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Oregon Teen dies in post-treatment 'whirlpool'

Tommy Dickson should have been in an alcohol treatment program on March 31, 2002. Instead, he partied at a friend's house in Warm Springs', Oregon West Hills neighborhood. With no adult around, he and two other teenage boys drank Olde English 800 from 40-ounce bottles as his girlfriend watched. One boy had brought two handguns, and they took pictures of Tommy, 15, holding one of the pistols to his head.

Around 4 a.m., after his girlfriend had left, Warm Springs, Oregon police say Tommy put a bullet in a .22 revolver, spun the chamber and placed the barrel to his head.

Three times he pulled the trigger. The hammer only clicked.

The fourth time, the gun fired.

Tommy died two days later from his wound. Oregon Police and the Oregon state medical examiner say they do not know whether Tommy intended to kill himself or if he died after a reckless decision. But tribal leaders acknowledge that the case illustrates serious gaps in their handling of substance abuse among young people.

Only one of four Warm Springs, Oregon kids who come out of treatment cut their drug and alcohol use, Oregon state records show -- a success rate half that of other Native American adolescents in Oregon.

Jim Quaid, Warm Springs' Family Services director who oversees the reservation's Community Counseling Center, said the poor results reflect the tribes' honesty in reports to the state, which helps pay for programs.

Quaid said the reservation also lacks fundamental things that help kids in recovery -- jobs and activities "where kids can be involved in a non-drinking world."

The Confederated Tribes of Warm Springs, Oregon last year cited other problems in a federal grant application for an alcohol abuse prevention project. In 2001, the application said, 61 percent of Warm Springs, Oregon youth ages 12 to 17 were incarcerated in the tribal jail at least once, primarily for drug and alcohol abuse, possession of alcohol, and crimes against property and people.

"There are currently no services being offered for adults or youth in detention," the application said. "There is no intake and assessment of social or medical conditions, no alcohol and/or drug treatment sessions, nor any attempt to coordinate health or welfare services for those incarcerated."

The U.S. Department of Justice this year awarded the tribes a $207,000 grant to help fill these gaps.

Warm Springs counselors who deal with adolescent substance abuse say tribal leaders have not met their most urgent need: temporary housing for kids who complete inpatient treatment.

The reservation has no inpatient treatment center. For adolescents who want to build a new life, the return to the reservation from treatment is a precarious moment. Old friends and familiar haunts test their will. Experts think transitional housing can help teenage and adult substance abusers make a clean break from their past.

Quaid said Tommy, who returned from treatment about two months before he died, was "exactly the kind of kid" who would have been helped by having an alternative place to live.

"Kids come back from treatment, and they go back into the same situations they were in before," said Marcella Hall, an adolescent substance abuse counselor on the reservation. "When that happens, when they return here from treatment without support, it's like a whirlpool."

Signs of change Tommy Dickson was known on the Warm Springs Reservation for his infectious smile, intense interest in drawing and struggles with alcohol and drugs. In his last months, family members say, he had shown signs of wanting to change a life that had been deeply troubled.

Raised by a patchwork of tribal elders, foster parents and extended family, Tommy got involved with drugs, small-time crime and violence. He sometimes spoke about suicide.

Neda Wesley, one of the elders who helped raise Tommy, said he never got the mental-health help he needed.

She recalled his funeral, where she said many people spoke "the same old death talk -- about how happy they were he was in heaven or that death is inevitable.

"There is no attitude that another young life had been lost," Wesley said. "I mourned his passing as something that could have been prevented."

Born in The Dalles, Tommy grew up in Warm Springs. His mother, Thelma Mae Dickson, said she neglected him when she drank. He was in and out of foster care from the age of 4.

For years, his grandmother raised him. Her 1996 death hit him hard, and his life spiraled out of control, according to his medical file, which his mother released to The Oregonian.

At age 10, he told counselors he was thinking about suicide.

Tommy moved away for a few years. At age 13, after his return, other Warm Springs boys severely beat him with baseball bats as part of a gang initiation, and his injuries required medical attention. He also was arrested when he got drunk and assaulted two Warm Springs police officers.

At 14, he went into an outpatient treatment program off the reservation and was placed on antidepressants. A few months after his return, he started drinking and threatened himself and others. According to a report in Tommy's medical file, Warm Springs, Oregon police say that when they arrived Tommy told them to shoot him.

At 15, Tommy went to the Warm Springs Health and Wellness Center and disclosed that he drank heavily -- several 24-ounce beers at a time -- and had smoked marijuana and taken LSD, mushrooms and methamphetamine.

"Depression. Appetite poor. Insomnia, sad," says a chart note from this visit. "3 deaths of close friends in several months. Tearful at times. Suicidal previous."

Two months later, in November 2001, the tribal Community Counseling Center arranged for Tommy to enter a second residential treatment program at Eastern Oregon Children's Multi-Treatment Center in Pendleton.

New start cut short Tommy came back to Warm Springs a few weeks later ready to make a new start and moved in with his aunt, Laura Kelly.

He brought with him a small blue pocket Bible.

"He wanted to be saved and turn his life around," Kelly said. "He told us he would be saved. It lasted about a week. We kind of made fun of him. After awhile, he stopped carrying the Bible around. We'd say, 'Hey, where's your Bible?' and he said, 'I lost it.' "

The Pendleton center had recommended that Tommy enter a 90-day program for further treatment. But Tommy stopped showing up for counseling sessions on the reservation. Quaid said his agency could not find him.

Kelly, his aunt, said no one urged Tommy to attend his follow-up counseling sessions, and he didn't.

On March 30, the night before police say he shot himself, Tommy made a rare confession. He told his uncle, Al Kelly, that he had been part of a theft ring on the reservation run by the mother of a friend.

Laura Kelly said Tommy looked worried, even a little scared. She said that evening -- the last time they saw him alive -- he did something he had never done before: He hugged his uncle.

Then he ran out into the night.


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