Easing Into Therapy "It's basically there for peer support," Dauch says. "It's not a treatment in itself." JACS holds group meetings similar to AA, NA and the others, except that participants in JAGS groups are not divided by type of addiction. Family members and friends also participate in JACS, while the other 12- step groups have separate organizations, such as AlAnon, for those affected by the addict but not addicted themselves. In the New York area and in some other communi- ties, JACS holds retreats, lectures and communal cele- brations. The authors of the study in the Journal of Addictive Diseases are associated with JACS, one as a member of the advisory board and one as a research coordinator. The Detroit-area JAGS, revitalized less than a year ago, holds weekly group meetings based on the 12-step approach as well as dinners and a few lecture-discus- sions. Meetings were originally at Temple Shir Shalom; now they are held at Congregation Beth Ahm. At its weekly meetings, group members have been working on AA's 12 Steps, one step at a time, says Melinda Nagler of West Bloomfield, a recovering addict herself and JAGS coordinator. "People in the group tell me they don't get the same feeling of family in AA or NA," Nagler says. Like Paskel, addicts frequently have to hit bottom before they seek therapy, says Emilie Dauch, director of the addiction recovery program at Southfield-based Jewish Family Service. "We have a cavalier attitude toward what we put into our bodies," she says. "It takes a long time for what happens on the inside to show on the outside. That fosters people's denial." The standard way to maintain recovery from chemi- cal dependencies or other addictions is the 12-step pro- gram developed by Alcoholics Anonymous (AA) and used in Narcotics Anonymous (NA), Pills Anonymous (PA) and numerous other groups. Recovering addicts are welcome at any of these meetings, anywhere, and sometimes go to a meeting every day. However, most of these meetings have traditionally taken place in churches. In addition, they frequently begin with Christian prayer. "Going to an AA or NA meeting when there's a cross on the wall is a difficult setting for Jewish people, no matter how religious they are," Dauch says. For this reason, she joined with Rabbi Pinson and a committee of mental health professionals, recovering addicts and their families to form a branch of Jewish Alcoholics, Chemically Dependent Persons and Significant Others (JAGS). Founded in 1979 in New York, JAGS is a voluntary mutual-help group for Jews in recovery from alcohol and other chemical dependen- cies. Like the Friendship Circle Fellowship Program, JACS brings Jewish people together to discuss their lives, to celebrate Jewish events with other families and to feel less alone in their struggle toward recovery. Shir Shalom is home to the only AA and NA meetings at any Detroit-area synagogues. "Because we have AA here, because we've had JAGS here, we know its an epidemic," says Shir Shalom Rabbi Dannel Schwartz. "But most people in the cler- gy are in denial about the problem." Shir Shalom was founded 16 years ago — and has housed an AA meeting for 15 of those years. Rabbi Schwartz does not mince words when he describes the effects of addiction: "It ruins families; it sneaks up on people and assassinates them; it's destroying the fabric of our families." Especially in the case of alcohol, he is seeing more and more people coming to his office for help with addiction — and the people are younger and younger. "It's not unusual to see kids under the age of 14," he says. "Alcohol is readily available; it's accessible." Marijuana use among teens is a major concern for George Surowy, an addictions therapist who works closely with Rabbi Schwartz. "For some reason, par- ents don't see marijuana as addictive," he says. "Maybe because it stays in your body longer — He was 17 and living in a friend's attic — without the knowledge of the friend's parents — when he and the friend were tied up and robbed at gunpoint. "Finally, I called my parents," he says. "They'd said they would pay for treatment. I was the only one in the treatment center under 40 years old. But what I found out was they were my brothers." Despite having personal difficulties since then, Paskel has never turned back to drugs, he says. He's been tempted to drink ("I stopped using so young I never legally drank," he says), but realizes that, with his addictive personality, he'd better stay away from alcohol as well. - As part of his recovery, he has become more involved with Judaism and conducts yoga-meditation services at Temple Shir Shalom. "Temples like Shir Shalom are opening their arms to any psychotherapeutic issue," he says. "We've learned there's an addict connected to every family." Today, Paskel works as a therapist and yoga teacher. He and his wife have two young daughters. "I want to make sure my daughters know they are safe," he says. "I'm teaching them there are problems in life — they have to face them, not run away." Commited To Wellness you're never totally without it, so there are not the highs and lows you might see with other drugs. "In general, though, I don't think the Jewish com- munity is any different from any other community as far as addiction," says Surowy, who has many years of experience at the Maplegrove Center in West Bloomfield, the St. John's Healthcare System and in private practice. "But the more affluent we are, the more expensive the drugs we use." Most recently, he's seen an increase in the smoking of cocaine in suburban Oakland County. Although Surowy agrees that addiction is an illness, it's what he calls a "bio-psycho-social" illness. First, there's a biological predisposition to addiction; then the psychological element; and, finally, the society in which we live — "a spoiled society where we want instant gratification." Surowy and Rabbi Schwartz hope to begin a wellness center for prevention and counseling. Along with Rabbi E.B. "Bunny" Freedman, director of the Jewish Hospice and Chaplaincy Network, Rabbi Schwartz is working on adding education about drug abuse to their program of pastoral education for the rabbinic community. The training would not equip rabbis to treat addict- ed persons in their congregation, Rabbi Schwartz says, "but to be there with them and for them; to know what to look for; to know when you're being conned and not being conned." One time, a woman in his congregation came to him asking for help with her husband, who, she said, never went to work and was always on drugs. "Once they came in to speak to me together, the husband said, 'I don't know what she's complaining about — she's FIGHTING on page 18 FAMN lie A. Warleet4 Li'tkik rt LI ig II wroo sga *i,, /07 RWES ', TheteinvtgeNY ,1 1 i \\ \ PaLLOWM \ '", Maril T20411142 ,,/ Recovery medals from Alcoholics Anonymous 1/30 2004 17