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In my town at least, we’ve got it right, that is if we could get more funding and help everyone.
The system that I went through has tiers, and it’s mostly drug addicts, but man I’ve seen it turn people around completely.
If a person ends up arrested because they’re tweaking, paperwork is immediately filed to get them into a specialized local hospital. It’s very small, but the people involved really do work hard to get things moving.
Once the person is in the hospital, they keep them until withdrawal ends or psychosis subsides. Then they enroll them in a very strenuous program that pretty much takes up their entire life for a bit. They try to get the person on Medicaid, but if they don’t qualify the hospital actually has a fund to pay for their treatment. They are provided with a ride to drug classes and group therapy multiple times a week and drug tested daily. If they fail a drug test they take them back to the hospital, unless they’ve been charged criminally, then it’s back to jail first, but ultimately they’ll end up back in the hospital.
Assigned case managers will visit them at their home at random daily. If the person doesn’t have a home, we have several “sobriety houses” in the area where folks are sent until they can get on their own feet.
Their case worker files applications for low income apartments and other programs like HUD. The person will ultimately end up in a home if they work the program.
In my time with the program I seen way more success than failure. The only failures I seen were those people who just made criminality their entire life. I’m talking drug dealing, robbing, constantly fighting. There are some people you just can’t help. I might be wrong there, but I seen a personality type that didn’t seem like it could be helped anyway. It was those folks who found their source of pride in a criminal lifestyle.
I probably do have some bias on the success of the program because they stick you with people who have progress similar to yours. If you’re a success in the program, you’re generally going to have appointments scheduled alongside people who are doing at least roughly as good as you are.
When I left the main program in 2020, I always had my appointments with the same people. We were the “no failed drug tests in years” group. Several of those people were homeless but they aren’t now.