No EAP Assessment and Help for Randy Babbit FAA Chief for Drunk Driving? Missed Opportunity Big Time.

I don't know about you, but I am having mixed feelings about the resignation of Randy Babbit, the FAA chief who was arrested for drunk driving and resigned on Dec. 5. He offered his resignation and it was accepted. Yes, the significance of Babbit's position is important, but should he not get an assessment to see if he has an alcoholism problem? Then, should he not be offered treatment if he is diagnosable? Isn't this the way it is supposed work?

I don't think the Secretary of Transportation should have accepted the resignation (or requested it?). This entire incident is a RIPE opportunity for creating another powerful dialogue about occupational alcoholism and how we are supposed to salvage employees who have substance abuse problems--not for their sake, but for society at large!

Of course, this does not excuse Babbit's behavior. However, it does put the the FAA in the position of easily leveraging him into an assessment and then if needed, treatment for alcoholism after an assessment, if in fact he meets the criteria for the diagnosis of alcoholism.

Now, before you freak out on me for this post, do you realize that the FAA has followed over 1500 recovering alcoholic airline pilots and that the program has an outstanding success rate. The recovering pilot's program is run by the FAA Medical Examiner in Washington, D.C.? I have worked personally with some of these pilots have met the founder of this program when I was at Arlington Hospital Addiction Treatment Program between 1984 and 1995. You probably don't know about this program because it is not publicized. It was started in the 1970's after the GREAT PUSH to help alcoholics in the workplace. Remember that?

The bottom line is that there will always be alcoholic pilots, but identifying them early and leveraging them into treatment is the way to go. And the FAA does. It is the only common sense approach. If you do not do this, alcoholics will hide. And this incident with Babbit will make those employees with alcohol problems go further underground (and then emerge again even worse.)

Also, do realize that Babbit would have been offered an assessment and/or treatment--required by OPM as a firm choice arrangement or be fired in the 1970's and early 80's. For some reason then alcohol-related problems were considered sign of potential alcoholism whose symptoms were behaviors show up as things like drunk driving.

The ADA obliterated these protections and drove practicing alcoholics further underground after its passage. Don't believe me? Okay here is the proof:

Don't you think that after 40 years of enlightened medical and treatment professionals pounding the table to convince society that treating addicts is in everyone's interest that the FAA of all organizations, would stand up and get this guy in treatment, if needed?

I think EAPA should make a public statement about this. This superior executive with an incredible work history is now toast. If alcoholism exists, and it remains untreated, further alcohol problems will continue, and the untold costs will also continue. What will they be?

This was a missed opportunity for the advancement of society's education about alcoholism. I honestly think we had our act together in the mid-1970's, but in 2011, we are back in the dark ages with addictive disease.

Media Event! We Have An Expert on that Subject!

1. Throughout the year the major media will visit health subjects that have broad appeal to the public. They will also report on major calamities and news stories of many kinds. By and large, however, media outlets choose the stories they will cover based upon their biases and what constitutes public trends of interest.

To illustrate this, imagine how many earth tremors occur in California per year, versus how many are actually reported. Answer: Thousands of tremors occur than are reported. Only certain Rector Scale values will be reported, or where significant damage occurs. The truth is however, that minor tremors knock things off the shelves in people’s houses in quake prone areas of California all the time. But these quakes are never reported. The same quack on the east coast would be huge news.

2. You will notice that specific topics appear in the news periodically, but predictably. For example, you can predict that approximately once a year the topic of alcoholism will emerge. It might be a news event on its cause, a new drug to fight cravings, a story about the genetic brain, or some other related topic. Many other topics related to social problems also will appear in the media. Pay attention.

Listen attentively to the news. When you hear news that relates to your field of expertise, immediately fax to the local television stations your biography (a half page and photo). Fax your photo even though they will not be able to see it. Or have one drawn like you see the photos of people computer drawn in the Investors Business Daily. Also call the news room to say that you are an expert on that subject, you are faxing a bio right now, and you are ready to meet immediately or at their convenience.

You will marvel at how often they will ask you to come to the studio immediately or phone you to visit your office location. This is a great way to get publicity and to get on TV or the radio. And, it will make you instantly visible to your potential clients and EAP customers. Television and news stations scramble to find experts on subjects when the news hits. They don’t have much time and you will be their rescuer. You are doing them a favor, not the other way around. So, act like it on the phone. Act like you have done this all the time and that you "have cleared time from your schedule to make yourself available."

3. If it is national news, you will have extra time to respond because it will take longer for local stations to run "local expert" interviews. National news filters down to local significance to what is relevant in the immediate community. Again, if it is local news, your window of opportunity is much smaller, possibly an hour or less.

DO THIS: Prepare ahead of time by getting phone and fax numbers, and contacts lined up. Then, wait for the "big one." When “it” happens start dialing for dollars and the free publicity.

Note: Everything I discussed above, I have also done numerous times.

New EAP Professionals and Orientation to Alcoholism (Ouch!)

It is safe to say that discussing alcoholism with any professional in the treatment field, EAP field, or other helping industry will generate some argument and controversy. Just wait. If you are new to the field, you'll soon be indoctrinated with one of these cocktail conversations.

It's one of the "elephants in the living room" of the helping profession. One out of four people has an addict in their family, and myth and mythology over thousands of years keeps intervention, treatment, and recovery confusing and controversial.

From non-M.D. psychologists who are selected to be the U.S. Supreme Court consultants, who then push the idea that alcoholism is not a disease, to best selling authors telling us how alcoholics can drink safely, there is simply no shortage of information and "new thought" about alcoholism that continues to undermine the legitimacy of this disease and how it should be managed.

Of course, if you have worked directly with alcoholics in treatment, you are prized material for being hired as an EAP staffer. It means you have been in the trenches, faced the defense mechanisms, and hopefully have been mentored by recovering persons (if you are not recovering yourself) who adhere to abstinence principles and 12-step programming as the most effective way to manage this chronic disease.

(It is truly amazing that when I blog on this topic, I get rabid members of Rational Recovery threatening to turn off my free speech rights with their conspiracy theories about AA.)

If you are new to the EAP field, and have not been in the trenches of alcoholism, there are few things you need to know.

First, don't think that understanding alcoholism or writing about it as new EAP professional will be an easy scrabble. The economics and politics of alcoholism diagnosis, causation, treatment, and ongoing recovery are profound , convoluted, and continue unabated.

Before you get into a discussion about alcoholism, do a few things that are really critical to your edification and orientation.

1. Go to a dozen or so open AA meetings and get oriented to "recovery think". Know what recovering people read, and have your own library of this material. (Also purchase alternative and controversial materials that argue against AA so you can see their rationalization and desperation to avoid what AA is about.) Memorize the twelve steps. You don't want to be caught unable to converse about the 5th step, the 4th step, or the conflict in treatment programs that push patients to go to the 4th step instead sticking with only the first three. (See what I mean?)

Not having this information will also cause issues with your clients who will expect for you to know more than they do about recovery initially.

2. Visit the Web site of the American Society on Addiction Medicine at http://asam.org. There is a ton of stuff on this site. Read their position papers. This association represents about four thousand medical doctors who are the leading authorities on addictive disease, alcoholism, and its treatment. They don't get a lot of press. Probably because they get a lot of folks upset who would otherwise report on their opinions. There is a simple explanation: Science and research simply don't mix well with the popular culture, which has a 5000 year head start ahead of them.

It is popular culture that drives belief systems about the disease. You need to separate the wheat from the shaft if you are going to work in this field effectively.

There a lot of people making money off of alcoholics. Whether it's trying to do psychotherapy with them while they are still drinking or drugging, selling them gimmicks, pushing alternative group therapies and "not-necessarily-abstinence" groups, pop-psych ideas about how to drink normally, etc., there is no end to the influx of confusion and interference that keeps alcoholism from being accepted by everyone (like cancer) that it is an authentic, chronic disease that requires abstinence to arrest its progression.

3. Read "Under the Influence" by James Milam and Katherine Ketchum. Still about $5.95 a paperback copy, it is a fascinating book that explains alcoholism as a chronic, genetically based illness so well, it is hard to put it down. Not sure if the author's original, self-published book, 'The Emergent Comprehensive Concept of Alcoholism" is still around, but if you find it, it will blow your mind about the economics and the forces in our larger society that have a vested interest in your not believing that this is a true disease.

Okay that's enough to blog about today, don't you think!