Before telling her story of addiction, prostitution, violence, prison and, ultimately, recovery, Jackie Fairbanks held the hands of strangers and prayed.
She prayed for her daughter, whose own journey has taken her to a "darkness" that even Fairbanks never experienced. She prayed for guidance. And she gave thanks for a treatment program recently honored by the Humphrey Institute and the Association of Minnesota Counties, one that officials say may be unlike any other in the nation.
Anoka County's Enhanced Treatment Program is a yearlong outpatient program for mothers in the criminal-justice system who risk losing custody of their children because of drug and alcohol addiction. It operates on a modest budget, yet produces startling results: Of the more than 9,000 drug tests given to clients over seven years, 98 percent have come back clean, county officials say.
"I had been through treatment seven times, I was doing meth, my life was unmanageable," said Fairbanks, 51, of Coon Rapids. "But the Enhanced Treatment Program laid it on the line.
"For the first time, I was held accountable."
The program eschews the traditional 28-day treatment model, instead using a rigorous 12-month effort that includes random testing and three mandatory meetings per week. When Anoka County launched its program in 2006, a handful of other Minnesota counties tried a similar approach. Now, only Anoka County's remains, others having fallen victim to budget cuts. County officials and local treatment experts say they are unaware of others like it anywhere else.
The program sometimes has been on financial life support, anxiously awaiting last-minute state grants. But the results have been consistently eye-opening. All of the program's 150 graduates are self-sufficient and 90 percent are employed, said Cindy Cesare, the county social services and mental-health director. Only 15 percent had jobs when they entered the program, she said.
Of the program's first 51 graduates, 86 percent have custody of their children.