl, sift together the flour, baking powder, and salt.

In a large bowl using an electric mixer, beat the butter and the sugar until light and fluffy, about three minutes. Beat in the eggs one at a time, then beat in the vanilla extract.

Add one-third of the flour mixture and beat to combine. Add half of the milk and beat to combine. Add another third of the flour, then the remaining milk, then the rest of the flour, beating to combine after each addition.

Divide the batter between the liners, filling each about 2/3 of the way full. Bake for 18 to 20 minutes, or until the cupcakes are golden-brown and spring back when pressed lightly. Transfer to a wire rack to cool completely, then frost with Simple Buttercream Frosting.

Simple Buttercream Frosting

Makes enough frosting for 24 cupcakes

1 3/4 sticks unsalted butter, softened

6 to 8 cups confectioners’ sugar

1 teaspoon vanilla extract

1/2 cup milk (preferably whole)

In a large bowl, beat the butter with an electric mixer for 1 minute. Add 6 cups of confectioners’ sugar, the vanilla, and the milk. Beat on low speed until creamy. Gradually add the remaining confectioners’ sugar, a little at a time, until the frosting is thick and creamy.

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Check out the next page for all the alcohol variations!

9 Boozy Variations

1. Mint Julep Cupcakes. When preparing the cupcakes, reduce the vanilla extract to 1 teaspoon and add one teaspoon of bourbon. When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of bourbon. Garnish with chopped fresh mint leaves.

2. Malibu Madness Cupcakes. When preparing the cupcakes, reduce the vanilla extract to 1 teaspoon and add one teaspoon of coconut rum (such as Malibu). When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of coconut rum. Top with shredded sweetened coconut.

3. Cosmo Cupcakes. When preparing the cupcakes, omit the vanilla extract and replace with 2 teaspoons of orange liqueur (like triple sec). When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of cranberry flavored vodka and a dash of red food coloring. Put a pinch of freshly-grated lime zest on top.

4. Dark and Stormy Cupcakes. When preparing the cupcakes, add 1/2 teaspoon ground ginger with the flour. Reduce the vanilla extract to 1 teaspoon and add with 1 teaspoon of dark rum. When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of dark rum. Add 2 teaspoons freshly grated ginger. Garnish with lime zest.

5. Coffee Chocolate Cupcakes. When preparing the cupcakes, reduce the flour to 2 cups and add 1/2 cup unsweetened cocoa powder. Reduce the vanilla to 1 teaspoon and add 1 teaspoon coffee liqueur (such as Kahlua). When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of coffee liqueur. Decorate with chopped chocolate covered coffee beans.

6. Lemon Drop Cupcakes. When preparing the cupcakes, reduce the vanilla to 1 teaspoon and add 1 teaspoon freshly squeezed lemon juice and 1 heaping tablespoon freshly grated lemon zest. When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup of limoncello or lemon-flavored vodka (like Absolut Citron).

7. Sangria Cupcakes. When preparing the cupcakes, add 1 teaspoon cinnamon with the flour and 1 tablespoon freshly grated orange zest with the eggs. When preparing the frosting, reduce the milk to 1/4 cup and add 2 tablespoons of brandy, 2 tablespoons of fruity red wine, and a dash of red food coloring. Garnish with half a wheel of thinly sliced orange.

8. Cupcakes for Your Guy. When preparing the cupcakes, reduce the flour to 2 cups and add 1/2 cup unsweetened cocoa powder. Reduce the vanilla extract to 1 teaspoon and add one teaspoon whiskey. When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup whiskey.

9. Berry Boozy Cupcakes. When preparing the cupcakes, after dividing the batter between the liners, spoon 1 teaspoon of raspberry jam in the center of each one. When preparing the frosting, reduce the milk to 1/4 cup and add 1/4 cup raspberry liqueur (such as Framboise). Top off each cupcake with a fresh raspberry.

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Correctly report ICD-10-CM alcohol and drug-related disorders #icd-10 #alcohol, #icd-10 #mental #disorder, #icd-10 #caffine #use, #icd-10 #use #abuse #dependance


Correctly report ICD-10-CM alcohol and drug-related disorders

F14.9-, cocaine use, unspecified

The first thing you might notice is that ICD-10-CM couples the abuse and dependence codes, rather than locating them in separate code categories. ICD-10-CM includes codes to specifically report the use of alcohol and drugs. That will allow providers to track patient behavior that often will ultimately have a negative impact on the patient s health. These details can provide researchers with useful information as they look for better ways to care for patients with addiction.

All of the above codes, in both ICD-9-CM and ICD-10-CM, require additional characters to identify details from the documentation about manifestations and comorbidities. Let s take alcohol abuse as an example of what details may need to be abstracted from the clinical documentation.

Alcohol use, abuse, and dependence

The ICD-9-CM code category 305.0x (alcohol abuse) corresponds with ICD-10-CM category F10.1-, but the subcategory specifications are different.

In ICD-9-CM, you have three choices in addition to an unspecified option:

  • 305.01, alcohol abuse, continuous
  • 305.02, alcohol abuse, episodic
  • 305.03, alcohol abuse, in remission

In ICD-10-CM, you will have these specific options, as well as unspecified choices in each category:

  • F10.10, alcohol abuse, uncomplicated
  • F10.120, alcohol abuse with intoxication, uncomplicated
  • F10.121, alcohol abuse with intoxication delirium
  • F10.14, alcohol abuse with alcohol-induced mood disorder
  • F10.150, alcohol abuse with alcohol-induced psychotic disorder with delusions
  • F10.151, alcohol abuse with alcohol-induced psychotic disorder with hallucinations

F10.180, alcohol abuse with alcohol-induced anxiety disorder

F10.181, alcohol abuse with alcohol-induced sexual dysfunction

F10.182, alcohol abuse with alcohol-induced sleep disorder

F10.188, alcohol abuse with other alcohol-induced disorder

You can see the required details change significantly. In ICD-9-CM, the details focused more on a timeline of the patient s use of the alcohol or drug involved, whereas ICD-10-CM requires a deeper understanding of the psychological and behavioral impact of the abuse or dependence. You will report signs, symptoms, manifestations, and comorbidities such as delirium, mood disorder, and hallucinations with one combination code from this subsection instead of needing to look for a second code.

In the subcategories for alcohol use and dependence, you will also find codes for states such as withdrawal, again providing one combination code, rather than needing a second code to report this condition. For example:

ICD-10-CM code descriptions separate inhalant abuse and dependence into their own specific code category (F18.-).Caffeine remains included in the Other code category, now combined with amphetamine-related disorders.

Though it varies by code, additional characters required for these ICD-10-CM codes will include searching documentation for details on accompanying conditions such as:

  • Intoxication
  • Delirium
  • Perceptual disturbance
  • Mood disorder
  • Psychotic disorder with delusions or hallucinations
  • Anxiety disorder
  • Flashbacks

One more addition to this subsection of the Mental and Behavioral Disorders chapter of ICD-10-CM is code category F17.- (nicotine dependence), which again goes into much further detail than ICD-9-CM codes 305.10-305.13.

The Excludes1 note reminds you that this is not the same diagnosis as tobacco use (Z72.0) nor history of tobacco dependence (Z87.891). Therefore, the documentation will need to specifically discern between tobacco use and nicotine dependence.

ICD-10-CM classifies nicotine dependence by substance:

  • F17.20, nicotine dependence, unspecified
  • F17.21, nicotine dependence, cigarettes
  • F17.22, nicotine dependence, chewing tobacco
  • F17.29, nicotine dependence, other tobacco product

Each category further breaks down the dependence using a sixth character to denote:

  • Uncomplicated (0)
  • In remission (1)
  • With withdrawal (3)
  • With other nicotine-induced disorders (8)

Use, abuse, and dependence guidelines

In some cases, physicians may document a combination of use, abuse, and dependence of the same substance. ICD-10-CM includes the following hierarchy to follow in those situations:

  • If both use and abuse are documented, assign only the code for abuse
  • If both abuse and dependence are documented, assign only the code for dependence
  • If both use and dependence are documented, assign only the code for dependence
  • If use, abuse, and dependence are all documented, assign the code for dependence

The bottom line is that ICD-10-CM has reorganized these codes in a more logical and efficient order and provided you with many more combination codes, thereby reducing your work.

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The Impact of Drug Addiction on the Family – Solutions Center #impact #drug #and #alcohol #treatment #center


Drug addiction can create destruction in all areas of your life, as well as the lives of your loved ones. Your family dynamics may be greatly impacted, causing damage that can not be easily repaired. This is because, addiction is a disease that does not only affect the addict themselves, it affects nearly everyone you are in contact with, especially your family and friends.

How is your family affected?

When abusing drugs you do not stop to reflect on your actions, choices or the consequences of them, this causes conflict and trauma in your personal relationships that may not be repairable.

The Time, Energy and Focus of an Addict

Your addiction to drugs has consumed a large portion of your time, energy and focus, making obtaining drugs and using your top priority. You have kept such a strong focus on obtaining and using drugs that it has left little time to spend with your family and friends. This may leave your loved ones feeling a large variety of emotions towards your drug use; resentment, bitterness, hurt and even jealous. You may notice that you have had increasing numbers of arguments with your loved ones, your relationships are beginning to grow apart because you have been putting drugs ahead of your family.

Financial Stress

Addiction can cause a great financing issue in the lives of the addict themselves, as well as their family members. You have been spending any money you can get your hands on to score more drugs, funding your habit and causing your family to go broke. You can easily spend hundreds, if not thousands of dollars fueling your drug habit in as little as one day or a short binge.

Your addiction to drugs may be so severe that you are no longer able to function in the workplace, causing you to lose your job. These creates a bigger burden on your spouse or partner as they are then required to solely provide and care for the rest of your family, as well as for you.

Far too many families have been faced with the decision of bankruptcy, foreclosure, losing their life s savings, retirement savings and so on due to their loved ones addiction. Your drug addiction is greatly affecting the welfare and well-being of your family on a long term basis.

When Children are Involved

Drug addiction can cause serious emotional damage for your children. Your drug abuse may cause you to become violent, emotionally abuse your children or even sexually abuse them, causing damage that will stay with them for the rest of their lives.Many children of addicts suffer from long term emotional and psychological damage that causes serious affects on their social stability, as well as their education and mental health.

Using drugs has caused your children to lose respect for you as you are no longer reliable, hurting yourself and them. Your home may be lacking structure and rules, causing your child to turn to a life similar to your own as an escape from pain in their reality. With such insecurity your children may even begin to blame your drug use on themselves, causing further mental and emotional damage.

Government studies show that an estimate of 50-80% of child abuse and neglect incidents are a result of the parent (or parents) being involved with drugs or alcohol.

Your Spouse or Partner Suffers too

Your addiction may have lead to spousal of partner abuse; physical and emotional. This can have devastating effects on your relationship. Many intimate relationships suffering through drug addiction can lead to cheating or seeking other forms of satisfaction outside the relationship by the addict, who then justifies their actions. Your loved one may sympathize with you, however this is purely manipulation and excuses on your part to justify you destructive behavior.

An estimated 75% of domestic violence incidents occur as a result of one or more of the individuals involved having used drugs or alcohol

Risking Your Health and the Health of Others

Drugs can impair your judgement, this may cause you to take part in risky sexual behavior which puts you in great risk of contracting sexually transmitted diseases. When you have a partner or spouse back home you are then putting their health at risk of contracting these STD’s.

If you use intravenous drugs and needle share you are putting yourself and others at great risk of contracting blood borne diseases that too can transmit to your partner. These diseases that can be contracted through needle sharing can cause you or your loved ones to becoming very ill, potentially killing them, causing an increasing amount of stress on your family.

The Effects of Your Addiction

The effects of drugs on your family may lead to separation or divorce with your spouse or partner. It can cause an unstable environment for your children, causing emotional and psychological damage. You may suffer serious financing difficulties. Your health may even begin to deteriorate.

The impact of drug addiction is only causing damage in your life and the lives of your loved ones. It is time to seek help and start your recovery, for not only yourself but for your family as well.

Meet The Bloggers

All content above is copyright Addiction Solutions of Florida. The Break Free Plan™ is a registered trademark.

Addiction Solutions of Florida is based in Coconut Creek, Florida however serves people from all over the US, and has a strong presence in areas of Tampa, Orland, Fort Myers, and Naples.

Hearing Damage Caused By Excess Drinking! Hearing Loss #alcohol #and #hearing #loss


Fast friendly advice, see if you qualify for compensation today.

Latest News

Hearing Damage Caused By Excess Drinking!

Failure to hear that it’s your turn to buy the next round of drinks may not actually be due to the traditional reason for the knowing looks and wry smiles!

New research points to hearing ability being affected by the drinking of excess alcohol. Notwithstanding, the well-known risks associated with excess drinking, there is now striking new evidence that prolonged abuse of alcohol consumption can cause serious hearing damage.

Recent studies produced in Germany demonstrate that a high alcohol intake over a long period of time can result in damage to the brain s central auditory cortex, which may also lead to brain shrinkage. The cumulative damage caused to the bundle of auditory nerve fibre, even by moderate drinking may risk nerve damage and hearing loss.

In the control study, the BAEP levels (Brainstem Auditory Evoked Potentials) were tested in both heavy and social drinkers to evaluate the level of damage caused to the part of the brain associated with hearing ability, and which showed results indicating that drinking does have an affect on the ability to fully hear.

The study has led researchers to suggest that whilst drinking can result in brain damage, the ears may still be functioning perfectly, although the brain is no longer able to process the sounds.

However, whilst the time period of excessive alcohol drinking may be undetermined, individuals with alcoholism problems may also have damage to their inner ears. The condition known as ototoxicity is caused by high levels of alcohol in the bloodstream creating a toxic environment which can damage the delicate hair cells in the cochlea.

Hearing research conducted with participants suffering temporary hearing loss in the UK, which looked into the combination of alcohol and noise, showed that a temporary hearing loss can be sustained together or separately. It was also suggested that a regular intake of alcohol may actually lead to the kind of permanent hearing loss in the long term most often attributed to noise induced hearing loss.

Further findings revealed that increased alcohol drinking led to further temporary hearing deterioration which most affected the hearing of speech and related low frequency sounds. Older participants and those with a previous history of heavy drinking were most affected by hearing problems.

Fast friendly advice, see if you qualify for compensation today.

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0800 294 3065

Christmas Foods in England and the British Isles #alcohol #cake


Traditional Christmas Foods in England and Throughout the UK

Mince Pies – The Taste of a British Christmas

Luscious mince pies signal the start of the Christmas season in the UK. These tiny tartlets are traditional for the holidays in England, Scotland, Wales and Northern Ireland.

Often served with mulled wine, they start popping up everywhere, from workplace canteens and coffee corners to the local Starbucks, as soon as the days begin to shorten. Shops advertise late opening hours and fashion shows accompanied by mince pies and mulled wine, Every pre-Christmas gathering, cocktail party and tea party will have a supply. Newspapers even have features rating this year s best supermarket and packaged variations.

It s supposed to be good luck to eat a mince pie every day of December and most people don t turn them down when offered. So, by the time the holiday season is over, most people are well fed-up with mince pies. But whether they like deep or shallow mince pies, Marks and Spencers or Sainsbury s, make their own or simply can t stand them – most Brits know it s. MORE Christmas from their first mince pie of the season.

A recipe for British mince pies

Continue to 2 of 4 below.

Turkey and All the Trimmings

Years ago, almost ate Christmas dinner in the UK at the same time, so as to be finished and settled down in time for the Queen s Speech, live on television at 3pm.

Nowadays, the Queen records her speech, there are more television channels and most of them run the speech a few times during the day. Though that national tradition is a thing of the past, the elements of a traditional Christmas meal are still pretty much the same.

Smoked salmon, served with buttered brown bread and a slice of lemon, or wrapped around some prawns, is a typical festive starter.

Turkey long ago replaced goose as the most popular main course. But it is what the turkey comes to the table with that make it especially British. The accompaniments include:

  • chipolatas – small sausages – wrapped in bacon
  • roasted root vegetables, especially roasted parsnips which are sweet and moist
  • brussels sprouts, often with chestnuts or bacon or both. Even people who never in a million years would eat a brussels sprout will manage a few. MORE for Christmas
  • bread sauce, a mixture of bread crumbs, milk, cream, onions and seasonings that really has to be something you grew up with – because it s hardly ever a taste that s acquired.

Learn how to make Bread Sauce.

Continue to 3 of 4 below.

Christmas Pudding – The Flaming Finish

The traditional Christmas pudding in the UK is a bit like a cannonball made of dried fruit,nuts, flour, eggs, suet or butter, spices and loads and loads of alcohol. It comes to the table sprigged with holly or winter cherries and flaming with brandy.

Rich and heavy, a little bit of Christmas pudding goes a long way. There is nothing quite like it as a base for the variety of accompaniments presented with it – brandy butter, hard sauce, poured custard, white cornstarch sauce and more recently whipped cream or ice cream.

A good Christmas pudding is started months before Christmas, steamed for several hours, then tightly wrapped and left to age. Whisky or brandy are used to plump up the dried fruit and are fed to the cooked pudding from time to time. On the day, the pudding is once again steamed for a few hours. Then hot brandy is poured over it and set alight.

Traditionally, a three-penny (thruppence) or six-penny (sixpence) coin, both long out of circulation, is baked in the pudding. MORE Finding it is considered good luck. In some families, silver or porcelain charms are kept for this purpose.

A great Christmas Pudding recipe from Elaine Lemm, About.com s Guide to British Food.

Continue to 4 of 4 below.

Christmas Cake – The Teatime Essential

Christmas cake in the UK is started months before the holiday. The rich fruit and nut cake is fed with brandy or whisky – a few spoonfuls at a time, every few days for weeks.

Before Christmas, the cake is enrobed in a rolled layer of marzipan and topped by a thick layer of rolled white icing. Then the whole thing is neatly wrapped in a red ribbon and topped with a holiday picture.

In effect, by wrapping the Christmas cake like a present it is sealed airtight in all that marzipan and icing. That, plus the amount of alcohol it has absorbed, should make it last a very long time. And, kept in a biscuit tin or a plastic food box with a sealable lid, Christmas cakes have been known to be edible for months, even years.

The Christmas cake is not usually part of Christmas dinner but is kept to be offered at tea time and for snacks during the holidays.

Read a recipe for a traditional Christmas Cake.

Get Help For Alcohol Abuse #how #to #get #help #for #alcohol #abuse


Starting the conversation about alcohol abuse.

While drinking may seem like a normal thing to do, it’s a behavior that can be dangerous to your health and safety. As a young person, alcohol affects your brain development, and you’re more likely to develop an addiction quicker than an older adult.

If you’re concerned about your alcohol use, now is the time to do something about it—before the habit gets worse. The longer you wait to address the issue, the more likely you’ll experience long-term damage, or risk getting into trouble. Talking to just one trusted person is a simple way to start understanding what you’re going through and getting the help you deserve.

  • Crisis Services Hotline – 716-834-3131
  • Addiction Hotline – 716-831-7007
  • Crisis Services Hotline – 1-800-724-0461
  • WCA Hospital Chemical Dependency Info Line – 716-664-8620
  • Crisis Services Hotline – 716-285-3515
  • Suicide Prevention Hotline – 716-285-3515
  • Teen Hotline – 1-888-44-TEENS / 1-888-448-3367
  • Care + Crisis Helpline (24/7, free and confidential, trained listeners for any type of crisis) – 585-344-4400, 844-345-4400
  • Wyoming County Crisis Line – 585-786-0220
  • NYS OASAS HOPELINE – 877-846-7369
  • Veterans Suicide Hotline – 1-800-273-8255
  • National Suicide Hotline – 1-800-784-2433 – EXT. 1 for Veterans

Drug Counseling #drug #and #alcohol #abuse #counseling, #drug #counseling #


Substance Abuse
Counseling Services

A drug counselor is more than just a therapist talking to someone about their addiction. The substance abuse counselor requires the desire to help others in need, in addition to a certain level of compassion and a working knowledge of the disease of addiction. Whether their client’s addiction is alcohol, prescription drugs, methamphetamine, heroin, hallucinogens or inhalants, there are in most cases, other issues that the patient is suffering from. First, the counselor must earn the patients trust in order to truly help them with all of the issues at hand. The initial therapy session may just be a “getting to know you” session. The counselor will ask very personal questions about their patients drug use and perhaps even behavioral issues related to that. Once they have created a level of trust, the substance abuse counselor can assess the patient’s needs in regards to the level of addiction. Based on that information, a treatment plan is created. This treatment plan may include inpatient or outpatient rehabilitation, in which case the person will attend education classes that relate to their addiction. In most treatment centers. a patient may see their counselor anywhere from one to four times a week depending on their personal situation.

Secondly, most of those who enter into some form of treatment program have family members who may or may not be involved in their lives. The counseling services don’t just stop with the patient. The addict is in many cases not the only person in the family who needs help. A drug counselor can extend to the family counseling sessions that include the entire family or refer the family to other classes or facilities for family services which may include family counseling, family health services and family support services. This is the key to recovery. Addiction counseling is very helpful in the surroundings of a good treatment center, but part of that treatment includes teaching the addict how to build a good solid support group outside of the drug rehab. The drug abuse counselor may suggest that their client choose a good 12-step sponsor. This is someone who has a working knowledge of the appropriate 12-step program and is willing to share their experiences with their “sponsee” and walk them through the 12-steps.

During treatment, whether you have chosen an inpatient heroin addiction treatment center or an outpatient center, your substance abuse counselor may challenge you in many ways. While active in the disease of addiction, we tend to avoid dealing with our day to day challenges. After a while, these build up into layers and layers of unhealthy decisions and choices and we may look back and wonder, “How did it get this bad”? During drug counseling, it may take some time, but by being completely honest with your counselor, they can help you to peel back those layers of pain that were built up over time. You won’t be expected to change everything in one session. At a healthy pace, you can begin to see where you need to make some changes in your life, and your addiction counselor can help you decide which issues need to be dealt with first, and which issues will be dealt with later on.

The change won’t happen overnight, it will take commitment and dedication, but the most important thing is that you are no longer alone with your disease. You now have a compassionate, educated therapist who can help you get your life back together.

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