Pubdate: Sun, 04 Nov 2007 Source: Springfield News-Leader (MO) Copyright: 2007 The Springfield News-Leader Contact: http://www.springfieldnews-leader.com/ Details: http://www.mapinc.org/media/1129 Author: Linda Leicht, News-Leader Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) FIGHTING METH AND WINNING Laclede County's drug council reaches out to judges, educators and employers to steer addicts over the long road to renewal. Lebanon -- Laura Valenti is convinced that meth can be beaten, and she is determined to make Laclede County a leader in that fight. Valenti is a member of the Laclede County Drug Council, a former jailer and one of a group of people in the Lebanon area shocked into action by the meth epidemic. "I've seen intelligent, beautiful young people ... land in (jail)," said Valenti. "These kids were on their way to college. They were going great places." When a Laclede County industry survey in 2004 showed that an average of four of every 10 job applicants failed their initial drug screen, and the 35,000-population county had 27 meth-lab seizures, nearly twice the per-capita rate of Greene County, the community stepped up in a comprehensive way that other communities have not. Over the past three years, the drug council, with Valenti as one of its founders, has: - - Begun working toward establishing a long-term rehab program that appears to be the first of its kind in southwest Missouri. - - Supported a court-ordered rehabilitation program that has meth users routinely screened for drugs in order to remain free on bond. - - Created an education program that has gone into every school in the county and to every judge. In addition, the council took special steps to keep former users in rehab as long as needed, recognizing meth presents special challenges because rehab can take a year or longer. The council worked with an existing residential facility for women leaving jail or prison and supported a transitional housing program that will provide potential homes for clients while rehabilitating abandoned houses. A pivotal meeting In 2004, when the statistics on meth in Missouri showed that the state has led the nation in meth lab arrests since 2001, and the southwest region -- including Laclede County -- led the state, a "town hall meeting" was called. More than 250 people attended. They learned about the personal toll that meth can take, the environmental danger and the economic impact. They learned that local industries were losing current and potential employees to meth -- reporting a 40 percent failure rate on initial drug screens of potential workers. They learned that the cost of cleaning up a meth lab site averages $5,000, but it can cost as much as $15,000. They learned that too many people were losing their souls to meth. Today, more than 1,000 people are being screened for drugs through the county court system, which has dealt with more than 400 drug charges this year. And they learned that there was little education and no rehabilitation treatment available in their county. Ben Savittiere with the Lake Area Citizens Advisory Board, which was brought into the county to establish an outpatient treatment program, does drug testing for several area employers. With more careful prescreening, those numbers have dropped, he said, but the issue is not going away. "The problem is (taking meth is) Russian roulette," he said. Savittiere has seen users suffer strokes and brain damage, as well as emotional and social consequences. "It's a horribly dangerous drug." Working with the Missouri Department of Mental Health, the agency provides a 13-week outpatient program and followup monitoring. While the program treats all addictions, Savittiere finds that meth is a common denominator among many treated in southwest Missouri. "That's because just about anybody can make it and everybody does it," he said. "A lot of people here don't have a high education, but they sure can cook meth. "Just get the recipe and pray it doesn't blow up." 'Intense craving' Establishing an inpatient facility could work long term with addicts and their families in a variety of ways -- through individual therapy, group treatment, 12-step programs, education, family involvement and after care. For addicts who have failed at other programs, such a program could be the only answer. "Meth has its particular difficulties," said Savittiere. "It actually destroys brain cells. The relapse potential is a lot higher because of the intense craving." The Laclede County Drug Council is committed to using a modified form of the Matrix Model, an intensive treatment plan developed by the Matrix Institute on Addictions in California. The program would be managed by Preferred Family Healthcare of Clayton. Valenti, who also serves on the board of directors of New House Ministries, introduced the model used at the New Life House, a halfway house for women coming out of jail or prison. She expects a meth rehab facility to follow some of the New Life House policies. "There's no reason to reinvent the wheel," she said. Regardless of the reasons that New Life House residents end up in jail, meth plays a role, said Norma Lehmoine, supervisor of the house. "We do meth rehab by default," she said. And she has seen people kick meth through the faith-based program, which offers long-term assistance, as well as many of the same elements as the Matrix Model. The most recent addition to the program will be transitional housing. With the help of USBank, Lehmoine has started the Alliance for Community Transition, which will purchase abandoned houses in Lebanon, rehabilitate them, then rent them to people referred by New Life as well as other assistance programs. If a client maintains the home and continues successful compliance with a rehab program, the client can purchase the home, Lehmoine said. She has already located 40 houses in Lebanon that could qualify, and she knows just who she will nominate as the first resident. Jo Ann Rook has been at New Life House for three months. The 50-year-old woman has battled alcoholism and meth, eventually spending two years in prison. There, she found God and New Life. "She's a star," said Lehmoine. "She has a plan and she's on her game." Today Rook has a job and a good relationship with her family. "I love my children and my grandchildren," she said. "I'm going to be there for them." Despite years of alcoholism, meth was her final addiction. "I used occasionally for energy, then I needed it to get through the day," she said. "It could have ruined my life. It could have taken my life." Treatment models The long-term residential rehab center the drug council has envisioned would be unique in southwest Missouri, but there are other successful models in the country. On Track is a long-term, multi-phase rehab program in Medford, Ore., that has more than 10 years experience with meth. Rita Sullivan is the executive director. Meth arrived on the West Coast in the early 1990s, quickly turning into an epidemic that took a big toll on the state foster-care system. "We had a foster-care crisis," said Sullivan. Rising numbers of children were entering the system -- there because of parental substance abuse. On Track proposed an innovative way to reduce foster care, a program that cares for both parent and child to provide long-term drug rehabilitation treatment, and was awarded a grant to start what is now the standard of care in Oregon. The cost offset made sense. Talking about the price tag for treating newborns born addicted, Sullivan said, "One baby in neonatal care has paid for treatment for a year." On Track's program works with the whole family, keeping parents and children united even while mom and dad are in individual treatment. The presence of their children provides an incentive to succeed while mom and dad are also learning important parenting skills, Sullivan said. The average length of residential care at On Track is four months, with active treatment for at least a year. Data on meth shows that it takes at least a year to reverse the changes in brain chemistry, she said. But even after rehabilitation, the chances of relapse are increased when a former meth user returns to a community that is still plagued by meth. On Track responded to that need by building affordable, drug-free housing for its successful clients. Another program, Recovery Works, partners with area employers who agree to hire On Track graduates. In fact, 22 On Track employees are former clients. On Track serves about 5,000 clients a year. While statistics on success rates are difficult to track, when mom, dad and kids are in the program together, success reaches about 70 percent, Sullivan said. "You invest in them, give them a job, a place to live, you have a better chance of success," she said. Keeping tabs on users Before most people seek rehabilitation for meth addiction, they find themselves facing criminal charges. The Laclede County court system has introduced an innovative way to address the problem of rising numbers of meth arrests. Every person who is charged with a meth-related crime is put on a "supervised bond," which requires regular drug tests every 48 hours. The county now has 51 defendants participating. "I'm very proud of that," said Associate Judge Christine Hutson. The program allows the judge to set a lower bond and keeps suspects out of jail while awaiting trial so they can continue to work. The cost to the suspect is $45 a week, compared to $45 a day if he or she is held in jail. A positive drug screen means jail, Hutson said. "Defense attorneys love it," she said, especially if they can show their clients' consistently negative drug tests in court. "I just know in my heart people are doing better" with the supervised bond, the judge said. Charlie Maguire is the owner of Outreach Consulting and Counseling Services in Lebanon, which has provided the drug screens for the courts in five counties for the past seven years. The program was started when the courts were finding suspects reoffending before their first court date, he said. "With meth, this is a tool that helps them stay clean." Maguire, also a member of the drug council, sees a need for more tools. "This area has always had a gap in treatment," he said. "It's time. We need a center." Support needed Getting financial support for a residential rehabilitation center has been more difficult than convincing Laclede County citizens that meth is a problem in their community, Savittiere said. "The answer is in the community," he said, calling on residents, businesses and government to financially support solutions. - --- MAP posted-by: Derek