Louisville Medicine Volume 61, Issue 10 | Page 20

An Unconventional Model Sarah Khayat The Healing Place Women’s Campus, on S. 15th Street, was renovated in 2010 A n egalitarian system boasting peer accountability and genuine camaraderie plus a sustainable economic model is a tall order. Some would say that it is downright impossible. A system like that would be fraught with corruption and abuse. How would order be maintained? Could one hope that established metrics of efficacy and success be met in such a free-for-all working model? It doesn’t seem likely; I agree. The closest approximation, however, I believe exists in our very own Louisville community. The Healing Place is a rehabilitation program that opened its doors 15 years ago and serves more than 600 men and women on two campuses. It’s a ‘twelve-stepper’ that has put Louisville on the map for its remarkably low rates of recidivism, high rates of recovery (65% by most estimates), and for its impressive lineup of services tailored to getting addicts to a level of independence that enables full immersion in a regular daily working life after completion of the program. It espouses a model that does not charge its clients for its services, in stark contrast to the high-brow beach escapes that promise would-be clients resort worthy accommodations tacked onto a drug-free recovery guarantee with mere weeks of treatment, and which cost, on average, $3-6,000 per day. Services offered by The Healing Place include emergency overnight shelters, non-medical detox, long-term addiction recovery programs, financial counseling, 18 LOUISVILLE MEDICINE job placement, and parenting and child care development programs. Clients live together, oftentimes in intimate (read: cramped) quarters depending on their current stage in the program. They also share meals that they have cooked, wear clothes washed by fellow clients, and seek guidance and advice from one another in group therapy sessions led by- you guessed it- other clients. One could call it a commune of the actively rehabilitating. After undergoing detox (which does not include any opiate substitution therapy or medical interventions), those seeking a spot in the program share two bunk beds cordoned off in a cubicle with three other aspirants and schlep to several meetings a day- by foot- in order to prove their level of commitment to recovery. If they make the cut, they then begin formal participation at the beginner level with the designation of ‘Off the Streets 1’ or OTS1. After completion of OTS1 and OTS2, clients go on to start “Phase,” which is the 12-step component of the program. As they advance, they earn