Way Back Machine

“The Way Back Machine” is a series of interviews, by Trysh Travis, with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s.

The Way Back Machine—Jim Baumohl, Advocate for Research about Drugs, Alcohol, Poverty, and Homelessness, Part II

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Editor’s Note: This is the fourth installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

This is the Part II of Trysh Travis’s interview with Jim Baumhol. Be sure to read Part I of their wide-ranging conversation!

Most historians of alcohol and drugs know Jim Baumohl for two classic articles that examine alcohol institutions and policy history: “Inebriety, Doctors, and the State” (1987, with Robin Room) and “Building Systems to Manage Inebriates: The Divergent Paths of California and Massachusetts, 1891–1920” (1994, with Sarah Tracy). Few, however, are familiar with his rich body of work on poverty and homelessness—a polymorphous collection of research articles, white papers, and agency reports that basically map the US government’s failure to adequately imagine (much less implement) solutions to those issues in the post-Great Society era.

Like many of the folks featured in The Way Back Machine series, Jim Baumohl’s life during the 1970s and ‘80s featured a mix of political, intellectual, and research work. The rapidly shifting policy landscape created a set of conditions that invited creative, big-picture thinking as well as a strange mix of unabashed idealism and self-preserving sarcasm. All of these were on brilliant display when Points Managing Editor Emeritus Trysh Travis sat down with Jim for a two-part interview. Read Part I of their conversation.

Part II

Trysh Travis: Now all the pieces come together: unhoused youth and alcohol/drugs become “a thing” in the mid-1970s.

Jim Baumhol: Yes, but attention to that thing was operationalized in different ways. Some programs, like Manhattan’s The Door, were run by smart, experienced, and inventive professionals who understood young people and their dismal economic prospects in those years. The Door, which I first visited in 1977, I think, was the best funded, broadest, and most culturally diverse and sophisticated alternative service I ever saw. Perhaps most impressive, they took a variety of funding streams intended to support narrow purposes and provided a wide ranging, seamless, and individualized experience for their clients. As any program administrator will attest, that’s quite an achievement.

Way Back Machine Title Card Baumhol II

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The Way Back Machine—Jim Baumohl, Advocate for Research about Drugs, Alcohol, Poverty, and Homelessness

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Editor’s Note: This is the fourth installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

Most historians of alcohol and drugs know Jim Baumohl for two classic articles that examine alcohol institutions and policy history: “Inebriety, Doctors, and the State” (1987, with Robin Room) and “Building Systems to Manage Inebriates: The Divergent Paths of California and Massachusetts, 1891–1920” (1994, with Sarah Tracy). Few, however, are familiar with his rich body of work on poverty and homelessness—a polymorphous collection of research articles, white papers, and agency reports that basically map the US government’s failure to adequately imagine (much less implement) solutions to those issues in the post-Great Society era.

Currently Professor Emeritus of Social Work at Bryn Mawr’s Graduate School of Social Work and Social Research, Baumohl began his career in the most direct of “direct service” jobs, doing street outreach with runaway youth in Berkeley during the early 1970s. With Henry Miller (no, not that Henry Miller!), he authored Down and Out in Berkeley: An Overview of a Study of Street People (1974) while earning an MSW in Berkeley’s Social Welfare program.

He worked as an itinerant researcher, consultant, and tenant organizer while completing his PhD, which culminated in his dissertation “Dashaways and Doctors: The Treatment of Habitual Drunkards in San Francisco from the Gold Rush to Prohibition.” This field-defining monograph reveals the degree to which innovations in alcohol services generally attributed to the vague forces of “medicalization” and “the Progressive era” were intimately tied to the culture and politics of specific states. Baumohl is now at work on a suite of articles that look at California’s management of alcohol and other drugs—and of the people who used them excessively—from statehood in 1850 to the closure of the California State Narcotic Hospital in 1941.

Like many of the folks featured in The Way Back Machine series, Jim Baumohl’s life during the 1970s and ‘80s featured a mix of political, intellectual, and research work. The rapidly shifting policy landscape created a set of conditions that invited creative, big-picture thinking as well as a strange mix of unabashed idealism and self-preserving sarcasm. All of these were on brilliant display when Points Managing Editor Emeritus Trysh Travis sat down with Jim for a two-part interview.

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The Way Back Machine—Cora Lee Wetherington, NIDA Advocate for Research about Drugs and Women

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Editor’s Note: This is the third installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

First, a little background: in response to the heroin panic then gripping the nation, the National Institute on Drug Abuse (NIDA) was founded by executive order in 1973 within the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) housed in the Department of Health, Education, and Welfare (now the Department of Health and Human Services). In the words of its founding Director, Robert L. DuPont (2009), NIDA represented “the nation’s new commitment to demand reduction as a central element of drug abuse policy, and as the center of public health activity on drug abuse.” For about ten years, NIDA functioned as what DuPont called a “three-legged stool”: it oversaw research (human and animal studies of the “basic biology of addiction” as well as drug epidemiology and drug effects); training (of clinical personnel); and service (in the areas of drug abuse prevention and treatment). But in the 1980s, things got complicated.

Beginning in 1982, the Reagan administration’s shift from categorical to block grants gave states new discretion in spending on alcohol, drug, and mental health issues. Subsequent legislation throughout the ‘80s—influenced in part by a new panic over cocaine—pushed for more prevention and treatment services for “special populations,” including youth, pregnant women, the chronically mentally ill and un-housed, minorities, and people with HIV.

The 1992 ADAMHA Reorganization Act broke NIDA’s three-legged stool approach to drug problems. Along with its coequals, the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Mental Health, NIDA’s research leg moved into the National Institute of Health. The legs devoted to training and services were parceled out to two new Centers, one for Substance Abuse Prevention and one for Substance Abuse Treatment. These entities were housed in ADAMHA’s replacement, the Substance Abuse and Mental Health Services Administration. If you’ve followed me this far, you can probably tell: the 1980s and 1990s were a helluva time.

As Laura Schmidt and Constance Weisner (2002) have pointed out, block grant funding threatened the survival of women’s treatment programs founded in the late 1970s. States had discretion in how they spent block grants—so, if a state didn’t care about women substance users, well, too bad. In response, activists and treatment providers worked to frame women—especially pregnant women—as a “special population” deserving of their own stream of research funding.

One of the staunchest advocates for research on women was Cora Lee Wetherington, who came to NIDA as a program officer in 1987 and served as Women and Gender/Sex Differences Research Coordinator from 1995 until her retirement in 2019. As a friendly co-conspirator on countless research proposals and a tireless promoter of the (crazy!) notion that research protocols needed to enroll female subjects if they hoped to produce real-world outcomes, Wetherington helped shape a generation (maybe two!) of federally-funded feminist research. She sat down with Points Managing Editor Emerita Trysh Travis to reflect on what a long, strange trip it’s been.

Cora Lee Wetherington Moderating a Panel
Cora Lee Wetherington (left) moderating a panel at the 2018 “Opioid and Nicotine Use, Dependence, and Recovery: Influences of Sex and Gender” conference hosted by the Food and Drug Administration. Image Courtesy of FDAWomen on Twitter.

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The Way Back Machine—Jackie Jenkins-Scott and Community-Based Treatment in Roxbury

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Editor’s Note: This is the second installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

The coronavirus pandemic has brought to light not only America’s glaring health inequalities, but also the community health centers (CHCs) that serve many of the nation’s most marginalized populations. One of the most enduring features of President Lyndon Johnson’s War on Poverty, these comprehensive facilities began with sprawling missions—not just biomedical and psychiatric health care, but also early childhood education, adult job training, and (you guessed it) alcohol and drug education and treatment.  The recent spotlight on the CHCs’ strengths and vulnerabilities prompted Points’ Managing Editor Emerita Trysh Travis to dig a little deeper into this last aspect of their mission as part of her ongoing efforts to understand the grassroots theories of substance abuse and recovery that were elaborated in the 1970s, often in urban environments far from the bucolic precincts of “the Minnesota Model.”

JackieJenkins-Scott
Jackie Jenkins-Scott.

Jackie Jenkins-Scott is the former President of Wheelock College, a founding partner of JJS Advising, and the author of the Seven Secrets of Responsive Leadership (Career Press, 2020). Before she became a “thought leader” in organizational change, however, she was a pioneering presence in community-based substance abuse treatment, working at the Dimock Community Health Center in Boston’s Roxbury neighborhood (among other places). Is there anybody better qualified to talk about the evolution of service delivery and recovery during the last decades of the twentieth century? We didn’t think so either.

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The Way Back Machine—Marsha Rosenbaum: Women on Heroin at 40

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Editor’s Note: In conjunction with Women’s History Month, this is the first installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

Women on Heroin Cover
Cover of Women on Heroin by Marsha Rosenbaum.

When Richard Nixon declared drug abuse “public enemy #1” in 1971, the assumed abuser was male—probably a man of color, possibly a poor white man, but almost certainly a man. Women were known to use and abuse narcotics, but their numbers were small. As a result, theories of narcotics use, and the policy prescriptions that sprang from them, rarely paid attention to the woman user. Medical sociologist Marsha Rosenbaum set out to correct that problem with Women on Heroin (WOH), a field-defining study published forty years ago by Rutgers University Press.

Now retired, Rosenbaum went on to a long career as a researcher with the Institute for Scientific Analysis in San Francisco, where much of her work continued to focus on gender and narcotic use, especially the possibilities of methadone. She served as the Director for the San Francisco office of the Drug Policy Alliance from 1995-2008, where she took early and courageous stands in favor of harm reduction, marijuana legalization, and honest, science-based drug education for teens.

I caught up with Rosenbaum recently to celebrate the anniversary of WOH and discuss what lessons it might offer to feminist drug historians—including historians of the current opioid crisis.

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