Thu, Aug 05, 2010 - Page 13 News List

Dutch clinic helps alcoholics by serving them beer



Alcoholic Janetta van Bruggen settles comfortably into a clinic chair, lights a cigarette and takes a supervised swig from a tall, frosted mug — her sixth beer since breakfast.

Previously forced to drink on the sly, up to 2 liters of wine and 3 liters of beer per day, she is one of 19 clients of an innovative Dutch clinic where homeless alcoholics get booze in rations to keep them on a “light buzz.”

“I will drink less from tomorrow,” the 51-year-old says with a wink, stepping up to a make-shift bar counter where she pays a social worker US$0.52 for 500ml of beer poured into a tall, frosted glass.

Behind the counter, a staff member makes a tick behind Van Bruggen’s name on a register kept between the stack of beer cans in the fridge and a pail of soapy water for washing mugs.

Open since October, Centrum Maliebaan in the central Dutch city of Amersfoort allows its residents to drink up to 5 liters of beer on the premises every day, with an hour between each 500ml serving.

It goes through nearly 4,000 half-liter cans every month, bought at wholesale prices and sold with no mark-up.

“Our main goal is to stop binge drinking: It is better for the individual and for his environment,” the center’s psychiatrist Eugene Schouten said during a recent visit to the center, which he believes to be a first for Europe.

To achieve that, “we bind them with beer.”

Based on a Canadian concept, the center targets the city’s “very worst” alcoholics — those with no family, no work, no home and no desire to stop drinking, said Schouten.

“When alcoholics wake up in the morning, they feel sick. Then they drink until the feeling of sickness passes. Sometimes they drink a whole bottle of martini or port in a few seconds, before breakfast,” said the center’s team leader, Pieter Puijk.

“They get drunk and become a public annoyance: stealing, fighting, shouting. And binge drinking causes serious liver, brain and heart damage.”

Residents of Maliebaan can order their first half-liter of beer from 7:30am, “just enough to make them feel OK.” They then have to wait an hour for the next hit, with last rounds at 9:30pm.

“This allows us to keep the percentage of alcohol in their blood constant, creating a ‘light buzz’ effect,” said Puijk.

“Their heads are clearer and we can work with them: We can get them to see a doctor, a psychiatrist, to eat, shower and to keep their behavior under control.”

The center serves three meals a day, and hands out vitamins and medicine that suppresses withdrawal symptoms at night.

It gives clients access to a nurse and a doctor and helps them register for homeless and medical benefits.

For fun, they can play billiards or cards, watch television or just sit around chatting over a mug of beer.

“The craving always remains. But by offering them activities, medication and food, it gets a bit milder,” said Puijk.

“They have peace here. They are not hounded by the police or other citizens. There is nobody troubling them here, and they can enjoy the company of their peers.”

“I feel safe,” Maliebaan resident Marjan Kryger, 45, said over a tall mug of beer.

“Here I can drink a beer in the morning without anyone laughing at me or calling me names.”

“One shouldn’t feel too at home here, or you’ll never leave,” added fellow-alcoholic Bob van Deuveren, 28, proclaiming he wants to cut back on drinking without quitting, “because I want a house and a kid.”

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