May 6th, 2011
07:38 AM ET
Learn more about the controversial "wet house" concept for dealing with chronic alcoholics this Saturday and Sunday at 7:30 a.m. ET on "Sanjay Gupta, MD."
St. Paul, Minnesota (CNN) - It's been over seven years since Marion Hagerman has spoken to anyone in his family. As he huddles behind a parked trailer on a cold early spring day, Hagerman reflects on his life, and recalls what led him to this moment.
"This is my lifestyle," says Hagerman, 54, while sneaking a swig of what he calls "wash," or mouthwash - a cheap way of getting intoxicated. "It ain't much, but this is what I have. It sucks. "
He says he held a steady job for 20 years, before his addiction to alcohol took over his life. Today, Hagerman lives at St. Anthony Residence in St. Paul, Minnesota, along with about 60 other late-stage alcoholics.
St. Anthony, which receives funds from the state and is operated by Catholic Charities, is known as a "wet house" because Hagerman and the others are allowed to drink on site, with some caveats - including no mouthwash.
The theory is that it's better to allow these guys to drink in a safe place than to end up on the streets and in the city's emergency rooms, jails, and detox centers. At St. Anthony, they have access to nurses - and doctors if the situation warrants - plus on-site case managers to aid in their addiction. Ideally, St. Anthony's counselors want the residents to sober up - but they realize that there isn't a strong chance of that happening.
St. Paul isn't the only city that has a "wet house"-style residence - Seattle was one of the first cities to put this concept into practice in 2005, and Memphis is considering building one, too.
Another argument in favor of the concept is that it saves money. Each St. Anthony's resident costs about $18,000 a year to house and feed, about $1,500 a month. A study in the Journal of the American Medical Association indicates that if these men were out on the street, it could cost over $4,000 a month in incarceration, shelter and sobering center use, hospital-based medical services, publicly funded alcohol and drug detoxification and treatment, and emergency medical services.
But the idea of allowing alcoholics to drink is antithetic to the basic tenets of addiction counseling.
"We feel that that it's never too late, and that even if the alcoholic doesn't want help, doesn't mean that their drinking should be condoned or in any other way enabled or facilitated," says William Cope Moyers, public advocacy executive director for Hazelden addiction treatment centers in the Minneapolis-St. Paul region.
"I see the wet house model as a model that enables the addict in the alcoholic to continue those destructive patterns."
Moyers, who is the son of well-known journalist Bill Moyers, has chronicled his own struggle in his book, "Broken: My Story of Addiction and Redemption." His opposition to the wet house concept is commonplace among addiction counselors.
St. Anthony Residence program manager Bill Hockenberger calls the wet house a "harm reduction model," instead of a treatment center. He says by giving these men a home - men who have all gone through nearly every treatment numerous times - it gets them off the streets.
The added comfort of having a place to call home at night and the dignity that restores in the men in return, he says, leads men to drink less.
"They didn't want to be an alcoholic," he said. "A lot of them just didn't have a choice in the matter ... this provides safe secure housing for those most in need. We are in business to do the humane thing."
Hagerman, like a lot of the other St. Anthony residents, says he'd like to eventually leave and find a job. But he feels like he's stuck.
"No I don’t want to stay there, I'd like to get a goddamn job and get the hell outta there," he says. "Jesus Christ, I turn 55 in September, I'm getting old. Who wants to hire a 55-year-old man?"
Like a lot of the residents, Hagerman's addiction to alcohol not only keeps him out of a job - it keeps him away from his family, too.
Just weeks after he learned his brother Jerry died from a heart attack, he learned that another brother, Mike, is in the hospital, dying from colon cancer.
I give him a ride to the hospital, where he visits Mike and sits down with his other brother, Ray, for the first time in seven years.
It's an awkward conversation, as Ray talks about Marion, seated next to him, as if he's not even there.
"It's like we did kind of wash our hands [of] him when our parents died," Ray says. "We weren't going to take care of him. I'm glad to see that he's still alive because none of us were sure if he was. Always looked on the streets to see if I would see him somewhere."
Ray says isn't sure what a "wet house" is, but seems to be OK with the idea.
"I don’t think he's ever gonna stop drinking," Ray says.
"No, no, I'm not going to," Marion responds, as if to remind Ray he's sitting right there. "My lifestyle keeps me alive."
"Yeah it also keeps you separated from everybody in the last years of their lives," his brother says.
The day after the visit, Mike succumbs to colon cancer.
"It's my life. That's as far as it goes," Marion says a few days later, as he seeks to numb himself from the pain of his loss. "I live here. Look at this? Do you think I’m happy with this situation? No, I can't stand it. But I have nothing else to do."
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.