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The drink knot

December 30, 2007

It was like a flag exploding, an electric mesh of red, white and blue lights reflecting in the rearview mirror. My friend pulled his car over. Seatbelts clicked and sweatshirts were tossed to hide the evidence – the two cases of beer beside me in the back seat. I imagined I heard the policeman’s footsteps as he approached the car, ballpoint pin clicking to write a ticket and perhaps take us to jail.

He surprised us, saying, “Your tail lights are out.” Smoothly, my friend thanked the policeman and assured him it would be taken care of immediately. Then the officer’s flashlight beam struck the beer sticking out from behind a sweater. It also illuminated our fear, shame and guilt.

For half an hour, the cop asked questions: Were any of us over 21? Where were we coming from? Why did we have beer? Had any of us consumed any alcohol?


Q & A with Hazelden Expert
By Tanya Bui

Jim Steinhagen, the executive director of Hazelden Youth Services and the Center for Youth and Families in Plymouth, Minnesota, leads a nonprofit organization which helps young men and women ages 14-25 recover from chemical dependency. Steinhagen has studied addiction treatment for more than three decades. The organization’s surveys indicate that about 44 percent of the young people who went through treatment remained alcohol and drug- free five years later. He met with ThreeSixty reporter Tanya Bui to discuss teens, chemical dependency and the residential treatment process.

Q: Why is underage drinking and chemical dependency in teens prevalent?
A: If you look at the culture in our country, drinking is certainly considered a rite of passage from being a teenager to becoming an adult. The average kid sees 100,000 *beer or alcohol commercials by the time he or she is 18. If you think about the nature of those commercials and the psychology involved, it’s about (wanting) to look better and being the life of the party. If you want to be sexy, if you want to fit in- very few things are more important than peer approval for young people.

Q: What are some teen trends in drinking and chemical dependency?
A: What we’re seeing with young people is an increase in abuse of prescription drugs taken for non-medicinal purposes. Technology has made it easier to access drugs. Kids learn how to get drugs online. Alcohol continues to be a widely and very heavily abused drug. Young girls and young women are abusing alcohol and drugs at the same rate that their male counterparts are, and that’s a change. What we are also seeing in treatment is that about 90 percent of the young people who come here have a pre-existing mental health diagnosis-like depression, anxiety or attention deficit disorder.

Q: How does that complicate things?
A: If we don’t treat these disorders concurrently, the person probably won’t succeed. That means treating the whole person, dealing with the addiction and dealing with the mental health disorder. We also include the parents for an intensive, four-day parent program. The more complicated the case, typically, the longer time somebody needs in a treatment setting.

Q: What does chemical dependency look like?
A: With chemical dependency, the hallmark characteristic for this disease is denial. Typically (the addict) is the last person to know the problem is as serious as it is. The person who is addicted really does develop an elaborate set of defenses that really protect them from reality. Our job is to crack those defenses and help give them glimpses into the reality of the situation. Hopefully, they become as concerned about it as other people are. You’ve got to take away the chemicals in order for that to happen and even take them away from the environment they were in.

Q: What is treatment like?
A: Our model is residential so everybody who is a patient here stays overnight. It becomes a very intense experience. The primary phase of treatment is a month long and there are core principles within the model that everybody has exposure to. Since one size doesn’t fit all, a counselor’s job is to say ‘Okay, given this individual, these are the approaches I’m going to take… based on learning styles or personality styles or development, age.’ There’s always a counselor who is responsible for what we call a ‘caseload,‘ a peer group of six or seven young people. Those six or seven young people spend a lot of time with each other during the course of treatment. Peers who are working on the same issues really develop a strong sense of fellowship and it becomes a much more dynamic and effective therapeutic experience. We’ll do the group therapy with the peer group and we’ll supplement that with individual therapy.

Q: What’s the transition process into the outside world like?
A: Let’s say someone completes residential treatment and goes back to school. What we’re going to do is work with the school to see what services the school offers to them. We’ll have the patient come back once a week to meet with a peer group, so kids who are facing the same challenges offer advice to each other. They’re building a new peer support group for themselves, hopefully, because that’s so vital for success.

Q: How do you advise patients about their social lives and old friends?
A: The analogy we use is if you hang around the barbershop long enough, you’re going to get a haircut. If you hang around people who are drinking often enough, you’re putting yourself in a situation where chances are you’re going to start to drink again. There needs to be a change of friends and a support system for your efforts for recovery. If you’ve got friends who aren’t willing to do that, then you have to ask yourself, “Is this a friendship that I can continue at this point in my life?”

Q: What is recovery?
A: When we talk about recovery, it’s more than talking about being drug free. We’re really talking about a way to live life that helps them become the person that they’re supposed to be. There’s a quality to it that is filled with rewarding aspects that makes it worth staying on that path. But to achieve it, they really have to change their lifestyle, giving up certain behaviors that they’re really comfortable with. It leaves a big void. So one of the challenges is what do they fill that hole up with.

Q: What principles does the recovery process incorporate?
A: The patients we work with here are diagnosed as chemically dependent. The foundation of recovery is total abstinence from all mood-altering chemicals. Because if they (dependent teens) don’t (abstain), their biological make-up is such that, regardless of whether or not they’ve abused a certain drug in the past, the outcome will be the same. If they switch drugs or experiment with another drug, the outcome will be one that has potentially severe consequences. That’s a core principle in our program. The 12-step model Hazelden uses provides a framework for living to replace the chemical use and the drug addiction lifestyle that they know very well.

Q: If I’m worried about a friend, what should I do?
A: We ask people to be truthful and talk to your friend. Typically, the concern tends to be rejected, which can harm the relationship. Next, find another group of people who are equally concerned and go talk to the person. Does that make a difference? Talk to a school counselor and say “Help us help this person.” Go to the individual’s parents. You might feel like a rat for doing it, but you’ll feel a whole lot worse if the person winds up hurting themselves or someone else, and you haven’t done everything you could.

Q: What can be done about underage drinking and chemical dependence in teens?
A: You’ve got the liquor industry spending millions of dollars on lowering the drinking age to 18 or extending the hours that drinking establishments can be open-spending millions in advertising that is geared toward young people. I don’t see the likelihood that that’s going to change anytime soon. But as technology becomes more sophisticated, I think more research is being done on the consequences to the adolescent brain of drinking. We’re really seeing that the younger a person drinks, the more negative the consequences on the development of that person’s brain. As soon as we have data about the long-term consequences of that, maybe that’s going to be the kind of thing that parents educate themselves about, and they’ll take a different approach. Maybe then there’ll be a different tolerance in young people drinking than there is today, where the tolerance is extremely high.

Q: What’s a message you’d like teens to hear?
A: For those individuals who suffer from addiction, there’s hope. Life does not have to continue down this spiral of addiction and very painful life experience. There’s help.

No, we are all 17. We’re coming from a party. We wanted to protect our friends from drinking more after we left to drive some people home. We didn’t drink at all.

We spoke politely and honestly answered his questions, even though we didn’t say exactly where the party was. We gave him the beer and allowed him to search the trunk and my purse. We managed to convince him that we were innocent.

But we were mad. To protect our drinking friends, we got ourselves into trouble. It felt like an unacknowledged sacrifice. That night the divide between those who drink and those that don’t grew a little wider.

A social divide

Out of 100 Minnesota high school seniors, 47 reported drinking in the past 30 days, according to the 2004 Minnesota Student Survey. What the statistics don’t show is the chasm that exists between those 47 and the other 53, between those who drink and those who don’t. Because of this divide, some friends at school hardly see each other on weekends.

Some of the teens I’ve spoken with label themselves as part of the drinking crowd. They understand the divide but don’t believe they contribute to it. But many teens who don’t drink cite the way alcohol changes their friends’ behavior as the reason the two crowds can’t hang out together.

“It doesn’t matter if you don’t drink,” says Martin, a 17-year old in St. Paul. “If you are around people who do, you will somehow be affected. And it is usually a negative effect.”

“It’s teen life,” says Kelly, an 18-year-old Minneapolis student. “If you drink, you won’t find yourself with people who don’t drink on the weekends.”

It’s inevitable that the two groups sometimes interact. What happened to my friends and me illustrates some of the most typical situations and resulting tensions that teens have to face.

It wasn’t fair that we had to deal with the beer, the cop and the risk that we could have faced had he given us a ticket or called our parents. But as much as we were mad at our friends who were drinking, it was our decision to take responsibility for their safety and drive them home and take the beer with us. We had choices that night although it seemed as though we had none.

What does it mean to hang out with people who drink if you don’t? You face issues of tension, separation, designated driving and the risk of punishment. Is it possible to merge both groups in a successful get-together?

“No big deal,” drinkers say

A good friend held her birthday party on a boat. She invited the entire class and warned drinkers that she didn’t care what they did before or after, but they couldn’t bring alcohol onto the boat.

A couple of people teens snuck alcohol onto the boat anyway. My friend’s mom discovered an empty bottle of vodka in the bathroom trash can. The police arrived when the boat pulled up to the dock and threatened to give everyone a Breathalyzer test if the guilty minors didn’t step up.
Fortunately, they ended up confessing, so the rest of us were free to go.

To most of the teens I talked to, their reason for drinking isn’t emotional problems. More often than not, it’s just something to do, says Jenna, a 19-year-old in Burnsville. “It’s usually just not a big deal to drink besides the fun factor. I guess some people assume there’s always some big reasons to drink, but there’re usually nothing to it.”

Tim, a 16-year-old from Minneapolis, shares a common reason for drinking. “I admit that when there’s alcohol, I can be the life of the party. If I’m not drinking, I’m boring. That’s just how it is. It’s not that I’m uncomfortable with just hanging out with my friends without the alcohol, it’s just more fun with it,” he says.

Josh is a 19-year-old from St. Paul who admits to binge drinking. “When I drink, I’m just bonding with my friends,” he says. “We’re not trying to exclude anyone based on whether they drink with us or not.” Josh says when he and his friends drink, they become hyperactive and seek spontaneous activities that people who aren’t drinking don’t appreciate. He added that if people who didn’t drink were into the fun and activities, they wouldn’t be excluded.

Louise, 18, agrees. “I don’t get why people who don’t drink can’t hang out with us. They’re creating a division by thinking they can’t hang out with people who drink.”

For Andy, a 17-year-old from Eagan, it’s the nature of the activity that distances him from the people who drink. “I can’t really hang out with people who drink, because then everyone is acting wild while I just sit there,” he says. “They always tell me I’m invited knowing I don’t drink, but then there’s a clear division because I’m sitting and they’re drunk.” He adds he doesn’t understand why people who drink can’t just set aside the alcohol when non-drinkers are around.

Josh takes the same idea and flips it around: If there are people drinking, the people who aren’t drinking should accept that and just have fun with them.

Christine, a 17-year-old from St. Paul, describes herself as a moderate drinker. Whether she decides to pick up the drink places her on one side of the barrier, she says. “When I don’t drink, it doesn’t mean I have to be boring and just sit there,” she says. “I’ll act like the people who drink. I’ll be really hyper and excited with them, and they’ll tell me I’m fun. The secret is that I didn’t have a single drink.”

Christine and Josh agree that alcohol doesn’t have to be a factor in how they behave at a party.

The risk for non-drinkers

However, the legal ramifications do matter. “I wish I could hang out with my friends who drink, but I can’t. It’s too risky,” says Linda, a 17-year-old from Minneapolis.

Even the language of these teens— the “us” and “them”- illustrates the separation. At school it’s common to hear an exchange about a weekend party between two friends, one who drinks and one who doesn’t: “There’s a party going on tonight, you should come. Of course, alcohol will be there. No one is drinking until late, so you should still come.”

The other side: “Will alcohol be there? I don’t drink, so no thanks. I’ll think about it, but that’s what you said last time, and people were already drunk by the time I arrived.”

The underlying tension stems from uncertainty about what will actually happen at the party. Drinking doesn’t automatically make the party wild and crazy. And not drinking doesn’t mean a boring time.

On one hand, 18-year-old Sean from Burnsville laims, “Drinking is just an activity. And activities divide people based on who participates and who doesn’t.”

But then there’s 17-year old Jessie from St. Paul. “I miss my friends. I don’t care that they don’t drink with me, but I care that I hardly see them on the weekends. I’m not going to stop drinking, but I wish my other close friends could be there and see that it could turn out all right.”

Eliminating alcohol is an ideal solution. I was at a friend’s cabin earlier this summer, and there was no drinking. Without alcohol present, we had fun making fires, playing Taboo, baking brownies and having movie marathons. No alcohol, no division.

Realistically, the solution isn’t to get one group to stop or the other group to start drinking. It’s either establishing a balance where both can hang out or deal with the division between them.

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Comments

B's picture

Thanks for this really

Thanks for this really great article. I am 21, don’t drink because I have no desire to, and can really sympathize with what many of the people quote said. Thanks for talking about this.

John Holmes's picture

Not at all true in my experience

From my experience in high school (I’m 20 now) none of this is true. I used to hang out with kids who did and did not drink (I didn’t) at all different times in and outside of school. I am particularly annoyed by the authors opening story where they felt let down no one rewarded them for the self-righteous act of theft.

Lew Bryson's picture

"...the liquor industry spending millions of dollars..."

As someone who writes about the booze industry — beer and liquor, specifically, at the producer, wholesaler, and retail levels — I’d really like to know just what Jim Steinhagen is talking about when he says “You’ve got the liquor industry spending millions of dollars on lowering the drinking age to 18…”

That’s just not so. No one is spending millions of dollars on a campaign to lower the drinking age to 18. The booze business is scared stiff of the outcry that would come from well-heeled anti-alcohol groups like the Center for Science in the Public Interest, the Center on Alcohol Marketing and Youth, and the Marin Institute (all funded by “millions of dollars” — really, you can look it up — from the Robert Wood Johnson Foundation) if they made ANY move towards supporting the growing grass roots movement to re-examine this country’s “noble experiment” with the 21 legal drinking age. The only support from the booze business for this movement came tangentially in Pete Coors’ failed Senate bid in 2006, when he expressed his personal opinion — not his company’s, which he no longer ran at the time — that the drinking age should be lowered to 18. No money was spent by Coors Brewing to support that opinion.

This is, unfortunately, typical of the scare-mongering used by anti-alcohol groups. There are serious problems with alcohol consumption in the U.S., but they do not help solve the problem by misrepresenting it.

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