William Herbst got out of the Dane County jail on May 15, 2007, after serving 75 days for his third drunken driving offense. He went to a bar, drank more rum than he can remember, and climbed into his pickup. Next thing he knew he slid off the rainy road somewhere near Cottage Grove. Police found him stuck in the mud and put him right back in jail.
That's when Pathfinders, a diversion program that offers 50 inmates a year treatment for alcohol and drug abuse in place of incarceration, took him in. By his third week in a residential treatment center in Madison, Herbst admitted he was an alcoholic, that he suffered from depression, and that he had accomplished none of the things he dreamed about as a kid.
Like most alcoholics, Herbst's road to recovery is not a straight climb. He was arrested for driving drunk a fifth time on March 21, 2008. "I could have killed somebody or myself," said Herbst, 32. Since then, he has stayed away from alcohol, gotten back on medication for depression, and enrolled in classes at MATC. On Oct. 28, he goes back to jail for a year. He is hoping for more treatment instead. This time, he promises, he'll turn his life around.
"I'm under construction," he said. "Pathfinders gave me the tools to save my life, and I finally know how to use them."
Herbst is just one of thousands who struggle with the ups and downs of alcohol abuse in Dane County, but he may soon get some help thanks to a new alcohol initiative to be unveiled this morning by Dane County Executive Kathleen Falk.
After seven months of research into Wisconsin's struggle with alcohol abuse, Falk sat down with The Capital Times to talk about the first phase of her initiative. Falk has scraped together $200,000 to expand funding in her upcoming 2009 budget for Pathfinders and two other local projects.
Pathfinders has been a favorite of the county executive ever since she launched a pilot version of it in 2003. She is fond of talking about how it makes financial as well as humane sense: Dane County spends $50 million to run its jail, where half the inmates are there for drunken driving. It costs $22,000 a year to keep an inmate locked up, but only $7,000 to treat a person. And it works -- last year only 10 percent of participants ended up with another arrest. Even so, the program has had to turn away dozens a year. Now the county will be adding 14 slots for drunken drivers to the 50 a year it currently serves.
The other two projects that Falk has earmarked for additional funding are not as well known, and would serve a portion of two at-risk populations that Falk says have long been neglected in Dane County: young adolescents and the homeless. Project Hugs is a support, counseling and advocacy group that works with families of high schoolers struggling with alcohol and substance abuse. Now the program will expand into middle schools. The third project will be to train 25 health clinicians around the county to use an innovative alcohol and drug screening intervention approach.
Falk's selection of these three programs for additional funding is just the first phase of her ambitious alcohol initiative, which she plans to make the cornerstone of an expected fourth term in office.
The second phase, which she will unveil in October, will involve the creation of a county-wide coalition of businesses, law enforcement, youth groups, and longtime health care providers and activists. Their goal: nothing less than changing Wisconsin's drinking culture. "We can make a difference," Falk said. "We did it with smoking."
Falk is waiting until after the November elections to announce the third piece of her plan, which will include recommendations to toughen state alcohol laws. At that time, she said, she also will meet with Gov. Jim Doyle to ask for his support. Wisconsin has not raised its alcohol tax in decades and has the worst rates of binge drinking, underage drinking and drunken driving in the country.
"We're the only state in the country where a first time OWI is not subject to a criminal penalty and a five-day jail sentence," she said.
Falk voiced confidence that the Dane County Board will support her recommendations for changes at the county level, but admitted the next two phases of her initiative would "involve some heavy lifting."
Project Hugs is a shoestring operation that wins kudos for providing support to parents of high schoolers struggling with alcohol and substance abuse.
Stacey Slotty, a parent advocate, says that the program currently serves 32 families and that seven more families are on the official wait list. "We are in dire need," she said. "Parents don't have a clue where to turn. I've been to funerals where kids have died because we couldn't get them help."
Under Falk's initiative, the organization will open two new programs in middle schools, one urban and one rural. Falk said she was sobered by research showing that if you can stop children from drinking before they reach age 15, they are four times less likely to have alcohol problems later on in life. Yet in Dane County behavioral surveys have found that nearly a third of seventh- and eighth-graders admit they have already binged -- had five or more drinks at one time. "It's a whole lot less expensive to be intervening when children are 12 than when they are 30 and sitting in jail for their fifth time," Falk said.
The health educator training project in line for some new county money involves the use of an innovative technique called brief motivational interviewing. Surprisingly effective, it uses short screenings and questionnaires in places like emergency rooms, jails, schools and clinics to identify people at risk of alcoholism and other substance abuse.
"Just 15 minutes of a frank conversation can lead to someone making a dramatic decision to quit or cut back," said Dr. Richard Brown, a professor at the University of Wisconsin's School of Medicine and Public Health who has been administering a federally funded trial of this approach at 23 clinics around the state. Falk plans to target the homeless, among others. She predicts that the screening will help identify problems with mental illness as well as alcoholism, and enable people to move off the streets.
Falk spoke about the process of putting together the alcohol initiative in two free-wheeling interviews last week. Dane County has dozens of deserving alcohol treatment programs, and choosing which ones would receive scarce extra dollars was a tricky balancing act, she said.
"It was extremely difficult, given the volume of the problem and our tight budget," she explained. But it was important, she added, that she move ahead just the same. "When you have a big problem, sometimes people don't know where to start, and then they don't," she said. "But that's what I love doing. Take a big problem. You just take a big chunk, and then you do the next chunk, and then the next chunk, and that's how you get things done."
Breaking the complex subject of alcohol abuse down into chunks was a job she hired two longtime community activists to do. "There were no magic bullets. It was really complex to pull together all the pieces," said Carol Lobes, former director of the Dane County Department of Human Services, who worked on the project with Judy Adrian, who co-directs the Center for Democracy in Action with her. Together Lobes and Adrian put in more than 20 hours a week over seven months reading and condensing more than 200 scientific reports, interviewing more than 80 experts, attending more than a dozen meetings, focus groups and conferences, and taking their boss on what Falk called "field trips" to the county jail and State Street. Falk, the daughter of an alcoholic, said she was struck by not just the toll in county dollars but in what she calls "human misery" (see Q&A).
Falk ended up with a 40-page report on these efforts. Then, she said, it was up to her to find "leverage points" -- areas where action could make a difference and be cost-effective. "We wanted to get the best bang for our buck," she explained.
The four main areas Falk intends to concentrate on are: improved alcohol and mental health treatment through brief motivational interviewing, community partnerships, tougher laws, and a focus on young adolescents and families.
Falk's initial move to add $200,000 to the three local programs would increase the $8 million Dane County already spends on alcohol and drug prevention and treatment by roughly 2.5 percent. "It's a very significant commitment given this incredibly tight budget," Falk said.
Significant, perhaps, but still likely not enough to meet the overwhelming demand.
Don Mason, a recovering alcoholic and a former counselor at Hope Haven, where many Pathfinders clients are treated, says that on some days he gets up to 20 or 30 calls an hour begging for help. "The phone is ringing constantly. I'm hearing crying parents, desperate wives, men tired of being out on the streets because the waiting lists are so long," he said. One client was so desperate, Mason recalled, that he stole a pack of cigarettes so he would be sent to jail. "The sad part of it is, the people who are getting treatment fastest are in the corrections system," he said.
Like Falk, Mason grew up in Milwaukee. In fact, he thinks he may have bought liquor from the Falk family business during a couple of drinking binges years ago. Like Falk, he lost his father to alcoholism. As his dad was dying at age 54 of cirrhosis of the liver, comforted to know his son was on the path to recovery, he asked Mason about Alcoholics Anonymous: "How long have you been in that square-ass program?"
Mason, 50, has now been sober 28 years. "If I can stay sober, anyone can," he said. "There is a lot of hope -- if we can provide treatment."
Capital Times