Monday, May 9, 2011

Wet Houses - An Article

St. Paul, Minnesota (CNN) - It's been over seven years since Marion Hagerman has spoken to anyone in his family.  As he huddles behind a parked trailer on a cold early spring day, Hagerman reflects on his life, and recalls what led him to this moment.
"This is my lifestyle," says Hagerman, 54, while sneaking a swig of what he calls "wash," or mouthwash - a cheap way of getting intoxicated. "It ain't much, but this is what I have.  It sucks. "
He says he held a steady job for 20 years, before his addiction to alcohol took over his life.  Today, Hagerman lives at St. Anthony Residence in St. Paul, Minnesota, along with about 60 other late-stage alcoholics.
St. Anthony, which receives funds from the state and is operated by Catholic Charities, is known as a "wet house" because Hagerman and the others are allowed to drink on site, with some caveats - including no mouthwash.
"It's not bad. I got cable TV," Hagerman says.   "You can't drink in your room, but you can drink. You gotta do it outside."
The theory is that it's better to allow these guys to drink in a safe place than to end up on the streets and in the city's emergency rooms, jails, and detox centers.   At St. Anthony, they have access to nurses - and doctors if the situation warrants - plus on-site case managers to aid in their addiction. Ideally, St. Anthony's counselors want the residents to sober up – but they realize that there isn't a strong chance of that happening.
St. Paul isn't the only city that has a "wet house"-style residence - Seattle was one of the first cities to put this concept into practice in 2005, and Memphis is considering building one, too.
Another argument in favor of the concept is that it saves money.   Each St. Anthony's resident costs about $18,000 a year to house and feed, about $1,500 a month.  A study in the Journal of the American Medical Association indicates that if these men were out on the street, it could cost over $4,000 a month in incarceration, shelter and sobering center use, hospital-based medical services, publicly funded alcohol and drug detoxification and treatment, and emergency medical services.
But the idea of allowing alcoholics to drink is antithetic to the basic tenets of addiction counseling.
"We feel that that it's never too late, and that even if the alcoholic doesn't want help, doesn't mean that their drinking should be condoned or in any other way enabled or facilitated," says William Cope Moyers, public advocacy executive director for Hazelden addiction treatment centers in the Minneapolis-St. Paul region.
"I see the wet house model as a model that enables the addict in the alcoholic to continue those destructive patterns." Full Article HERE.
After reading this article, I decided to marinate on it before blogging to make certain I was seeing all sides of the argument.  I came to the same conclusion - I don't see how this is helpful aside from putting a roof over someone's head and providing medical care - I don't see an addiction cycle being broken - I see addiction being tolerated in a semi-controlled environment until death or other help is sought.

I feel very underqualified to comment further - I would like to hear from some people who are walking the road of recovery as an alcoholic

2 comments:

  1. Thank you for this post... it is a frustratingly difficult issue.

    I am in recovery from alcohol. I mention this not to give my opinion special weight, but because you specifically requested comments from people of my background.

    Again, this is a tough issue. On the one hand, as you suggest, it doesn't seem to solve the problem of the addiction. I think you are right when you say it only "tolerates it".

    On the other, and this is where I ultimately come down, I am not opposed to this type of house.

    In essence, while we may honestly believe that sobriety is the right choice for these people, it is not our choice to make. We may present them with the path, and the tools to follow it, but it is improper for us to impose sobriety upon them, thus denying they're personal choice.

    The decision then becomes, "Do we support such a house?" For me that answer is easy. Economically it makes sense, and it does offer what comfort we can give to otherwise lost people. Just because they refuse the best we have to offer (sobriety) doesn't mean we shouldn't offer what they will accept.

    It's tough, but it's where I come down.

    Thank you for the opportunity to respond.

    @habituatedbuddh
    http://habituatedbuddhist.wordpress.com/

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  2. Thank you for your insight. I see your side which is exactly why I asked for comments.

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