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FEATURE:
Addiction
January 21, 2005    Episode no. 821
Read This Week's November 7, 2008
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BOB ABERNETHY, anchor: A special report now on the debate about how best to help drug and alcohol addicts. The conventional approach is through psychological therapy. There can also be a spiritual component. But what is the best combination of therapy and spirituality? Lucky Severson reports.

LUCKY SEVERSON: What's most amazing for Tonja Myles, as she walks through her old neighborhood, is that she survived it.

Photo of TONJA MYLES Ms. TONJA MYLES (Founder, Set Free Indeed Ministry and Clinic): It was a place where I did a lot of illegal stuff. A lot of bad things happened in this neighborhood. I was molested when I was 7. By the time I was 10, I was sexually active on my own. I did drugs here. I did prostitution from out of my own home.

SEVERSON: She was raped twice and had two abortions. And she was addicted to every kind of illegal drug she could get her hands on.

Ms. MYLES: I didn't think I could be set free. But thank God for a praying grandmother who told me that God can set me free. The drugs were the demons, and she said, "If you would give your life over to God, he will forgive you. He would redeem you."

SEVERSON: Tonja Myles was a victim of what some experts call the number one crime problem and the number one health problem in this country -- substance abuse.

Photo of JOSEPH CALIFANO JOSEPH CALIFANO (Founder, The Center on Addiction and Substance Abuse, Columbia University): This is a problem that pervades our society. I mean, it's the elephant in the living room of all our social problems, and no one wants to look at it.

SEVERSON: Joseph Califano is a former Secretary of Health, Education and Welfare under President Carter and the founder of CASA -- The Center on Addiction and Substance Abuse at Columbia University.

Mr. CALIFANO: This is the most pernicious problem this country faces.

Photo of cocaine SEVERSON: And yet, he says, there's a tragic disconnect in the way we treat substance abuse, a conflict between the medical and spiritual approaches to addiction treatment. Many doctors are reluctant to recommend spiritual healing, and many clergy are not prepared to recognize the need for medical treatment.

Mr. CALIFANO: The most important thing is to marry what doctors can do and what treatment professionals can do with the spiritual component, because the combination is very powerful. If you talk to recovering alcoholics and drug addicts, the overwhelming proportion of them -- I'm talking something like 90 percent -- are going to tell you that spirituality was a major factor.

SEVERSON: Addiction in this country is such an overwhelming and costly problem, with not nearly enough treatment programs or programs that work. What's needed now, some experts are saying, is what's happening here in Baton Rouge: a mixture of clinical treatment and spiritual counseling. "Recovery," they say, "begins at the cross."

Ms. MYLES (Speaking to Group of Patients): What is the cross a place of? Death and a place of life. Rebirth.

Photo of MYLES SEVERSON: That's Tonja Myles, the former addict who wanted to kill herself. Now, she and her husband Darren operate a faith-based addiction clinic in Baton Rouge. They say it's the first of its kind -- one that receives federal funding and where counselors go through a 2,000-hour state-run addiction training program.

UNIDENTIFIED MAN #1 (Praying): Thank you for letting us all be here today, Lord. Thank you for watching over us today.

SEVERSON: Tonja started the clinic, she says, because churches simply weren't getting involved in substance abuse, even though over 90 percent of clergy consider it one of the most daunting problems they face.

Ms. MYLES: Churches needed to start dealing with addicts because churches didn't. They didn't want to deal with me. They told me to get out of Dodge and go see an exorcist or something.

SEVERSON: The funding came after her work caught the eye of President Bush, a strong believer in faith-based programs.

Photo of group prayer session Ms. MYLES (During Group Session): That's why we end up using drugs, 'cause there's something about ourselves, or something that happened to [one's] self, that we don't like. So we end up doing something to alter it.

SEVERSON: She says her clients come from rich neighborhoods and poor. They're required to spend at least nine hours a week here for four months and to pay what they can, as long as they pay something. They aren't asked about their religion, but the Bible plays a prominent role.

UNIDENTIFIED MAN #2: If you go to Proverbs, chapter three, verses five through six: "Trust in the Lord with all your heart, and lean not on your own understanding, and in all ways acknowledge him."

UNIDENTIFIED MAN #3: The only way I can be happy with myself is to draw near to God and realize that all my worth comes from him.

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SEVERSON: There's a doctor in the clinic -- Dr. Rani Whitfield.

Dr. RANI WHITFIELD (Set Free Indeed Clinic) (To Alyssa Green): Alyssa, have you ever had any suicidal thoughts or gestures or attempts at suicide?

SEVERSON: Alyssa had no problem finding drugs or buying them. She is depressed and desperate.

(To Alyssa Green): Why did you choose faith-based?

ALYSSA GREEN (Patient, Set Free Indeed Clinic): Because I've been raised in church my whole life, and I've done the other types of rehab, and they just didn't work.

SEVERSON (To Dr. Whitfield): What do you think of this concept of integrating the medical approach and the spiritual approach?

Photo of RANI WHITFIELD Dr. WHITFIELD: I think it's a good match. A lot of doctors are intimidated by treating those people with substance abuse because it's a holistic approach. Just because you got them off the drugs doesn't mean you're done with the patient.

SEVERSON: Califano says medical schools pay scant attention to substance abuse and that getting doctors and psychologists to recommend spiritual help is a huge obstacle.

Mr. CALIFANO: Ninety-five percent of Americans believe in God, profess a belief in God. Less than 50 percent of psychiatrists and psychologists profess a belief in God. When you ask psychologists, "Even if you knew that a spiritual or religious help would help your patient, would you get that patient into that? Would you promote that?" And they say, "No."

SEVERSON: Consider the experience of Sister Lee Anne Farrell, a recovering alcoholic.

Photo of Sr. LEE ANNE FARRELL: I went to the doctor. I told him the exact details of my withdrawal I was experiencing. He gave me Xanax and sent me home, because a sister couldn't have a problem. At that moment, if he had had some training in addictions, he'd have spotted it.

SEVERSON: To compound the problem, Califano says, the level of addiction training for seminarians is appalling.

Mr. CALIFANO: It's not to turn them into treatment providers, but to give them a sense of how to identify somebody that has a substance abuse problem, then what to do with that person. How do you get that person to go into treatment?

SEVERSON: All the women sitting around this table are nuns, recovering from substance abuse. Sister Mary Gene Kinney says she lost her spirituality when booze took over.

Photo of MARY GENE KINNEY Sr. MARY GENE KINNEY: As my alcoholism was developing and I was drinking more and more, you know, my whole spirit got just really almost sucked out of me because I felt so empty inside.

SEVERSON: Sister Carolyn Farrell.

Sr. CAROLYN FARRELL: I put God on the shelf. You know, God is dead.

SEVERSON: So the nuns, like Sister Mary Gene, although immersed in religion, say they needed medical treatment before they could regain their spirituality.

Sr. KINNEY: God has a much more real place in my life today. I have a much more personal relationship with God than I've had before.

Sr. FARRELL: Later on, in looking back, I can say, in essence, God didn't leave me. I put God on the shelf, and the good news is that God was on the shelf when I returned.

Sr. KINNEY: Much of the recovery, the healing happened in the midst of sharing with other people. It didn't happen with me sitting in my room asking God for help directly.

JUDY MURPHY: I think the spirituality gets more important with time rather than less important. And it's not a matter of a kind of clenched-fist deal, trying not to drink. It's not that. But the spirituality is there as a support for real engagement with life.

Photo of bible SEVERSON: On Friday nights in Baton Rouge, the Set Free Indeed Clinic meets in a local church. It's not required, but most clients and their families attend. This is all-out religion, although it doesn't preach any particular creed. There's a good feeling here -- one of hope, with a little help from on high.

Ms. MYLES (Speaking at Church): Anything you're going through, we're here for you tonight. If you say, "You know what, God? I've tried everything else, I've tried all this and I've tried all that. I've never tried you" -- well, tonight is your night.

SEVERSON: It's too early to tell for certain if the Set Free Indeed program works. There are studies under way to measure its success. A lot of people here are already convinced. For RELIGION & ETHICS NEWSWEEKLY, I'm Lucky Severson in Baton Rouge, Louisiana.

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