Classic social programs dealing with long-term alcoholics are expensive and do not have a great success rate. In 2005, a controversial experimental program in Seattle began to put homeless drunks in their own apartment building and let them drink as they pleased.
The financial aspects of this experiment are not all that surprising, but is it really a good idea? Is it more ethical to spend time and money to try to save people from their own bad decisions, or to give them the dignity of living their lives the way they choose, however harmful? Does this kind of program send the wrong message? Or would it make our streets safer? http://www.furiousseasons.com/archives/2009/04/study_housing_homeless_drunks_and_letting_them_drink_saves_millions.html -via reddit
(image credit: Flickr user dno1967)
A new study came out in JAMA this week detailing whether the concept of "Housing First," as it's known, had any impact (here's an AP piece on the study). The 98 street drunks whom the study tracked had cost the public $4,066 a month prior to entering 1811 and afterwards they cost $1,492 a month after six months in the facility and $958 a month after 12 months. That's a pretty big savings and, oddly enough, some of the residents began to drink less. Some even got sober. (Some also died.)
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While this sort of program would have to replicated elsewhere to see if these savings hold, it sure is a vastly more humane way to deal with a chronic urban problem than in the past. It also has all sorts of implications for addressing homelessness among the mentally ill, chronic crackheads and junkies of every stripe. My own guess is that, for example, housing the mentally ill who are homeless instead of herding them into very stressful homeless shelters or leaving them to the streets would improve their mental health issues dramatically, with or without medications. There is something magical about having a roof over one's head, even a modest one.
The financial aspects of this experiment are not all that surprising, but is it really a good idea? Is it more ethical to spend time and money to try to save people from their own bad decisions, or to give them the dignity of living their lives the way they choose, however harmful? Does this kind of program send the wrong message? Or would it make our streets safer? http://www.furiousseasons.com/archives/2009/04/study_housing_homeless_drunks_and_letting_them_drink_saves_millions.html -via reddit
(image credit: Flickr user dno1967)
Same with this situation. 'I can't get cheap housing, so why should an alcoholic bum?'.
Alcoholism is a disease. Alcohol is also used by many to self-medicate a mental health issue that cannot receive more acceptable treatment due to a failing mental health system. Also, if I spent every day worrying about where I was going to sleep, whether or not I would be safe, and how the rest of society would react to me, I'd drink, too.
Harm Reduction models are better than anything else out there and I hope that if we can't appeal to people's hearts, we can at least appeal to their pocket books.
Fair doesn't come into the picture. Humanity does.
So you're confronted with a choice of let-them-be maybe with a little help like in this post, or freedom reduction with mandatory re-education.
Tough choice.
On a lighter mathematical point of view : I'm sure that letting some drink themselves to death had to do with lowering the average cost. So my guess : 98-98*958/4066= 75 homeless died in this experiment. Way to go! In only a year! we're getting rid of the problem! Yoohoo, go science! ;) :p
and be a ward of the State as long as I stick to booze?
After years of pushing the rock up the hill with little result, I am sorely tempted.
Is my customary 3 cocktail limit enough, or will I have to pour the excess into a potted plant?
$958 sounds right to me. that's about what i pay after rent and food. same area, same size apartment.
we see these guys walking past our place and to this complex all the time. like your average street alcoholic, they look dirty and unkempt. unlike your average street alcoholic they never bother anyone and never ask for money.
the dollar amounts seem bang on the nose to me. it's not a lavish lifestyle that is being provided here, just secure accommodations that keep these people from becoming desperate and doing the kinds of things that really start costing society.
Ship 'em to Seattle!
Id pay my taxes towards that.
I think that it is worth it, for society, to help these people. By giving them a stable roof over their head, you are not only maybe reducing "costs" but you are probably also reducing local crime, especially little stuff like petty larceny, public drunkenness/exposure, etc. But there are the ethics of allowing (condoning?) self-medication with drugs/alcohol. Also at the same time I feel like giving a person something for free just because they've had it bad isn't fair.
I have battled intermittent severe depression my whole life. I have been lucky to have a very supportive family and husband who can help take care of me when things get Really Bad. But I have enough of a support system that I live a decent life that is sometimes extremely stressful and things are stretched thin. I guess I am resentful at the idea that if someone goes "all the way" to hit rock bottom, they get a handout versus other people who barely manage to keep their sh*t together must scrape by. (Similar to my annoyance that once you have a baby, you get tons of free education, etc)
BUT. I wholly believe in doing what is good for society. To be a good humanitarian and help when and where I can. So I think I can tolerate a little uncomfortableness or resentment, when it is balanced with knowing that things are getting better.
This is what ethics majors live for.
http://www.gladwell.com/2006/2006_02_13_a_murray.html