"...And
lead us not into temptation, but deliver us from evil." (Matthew 6:13)
This booklet
is about teenagers and alcohol. It's about prevention work, pastoral care
of teenagers, and the role of religious communities. Here is information,
things to look for and understand, and some practical ways of taking action.
Teenage
Tests and Trials
The teenage
years — adolescence into adulthood — challenge young persons with daily
tests and trials. Reaching up for adulthood, seeking independence, breaking
away are full of dangers and opportunities. Learning comes through experimentation,
following others and finding out for yourself. Relationships are uncertain,
exciting, scary, satisfying and require endless discussion. Moods shift
from bravado to shyness, from isolated loneliness to security in "hanging
out" together. Daring to risk by reaching out can be blocked by fear. Insisting
on what's "right" covers secret doubts. Confidence alternates with uncertainty.
Emotions turn through laughter, pain, joy and boredom. Some days are up,
others down. Moving into the adult world is never easy.
This normal
teenage life also challenges the folks around the young person. All are
tested. What to say? What to do? How to relate? You try to do all the important
things; guiding, admonishing, holding to standards, setting examples, trying
to love and be fair. Issues come up around friends, romance, sex, health,
driving, and school grades.
But when
in the midst of all this "normal" growing up, a teenager begins to have
drinking problems, troubles multiply. Worry, anxiety, anger and helplessness
can plague the family and friends. In this situation, family members often
turn to a religious leader for advice.
For
Responsible Religious Leaders
"Thy
rod and thy staff, they comfort me." (Psalm 23.4b)
This publication
is for religious leaders, engaged in ongoing, day-to-day pastoral care
in local congregations.
This booklet
can be useful to administrators and executives within denominational organizations
responsible for seeing that resources and information are available for
the ministers at the local level. This information can help in establishing
policy guidelines.
Religious
Leaders Teach in Many Ways
"Thus
you will know them by their fruits." (Matthew 7:20)
Religious
leaders are role models (like it or not.) They live a "fish bowl" life.
In the use or non-use of alcohol, your behavior is a public example, watched
and talked about. Young people learn behavior primarily from role models.
Who we are, and what we do, influences the young much more than what we
say. The language of daily relationships is more influential than the language
of words. A double-meaning, double-bind message is delivered when adults
do not act the way they speak — when
they "don't walk the talk."
Ministers
have many formal educational opportunities such as sermons, lectures, planned
courses and other program activities. Of equal importance is informal teaching
which flows through guidance and counseling sessions with teenagers. Learning
comes through daily encounters; on the street, in a store, at the doctor's
office. Mutual learning is part of any conversation.
Why
the High Priority for Early Intervention?
"And
he entered into a house..." (Mark 7:24b)
Research,
and common sense, tell us that early intervention — breaking
into destructive behavior patterns before they become deep-seated —
is most effective. Now it's
more critical than ever as young people are experimenting with adult behaviors
at earlier age levels than before.
Such evidence
comes from the observations of college counselors from their interviews
with entering students. It appears that over the last five to eight years,
the amount of drinking experience which the young people are bringing to
the campus has increased markedly. This indicates that, for some, use is
beginning at an early age and therefore, the behavior is more deep-seated
and of longer duration than in times past. Experimentation and use at earlier
age levels is part of a general phenomena called the "loss of childhood."
Thus early intervention is needed more than ever. Fortunately, religious
leaders have special advantages in early, constructive intervention.
The
Pastoral Calling Advantage
"And
when did we see thee sick or in prison and visit thee?" And the King will
answer them, 'Truly, I say to you, as you did it to one of the least of
these my brethren, you did it unto me.' (Matthew 25:39-40)
Teenage drinking
problems, unlike some other problems, are not socially acceptable. Family
members and friends cover up and refuse to acknowledge the truth —
that the problem exists.
Denial occurs. The knowledge can stay hidden. Somehow family members refuse
to see or believe that their teenager is having difficulties.
A religious
leader has the distinction of being one professional who can, without an
appointment, appear at the door of a home, ring the bell and be invited
in. It is accepted by members of religious groups that the ordained leaders
have not only the right but the duty to make house calls. Indeed, many
church members get upset if clergy don't make regular home calls.
Other professionals
do not have "cold call" rights — nor
are house calls expected. A religious leader's ability to make a "cold
call" is a powerful tool for early intervention. Entrance into the home
can uncover problems and break the circle of secrecy. Such in-breaking
can start remedial action and move the teenager and his family to seek
help.
The
"Generational Factor" Advantage
"We
gather together to ask the Lord's blessing;" (Hymn; Traditional Netherlands
Melody; arr. Edward Kremser)
A major advantage
religious communities have, usually lacking in other organizations, is
the "generational factor." Family members spanning three generations —
children, parents, and grandparents
— frequently
attend the same church. Other relatives may also attend. Usually friends
of the teenager are members of the congregation.
Religious
leaders are the most likely professionals to have knowledge of both the
immediate and the extended family members. Despite our nomadic society,
religious celebrations are gathering places for the extended family. They
come for worship, to weddings, baptisms, bar mitzvahs, holidays, memorial
services and funerals.
Religious
institutions, of all the contemporary "agencies," have the best opportunity
to make contact with all the family members. This "generational factor"
is a powerful resource for knowledge and strategic action in moving in
on a "family" problem.
The
"Hearing" Advantage
And
he said, "He who has ears to hear, let him hear." (Mark 4:9)
Religious
leaders have access to an information and communication network not readily
available to other professionals. In the public domain the religious leader
occupies a position of prominence. A leader who is community oriented (not
bound by narrow parochialism) is in touch with many sources of information.
This style of ministry is so useful in a time of weakened community bonds.
Religious
leaders can hear of a teenager in trouble from many sources such as friends
of the family, neighbors, other parents, the school committee members,
after-school program leaders. School officials, coaches, police officers
and store owners are also sources of information.
The three
advantages; the house call, the generational factor, and the broad information
network throughout the community provide the religious leader with opportunities
for effective, early intervention to benefit a teenager in trouble. But
it is possible to avoid pastoral responsibility.
Avoiding
the Responsibility
"Now
by chance a priest was going down the road; and when he saw him he passed
by on the other side." (Luke 10:31)
One clear
avoidance tactic is not learning about or not understanding the health
system and the resources available in the local region. Another form of
shirking duty is to dodge the issue with the attitude: "It's too difficult
to deal with. After all, teenagers are trouble enough but when they are
mixed up in alcohol problems, it's too much."
That attitude
fosters the habit of ducking, taking the easy path, by abruptly referring
the teenager and his family elsewhere before using the pastoral skills
to understand the situation. While a competent assessment of a specialist
is usually required, it is important for the pastor to know the entire
picture and what sort of help is most appropriate. Shunning pastoral responsibility
fails to bring the resources of the believing, supportive community into
the situation.
Another
dodge is to over-engage in public lament with rhetoric. Leaders make "view
with alarm" statements, repeating well-known statistics and, in general,
are content to bemoan the sad state of affairs. Such habitual pronouncements
prove the truth of that old saying, "When all is said and done —
more is said than done."
But most
religious leaders are actively engaged in dealing with drinking problems
and understand how important the function of religious tradition, ethnic
rituals and social standards are within healthy family life.
Three
Family Patterns
"And
these words which I command you this day shall be upon your heart; and
you shall teach them diligently to your children, and shall talk of them
when you sit in your house, and when you walk by the way, and when you
lie down, and when you rise." (Deuteronomy 6:6-7)
The manner
in which traditions, rituals and standards are explained, taught and actually
lived out by adults influences the thinking, the attitudes and the behavior
of the young
alcohol use. Good communication and consistent
adult behavior is required if the young people are going to internalize
the standards and make the traditions their own way of life. Three family
patterns around alcohol use can be described as follows:
(1) Moderation
and good communication
(2) Abstinence
and good communication
(3) Ambiguity
and uncertain communication.
I. Moderation
and Good Communication
In this
family pattern, the use of alcohol is a normal part of family life, especially
on holidays and at special family celebrations. Children may be introduced
to alcohol use in guided incremental stages; a detailed explanation of
family standards and expectations of appropriate social behavior are carefully
communicated and observed by the adults. These norms may stem from a religious
tradition (a sacrament), from an ethnic ritual (a toast during a celebration)
or from a social standard (moderate social use of alcoholic beverages,
accepted — excessive
use, not tolerated). Here the acceptable use of alcoholic beverages is
clearly defined and articulated. Improper use is not sanctioned.
II.
Abstinence and Good Communication
Abstinence
has become the cultural norm in several religious traditions. Family standards
which dictate that alcohol consumption is unacceptable are learned and
often reinforced by religious injunctions. These behavior patterns are
discussed and lived by the entire family.
In introducing
the North Conway Institute publication, Personal Responsible Abstinence,
President David Works writes:
"In
publishing a study document on abstinence, the Institute honors the work
of a committed group of persons who have labored to make this view of responsible
decision making available. The non-use of alcohol is a valid position on
beverage alcohol. It is a symbolic action which could become a most effective
alternative to irresponsible drinking."
Author Reverend
Dr. John A. Wood states:
"A
person who denies himself/herself of alcohol is not making a sacrifice
that robs the individual of any self-fulfilling potential. The Judeo-Christian
tradition teaches that a life of self-actualization is not achieved though
the use of any substance, but through inner peace, a sense of purpose in
life, and by serving others."
Abstinence
remains part of a total way of life for a large number of families in our
society.
III.
Ambiguity and Uncertain Communication
Many families
are uncertain and ambiguous about the use of alcohol by adults, and even
more so about its use by young people. Often this uncertainty and ambiguity
takes the form of a double standard whereby it's all right for adults to
drink but it is positively forbidden for teenagers to drink under any circumstances.
Often there is no clear guidance from a religious tradition presented by
the adults to the children. Uncertain norms and standards can be a part
of a general failure of communication between the generations. In families
which provide no clear or understandable steps for attaining adulthood,
uncertainty and confusion result, and teenagers are left under the power
of peer group pressures. Here alcohol abuse may merge with other types
of troubled behavior.
No particular
family fits exactly into one of these model patterns. And while well articulated
religious traditions, ethnic practices or social standards help in providing
behavior guidelines, every family these days labors under disruptive influences
active in the surrounding community. This disruption means that many teenagers
live in homes with hidden turmoil or in homes already broken.
In your
regular work in the congregation and in the community, pay careful attention
to the types of family stress and disruption which create undue emotional
and spiritual pressures on teenagers. Be sensitive to the short-term and
long-term conditions which lead to deviant behavior. The following questions
illustrate the wide range of factors which can alert you to the possibility
of a teenager in difficulty.
Be
Aware of Specific Family Troubles
Get a clear
idea of who the family members are and who is living in the household,
and of the basic family relations of the teenager. Is it just the immediate,
nuclear family? How about grandparents, aunts, uncles, outsiders? Are there
"non-traditional" relationships in the household? Is it a broken home through
divorce, death, economic necessity? Are step-parents in the picture? In
general, how do the family members relate to each other? Has there been
a history of conflict between family members? How do the members interact
with people outside the family? What are the perceptions of the family
in the community? Are they talked about? Are the children considered to
be troublemakers?
Are there
signs of marital conflict between the father and the mother? Is there any
public talk of family trouble, hints of divorce, previous separations?
What's been the the character of that conflict? Is it religious, ethnic,
economic, or personal alienation?
Check and
see about any of the deceased members who used to live in the household,
and have there been any recent deaths? How about illnesses in the family?
Are there any serious illnesses, any chronic illnesses; is illness a significant
factor in the family pattern? Are there any major losses? These could be
in terms of economic losses, personal losses, tragedies —
anything which might produce
trauma or severe changes. From your information, can you tell how the family
members interact with each other?
Concerning
alcohol use, how do the family members use alcohol; are some abstainers,
some moderate drinkers? Has anyone had trouble with it, before the courts
or in treatment?
In general,
be aware of long term disturbances or recent traumatic events which create
family stress. You're looking at all these matters to see how they might
impact on the adolescent.
Concerning
the Teenager
The following
are some of the many factors to look out for in the behavior of a teenager
if you suspect there is difficulty.
How is
school going for the youngster? Are there any academic problems? Has there
been a recent drop in school grades? How does the performance compare to
that of the siblings? Is there any hint of learning disabilities; has the
student been in remedial classes? How is the behavior concerning school
such as lateness or absenteeism, truancy, cutting classes, suspension or
expulsion? Are there conflicts with teachers, authorities or other students?
What are the parents' expectations for their child? Is education in school
important to the parents?
Be alert
to reports of anti-social behavior which might include extreme aggressiveness
or passivity, emotional unevenness or flare-ups, rebelliousness, unexplained
absences or staying out all night or running away, shop lifting, auto theft,
vandalism, and especially to any recent change in personality.
For teenagers
personal appearance is a key factor. For many adults, teenage dress patterns
are at odds with adult standards, but the clothing style needs to be seen
in relation to the prevailing local peer customs. But disinterest, lack
of care about dress and general hygiene should be taken seriously. Studies
have shown that disinterest in appearance by a teenager can be a significant
indicator of alcohol trouble, chemical dependency or mental health problems.
Of course
it is always important to have a general knowledge of the basic health
of the teenager. Is there a history of significant illnesses? Have there
been any hospitalizations? What is the current state of health? Of special
interest is the evidence of any change in sleep patterns; especially being
hard to wake up, falling asleep inappropriately or not being able to sleep.
Changes in sleeping patterns can be an indicator of active alcohol abuse
and/or depression.
When gaining
knowledge of these matters relating to the teenager's behavior, it is important
to keep your mind open and not jump to the conclusion that it must be alcohol
abuse. There may be another cause or several contributing causes; physical,
mental or social. It is imperative to have competent professional guidance
as to the most appropriate type of intervention or therapy. In some instances
young people are rushed into treatment for alcohol abuse when other treatments
are the needed therapy.
Putting
It All Together — In
Action
"...pray
therefore the Lord of the harvest to send out laborers into his harvest."
(Matthew 9:38)
With the knowledge
gained from the congregation and community information network, you are
ready to go into action. Use all the advantages of the ministry. The pastoral
calling advantage gives you a head start. At the first hint of trouble
don't hesitate to talk to the teenager directly. Do it in a private, one
to one, conversation. Lay out what you have heard — not
with accusations, but with genuine interest. Show concern. You really want
to help if difficulties are causing trouble. Be open. Let the young person
know, that you know, how tough things can be, when you are facing them
alone. Maybe there will be an opening and things can be shared.
How far
this will go depends on your existing relation with the young person. But
don't hold back. Reach out. If trouble is bubbling up it is better to go
after it head on. Sure, you may be rejected, but you can take it. To provide
help in times of trouble is our job.
If things
don't move with the teenager, see the family members. Use the Pastoral
Calling Advantage. They may be covering up — playing
the game of "hiding the truth." Maybe they can't admit what they already
suspect. You may be rebuffed, but the visit will be remembered later, when
they are able to reach out for help.
But quite
often people are grateful and relieved to be able to talk about it. Your
visit will be appreciated. With your knowledge of the helping network,
steps toward help can start.
As important
as pastoral care is, for troubled youth, prevention of trouble is our greatest
task. Prevention means, "to go before." Our basic work is getting out in
front — to
block trouble before it hits the young. Here are some things we can do.
Encouraging
Youth Participation
"Let
the children come unto me, do not hinder them; for to such belongs the
kingdom of God." (Mark 10:14b)
Providing
a rounded religious ministry to and for teenagers is the best form of prevention.
Despite the differences in the size, geographical location and resources,
congregations can offer a ministry that includes learning, service, fun,
social action and worship. As one adult youth leader put it, "Our top priority
is to provide a spiritual place where youth feel accepted and loved, where
they feel safe and can share, where they can begin to explore the blessings
and responsibilities of being Children of God."
A teenage
boy who is a member of that church said, "This is a place where teens are
really valued. People here pay attention to what you feel and think."
A formulated
and stated policy by the congregational leadership can help create a constructive
youth ministry. All the adult members can share in building good relationships
between the generations. When young people break out from childhood patterns,
they need the support and interest of other adults beyond their family
ties. The "Generational Factor Advantage" comes into play. Pastors, family
and adult youth leaders who know the young people can encourage the development
of adult-youth relationships. This reaching out across the generations
makes a strong pastoral network.
Young people
can be included in the activities and events of the whole congregation.
They need to be asked and invited. Once a new pastor was disturbed because
none of the teenage boys would have anything to do with the church. Then
he remembered that the first-string fullback of the local high school was
a member of the parish family. So late one fall afternoon, he went down
to the football field. As Bruce, the fullback, was on his way to the locker
room after practice, the minister stopped him. "Bruce, you carry the ball
mighty well out here on Saturday afternoons but I'm in trouble and I need
your help. I need you to carry the cross for me on Sunday morning in the
church service. Will you do it?" Bruce was taken back and hesitated. After
a long pause he said, "Well, I guess so. Ya, sure, I'll do it." And after
thanking him the pastor turned away and added, "And Bruce, bring along
a couple of your buddies to help you out." Next Sunday three strong, young
men marched in the church procession. From that simple beginning, Bruce
and his two friends became the nucleus for an active, young men's service
fellowship of high school students which has continued through the years.
Young people
respond to the challenge of worthwhile activities, teaching and planning
courses for the younger children, singing and playing an instrument in
the music program, helping on work task forces, assisting at suppers and
other events. Like others, young people should be recognized for their
accomplishments and activities by acknowledgements during the service and
in the newsletter. Young people need opportunities to relate their experiences,
their points of view and the meaning of their faith at forums, church meetings,
and from the pulpit.
Service
in the Outside World
"Go
into all the World..." (Mark 16:15b)
The scripture
urges us to go into all the world and preach the gospel. For teenagers,
simply getting out of the normal routine of the everyday scene can open
up new understandings of life.
One youth
group went on a weekend work project in the next state. They painted walls,
built book shelves and did landscaping chores at a school for disadvantaged
children. One teenage girl describing the trip said, "It was really rewarding.
I had a chance to make a difference in those kids' lives. They were so
thankful. But I was given more than I gave."
Religious
organizations can set up experiences which cross social boundaries, such
as visits to nursing homes or prisons. Volunteer work can be conducted
in hospitals, schools, and shelters for the homeless. Exchange visits between
churches in areas can carry the young across cultural, economic and ethnic
boundaries. Because of the religious community's network of service opportunities,
projects can be developed locally, regionally and internationally.
The faith
communities are free from a lot of bureaucratic regulations. They can try
new and creative programs to provide experiences which expand the vision
of teenagers, which reveal how others live and think, which open up the
cultural richness of the different kinds of people in this world.
In all
of this, minds and skills are tested. Constructive experimentation takes
place. In a new situation a young person can discover new strengths. One
shy teenage boy was selected to be the supervisor of the carpentry team
on a weeklong project. Abilities and skills came out that he didn't know
he had. As he looked back he reported, "I got a whole new sense of myself.
I realized that I could do things that I didn't know I could do. I learned
to take risks — to
go for it. That work project turned my life around."
Conclusion
Helping
to turn lives around, opening up new experiences, providing sound values
for responsible decisions and presenting an understanding of life based
on religious faith, is what we owe to the young.
When difficulties
emerge around alcohol use and around any of the many other problems which
afflict youth, we need to employ all our pastoral skills, the "Advantages"
of the congregation and the resources of the community to bring healing
to all afflicted.
Our first
task is to continue building strong, worshipping congregations in which
hope is stirred up and a vision of God's intention for our lives, proclaimed.
In an energetic faith community which understands the journey into adulthood,
we can provide relationships of support and challenge for our teenagers
to strengthen their spirit for their new adult life. This needs to be a
congregational priority carried out with constant commitment and creative
program planning.
Bibliography
Alcohol
and the American Churches. Boston: North Conway Institute, 1967.
A comprehensive
document including: an historical survey, summaries of papers on a united
approach to alcohol problems, statements of national study groups, a series
of the consensus statements from 13 annual NCI conferences, a community
resource check list, and an extensive bibliography.
Guided
Rational Adolescent Substance Abuse Profile; Manual and Instrument. Addiction
Recovery Corporation, Rockville, MD, 1986.
The documents designed for clinical assessment indicate
the multiple factors and issues influencing adolescent substance use and
abuse.
Keller,
Mark, Drinking and Religion. Boston: North Conway Institute, 1984.
A paper
surveying the historic relation between religion and alcohol in several
major religious traditions.
Responsible
Decisions About Alcohol. Boston: North Conway Institute, 1977.
Edited
papers of the 23rd Annual Assembly of the North Conway Institute focusing
on prevention and the role of the religious organizations.
The
Jessor File: Contributions to Prevention Research, Theory, and Program
Planning. Prevention Forum, Vol. 6, Issue 2, Jan. 1988. Prevention
Resource Center, Springfield, IL.
A brief
description and overview of the Problem Behavior Theory of Richard and
Shirley Jessor.
Wood, John
A. Personal Responsible Abstinence: One Christian Approach to the Prevention
of Problem Drinking. Boston: North Conway Institute, 1979.
A Christian
interpretation for a responsible decision for abstinence.
Works,
David A. Pastoral Care of Families: Including Alcoholics
and Problem Drinkers. Boston: North Conway Institute, 1987.
A lively
approach to providing help to those in trouble.
The
North Conway Institute (NCI) is an interfaith, ecumenical, interdisciplinary
nonprofit organization that works with religious and secular groups in
addressing problems of alcohol and drug abuse. An outgrowth of the Yale
University School of Alcohol Studies, NCI was founded in 1951 in North
Conway, NH, by the Rev. David A. Works and a group of concerned clergy
and lay persons.
Its major
goals are to promote education for the prevention of alcohol and drug abuse;
to improve care and rehabilitation of alcoholics; to further personal,
responsible decision making about the use/non-use of alcohol beverages;
and to develop a better climate for discussion, research, and action on
all aspects of alcohol problems.
The
Rev. John Soleau is a consultant to The North Conway Institute and
to other religious and human service institutions in the areas of policy
direction, program development and community organization. As a pastoral
theologian, he is an author and lecturer in the field of addictions and
a designer of recovery programs and educational workshops. Formally he
was the Chairman of the Department of Pastoral Theology at Virginia Theological
Seminary and presently serves as the President of the Central Middlesex
Mental Health Association in Massachusetts and on the staff of Grace Episcopal
Church, Lawrence.
The preparation
and editorial content of this document is entirely the responsibility of
the North Conway Institute.