People News
Michael Jackson had 'sober coach'
Jun 29, 2009, 12:01 GMT

Those closest to the \'Thriller\' star - who passed away last Thursday (25.06.09) after suffering a suspected cardiac arrest - were reportedly so worried about his use of prescription drugs they considered having him forcibly committed to a rehabilitation clinic just two weeks ago. EPA/ANDY RAIN
Michael Jackson's family employed a 'sober coach' to accompany him on tour.
Those closest to the 'Thriller' star - who passed away last Thursday (25.06.09) after suffering a suspected cardiac arrest - were reportedly so worried about his use of prescription drugs they considered having him forcibly committed to a rehabilitation clinic just two weeks ago.
A source said: "No one in the family had realised how serious Michael's problems were until Randy, his youngest brother, started staying over at Michael's house. He quickly realised that the situation was grave and that Michael needed urgent medical help or he might die.
"Michael was adamant he did not have a drug problem and was not going to rehab. But in the end he relented to his family's wishes and agreed to having a sober companion."
Under Californian law, a person can be forcibly admitted into a detox facility under the recommendation of two psychiatrists, who must convince a judge they are a danger to themselves or others.
However, the source said: "It's an extremely difficult and lengthy process. When this was explained to the family, it was clearly not an option for Michael.
"Randy said they needed to save Michael from himself. His drug use was so severe, yet Michael was in total denial about how bad it was.
"He was having injections of the painkiller Demerol first thing in the morning and last thing at night, along with a host of other powerful drugs. He was refusing to eat and was popping pills constantly."
Because of Michael's resistance to rehab and his determination to honour touring commitments, his family set up a compromise where the 'Beat It' star agreed to consult Californian drugs expert Dr. Howard Samuels - known as Doc Hollywood - who runs Hollywood's Wonderland clinic.
It was agreed the 50-year-old star would detox at home under medical supervision and then be provided with the 'sober coach' - a trained professional who accompanies a patient full-time to ensure they stay off drugs by administering random drug tests and liaising with psychiatrists and other doctors - for the duration of his London residency, which was due to begin next month.
The source added to Britain's Mail On Sunday newspaper: "The Jackson family were recommended to call Wonderland as Dr. Samuels is very experienced at dealing with high-profile celebrities.
"The treatment was due to start this weekend. When someone is in as bad a state of dependence as Michael was you cannot detox them suddenly.
"The plan was to gradually start weaning him off the drugs this coming week. He would have had a team of doctors and nurses on call to deal with withdrawal symptoms. That was the plan."
A spokesman for Dr. Samuels - whose clinic previously treated Mike Tyson and Lindsay Lohan - refused to comment on Michael Jackson, citing doctor-patient confidentiality issues.

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Older Talkback
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Alida SchuylerJul 5th, 2009 - 23:45:58
If I had been Michael Jackson’s Sober Coach I would have talked to him about harm reduction not about quitting. Let’s face it, no one would want withdrawals before the start a world tour. It wouldn’t be practical because you would feel like hell. There was too much at stake for Michael and forcing him to quit was a bad idea.
Michael’s family was justifiably concerned about his drug use and arranged a detox at home under medical supervision and hired a sober companion to stay with him around the clock to ensure that he stay off drugs. But when people are pressured to do something they don’t want to do they balk or fight back. When people are pressured to quit—even if it is “for their own good”—they will resist because no one likes to be told what to do. And sometimes they resist by taking more of what they have been told to not take. That’s why I would have taken a harm reduction approach. Because there is more resistance and more pushback when you are saying you have to quit completely forever right now.
Michael clearly was not interested in quitting. But no one was talking to Michael on his terms. No one was asking Michael what he wanted to do about his drug use. They wanted to force him to quit before his tour and so a sober companion was hired. Not a sober coach or Recovery Coach but a sober companion.
A sober companion is not the same as a real coach. A sober companion is “a trained professional who accompanies a patient full-time to ensure they stay off drugs by administering random drug tests and liaising with psychiatrists and other doctors.” There is no coaching involved. The purpose of a sober companion is to insure compliance with abstinence.
A professional Recovery Coach on the other hand doesn’t force their client to do anything they don’t want to do. We want our clients to be in choice. Recovery Coaches know abstinence is a great long-term goal and highly recommend it, but we also know that not everyone wants to quit and so we are trained in harm reduction.
If I had been Michael Jackson’s Sober Coach I would have asked what the drugs were doing for him—because people take drugs for a reason. When people take opiates it is often so they can manage physical pain, reduce anxiety, or avoid flashbacks, subdue unwanted thoughts, or get decent sleep. I would have asked what needs of his was met by taking opiates. I would have asked him to consider other safer ways of meeting those needs. I would have asked him to be clear on how much opiates was needed to reduce his suffering and how much was too much. I would have worked with him to make a sustainable plan for reduced but adequate drug use for the length of his tour.
I wouldn’t have pressured him to quit right before the start of his tour. My concern is that Michael’s overdose was an unconscious reaction to being pressure to quit I wish Michael Jackson’s family had hired a Recovery Coach—he might be alive today if they had.
Alida Schuyler is Director of Crossroads Recovery Coaching.
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