Well: Getting the Right Addiction Treatment

“Treatment is not a prerequisite to surviving addiction.” This bold statement opens the treatment chapter in a helpful new book, “Now What? An Insider’s Guide to Addiction and Recovery,” by William Cope Moyers, a man who nonetheless needed “four intense treatment experiences over five years” before he broke free of alcohol and drugs.

As the son of Judith and Bill Moyers, successful parents who watched helplessly during a 15-year pursuit of oblivion through alcohol and drugs, William Moyers said his near-fatal battle with addiction demonstrates that this “illness of the mind, body and spirit” has no respect for status or opportunity.

“My parents raised me to become anything I wanted, but when it came to this chronic incurable illness, I couldn’t get on top of it by myself,” he said in an interview.

He finally emerged from his drug-induced nadir when he gave up “trying to do it my way” and instead listened to professional therapists and assumed responsibility for his behavior. For the last “18 years and four months, one day at a time,” he said, he has lived drug-free.

“Treatment is not the end, it’s the beginning,” he said. “My problem was not drinking or drugs. My problem was learning how to live life without drinking or drugs.”

Mr. Moyers acknowledges that treatment is not a magic bullet. Even after a monthlong stay at a highly reputable treatment center like Hazelden in Center City, Minn., where Mr. Moyers is a vice president of public affairs and community relations, the probability of remaining sober and clean a year later is only about 55 percent.

“Be wary of any program that claims a 100 percent success rate,” Mr. Moyers warned. “There is no such thing.”

“Treatment works to make recovery possible. But recovery is also possible without treatment,” Mr. Moyers said. “There’s no one-size-fits-all approach. What I needed and what worked for me isn’t necessarily what you or your loved one require.”

As with many smokers who must make multiple attempts to quit before finally overcoming an addiction to nicotine, people hooked on alcohol or drugs often must try and try again.

Nor does treatment have as good a chance at succeeding if it is forced upon a person who is not ready to recover. “Treatment does work, but only if the person wants it to,” Mr. Moyers said.

Routes to Success

For those who need a structured program, Mr. Moyers described what to consider to maximize the chances of overcoming addiction to alcohol or drugs.

Most important is to get a thorough assessment before deciding where to go for help. Do you or your loved one meet the criteria for substance dependence? Are there “co-occurring mental illnesses, traumatic or physical disabilities, socioeconomic influences, cultural issues, or family dynamics” that may be complicating the addiction and that can sabotage treatment success?

While most reputable treatment centers do a full assessment before admitting someone, it is important to know if the center or clinic provides the services of professionals who can address any underlying issues revealed by the assessment. For example, if needed, is a psychiatrist or other medical doctor available who could provide therapy and prescribe medication?

Is there a social worker on staff to address challenging family, occupational or other living problems? If a recovering addict goes home to the same problems that precipitated the dependence on alcohol or drugs, the chances of remaining sober or drug-free are greatly reduced.

Is there a program for family members who can participate with the addict in learning the essentials of recovery and how to prepare for the return home once treatment ends?

Finally, does the program offer aftercare and follow-up services? Addiction is now recognized to be a chronic illness that lurks indefinitely within an addict in recovery. As with other chronic ailments, like diabetes or hypertension, lasting control requires hard work and diligence. One slip need not result in a return to abuse, and a good program will help addicts who have completed treatment cope effectively with future challenges to their recovery.

How Families Can Help

“Addiction is a family illness,” Mr. Moyers wrote. Families suffer when someone they love descends into the purgatory of addiction. But contrary to the belief that families should cut off contact with addicts and allow them to reach “rock-bottom” before they can begin recovery, Mr. Moyers said that the bottom is sometimes death.

“It is a dangerous, though popular, misconception that a sick addict can only quit using and start to get well when he ‘hits bottom,’ that is, reaches a point at which he is desperate enough to willingly accept help,” Mr. Moyers wrote.

Rather, he urged families to remain engaged, to keep open the lines of communication and regularly remind the addict of their love and willingness to help if and when help is wanted. But, he added, families must also set firm boundaries — no money, no car, nothing that can be quickly converted into the substance of abuse.

Whether or not the addict ever gets well, Mr. Moyers said, “families have to take care of themselves. They can’t let the addict walk over their lives.”

Sometimes families or friends of an addict decide to do an intervention, confronting the addict with what they see happening and urging the person to seek help, often providing possible therapeutic contacts.

“An intervention can be the key that interrupts the process and enables the addict to recognize the extent of their illness and the need to take responsibility for their behavior,”Mr. Moyers said.

But for an intervention to work, Mr. Moyers said, “the sick person should not be belittled or demeaned.” He also cautioned families to “avoid threats.” He noted that the mind of “the desperate, fearful addict” is subsumed by drugs and alcohol that strip it of logic, empathy and understanding. It “can’t process your threat any better than it can a tearful, emotional plea.”

Resource Network

Mr. Moyer’s book lists nearly two dozen sources of help for addicts and their families. Among them:

Alcoholics Anonymous World Services www.aa.org;

Narcotics Anonymous World Services www.na.org;

Substance Abuse and Mental Health Services Administration treatment finder www.samhsa.gov/treatment/;

Al-Anon Family Groups www.Al-anon.alateen.org;

Nar-Anon Family Groups www.nar-anon.org;

Co-Dependents Anonymous World Fellowship www.coda.org.


This is the second of two articles on addiction treatment. The first can be found here.

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Dozens of airline fees rose or changed in 2012









Airline travel fees — including charges to check a bag and to board early — have become so prevalent that travelers almost need an advanced degree in mathematics to calculate overall trip costs.


Last year at least 36 airline fees increased, and 16 others were redefined, bundled or unbundled with other services, according to a recent study by the consumer travel website Travelnerd.


One bright spot in the Travelnerd study of 14 U.S. airlines is that most fee increases were only $5 to $10 each.





In one case an airline had a big fee reduction. The study found that United Airlines reduced its fee for checking an overweight bag to $100 from $200 for bags 50 to 70 pounds and to $200 from $400 for bags 71 to 100 pounds.


"Travelers really have to be extra cautious when booking a flight," said Alicia Jao, vice president of travel media at Travelnerd, who predicts travelers will see even more fees in 2013. "U.S. carriers are becoming creative at charging consumers extra fees."


But some airlines seem to charge fees arbitrarily, said Perach Mazol, a Los Angeles resident who recently flew to Florida with friends from Romania to take a cruise.


On her flight from L.A. to Fort Lauderdale, Fla., on Spirit Airlines, she said the Florida airline did not charge for the carry-on bags she and her friends were carrying, but the carrier asked for $50 each to carry the same bags on the flight back. (Spirit is one of only two airlines in the U.S. that charge passengers for carry-on luggage.)


"I don't understand why they charged us on one flight and they don't on the other," Mazol said. "It's confusing."


A spokeswoman for Spirit said the airline tries to enforce its policies consistently.


"Maybe she got lucky one way and didn't have to pay," Spirit spokeswoman Misty Pinson said.


United offering satellite-based Wi-Fi


United Airlines was one of the last major airlines to offer onboard wireless Internet. But the Chicago carrier is trying to make up for its tardiness.


United offers Wi-Fi in about 3% of its fleet of about 700 planes, one of the lowest rates of any major carrier in the nation, according to a recent study.


But United recently became the first U.S.-based international carrier to offer satellite-based Wi-Fi Internet for passengers traveling on long-haul overseas flights.


The carrier has installed satellite-based Wi-Fi on nearly a dozen planes, with plans to expand the service to more than 300 planes, or about 43% of the fleet, by the end of the year.


"With this new service, we continue to build the airline that customers want to fly," said Jim Compton, vice chairman and chief revenue officer at United.


Satellite-based Wi-Fi is typically as fast as ground-based Wi-Fi, experts say, but the advantage is that it can give passengers Internet access when flying over areas where cellular towers don't exist — such as the Pacific or Atlantic oceans.


But, of course, there is a price to pay for the service.


United is charging $3.99 to $14.99 for standard speed, depending on the duration of the flight, and $5.99 to $19.99 for faster speeds.


United is not the only airline to offer satellite-based Wi-Fi. Southwest Airlines, the nation's largest domestic carrier, offers it through Westlake Village-based Row 44.


Delta to raise fee to access lounges


Airline fees are rising not only for onboard services but for amenities at the airport too.


Delta Air Lines, which has invested more than $20 million in its airport lounges over the last two years, announced that it would raise the cost for annual membership to access its lounges across the country by $50, starting March 1.


The increase means that an annual membership will range from $350 to $450, depending on membership level. (The more miles passengers fly on Delta the less they pay for membership.)


Among the investments Delta has made is the addition of a new luxury bar that opened recently at Delta's lounge at Los Angeles International Airport. Instead of helping themselves at a self-serve bar, members can now belly up to a fully stocked bar and order a drink from a bartender.


hugo.martin@latimes.com





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Joyous memories at Hadiya Pendleton funeral









Slain teen Hadiya Pendleton was remembered today as a laughing youth who brought love and happiness to all her family and friends.

Despite the heavy security because of the attendance of first lady Michelle Obama and other dignitaries, Hadiya's funeral at the Greater Harvest Baptist Church only occasionally touched on politics and the gun violence that ended Hadiya's life, instead focusing on a 15-year-old girl whose smile lit up the room.

Her mother, Cleopatra Cowley-Pendleton, briefly spoke to the standing room only crowd, often with a smile and even a laugh.

“My baby did all this,’’ she said, wearing a big red flower on her chest and a sparkly scarf, and clearly enjoying the music. "This is all Hadiya.’’

“The outpouring of support has been absolutely amazing,’’ she said.
 
She explained that at points, “you kinda do not know how to act,’’ and some people might not understand “our sense of humor’’ or “why I have a smile on my face.’’

“But I’m not worried about her soul,’’ she said.

“I just want to say thank you. Thank you to everyone who had something to do with rounding her or having something to do with who she was,’’ she said.

Then appearing more serious, she said, “No mother, no father should ever have to experience this.’’

“I kept her living,’’ she said, saying she helped her daughter stay away from negative influences. "When your children try to talk to you, listen. Don’t judge them. This should be a judge-free zone. You made them. You deal with that."
 
“All right, I love you all,’’ she said before ending her remarks.

Earlier the crowd was addressed by Damon Stewart, Hadiya's godfather, who said, “I’m going to speak as if we’re family,’’ adding that he had “two spiritual thoughts’’ he wanted to stress.

“God makes no mistakes,’’ he said. “I don’t believe in coincidence; I believe in divine intervention.’’

Wearing a black suit and black shirt, he also wore purple in honor of Hadiya -- a purple tie and ribbon on his chest, and a purple handkerchief in chest pocket.
 
“I loved that child,’’ he said.

Stewart quoted Hadiya's father, Nathaniel Anthony Pendleton, as saying, "This isn't political, this is personal."

Then Stewart said: "This should break the hearts of everyone who has someone they love."

He said he read a Facebook post that said: "I'm not going to buy into the hype. What makes this girl so much better than the others?"

"She is important because all those other people who died are important," Stewart said. "She is important because all of the families who were silent, she speaks for them. She is a representative of the people across the nation who have lost their lives."

"Don't let this turn into a political thing. Keep it personal," he said. "A lot of politicians will try to wield it as a sword. They want to use it for votes."

While family and friends kept the focus on the 15-year-old girl who was shot dead in a South Side park, the first lady's appearance inevitably brought attention to anti-gun efforts nationwide.

The back of the funeral program has a copy of a handwritten note from President Barack Obama: "Dear Cleopatra and Nathaniel, Michelle and I just wanted you to know how heartbroken we are to have heard about Hadiya's passing. We know that no words from us can soothe the pain, but rest assured that we are praying for you, and that we will continue to work as hard as we can to end this senseless violence. God Bless.”

In addition to Michelle Obama, dignitaries in the crowd included Gov. Pat Quinn, Mayor Rahm Emanuel, Cook County Board President Toni Preckwinkle, Ill. Attorney General Lisa Madigan, Rev. Jesse Jackson,  Secretary of Education Arne Duncan and Valerie Jarrett, senior adviser to Barack Obama.

Prior to the service, the first lady met privately with about 30 of Hadiya's friends and classmates, and then with members of Hadiya's family, according to a White House official.

Father Michael Pfleger spoke and called Hadiya an "innocent victim of gun violence,’’ asking,  “When did we lose our soul?”

He told the crowd that “we must become like Jesus’’ and become “the interrupters’’ of genocide, an evil that is killing our children.
 
“Welcome home, sweet Hadiya. See you on the other side," he said.

Hadiya was killed Jan. 29 at Harsh Park, in the 4400 block of South Oakenwald Avenue, not far from the Obama family home. Although Hadiya and the friends that were with her had no gang ties, a gunman fired into the park in what police said was a gang-connected shooting causing her death to become a symbol of Chicago's gun violence.

But most of the funeral service was about Hadiya's life, and the love she brought to so many.

Hadiya's pastor, Courtney C. Maxwell from the Greater Deliverance Temple Church of Christ, opened the services about 11:15 a.m. after a heart-shaped balloon was placed near her casket.
 
He thanked everyone for being at the Greater Harvest Baptist Church, including elected officials. “The family says thank you and God bless you.’’ He asked for round of applause for the Pendleton family.
 
“Only God can keep you and strengthen you, for God is our refuge and our strength,’’ the pastor said.

The pastor said Hadiya was “genuine and real.’’

“She was energetic, loved music, loved the arts,’’ the pastor said.

After the pastor spoke, a female reverend dressed in white addressed the crowd and a choir behind her began singing.

“Blessed are they that mourn, for they shall be comforted,’’ she said, as the choir sang after her.

An assistant pastor read from scriptures: "She is more precious than rubies. … Her ways are of pleasantness.’’

Pastor Elder Eric Thomas of the host Greater Harvest Baptist Church described Hadiya as a “beloved angel.’’
 
“Her life has not been in vain,’’ Thomas said.
 
A female singer and organist the played a religious song, as about 30 others in the choir, all dress in white, stood and swayed gently from side to side before the large cross that was draped in white.

Kenya Edwards, who identified herself as a radio personality and a friend, read a poem called “Walking’’ written for Hadiya by Zora Howard, then said: “Ladies and gentlemen, it’s time for us to start walking. It’s time to take a stand.’’

Hadiya’s aunt Linda Wilks then spoke, asking, “What was inside Hadiya that connected her to those who didn’t know her?”

“It was her inner light’’ that connected her with humanity’s inner light, she said. “Light has power and has potent force,’’ and can cause "mankind to feel an inner awakening and a sense of love.’’

“Light can pursue darkness ... it diffuses darkness,’’
her aunt said. "Hadiya. The light.’’

Several girls who all identified themselves as Hadiya’s best friends got up, one by one, to share warm and funny and very sad memories.
 
One girl, Kaylen Jones, drew laughter when she said Hadiya’s mom “guilted me’’ into talking, then said one of the things she will remember most is Hadiya's smile.
 
“That smile lit up a room’’ she said. “It was the last thing I saw before they put her into the ambulance.’’

“I loved her. These past few weeks I felt like there’s a part of me missing,’’ Jones said.

“But she’s right here, whispering the answers to us in chemistry,’’ she said, drawing huge laughs and applause.
 
Another girlfriend, Giselle, was holding a tissue and broke down in tears, having to stop at least twice during her thoughts.
 
“Hadiya always pushed me to do my very best,’’ she said, wiping her eyes. “We were going to go to college together.’’

Giselle said after losing Hadiya she had tweeted to friends "I just wanted a last hug," and two days later "I had a dream that she gave me a hug."

“I believe that she came back and gave me a last hug,’’ she said.
 
Many others remembered her laughter and her smile. Others had short songs they sang to the crowd and shared favorite memories of her.
 
Her King College Prep majorette team also got up, and presented her jacket in a frame to Hadiya's mother, who embraced her in a long hug.
 
Kierrra Wilson, the captain of the majorette team, which had performed for festivities during the weekend before President Obama's second inauguration, spoke first.

“It’s really hard being up here,’’ she said. “Hadiya was close to all of us.’’

The entire team, dressed in their black and gold outfits, engaged in a group hug.
 
Another teammate also recalled the Washington trip, saying Hadiya never lost her sense of humor even though they were “so tired.’’

She said she would always remember Hadiya’s laughter, and told a story that caused the crowd to chuckle. “She tries to tell a scary story and nobody can believe it,’’ she said. "She had a little baby voice.’’


Hadiya’s cousin got up and told the crowd Hadiya often talked about college.

“She always wanted to go to Harvard,’’ he said, before reading a poem he wrote about her that included the lines: “Sweeter than a tomato from the garden of fruit. You will always be loved. ... Save a spot for me above."

Hadiya’s little brother spoke briefly, recalling how his big sister would think of funny names.

A Nation of Islam representative spoke, offering condolences and saying, “We have come here to celebrate the life and light of this star of God."

"We pray for peace. We thank God for this beautiful gift … Hadiya,’’ he said.


The service ended about 2:37 p.m. as pallbearers began to move the casket, covered in a white cloth emblazoned with a gold cross, and the choir continued singing.
 
“There's a new name written in glory,’’ one of the pastors said. “Thank you, God, for our angel Hadiya."

By 2:44 p.m. people were moving out of the church. After the service, the first lady remained seated until the immediate family was out of the church. She was then escorted out though a private exit and left without public comment.

Hundreds of mourners had lined up early today at the church in the Washington Park neighborhood, which was under tight security.

Guests who were invited by the family were given orange wristbands and were able to enter through a shorter security line. Classmates and friends of Pendleton were given green wristbands and allowed to enter through that same line.

Trinity Dishmon, 40, said her daughter Deja, 15, and Hadiya were close friends in middle school. The two girls stayed in touch and were texting about their upcoming 16th birthdays while Hadiya was in D.C. for the president's inauguration in January.

"Hadiya was a gift to everyone that knew her," Dishmon said, tearing up. "These last 12 days have been unbelievably numbing. It's not six degrees of separation anymore, it's one. It's just unreal."

Dishmon said she feared that the day was less about the teenager and more about a larger issue.

"This is Hadiya's day and should be about her -- not something sensational," Dishmon said. "But maybe by honoring her life we can help make a difference."

Inside the church, Hadiya’s silver casket was placed in the front, surrounded by flowers and two large hearts, one with her picture on it. Behind the casket, a TV screen showed pictures of Hadiya with her family, from birth to her teenage years.

A funeral director wearing a suit and white gloves came outside at 9:40 a.m. to announce to the hundreds still waiting in line that the church was “at capacity.” Those still in line could come in and view the body, he said, but would have to leave before the services.

The funeral procession arrived at about 9:45 a.m., including three limousines and dozens of cars.

The first lady’s motorcade pulled into the church parking lot at about 10:15 a.m. She went in through a separate side entrance at the rear of the church, stepping directly from a vehicle into the building.

The family filed down the aisle a little after 10 a.m. and viewed the body in the still open casket. The pastor led the procession down the aisle chanting "the Lord is my shepherd" as soft organ music played in the background.

Ushers walked down the aisle handing out tissues, and those without wristbands were asked to give up their seats so that family members could be seated in the sanctuary. Every seat was filled by 9:45 a.m.

Purple, Hadiya’s favorite color, is represented in many of the flowers in the church and the lining of her casket. Ushers handed out a glossy funeral program booklet printed on purple paper. The front cover says "Celebrating The Life Of ... Hadiya Zaymara Pendleton.” Inside are more than 50 photos of Hadiya throughout her life.
 
Her obituary printed in the booklet describes her work in the church and even her favorite foods: Chinese, cheeseburgers, ice cream and Fig Newtons. It includes tributes from her grandmother, her cousin and an aunt as well as close friends.

About 10:15 a.m., the funeral director came back out and announced to the hundreds still waiting in line that no one else would be allowed inside — not for the viewing or the funeral.

Even after those outside were told they would not be allowed in, many continued to gather around the church's front gate.

Some began to file out, having to hop over the metal barricades to exit the long line.

One man asked the funeral staff member if he could at least have a pamphlet from the funeral before he left.

"Oh sir, those are long gone. They only printed 1,500," the funeral staff member said.

Activists, religious groups and others passed out printed material to those standing in line. Some kept the papers, others were left on the snowy ground as some of the crowd left.








A group of people who were not allowed inside the church after it reached capacity stood outside in the freezing weather for hours as the funeral went on.

Police put up additional barricades near the church entrance gate to keep new people arriving back.

At 2 p.m. a few people trickled out of the church, including a handful of King College Prep majorettes. Police were not allowing anyone else in for the service, even as people left.

Some had been standing outside for hours, hunched over in the cold. The group continued to talk as the hours passed.

A number of police cars circled the block during funeral services -- including officers in vans, SUVs and undercover cars. Helicopters could be seen and heard overhead.

Michelle Obama's attendance puts Chicago solidly in the middle of a national debate over gun violence that has polarized Congress and forced President Obama to take his gun control initiatives on the road to garner more public support.

The first lady's visit is being seen not only as a gesture of condolence to the family but as part of an effort to draw attention and support for the president's gun initiatives.

But the visit also meant scores of security, police and Secret Service agents, metal detectors and other security measures.

The church is surrounded by an iron fence and all of the openings -- a pedestrian gate in the front, front and side doors to the church, and a driveway to the north -- are guarded by city police or men in white shirts, ties and long black coats. Chicago police vehicles -- two wagons, a handful of squads and SUVs -- guarded the outside of the church while other vehicles circle the block.

Chicago police staffing the event are wearing dress blues -- a blue overcoat with pockets that allow access to the duty belt, creased navy pants, and a hat.

King College Prep math and engineering teacher Alonzo Hoskins stood quietly in line with others. He said he taught Hadiya in his first-period geometry class, where he now has an empty desk.

"She was full of life," Hoskins said.

Nate Weathers, 16,  Jeramy Brown, 16, and Antoine Fuller, 15, all stood in line to see their former classmate. The three young men said they attended Carter G. Woodson Middle School with Hadiya.

“This tears me up,” Fuller said. “She was my 7th grade crush.”

Brown described Hadiya as “sweet and innocent.”

“Something like this should have never happened to her,” Brown said.


Police took two men into custody after they got into an altercation near the back of the long line of mourners waiting to get into the church. One man was agitated, complaining about the long wait to get in. A second man confronted him and they began shoving each other before police intervened.


Local and national pool reports contributed.

chicagobreaking@tribune.com


Twitter: @chicagobreaking 



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For Families Struggling with Mental Illness, Carolyn Wolf Is a Guide in the Darkness





When a life starts to unravel, where do you turn for help?




Melissa Klump began to slip in the eighth grade. She couldn’t focus in class, and in a moment of despair she swallowed 60 ibuprofen tablets. She was smart, pretty and ill: depression, attention deficit disorder, obsessive-compulsive disorder, either bipolar disorder or borderline personality disorder.


In her 20s, after a more serious suicide attempt, her parents sent her to a residential psychiatric treatment center, and from there to another. It was the treatment of last resort. When she was discharged from the second center last August after slapping another resident, her mother, Elisa Klump, was beside herself.


“I was banging my head against the wall,” the mother said. “What do I do next?” She frantically called support groups, therapy programs, suicide prevention lines, anybody, running down a list of names in a directory of mental health resources. “Finally,” she said, “somebody told me, ‘The person you need to talk to is Carolyn Wolf.’ ”


That call, she said, changed her life and her daughter’s. “Carolyn has given me hope,” she said. “I didn’t know there were people like her out there.”


Carolyn Reinach Wolf is not a psychiatrist or a mental health professional, but a lawyer who has carved out what she says is a unique niche, working with families like the Klumps.


One in 17 American adults suffers from a severe mental illness, and the systems into which they are plunged — hospitals, insurance companies, courts, social services — can be fragmented and overwhelming for families to manage. The recent shootings in Newtown, Conn., and Aurora, Colo., have brought attention to the need for intervention to prevent such extreme acts of violence, which are rare. But for the great majority of families watching their loved ones suffer, and often suffering themselves, the struggle can be boundless, with little guidance along the way.


“If you Google ‘mental health lawyer,’ ” said Ms. Wolf, a partner with Abrams & Fensterman, “I’m kinda the only game in town.”


On a recent afternoon, she described in her Midtown office the range of her practice.


“We have been known to pull people out of crack dens,” she said. “I have chased people around hotels all over the city with the N.Y.P.D. and my team to get them to a hospital. I had a case years ago where the person was on his way back from Europe, and the family was very concerned that he was symptomatic. I had security people meet him at J.F.K.”


Many lawyers work with mentally ill people or their families, but Ron Honberg, the national director of policy and legal affairs for the National Alliance on Mental Illness, said he did not know of another lawyer who did what Ms. Wolf does: providing families with a team of psychiatrists, social workers, case managers, life coaches, security guards and others, and then coordinating their services. It can be a lifeline — for people who can afford it, Mr. Honberg said. “Otherwise, families have to do this on their own,” he said. “It’s a 24-hour, 7-day-a-week job, and for some families it never ends.”


Many of Ms. Wolf’s clients declined to be interviewed for this article, but the few who spoke offered an unusual window on the arcane twists and turns of the mental health care system, even for families with money. Their stories illustrate how fraught and sometimes blind such a journey can be.


One rainy morning last month, Lance Sheena, 29, sat with his mother in the spacious family room of her Long Island home. Mr. Sheena was puffy-eyed and sporadically inattentive; the previous night, at the group home where he has been living since late last summer, another resident had been screaming incoherently and was taken away by the police. His mother, Susan Sheena, eased delicately into the family story.


“I don’t talk to a lot of people because they don’t get it,” Ms. Sheena said. “They mean well, but they don’t get it unless they’ve been through a similar experience. And anytime something comes up, like the shooting in Newtown, right away it goes to the mentally ill. And you think, maybe we shouldn’t be so public about this, because people are going to be afraid of us and Lance. It’s a big concern.”


Her son cut her off. “Are you comparing me to the guy that shot those people?”


“No, I’m saying that anytime there’s a shooting, like in Aurora, that’s when these things come out in the news.”


“Did you really just compare me to that guy?”


“No, I didn’t compare you.”


“Then what did you say?”


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The fine line between legitimate businesses and pyramid schemes









Controversy is again casting a shadow over the multilevel marketing industry, as nutritional supplement company Herbalife Inc., which has thousands of distributors in the Chicago region, has been publicly called a pyramid scheme by a prominent investor — an allegation the company vigorously denies.


Meanwhile, a different multilevel marketer, Fortune Hi-Tech Marketing, was shut down in recent weeks after a lawsuit was brought by regulators and several states, including Illinois, alleging the company scammed consumers out of $169 million. The scheme affected an estimated 100,000 Americans, including some in Chicago, where it targeted Spanish-speaking consumers, the Federal Trade Commission alleged.


Most people outside the industry might have only a vague notion about multilevel marketing, also called network marketing and direct selling. It often involves personal sales of cosmetics, wellness products or home decor items — or as critics flippantly call it, "pills, potions and lotions" — usually sold through product parties hosted by friends or relatives.





For sellers, the companies offer the appeal of starting a business on the cheap with little training, working from home and being their own boss, if only for part-time money. Some might recruit friends and family to become sellers, which augments their own commissions and gives them a shot at the six-figure compensation many such marketing companies tout but few distributors attain.


The largest multilevel marketing companies, often known as MLMs, are household names: Avon, Mary Kay, Pampered Chef and Amway. MLMs have annual sales of about $30 billion, with about 16 million people in the United States selling their products, according to the industry group Direct Selling Association, which represents these firms and others.


The recent controversies might raise the question: What's the difference between a legitimate multilevel marketing company and an illegal pyramid scheme, in which only people who get in first — at the top of the pyramid-like structure — make money and everyone else is a dupe?


The harshest critics maintain there is no difference, that there's no such thing as a legitimate MLM and that the industry's secrets stay safe because of a cultlike mentality and a blind eye of regulators.


Jon M. Taylor, who was once a seller for an MLM company, said he has studied the industry for 18 years and analyzed more than 500 MLM companies. He maintains the website MLM-thetruth.com and offers a free e-book there.


"I have not yet found a good MLM — a good MLM is an oxymoron," Taylor said.


He said all MLM companies have the same flaw: They depend on endless chains of recruiting new members.  "There is no more unfair and deceptive practice than multilevel marketing," Taylor said.


Tracy Coenen, a forensic accountant and fraud investigator with Sequence Inc. in Chicago and Milwaukee, is author of the Fraud Files Blog. She is also a critic.


"Multilevel marketing companies are pyramid schemes that the government allows to operate," said Coenen. "The only difference is that Herbalife, or any multilevel marketing company, has a tangible product that they use to make their pyramid appear legitimate."


The Direct Selling Association says MLMs are legitimate businesses, and that the group has about 200 members carefully screened by the organization to ensure they are not pyramid schemes and don't use deceptive practices.


The Federal Trade Commission agrees there are legitimate MLMs. The difference between a legitimate business and pyramid scheme comes down to products.


If the company and its distributors make money primarily from the sale of products to end-users (and not boxes of product accumulating in a distributor's garage), it's OK.


By contrast, a pyramid scheme compensates those at the top of the pyramid with participation fees paid by those recruited at the bottom. It eventually collapses when the scheme can't recruit more people.


But identifying a pyramid scheme can be difficult because MLMs typically have product sales, along with recruitment fees and recruitment incentives.


"It gets cloudy when you have a situation where you have fees being paid for both," said Monica Vaca, assistant director of the FTC's division of marketing practices. "It's very nuanced."


While prosecuting an MLM can seem somewhat of a judgment call, cases have a common factor: deceptive promises about how much money distributors will earn, Vaca said.


In the Fortune Hi-Tech Marketing case filed last month, C. Steven Baker, director of the FTC's Midwest region, said, "These defendants were promising people that if they worked hard they could make lots of money. But it was a rigged game, and the vast majority of people lost money."





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Blizzard wallops Northeast, thousands without power








A blizzard continued to pummel the Northeastern United States on Saturday, disrupting thousands of flights, shutting down roads and mass transit and blanketing the region with heavy snowfall.

Hundreds of thousands of people lost power, with more than 200,000 reported outages in Massachusetts, more than 100,000 in Rhode Island, and 30,000 in Connecticut, according to local utilities.


Forecasters warned that about 2 feet of snow would blanket most of the Boston area with some spots getting as much as 30 inches. New York was due to get about a foot in some areas, while heavy snowfall was also expected in Connecticut and Maine.

Winds reached 35 to 40 miles per hour (56 to 64 km per hour) by Friday afternoon and forecasters expected gusts up to 60 mph as the evening wore on.

The storm prompted the governors of Massachusetts, Rhode Island, Connecticut, New York and Maine to declare states of emergency in the face of the fearsome snowstorm. Massachusetts Governor Deval Patrick took the rare step of announcing a ban on most car travel starting Friday afternoon, while Connecticut Governor Dannel Malloy closed the state's highways to all but emergency vehicles.

By Friday night some commuter trains that run between New York City and Westchester County, Long Island and Connecticut had already been suspended. Amtrak suspended railroad service between New York, Boston and points north on Friday afternoon.

In many cases, authorities ordered non-essential government workers to stay home, urged private employers to do the same, told people to prepare for power outages and encouraged them to check on elderly or disabled neighbors.

"People need to take this storm seriously," said Malloy, Connecticut's governor. "Please stay home once the weather gets bad except in the case of real emergency."

The storm wasn't bad news for everyone.

In New York City, Mayor Michael Bloomberg suggested people relax at home - cook or watch a movie. Bloomberg said he planned on catching up on his sleep.

As she stocked up at a Brooklyn grocery store, 28-year-old Jackie Chevallier said that after two years without much snow, she was looking forward to waking up to a sea of white.

"I'd like to go sledding," she said.

The storm also posed a risk of flooding at high tide to areas still recovering from Superstorm Sandy last October.

"Many of the same communities that were inundated by Hurricane Sandy's tidal surge just about 100 days ago are likely to see some moderate coastal flooding this evening," said Bloomberg.






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In Nigeria, Polio Vaccine Workers Are Killed by Gunmen





At least nine polio immunization workers were shot to death in northern Nigeria on Friday by gunmen who attacked two clinics, officials said.




The killings, with eerie echoes of attacks that killed nine female polio workers in Pakistan in December, represented another serious setback for the global effort to eradicate polio.


Most of the victims were women and were shot in the back of the head, local reports said.


A four-day vaccination drive had just ended in Kano State, where the killings took place, and the vaccinators were in a “mop-up” phase, looking for children who had been missed, said Sarah Crowe, a spokeswoman for the United Nations Children’s Fund, one of the agencies running the eradication campaign.


Dr. Mohammad Ali Pate, Nigeria’s minister of state for health, said in a telephone interview that it was not entirely clear whether the gunmen were specifically targeting polio workers or just attacking the health centers where vaccinators happened to be gathering early in the morning. “Health workers are soft targets,” he said.


No one immediately took responsibility, but suspicion fell on Boko Haram, a militant Islamist group that has attacked police stations, government offices and even a religious leader’s convoy.


Polio, which once paralyzed millions of children, is now down to fewer than 1,000 known cases around the world, and is endemic in only three countries: Nigeria, Pakistan and Afghanistan.


Since September — when a new polio operations center was opened in the capital and Nigeria’s president, Goodluck Jonathan, appointed a special adviser for polio — the country had been improving, said Dr. Bruce Aylward, chief of polio eradication for the World Health Organization. There have been no new cases since Dec. 3.


While vaccinators have not previously been killed in the country, there is a long history of Nigerian Muslims shunning the vaccine.


Ten years ago, immunization was suspended for 11 months as local governors waited for local scientists to investigate rumors that it caused AIDS or was a Western plot to sterilize Muslim girls. That hiatus let cases spread across Africa. The Nigerian strain of the virus even reached Saudi Arabia when a Nigerian child living in hills outside Mecca was paralyzed.


Heidi Larson, an anthropologist at the London School of Hygiene and Tropical Medicine who tracks vaccine issues, said the newest killings “are kind of mimicking what’s going on in Pakistan, and I feel it’s very much prompted by that.”


In a roundabout way, the C.I.A. has been blamed for the Pakistan killings. In its effort to track Osama bin Laden, the agency paid a Pakistani doctor to seek entry to Bin Laden’s compound on the pretext of vaccinating the children — presumably to get DNA samples as evidence that it was the right family. That enraged some Taliban factions in Pakistan, which outlawed vaccination in their areas and threatened vaccinators.


Nigerian police officials said the first shootings were of eight workers early in the morning at a clinic in the Tarauni neighborhood of Kano, the state capital; two or three died. A survivor said the two gunmen then set fire to a curtain, locked the doors and left.


“We summoned our courage and broke the door because we realized they wanted to burn us alive,” the survivor said from her bed at Aminu Kano Teaching Hospital.


About an hour later, six men on three-wheeled motorcycles stormed a clinic in the Haye neighborhood, a few miles away. They killed seven women waiting to collect vaccine.


Ten years ago, Dr. Larson said, she joined a door-to-door vaccination drive in northern Nigeria as a Unicef communications officer, “and even then we were trying to calm rumors that the C.I.A. was involved,” she said. The Iraq and Afghanistan wars had convinced poor Muslims in many countries that Americans hated them, and some believed the American-made vaccine was a plot by Western drug companies and intelligence agencies.


Since the vaccine ruse in Pakistan, she said, “Frankly, now, I can’t go to them and say, ‘The C.I.A. isn’t involved.’ ”


Dr. Pate said the attack would not stop the newly reinvigorated eradication drive, adding, “This isn’t going to deter us from getting everyone vaccinated to save the lives of our children.”


Aminu Abubakar contributed reported from Kano, Nigeria.



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Rosenthal: Chevrolet restores style to Impala name








Because a brand embedded in our subconsciousness can find a space in our garage, the Impala endures.


About 16 million Chevys named for an African antelope have hit the road since 1958. And even though the one you recently returned to the airport rental lot bore little resemblance the one whose "giddy-up" the Beach Boys sang of a half-century ago, General Motors is betting the bloodline still can claim hearts.


A revamped 10th-generation 2014 model is now on display at the just-opened 105th Chicago Auto Show as a prelude to its dealership debut in a few weeks, a bid to re-establish its good name.






"It's always been a great brand name," Russ Clark, director of Chevrolet marketing, said alongside one of the made-over Impalas on the Auto Show floor at McCormick Place. "In fact, when we did research on the name, we found Impala is one of the strongest in terms of consideration and favorable opinion of any name in the industry. A lot of that is heritage. A lot of it is the fact that people say, 'I know people who have had them, and everybody loved them.'"


The brand has been ubiquitous for decades, even if you don't remember the Beach Boys immortalizing the vintage growl of a "four-speed dual-quad Posi-Traction 409" or how Robert Blake's 1970s TV tough guy Baretta drove a rusted-out Impala from '66, the era when Chevrolet could move about 1 million Impala sedans and station wagons a year. My own first car was a four-door V-8 '72 Impala, a powerful and roomy hand-me-down whose weather-beaten body — like the brand's identity — clearly had seen better days by the late '70s and early '80s.


More recent Impalas have hardly been the stuff of song, and it's hard to imagine them inspiring nostalgia. They've been too dully utilitarian to be iconic.


Nonetheless, although sales have slowed, it has been the overall best-seller among big sedans. Three-quarters of those sales have been as fleet vehicles for corporate salespeople, government agencies and rental companies. That means the premium has been on space, reliability and keeping costs down rather than the kind of panache and extras that might foster pride of ownership.


The goal of this Impala overhaul in both four- and six-cylinder iterations — drafting on similar nameplate revivals for models such as Ford's Taurus, Dodge's Charger and Chrysler's 300 — is to flip that 75-25 ratio of fleet sales to retail on its head.


"It makes perfectly good sense on General Motors' part to finally put some style back in the Impala," auto industry analyst Art Spinella, president of CNW Research, explained. "If you have a great brand name, to almost toss it off, treat it as an orphan and send it off to the fleet sales department with bland styling and cheap interiors, that's a disgrace. What they've done is kind of salvage themselves with this.


"It's finally dawned on General Motors that you can sell a consumer car to fleets, but you can't sell a fleet car to consumers. You always keep fleet cars (looking) relatively obscure and you keep the price way down, and that's what General Motors had been doing for years to keep the (Impala sales) volume up. Now they're taking another look. I don't think they've necessarily gone far enough, but it's a step in the right direction."


To wander through the vast Auto Show, which runs through Feb. 18, is to be reminded of how deeply many of us connect to vehicles, starting as children playing with toy trucks and cars. There's a teenage rite of passage when car keys and a license expand the world. Certain makes and models mesh with what played on their radios, the places traveled in them, the stage of life they marked.


That emotional bond doesn't form so easily with a mere box with wheels.


"What was it that made us fall in love with cars in the first place?" Henrik Fisker, executive chairman and co-founder of high-end hybrid carmaker Fisker Automotive, asked the crowd at Thursday's Economic Club of Chicago luncheon. "It struck me that most of us, when we really start to get our heart pumping about cars, it's usually not the cars of today. It's usually the cars of the '50s and '60s."


Road salt, slush and rain were my old '72 Impala's kryptonite. In time, its front bench seat reclined like a La-Z-Boy whenever I hit the gas because the floor beneath had rusted through. Whatever my affection for the vehicle, I could see the road we were on — literally and figuratively — both looking ahead and glancing down.


Thirty years after I traded it in for a sporty red Pontiac with seats that reclined only how and when I wanted, I would not have expected my old flame to generate much heat.


Carmakers, like most marketers, know that even when a brand is disconnected from what it once represented, it still can resonate. The new Impala is neither the muscular car of old nor the generic conveyance of late. Yet Impala means something to would-be buyers, and good or bad, it gives them something to measure this latest version against.


"They have equity in the name and you never get rid of a brand that has a good reputation," Spinella said. "Some people will buy it because it's an Impala. Some people won't. But they'll look at it because it's an Impala and they remember the Impala. It's easier to reintroduce a name than to introduce a name nobody knows."


I can still remember driving around with my friends with no particular place to go, a song on the radio about a horse with no name. If there was a tune about a nameless car, I don't recall it.


philrosenthal@tribune.com


Twitter @phil_rosenthal






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Hawks nail Torres, and then drill Coyotes 6-2









GLENDALE, Ariz. — Jamal Mayers punched Raffi Torres in the face, then Patrick Kane punched the rest of the Coyotes in the gut.

It didn't take long for the Blackhawks to get their reprisal on Torres and not much longer to get the last laugh, too, as they drilled the Coyotes 6-2 on Thursday night at Jobing.com Arena.



  • Related

























  • Video: Hawks' Mayers on fighting with Torres




    Video: Hawks' Mayers on fighting with Torres







































  • Kane no longer playing with mouth guard




    Kane no longer playing with mouth guard







































  • Box score: Blackhawks 6, Coyotes 2





    Box score: Blackhawks 6, Coyotes 2






































  • Video: Hossa on facing Torres, Coyotes




    Video: Hossa on facing Torres, Coyotes















  • Maps
























  • Jobing.com Arena, Westgate City Center, Glendale, AZ 85305, USA














  • United Center, 1901 West Madison Street, Chicago, IL 60612, USA












In Torres' first appearance against the Hawks since his 21-game suspension for an illegal hit that seriously injured Marian Hossa during the 2012 Stanley Cup playoffs ended, Mayers confronted the Coyotes veteran just 2 minutes, 35 seconds into the game.

Hossa watched from the bench as the two dropped the gloves and threw flurries of punches during the spirited bout. With that out of the way, it was time for Kane & Co. to get to work.

Kane had two goals and an assist — all in the first period — Jonathan Toews, Bryan Bickell and Viktor Stalberg each had a goal and an assist and Dave Bolland also scored as the Hawks remained unbeaten in regulation at 9-0-2.

"I realize what my job is at this point," Mayers said. "It still doesn't excuse what (Torres did) but give (him) credit that he was willing to go."

Said Torres: "(The Hossa incident) is in the past and part of the game but I understand that if I go out there and run around and throw some hits then I'm going to have to answer the bell sometimes. (Thursday night) was a perfect example."

Patrick Sharp added three assists and Ray Emery earned the victory in goal to help the Hawks move to 3-0-2 on their season-long, six-game trip. Martin Hanzal and Torres scored for the Coyotes and Mike Smith, who was yanked in the second period, suffered the loss.

"What Jamal did was great for the team and put that to rest," said Emery, who made 22 saves to up his record to 3-0-0.

"More important was to get the two points and stay focused, not let that whole situation get the best of us. I think we did that."

After the Mayers-Torres showdown, the Hawks exploded with four unanswered goals: one from Stalberg and two from Kane surrounding one from Bolland.

"We had a great start," Hawks coach Joel Quenneville said. "We had real good purpose to our game. … It was a great effort across the board. I was pleased with every aspect of our game, the contribution from each guy."

After Hanzal's goal early in the second, Toews and Bickell put the game out of reach.

Kane has eight goals and 10 assists in 11 games.

"It's always nice scoring goals when you're winning," Kane said. "Hopefully it's something I can continue and we can keep winning games."

ckuc@tribune.com

Twitter @ChrisKuc



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Broadway Motown musical features civil rights, love story






NEW YORK (Reuters) – Motown founder Berry Gordy Jr. watched with approval on Thursday as the cast of upcoming Broadway show “Motown: The Musical” tore through the storied record label’s hits at a 42nd Street rehearsal studio.


The show traces Gordy’s rise from a struggling boxer and autoworker to a music mogul who made stars of Smokey Robinson, Diana Ross, The Temptations, Stevie Wonder, Marvin Gaye, The Jackson 5 and others.






“So many other people were telling the story in different ways who were never there and never understood it, just for the sake of exploitation,” Gordy, 83, a producer of the show, told Reuters.


The media preview featured hits ranging from The Contours’ “Do You Love Me” – sung as a segregated audience in Birmingham, Alabama, breaks through a rope to hear the group – to “Dancing in the Street” by Martha and the Vandellas.


Director Charles Randolph-Wright, who grew up in South Carolina in the 1960s, said Motown was in his DNA.


Motown opened the emotional door to the civil rights movement,” he told Reuters. “Motown is the thing that brought people together. We started dancing to the same music and listening to the same music.”


Gordy’s relationship with Ross – the couple had a daughter together – is shown beginning in Paris, to the hit “My Girl” by The Temptations.


“That’s the love story in our show,” Randolph-Wright said.


The musical begins previews on March 11 and officially opens on April 14. It features a book by Gordy and music and lyrics from the Motown catalog.


Although the show is from Gordy’s perspective, it doesn’t duck some of the criticism that surrounded him, especially in Motown‘s early days, Randolph-Wright said.


As Gordy explained: “At one time, people were feeling that how could a black kid from Detroit do a Motown without being a crook, without being in the Mafia, without being something bad, because it was such a big endeavor.”


Gordy, the creator of what was once the largest black-owned business in the United States, was an inspiration to him, Randolph-Wright said.


“Berry Gordy was someone who had his own company, who literally changed the world with what he did,” he said. “And to see that, it gave me and so many people like me – black, white, whatever color – that gift of possibility.”


Brandon Victor Dixon, who plays Gordy, said it was “hard to have a greater honor than having Berry Gordy respect you as an artist.”


Valisia LeKae, who appeared in “The Book of Mormon,” plays Ross. “It is the soundtrack of people’s lives,” LeKae said of the music. “I definitely expect people to sing along.”


(Reporting By Noreen O’Donnell, editing by Jill Serjeant and Xavier Briand)


Music News Headlines – Yahoo! News





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