Annual Rally for Recovery Kicks Off in Raleigh

From Governor Pat McCrory

September is Recovery Month


Follow all the events around the North Carolina!



“Spirituality is always eventually about what you
do with your pain.”
– Richard Rohr

I turned on the shower recently and an emotional memory came flooding back to me. I don’t remember when I first noticed it, but it probably started immediately after I left treatment. Every morning, I would turn on the shower and get a rush of emotion, which I soon recognized as gratitude. I was so grateful to have hot water.

My whole life I tended to hit the ground running when I woke up, which meant I immediately jumped in the shower. I love my shower.
As I stumbled down the road toward actual addiction, eventually homeless, living out of a car, that luxury of modern living, hot water, became scarcer and scarcer. (It sounds funny to call it a luxury but billions live without it.)

My brain had lost all capability of removing me from this crazy train, but with hindsight, I remembered having some occasional “sane” thoughts.

One was something along the lines of, “Could I accept being filthy most of the time?” It was obvious if I kept going I would have to and that became one of my biggest concerns. Strange how the brain can work. I knew I was crossing a line where I was going to become permanently homeless, permanently addicted, I was on my way to accepting a different over-all lifestyle than ever before. And the part that bugged me was the no shower part. Strange how the brain can work.

Accepting something into our lives does not mean we necessarily like it. Many of our re-offending prison population have accepted the underclass label

society has put on them, accepted cycling through prisons and jails, but that does not mean they “like” it. I knew I was on my way to having to accept both no showers or imprisonment and my brain dispassionately looked at it wondering if I could.

I couldn’t.

Which is to say some drop of Grace interceded and plucked me from the maelstrom. Leaving me here, with that grand luxury afforded us (by the supposed illusion of Time), Hindsight.

I was so grateful, to be able to shower (and all that meant-to be FREE!) that I repeatedly, for years, had a rush of feeling & emotion the instant I turned on the shower, every time, every morning! It warmed and excited my heart and got me going in the best way.

I’m reminded of this and that gratitude is the attitude, the answer, when I hear how a political candidate’s followers are “angry”, as if it’s some kind of revelation.

Everybody’s angry. We all are.

You may feel anger after reading those two lines.

It seems that violence is ramping up here and abroad. I’m reminded to heal my own “violence” within. A list of all I am grateful for is a handy tool for just such work. The key is to say it, know it, accept it, own it on the way to healing.

Now, before you say you or someone you know isn’t angry, remember; there’s always an exception to the rule. If a great majority are something than the rule

applies. Nothing, no general rule, is absolutely 100%. But the vast majority of us have some repressed anger within our central nervous system/tissues. So this current ground-swell politically should not be a “surprise.”

We can’t help our anger: whatever we come into this life with (genetics, if you will) plus outright abuse or neglect, our needs denied as babies, unmet emotional needs during childhood, the cultural horrors the disenfranchised live with; assault/abuse/economic deprivation/soldiers in war/racism, you name it. In my adult life I added more, with addiction, through the pain I caused myself and others, which amounts to self-loathing. All this stress adds up to fear and the logical defense for the organism, particularly males, is to layer some anger over it to cope. Otherwise we’d be grieving and going around crying and that would make everybody nervous. Lord knows we can’t have that.
The gratitude gifted me washed away about half my anger. It was hard to remain deeply cynical with my newly found freedom (though in this world it’s hard not to retain a bit of cynicism). Marc Maron’s line; cynicism is “Self-pity amplified.” 

Gratitude is the tool that transmutes, yet tends to only come through pain.

Gratitude is something that can be cultivated.
I got busy studying, applying myself to get with and heal the other half and am still working on it. That’s tied to the tool available for all issues; getting conscious with the intention to grow and heal.

Which is not to say anger is bad/wrong/a sin. Anger is similar to something like fire; it’s all in how we use it. I’m reminded of anger’s value when I hear Stacia Murphy, past-president of the National Council on Alcoholism and Drug Dependence (NCADD), say “Folks…..angry, because Advocacy is about anger.” in ‘The Anonymous People’.

What’s needed is a healthy response to and with our anger. It’s about; am I unconscious of it, is it in charge and I don’t know it, or am I in charge; is it doing me and, of course others, damage”?

How do I transmute my pain rather than transmit my pain?

HALT is something I have to look out for. Probably everybody knows H-A-L-T?

Hungry – Angry – Lonely – Tired

The last one, fatigue, is where I lose my balance, my spirituality. I have to not over-work and make sure I look after myself or it starts to wear me down easier than in my younger days.

water-crystalsSpeaking of water and gratitude; there is a guy, Masaru Emoto, a Japanese author,  researcher and entrepreneur, who claimed that human consciousness has an effect on the molecular structure of water. He took photos of water crystals with negative and positive words imprinted behind the water and got very interesting crystal images. That’s what the image here is-a molecule of water with the word gratitude shined through it.

I have to throw in some Richard Rohr at this time, who wrote:

“The thing is emotional issues are not only the province of biology and cognitive programming but also the Heart. Distress is related to the loss of meaning in our lives. Labeling is useful but not healing. Awe at the mystery of life is essential.”

Here’s a philosophical approach to anger from Nelson Mandela’s life.

Metaphor or Simile?

“Writing and reading decrease our sense of isolation. They deepen and widen and expand our sense of life: they feed the soul.”


Anne Lamott – Author in long-term recovery

I recently attended The Sun Magazine’s Writer Workshop: Into the Fire.  A three day writing intensive, led by a number of successful, soulful, published, actual writers, who happen to teach. Man what a pleasure.

The workshop was held at Wildacres Retreat, located in the Blue Ridge Mountains of Western NC, north of Marion, in the tiny town of Little Switzerland. The trip there ended with a rainy, skinny two-lane blacktop drive coursing miles up a mountain known as Pompey’s Knob, that felt, when I arrived, like I’d passed a test, the first of more to come. Marion is the home of the Livermush Festival, which I do want to try, Livermush that is.  It’s up to you whether you stop by and try Moondoggy’s Classic Diner.

The story of how the mountain got its name and the retreat’s creation is a curious early 1900’s tale the resort staff tells with humor. Authors Sy Safransky and their hand-picked staff; Fred Bahnson, Chris Bursk and Frances Lefkowitz (and others) gave my mind a challenge and I’m the better for it.

While we’re at it, at Moondoggy’s that is, does anyone remember the venerated avant-garde composer, busker and street poet Moondog, of NYC? The 1940’s conductor of the New York Philharmonic, Artur Rodzinski, championed him.  Blind since a teen, oftimes homeless, he struck me as Manhattan’s Shaman. Since we’re riffing here, I’ll throw in that Alan Freed called his radio show the Moondog show. Freed was an early rock pioneer, probably coined the term rock and roll, was vilified for playing what we now know of as the finest classics of R&B without which there wouldn’t be rock and roll and died of the disease of alcoholism after Congress scapegoated him around payola issues, their attempt to smear “that communistic music”.

But let’s get back to my writing class; writing about writing is problematic. Novice that I am I feel a bit of pressure. It demands an even greater facility with words. I want to bring honesty, illumination, humor, simile and metaphor. Wait, is it a simile or a metaphor?

I have never written in my life, until now. Never. No big deal but it is of interest to me. I never-I mean never-did homework which may have ultimately contributed to my expulsion from high school the second I turned 16, though certainly I could list other contributors. This is not entirely accurate in that in recovery I have done inventories on paper and journaling, morning pages’ ala The Artist’s Way. Oh and I prided myself on good postcards. But that is it. Finito.

Then my boss said a great thing; “You need to start writing.” So here we are.
I have always loved to read. I was read to from a very young age (Thank God) which aided me in learning to read young and I had books around and discovered the library young and used it, and books, as a refuge.

Words are important, abyssal, often quixotic, can uplift or harm, yet, “Sticks and stones may break my bones but words can never hurt me”. Words are often imperfect, especially in the arena of ideas, are worthy of study and I love ’em. I like to learn new ones, look them up including words I believe I know, just to check.

A science-based fact and truth of writing, is;  the act of physically writing, hand upon paper (maybe keyboard), activates different areas of the brain than speaking and facilitates different healing process’.  Another fact of recovery, which I see/feel is a human fact; we all want to be heard. It’s what every child wants & needs. When they are not it sets up future adult dynamics that play out over years even lifetimes.

We want to get what’s inside out. Be acknowledged, be seen, be heard. To be heard/seen is a key element of any artistic endeavor  AND  is different than the “old” addicted self that leans toward what we call being “right”.  To be “right” signifies the ego “winning” and being in control, to be heard is to be seen, without judgement.

We all have a story, in our head and want to tell it, whether we are conscious of that or not. Recovery is often about changing our story.

These truths are at the core of the Recovery Advocacy Movement and any attempt by any group of peoples working to create consensus. To work together, to be heard and to hear, surfing our way toward the best decisions & strategies that are for the greatest good, is what consensus building is and what restrains condensation of power bases that ultimately inhibit true human needs and is how to get win/win success.

As I study writing & words now I am reminded of the fact that; in recovery I was surprised and chagrined to realize that there were words I did not know the true meaning of and I needed to grow in my knowledge. I thought I understood their definitions but really misunderstood them. Seemingly simple words like fellowship, service and support.

I had no idea what the word support meant. Pre-recovery support meant something along the lines of;  you ‘de loan me money when I asked (and I could oftimes forget that “loan”).

That you ‘de come and bail me out of jail as soon as I called.  In recovery I saw that support was something else entirely, which meant maybe you ‘de let me sit in jail instead of jumping when I called (not that that had to happen in recovery, thank God again). Support meant that you were there for me but also meant you called me on my…poop, when needed. That you cared enough for me to do that was a healing act in and of itself and my bottom was thorough enough (another thank God!) that feedback was not painful but welcomed. Or if it was painful it didn’t matter. I was open. Now the key is to stay open for the rest of my natural life.
Meanwhile, my understanding of the depth of meaning to the word support has changed, grown, morphed over the years. Allow me to walk through an example.

As previously reported, my fairly typical entrée into recovery involved deep immersion in 12 Step. I had no money, little life, little else to do so the wisdom in this immersion was evident. I went to lots of meetings, listened to many people/talks, hung out with and called the best, listened to tapes, read the literature, got a sponsor (really the best) and worked to talk honestly with him and to work the steps hard. I committed to and followed through on-often by direction-service commitments that grew in discipline and complexity as the days turned into months into years. Had fun such as going to dances and conventions where the spiritual is exponentially multiplied. And more. I began to build a new life.

A common thing happened, which was; as I grew recovery and got a life, a fair amount of that fell away. I listened carefully to advice and grew internal awareness so that I was not at risk of falling too far away, of doing so little that I might lose my way, but nevertheless I had less time for 12 Step.

What recovery grew into, for me, was a core of committed service work and sponsor. Less meetings. Less “hanging out”. I was blessed to go to conventions, attending 8 World Conventions.  (I considered those a “working” vacation.) It’s beyond emotional and uplifting, plugging in with 10 or 20,000 other recovering people in one place. Comedians working the convention would joke about how if we all “relapsed at the same time the city’ d disappear”.

Bill White portrays it when he wrote, “High intensity participation in recovery support activities is typical of early stage lifestyle changes. Such intensity usually reaches a state of moderation and balance once the new changes have been fully mastered, stabilized, and integrated into one’s life.”

That integration stage is instructive to how Recovery Community Supports look and feel.  At some point it hit me, all my supports were in place and working even if I wasn’t “working” them all the time. Support is everywhere, all around me, if I chose it, like a net underneath a trapeze artist, it’s “working” (building confidence) even when he does not fall. It’s there doing its job, growing confidence and positive energy. Various Brainiac’s write about spiral dynamics and I say we see that in everything. As I stay in recovery I grow more recovery which adds to my recovery which grows more recovery; spiraling upward. Reverse it if I return to use. I get drunk, feel bad, which supports bad behavior, feel worse, get drunk (to relieve), spiraling downward.

All the guys I knew, who I might at times just bump into out and about; the service work I’d done, the literature I read and the more I would read, the writing and understanding from that, the anniversary’s I had “under my belt”, the various other actions and symbols that represent community, because “there is no recovery that does not embrace community”, all this and more adds up to a safety net of recovery, which, in place, has healing aspects even when not in actual real-time usage. I can’t leave it alone completely, it demands maintenance, but that maintenance becomes easier as I go. The safety net under the trapeze act we call Life.

That’s what a community feels like. Thank you all for helping me be heard and part of your community.

A metaphor is an equation; A = B, a simile is an approximation; “like”.

A metaphor substitutes one thing for the thing.

A wire is a road for electrons.

Words are dreams we can hear.

A simile-to be like something-retains some irresolvable difference so it cannot be substituted.

A great book is like a great meal (i.e. nourishing)

Great words are like vitamins for the mind.

Let’s just say I need to keep working on this stuff.


North Carolina General Assembly Finalizes Budget for FY17

Now, with the budget finished, here’s a final update from APNC’s Mark Ezzell:

The NC General Assembly has announced a final compromise budget. You can read the entire budget here.

Regarding substance use disorder funding:

  • The budget allocates $20 million to go into a new Mental Health and Substance Use Task Force Reserve Fund to help finance the Governor’s Task Force on Mental Health and Substance Use recommendations. Of that funding $10 million is in recurring funds and another $10 is in nonrecurring funds.
  • The budget also provides funding for the Controlled Substance Reporting System (CSRS) which was included to upgrade their database and include analytical software components- about $1.2 in nonrecurring funds and $300k recurring funds. The budget also mandates physician registration on-but not usage of-CSRS.
  • This year’s budget also restores some of the cuts to single-stream funding to the LME’s that were part of last year’s budget. Under this year’s compromise, there will be a $30 million one-time transfer made this year from Division of Medical Assistance to the Division of MH/DD/SAS and another similar size transfer next year.
  • The budget also creates a 3-year, $500,000 Medication-Assisted Opioid Treatment Pilot Program through federally qualified health centers.

There are several other developments this session that are not a part of the budget, such as the naloxone standing order signed recently by the Governor and a provision allowing privately funded needle exchange programs.

All in all, this has been a very successful session for our legislative agenda and SUD community goals.

For reference: From 6/02/16; A Legislative Update on MH/I-DD/SUD IssuesA House and Senate Budget Comparison At-A-Glance

North Carolina Harm Reduction Coalition


Greensboro, N.C. – Governor Pat McCrory joined law enforcement officers, first responders, legislators and health care officials today at the Guilford County Sheriff’s Office to sign legislation making naloxone, a life-saving opioid reversal drug that has already saved 3,300 North Carolinians, more accessible.

The legislation represents an early accomplishment of the Governor’s Task Force on Mental Health and Substance Use, which delivered a report to Governor McCrory in May recommending expanding capacity for opioid treatment services, medications and overdose prevention, such as naloxone.

Beginning at 2 p.m. today, pharmacies in North Carolina will begin making naloxone available without a prescription. North Carolina is the third state in the country to issue a standing prescription order statewide for naloxone.

McCrory signs bill widening access to overdose antidotes
News & Observer 6/20/16

The final trigger for me, to write about what a colossal job NCHRC is doing, how pronounced their accomplishments are, was their Legislative Day at the General Assembly-Law Enforcement and Community Summit on Heroin in North Carolina, May 12th. I saw Police Officer after Police Chief after Sheriff after State Bureau of Investigation Special Agent! (Ret.), get up and talk about their efforts to grow and support naloxone use by the troops as just a beginning gambit in supporting people toward recovery. Ret. Police Chief Jim Johnson, of Huntington, VA, told a compelling tale of his reversal; how he traversed from classically dead set against these ideas (“a staunch opponent of needle exchange”), through horrific addiction (the “communities’ youngest overdose death was 12 years old and oldest was 77”) to complete promotion of these ideas “because they work”. As a guy who’s been on the other side of the law, who’s regularly broken out in the hives most of you call hand-cuffs, this was inspiring. We are now on the same side working together!

Allow me to repeat-I’m not a bleeding heart. The Police aren’t hired to necessarily be Social Workers which is my way of saying they have a job to do. I have nothing against consequences for bad actions, but these are drastic times and they call for different approaches. And-we have proven we cannot incarcerate our way out of addiction.

Allow me to back up a bit.

Early on-starting some twenty years ago- my work was in homeless agencies and they often had a Harm Reduction wing. An agency I worked at for 8 years received the first Open Society Harm Reduction grant issued in the USA. It went out to three cities, as a trial project, to be expanded as they showed success. This put me into a learning curve that was challenging to my innate belief structure. I want to elaborate but first I need to say; though this Open Society approach had some new ideas, harm reduction (HR) is as old as Hippocrates. A Physician of Classical Greece considered the Father of Western Medicine, he preached the Hippocratic Oath, still in favor today. The Oath was a paper written sometime around 400BC (we think) it is summed up as, “First, do no harm”.

To my eyes, harm reduction really hit with the founder of modern nursing, Florence Nightingale. It’s the nurses who bring harm reduction to the people, especially for the indigent. So harm reduction is nothing new. Applied to substance use treatment, it’s true that all manner of treatment programs would not “tolerate” resuming drug use, “relapse” they called it, and ask them to leave. To kick someone out of treatment, for doing what they do, seems foolish now with hindsight, but was the norm back 30 years ago. Also, if someone’s not really in recovery than they didn’t really relapse, so that word is considered passé and no longer useful. Return to use is the phrase now. This illustrates a way harm reduction can and has entered the field, in some cities, but it has grown into much more, starting with needle exchange and moving to naloxone dispensers. This is where my learning curve began and I originally felt internal resistance to HR.


The only thing that matters is: not my internal belief structures but that, like ROSC in general, these directives actually work. Needle exchange does not just reduce HIV transmission-it definitely does that-BUT ALSO significantly reduces accidental needle-sticks for arresting officers. That alone is reason to do it. Plus, if they are signed up in the program then they are engaged. That becomes the portal to services and treatment options for people using drugs. Trained staff can keep their eyes and hearts open for that window of opportunity that means movement toward a fuller recovery. You understand, it takes caring and skillful people to do that work and NCHRC is made up of just such people. That means more people getting into more recovery earlier. Harm Reduction! What a concept.

Now we’ll back up again, because the real picture is Law Enforcement Assisted Diversion Programs (LEAD). LEAD “diverts’ people to a case manager/social worker before they get involved with the criminal justice system. A comprehensive training/program/body of knowledge that starts with the Police and diverts non-violent offenders into treatment and away from jail. Immediately we are saving money because it’s cheaper than lock-up and shows significant success with percentages of people who do not re-offend. Fayetteville Police have a LEAD program going, under the direction of Captain Lars Paul and he reported great successes. Data is coming people! On the coast, New Hanover/Brunswick Counties are looking to add LEAD and out west, under the excellent, willing direction of Waynesville Police Chief Hollingsed, Haywood County is adding LEAD.
Thanks to NCHRC efforts, there are 77 NC police departments dispensing naloxone.

If we see a ROSC as a spectrum of care {disease living on a spectrum too} then NCHRC (and others) are representing the “left” end of the spectrum, under the Prevention label, with; drug overdose prevention & education, HIV/HCV/needle-stick injury prevention and LEAD. If you’re familiar with all this the next logical question/issue is; how do we get more beds to handle the new people???


Beds are over toward the other end of the ROSC spectrum but it is clear to me, I actually see efforts that the NCHRC are making, to advocate for and grow more beds in the state, as they go about their work. Now what they need is support from all of us!
To do some fact-checking I sat down with Tessie Castillo, Advocacy and Communications Coordinator. I’d call her the #2 under Executive Director Robert Childs, but they’re not much concerned with titles or anything else except what’s going to get results today! It was both a revelation and confirmation for me to find out she had previously worked for the American Federation of Labor and Congress of Industrial Organizations (what we know as the AFL-CIO); the revered Worker’s Union of my Detroit youth, a national trade union center and the largest federation of unions in the United States. Clearly she was born with a desire to make a difference and these HR initiatives are bringing measurable differences to the streets. It has been said that working to make a measurable difference is one of the four core actions that bring fulfillment. (The other three being; live a life of passion, create financial independence and eliminate unnecessary struggle)
BTW, NCHRC accomplishes all this with only 6 full-time people, and a few part-time and with (almost) NO tax dollars. They were receiving some tax dollars but that is ending and all other financing comes from various private streams; foundations and such.
HR and LEAD and like initiatives have been working successfully, from Fayetteville to Albany to Santa Fe to Seattle, across the USA, saving money and lives while getting great outcomes, mostly driven by the pain of wide-spread opioid addiction (and the attendant overdose deaths) and is proven beyond any doubt.
I have to add that North Carolina has many prevention warriors working and other harm reduction efforts, including Project Lazarus, led by Fred Brasson and they all deserve our support.