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For two decades, methamphetamine controlled
John Nesting's life.
Drug use consumed his paychecks and destroyed
a marriage, a job, his health and even his teeth.
Five years ago, Nesting had simply had enough
of the drug that once made him feel like he could "whoop
the world."
"I just up and quit," said the Terre
Haute native, whose first encounter with the stimulant was about
25 years ago in California.
He made the decision to stop using meth after
his girlfriend became pregnant.
He locked his front door, shutting out the
people who, through the years, had partied at his home. Distancing
himself from other users was key to his recovery, he believes.
So was his desire to stop using the drug.
"People have got to want to quit. That's
the whole thing," he said.
While Nesting was able to quit on his own,
many addicts don't have the willpower to do so.
"Some people clearly need treatment,"
said Richard Rawson, the associate director of UCLA's Integrated
Substance Abuse Program and a renowned expert on treatment for
meth addicts.
Across Illinois and Indiana, the number of
people seeking help for an addiction to meth is on the rise,
according to statistics compiled by the U.S. Department of Justice.
In Indiana, meth-related admissions at drug
treatment centers more than doubled between 1998 and 1999, with
694 seeking help in the latest statistics available. In Illinois,
the number also more than doubled, with 740 admissions in fiscal
year 2000 and 1,528 a year later.
With the influx of meth addicts, some addictions
counselors are finding that programs need to be tailored to the
specific addiction.
"Our traditional treatment just wasn't
enough," said Judy Brown, clinical director at the Human
Resources Center in Paris, Ill.
A new program, expected to begin later this
month or in early February, will include more intensive and more
frequent contact with clients, Brown said.
Rawson, who has researched drug abuse for
nearly 30 years, said meth use can affect a person's ability
to think as well as impact emotions. It often takes four to six
months before brain function returns to normal, he said.
With that in mind, there are certain steps
essential to curbing relapse for meth addicts.
Longer term treatment programs, no less than
90 days, lend to better success, he said. That's especially true
for addicts who inject meth. They tend to be more severely addicted
and require residential treatment for success in recovery, Rawson
said.
In addition, emotional exchanges at self-help
meetings don't appear to be as effective for meth addicts, he
said. With methamphetamine addiction, treatment should be more
like coaching than therapy, he said.
For those in outpatient treatment, once-a-week
therapy simply isn't enough. At minimum, therapy should be three
days a week and should include information that helps meth addicts
understand risks and triggers and suggest ways to relieve boredom,
Rawson said.
While meth users' needs may be different,
they have the same underlying condition as other drug users,
those in the field explain. Simply put: Addiction.
"It's absolutely a disease," said
Dr. Randy Stevens, a Terre Haute family practice physician who
specializes in addictions medicine.
Rawson adds that people sometimes slip. "They
do relapse," he said. That doesn't mean they're a failure,
though.
Those who stop using meth, which is psychologically
as well as physically addicting, often have intense cravings,
said Julie Baesler, director of Fellowship House, a residential
recovery center in Terre Haute. They also commonly experience
depression due to a depletion of the brain chemical dopamine.
It can take as long as two years to get back that "feel
good" chemical, Baesler said.
Key to staying clean during that period, addictions
specialists say, is to change the people, places and things of
the past.
In Terre Haute, treatment options range from
outpatient help at Discover Recovery and Hamilton Center to residential
programs at Light House Mission and the Fellowship House.
Help is also available in the confines of
K-Pod at the Vigo County Jail.
Home to the jail's drug treatment program,
the jail block built for 18 typically holds 22 men, said John
Paulson of the Hamilton Center, a counselor for the jail recovery
program.
Don Blair was among the inmates seeking substance
abuse treatment in December.
"Methamphetamine has ruined my life,"
the 34-year-old Terre Haute man said.
He's like most of the men in the jail's K-Pod.
They've lost their families, their homes, their cars. The culprit:
Drugs, and for at least three-fourths of them, methamphetamine.
Bernie Burns, director of the Robert H. Brown
Alcohol & Drug Program -- a county-run substance abuse
evaluation and monitoring program -- believes jail treatment
is important. But he also stresses it isn't the answer.
Burns, who explains he's not against punishment,
is concerned at the emphasis on building more jails while communities
lack needed residential addictions treatment centers.
With an addition that opened a year ago, the
Vigo County Jail can house 268 inmates. Of those, 22 are treatment
beds. "I think that speaks volumes right there," Burns
said of the priority given to recovery programs.
Jessie Cook, a Terre Haute defense attorney,
said she believes the many meth-related arrests aren't solving
the problem. If the community wanted to do anything, money would
be put into treatment, instead, she said.
While jail may not be the ideal setting for
recovery, for some, including Spencer Basham, the program in
K-Pod has offered hope.
"I was powerless over my addictions,"
Basham, 34, said in December, admitting he was thankful for being
in K-Pod, where he found a "higher power."
Most inmates in the pod are there on court
orders. Without such an order, the wait for inmates on a list,
which currently numbers 30, can be at least two months, Paulson
said. Inmates headed to state prison, where some waiting lists
are as long as 400, are ineligible.
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Paulson said program funding, which comes
from a local grant, limits it to one pod. Ideally, if more money
was available, Paulson said the program could expand to a second
pod, with a third available for continued recovery.
For now, counselors must concentrate on who
they can reach.
"Our idea is to provide the client with
HOPE," which stands for Hamilton Center Offender Program
of Education, Paulson said. The six-week program includes weekly
counseling and daily 12-step meetings.
Also important, the men in the program explain,
is it separates them from the rest of the jail population --
allowing them to focus on recovery without being surrounded by
negative influences.
As the men gather on one Tuesday afternoon,
they talk about what HOPE has done for them.
"It's made be feel like I fit in,"
says one.
"It's saved my life," says another.
For those fresh out of jail and others who've
lost everything, the Light House Mission at 1450 Wabash Ave.
is another place to turn.
"For the most part, when they've come
here, they've pretty much bottomed out. Drugs have been so dominant,
it's all they know," said Tom Ballard, who as the mission's
chaplain oversees the 10-step, faith-based recovery program,
which has one focus.
"We tell them, 'Your only hope is Jesus
Christ,'" Ballard said.
Many in the program are walks-in. Of those
who are from the Terre Haute area, at least 80 percent have used
meth. The same percentage have been in jail, Ballard said. Some
as old as 60 have been doing drugs since their 20s.
During Bible studies, Ballard stresses the
importance of overcoming temptations and reconciling with friends
and relatives. He requires participants to memorize verses and
materials from the 10-step program.
"I can't make them get this in their
heart," he said. "But I can make them get this in their
head."
Situated in the middle of a south-side public
housing complex in Terre Haute, Fellowship House offers a home-like
environment with the structure needed by those on the road to
recovery, said Julie Baesler, director of the residential center.
Some at Fellowship House are there on a court
order, others are self-referrals and still others are recommended
to the facility by family or friends.
The 90-day, two-phase program allows residents
to work or attend recovery meetings during the day.
A year ago, the program had space for 12 people.
Last fall, it expanded to include 24 beds, half in one building
for women, half in a separate building for men. And there's no
trouble keeping the beds filled, Baesler said.
Bob, 42, who credits Fellowship House with
helping in his recovery, believes more residential facilities
are needed locally.
"There's not enough options," said
the Parke County native, who agreed to talk on the condition
his last name not be used.
Debbie Chaney of Chrisman, Ill., said she
realized that was true when her 16-year-old daughter admitted
in July to having a problem with drug abuse -- especially methamphetamine.
At first, "we didn't know what to do.
We hadn't confronted it before," Chaney said of the situation.
Chaney's ex-husband began making calls to
find a long-term program, but both soon realized little help
existed locally for a teenager.
After a short time at a facility in Champaign,
Ill., Lauren began living at a long-term South Carolina facility,
which is a member of the World Wide Association of Specialty
Programs and Schools.
Run similar to a military school, the $3,000-a-month
program is designed for students who are struggling in their
home, school or community, according to the program's Web site.
The cost has strained Lauren's parents financially,
but "to know that she's safe, it made me feel a lot better,"
Chaney said.
Since taking Lauren to South Carolina in late
July, Chaney has been able to communicate with her daughter only
by mail and more recently occasional phone calls.
The idea behind sending her to a distant location,
in part, was to get her away from the environment that led to
meth use, Chaney said.
While Lauren's future remains undetermined,
there are Valley addicts who have stopped using and remained
drug free -- some for decades, others for shorter periods of
time.
Ed Ross, who used a variety of drugs --including
meth -- is among those in recovery who now help others.
A couple of decades ago, Ross -- who had been
in and out prison on drug charges -- was arrested once again
for dealing drugs. At the time, he faced a minimum of 60 years
in prison. It was in jail therapy that he had a "spiritual
awakening."
Not long after that, things starting falling
into place. The judge gave him a break. And so did Hamilton Center,
where he soon began volunteering about 50 hours a week.
In recovery for 15 years, Ross works full
time at Hamilton Center, where he is supervisor of addictions
services.
"There are successes. People do change,"
Ross said.
Jeff Meier, a 39-year-old Sullivan County
native, said his addiction to meth wrecked two marriages, cost
him a steady job and led to prison time.
"I had to change my whole life,"
he said of what led to recovery.
Clean for more than three years, he now runs
a church-based support group "Whosever Will" which
includes people in recovery, but also extends to those facing
other life problems.
Nesting, who quit on his own, acknowledges
an addict never overcomes addictions, but "it gets easier
to say 'no' the longer you're clean."
He's replaced the high of meth with getting
high on life through everyday activities, including spending
time with his daughters.
He knows others can do the same.
"I honestly feel if I can [quit], anyone
can," Nesting said.
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