Pubdate: Sun, 29 May 2005 Source: Messenger-Inquirer (KY) Copyright: 2005 Messenger-Inquirer Contact: http://www.messenger-inquirer.com Details: http://www.mapinc.org/media/1285 Author: David Blackburn and Ryan Garrett, Messenger-Inquirer Bookmark: http://www.mapinc.org/rehab.htm (Treatment) HELP ISN'T FAR AWAY Addicts Can Turn to Several Local Agencies By 1993, Brenda Oldham was at a point where "everything in my life hurt." She was in an abusive relationship that forced her to deal with her abusive childhood. She had turned to crack cocaine for solace 11 years earlier after learning two relatives had been abused. When she later tried to get away from crack, the social drinker since 18 went from "cute" umbrella drinks, to shots of gin, to drinking from the bottle. After she was evicted during a three-day crack-and-alcohol binge and her then-teenage daughters left her, Oldham went to a hospital for help. On her third day in detoxification, she attended her first 12-step recovery meeting and has been going ever since. Oldham, 53, who learned she was a third-generation alcoholic, lived a pattern that is typical of substance abusers. Substance abuse rarely has one cause, involves one drug or is confined to one generation. And kicking a drug addiction usually takes several tries. To a desperate addict, lost in the loneliness of addiction, help often seems nonexistent. But there are nearly a dozen agencies that provide substance abuse prevention, treatment and/or recovery services in Owensboro and Daviess County. Alcoholics Anonymous/Narcotics Anonymous Alcoholics Anonymous and its offshoot, Narcotics Anonymous, offer peer-to-peer group and individual counseling through spiritual-based, 12-step recovery programs. Members enter either on their own, by court order or by referrals from other agencies. The goal is to help them learn to stay sober or clean one day at a time. The local AA district has 52 regularly scheduled meetings each week. There are about 20 weekly NA meetings. Members are not told what to do but are offered suggestions to look at what brought them to the present and to strengthen themselves to plan for a future. The 12 steps are broadly written so addicts can move through them at a pace comfortable to them and their sponsors. There is no hierarchy in meetings, and no one is more important regardless of how long he or she's been clean or sober, according to those who've participated in the program. Lighthouse Recovery Inc. Lighthouse Recovery Inc. is a residential recovery program for adults that can house 49 people at four sites -- two homes for women at 518 E. Fifth St. and 514 Bolivar St. and two for men at 322 and 324 Clay St. Men comprise about two-thirds of the 130 participants with Lighthouse on a given day, said director Sandy Rich, one of five staff members. Participants come from referrals from churches, the court system, the Department for Community Based Services and the state Probation and Parole office. Of the approximately 300 interviews done each year, about 200 people are chosen and must sign a participation agreement that lasts one to two years, Rich said. They get a drug/alcohol assessment by an off-site licensed professional to form a "plan of action," she said. They are required to attend daily AA and/or NA meetings and weekly group drug/alcohol education meetings. They are assigned one of the 25 volunteer mentors, Rich said. Boulware Mission Inc. Boulware Mission Inc. operates a faith-based homeless shelter for about 35 men, women and children at 731 Hall St. and provides substance abuse treatment through personnel who ran a similar program at Owensboro Medical Health System until August. Boulware is planning to move to a larger facility on Benita Avenue. More than 90 percent of Boulware's clients have alcohol or drug problems, Executive Director Rosemary Lawson said. "Substance abuse treatment is basically intense Alcoholics Anonymous," she said. "It's an accountability environment, it's an educational environment." Potential residents are assessed by a case manger, with whom they meet at least twice a week. All residents assist in maintenance, chores and food preparation. The agency does not serve anyone with a violent or sexual criminal history, and it tries to refer anyone outside its criteria to appropriate agencies, Lawson said. A typical stay is 90 to 120 days, said Linda Roberts, administrative assistant. Boulware encourages residents to "stay longer, grow stronger," so they can learn new behavior in a safe environment where it can be practiced, she said. Staff members help residents become financially independent and provide educational and computer classes, Lawson said. The agency's GED program has offered credit through the Kentucky Community and Technical College System since January 2004. Lifeboat Inc. Lifeboat Inc. is a relatively new agency that is waiting to see what happens with two other local substance abuse agencies before deciding how it will operate. The agency expects to operate Boulware's Hall Street site as a nonmedical, all-male detoxification facility after Boulware moves. "We figure it would just be unbelievable if we had 14 beds full," said Russ Lewis, spokesman and board member for Lifeboat. Once visitors sober up and reach their "moment of lucidity" when they decide they want to change their lives, Lifeboat will refer them to 12-step programs elsewhere or to homeless shelters if they need a place to stay. The agency's future depends on Boulware's move to Benita Avenue and Lighthouse Recovery's attempt to lure a "Recovery Kentucky" homeless shelter and substance abuse treatment facility to Owensboro. Lifeboat is not dependent upon either agency, but may operate in an overflow capacity for either, Lewis said. OASIS Owensboro Area Shelter, Information and Services Inc. is a spouse-abuse shelter for women and their children that also provides residential substance abuse treatment. OASIS has a 42-day, licensed in-patient program in which women get individual, group and family counseling as part of a structured 40-hour week that introduces various models of help. The week also includes attending AA or NA meetings in the community or at the facility. OASIS averages about 500 women and children a year, Executive Director Becky Hagan said. About 80 percent of the women get treatment, she said. RiverValley Behavioral Health RiverValley Behavioral Health at 1100 Walnut St. offers three levels of treatment with 16 licensed therapists and is staffed around the clock. An outpatient service includes regular visits for people of any age and thrice-weekly work with convicted female felons at a halfway house on Carlton Drive. The Intensive Outpatient Program is for adults and includes twice-daily meetings three times a week. A longer-term, off-site outpatient program offers residential treatment in leased apartments. RonSonlyn Clark, RiverValley's substance abuse director, conducts a state program that emphasizes prevention and treatment for pregnant women. RiverValley also works with three men's and two women's groups through the local drug courts. A juvenile group is slated to start in early June, she said. About 500 people in the seven-county Green River Area Development District get substance abuse treatment through RiverValley, Clark said. Lighthouse Counseling Services Inc. Henderson-based Lighthouse Counseling Services Inc. contracts with Family Chiropractic Center to use its 3180 W. Parrish Ave. site for outpatient chemical-dependency group meetings. The private agency uses four licensed therapists to provide two levels of individual and group services for adolescents and adults. Regular outpatient service is for those who abuse, but are not dependent on, drugs. Patients meet for group therapy weekly and individual or family counseling as needed for 12 weeks, then go through 12 weeks of after-care. Intensive outpatient service is for those with some drug dependency. Patients go through group therapy two to three times a week for 24 weeks, followed by 24 weeks of after care. Family and individual counseling also is done as needed. Access to the agency is by appointment only, which allows the agency to set up an assessment and pre-treatment, said therapist supervisor Janet Messer. GOALS at the Daviess County Detention Center The Daviess County Detention Center provides substance abuse treatment for about 25 inmates who "are very serious about wanting to change their lives," said Jailer David Osborne. Most inmates participate in GED, AA/NA and Lifeskills programs, said Osborne, who estimates about 80 percent of his inmates are doing time on drug-related charges. Goebel Offenders' Addiction Life Solutions participants, who are selected through a voluntary interview process and can't have violent or sexual criminal histories, undergo a more thorough treatment process and are housed in a separate building at the detention center. Although they participate in the regular programs, they are involved in several additional activities that keep them busy at least eight hours a day. After the regular schedule wraps up at 4 p.m., there is usually another structured activity four nights a week. Participants must work on obtaining a GED if they are not high school graduates, said program director Donna Nolan. GOALS adds anger management and relapse prevention plans specifically designed for each participant to AA's recovery dynamics. Nolan is also preparing to add a financial planning program. Daviess County Drug Court Daviess County Drug Court has provided substance abuse treatment for 158 nonviolent offenders with substance abuse problems -- including 55 current enrollees -- since August 2000. The goal is to treat substance abusers, reduce crime and reduce repeat offenses, said treatment coordinator Lora McCarty. So far, fewer than 10 percent have found their way back to the court system, she said. The three phases of Drug Court last between one and two years, becoming less restrictive along the way. In phase one, participants face random drug screening three to four times a week, counseling, weekly meetings with Daviess Circuit Judge Tom Castlen and nightly homework assignments. They are also required to work full time, or part time if they are in school, obtain a GED, have their residence approved by the court and begin repaying any court costs, restitution or child support. "Our goal for doing this is to make them self-sufficient, give them a sense of self and maintain a drug-free lifestyle," McCarty said. Later phases involve fewer drug tests and court appearances. The program not only treats substance abuse, it helps participants learn coping and problem-solving skills, McCarty said. An after-care phase lasts at least six months. Community Solutions for Substance Abuse Community Solutions for Substance Abuse does not provide services, but is a nonprofit coalition of about 30 court, government, law enforcement, school and church groups and more than 100 people. The agency formed in 2001 to identify the degree of substance abuse in the community and gaps in services, and help develop a strategy for filling those gaps and educating the community. Community Solutions, at 2530 New Hartford Road, Suite 205, works with various agencies that provide substance abuse services. Its efforts include writing grants for agencies, conducting drug prevention/treatment fairs, working with drug courts and jail treatment programs and providing substance abuse training. It also sponsors alcohol-free school events and helped get prevention/treatment curriculum in schools. RiverValley Behavioral Health Regional Prevention Center The Regional Prevention Center at 1100 Walnut St. works with state and local efforts and organizations in seven counties to help prevent drug abuse and provide early intervention. The organizations include schools, colleges and universities, health departments, tobacco control programs and health care professionals, said Senior Director Gary Hall. - --- MAP posted-by: Richard Lake