Pubdate: Tue, 10 Jan 2006 Source: Asheville Citizen-Times (NC) Copyright: 2006 Asheville Citizen-Times Contact: http://www.citizen-times.com/ Details: http://www.mapinc.org/media/863 Author: Leslie Boyd LONGTIME ADDICT READY TO TAKE HIS RECOVERY INTO THE REAL WORLD ASHEVILLE -- Gerald Cowan knew his life was out of control. He was living in a run-down motel, unable to pay the rent and lying to the landlord about when he would have the money. That was just more than a year ago, before Cowan embarked on a new, sober life. "I was tired of living the way I was living," said, Cowan, 48, a resident of A Vet's Place at the Asheville-Buncombe Community Christian Ministry Men's Shelter. "I was working for a beer distributor, drinking on the job, drinking off the job." His life was a trail of failed relationships and broken dreams. "I guess I got started when I was in junior high school, hanging out with a group of older kids who drank," Cowan said. "I figured, what the heck." Cowan followed a path that's common among people with addiction: He started young and went from using one drug -- alcohol -- to using others. He went through substance abuse treatment three times before he was able to stop using. Until now, North Carolina has offered limited help to people addicted to alcohol or other drugs, but new Medicaid services, announced last week, will expand options for those people, although it won't mean an increase in the amount of money spent on treatment. "We know we're going to have a lot more people out there who need services than we have the money to provide," said Michael Moseley, director of the N.C. Division of Mental Health, Developmental Disabilities and Substance Abuse Services. "What we can do is offer a more flexible treatment plan so that people get what they need." The numbers Between July 1, 2004, and June 30, 2005, nearly 71,000 people were treated for substance abuse in state hospitals and programs, said Mark Van Sciver, a spokesman for the N.C. Department of Health and Human Services. "Those numbers are trending up," Van Sciver said. Recently, the annual Monitoring the Future study by the National Institute on Alcohol Abuse found some encouraging news: Past-year use of alcohol was down 2.7 percent among eighth-graders; down 1.5 percent among 10th-graders; and down 2.1 percent among 12th-graders. According to the National Institute on Alcohol Abuse and Alcoholism, people who begin drinking before age 15 are four times more likely to develop alcoholism than those who begin at 21. Cowan was one of the unlucky ones. Young people who drink alcohol are 7.5 times more likely to use illicit drugs and 50 times more likely to use cocaine than young people who never drink alcohol, according to the National Center on Addiction and Substance Abuse at Columbia University. Cowan followed that path, too. From high school on Cowan graduated high school in Salisbury and joined the Army. He was caught selling marijuana and was given the choice of dishonorable discharge or nine weeks in a retraining brigade ("like basic but a lot tougher"). He chose the retraining, finished his three-year enlistment, then stayed on for another 15 years in the reserves. "I kept partying, though," he said. Through the rest of the 1970s and into the early 1980s, he mostly used alcohol, but then he was introduced to cocaine. "I used powder, I used crack -- I used just about everything there was to use at some time or other," he said. He lost his job with the Veterans Administration, technically for not following procedure, but he said it really was because of his drug use. Cowan shrugged it off, withdrew all his retirement money and "had a big party." The money didn't last long. In 1987, he went to drug treatment in Atlanta to try and keep a job, but began using again soon after he was out. "I went to rehab again in '97 to please my mama," he said. That attempt at recovery didn't last long, either. By 2000, his three children, his fiancee and his three sisters had given up on him, Cowan said. His mother died in 2003 still believing he would straighten his life out one day even though there was no evidence then that he would. Finding recovery Brack Jefferys, executive director of Substance Abuse Solutions of N.C. in Asheville, has worked with addicts for 22 years. He did not treat Cowan, but was willing to talk about addiction in general. "People have to have a moment of clarity, where they are able to see the truth about their situation with drugs and become willing to take responsible action to recover," Jefferys said. Addicts have to hit bottom, in other words, and bottom is a different place for each person. Some people realize the substance they're using has control over them when they get a first conviction for drunken driving. Others have to lose everything before they seek help. Some die before they are able to stop. Addicts have to face change in every aspect of life. Cowan moved away from all his drinking buddies and into A Vet's Place after treatment. "People trust me now," Cowan said. "The work was worth it to be trusted again." Sam Everett, director of the ABCCM Men's Shelter, praises the work Cowan has done to rebuild his life. "He's done well," Everett said. "He's just one of the finest guys." At ABCCM Cowan sorts mail, does filing and drives the van to get people to work and doctor's appointments. He has a job at Arvin Meritor, and he has a car, given to him through ABCCM by his sister. But sobriety requires vigilance, Cowan said. He's almost ready to take the next step -- moving out of A Vet's Place and into his own home so his children, now 28, 25 and 22, can visit. "I'm a little worried," he said. "You know, people here would know if I took a beer, but if I'm in my own place, I don't know, I might talk myself into thinking one beer would be OK and who'd know?" But he feels stronger in his recovery every day, and he knows he can only take one day at a time. "I got a peace of mind now," he said. "I'm not looking over my shoulder. I feel like a human being again." - --- MAP posted-by: Beth Wehrman