Lighthouse lacrosse. La Crosse Lighthouse: Pioneering Peer-Run Respite for Mental Health and Addiction Recovery

How does La Crosse Lighthouse provide unique support for mental health and addiction. What makes the peer-run respite model effective in recovery. Why is the Lighthouse filling a crucial gap in La Crosse’s community support services.

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The Birth of La Crosse Lighthouse: A New Approach to Mental Health Support

In December 2023, La Crosse, Wisconsin welcomed a groundbreaking addition to its mental health support network: the La Crosse Lighthouse. This peer-run respite facility represents a significant shift in how communities approach mental health and addiction recovery support. The Lighthouse project, years in the making, finally came to fruition after receiving funding from the Department of Health Services in September.

Executive Director Karen Kuhlmann explains the core mission: “We aim to fill the gaps for those who need support, doing so from a place of real understanding.” This unique approach sets the Lighthouse apart from traditional clinical settings, offering a more personalized and empathetic environment for those seeking help.

What is a Peer-Run Respite?

A peer-run respite is a short-term, voluntary stay facility where individuals experiencing mental health or substance use challenges can find support from peers who have their own lived experiences with recovery. The La Crosse Lighthouse offers stays of up to a week, providing a crucial transition space for those entering or leaving treatment, or simply needing a reset from their daily struggles.

The Power of Lived Experience in Recovery Support

At the heart of the Lighthouse’s effectiveness is its staff of peer support specialists. These individuals, like Joshua Hundt, bring their personal experiences with mental health challenges and addiction to their work, creating a unique bond with guests.

Hundt shares, “I come from a background of heavy substance abuse. I’ve lost a lot of things because of my substance abuse in the past.” This openness about personal struggles allows staff to connect on a deeper level with guests, offering hope and understanding that comes from shared experiences.

How Does Peer Support Enhance Recovery?

Creates an environment of trust and understanding
Provides living proof that recovery is possible
Offers practical insights based on personal experiences
Reduces stigma and encourages open communication

Kuhlmann emphasizes the impact of this approach: “Because they have that personal experience, that lived experience, they can sit next to somebody and say, ‘I know how you feel,’ and really mean it. And I just think that is so important for our guests.”

Filling a Crucial Gap in Community Mental Health Services

The La Crosse Lighthouse addresses a pressing need in the community, particularly in the realm of addiction support. Program coordinator Aaron Rasch highlights the initial focus on providing support for meth and heroin addiction, a significant concern in the La Crosse area.

However, the Lighthouse’s mission has expanded to encompass a wide range of mental health challenges. From individuals experiencing psychosis to those simply struggling at home and needing a place to reset, the respite offers a flexible and welcoming environment.

Why Are “Softer Interventions” Necessary?

Rasch, drawing from his clinical background, emphasizes the importance of having options beyond emergency rooms and psychiatric wards. He notes, “I think so many people are just white-knuckling it. They’re at a level of, ‘I just can’t do this anymore.’ It’s too bad that we have to wait for it to get so, so bad before someone can get help.”

The Lighthouse aims to provide support before crises escalate, offering a more accessible and less intimidating option for those struggling with their mental health.

The Lighthouse Experience: A Flexible Approach to Healing

Upon arrival at the Lighthouse, guests create a wellness plan tailored to their individual needs and preferences. This personalized approach allows for a wide range of activities and support options:

Board games and group activities
Quiet time for reading and reflection
Shared meals and conversations
Nature walks on the two-acre property
One-on-one conversations with peer support specialists

Hundt explains the philosophy behind this flexible structure: “That’s all we ask of the guests: Just be here for the right reasons, and have that desire or willingness to make a change in your life. We can help with that.”

The Growing Trend of Peer-Run Respites in Wisconsin

La Crosse Lighthouse is part of a larger movement in Wisconsin towards peer-run respite facilities. Since the state’s first such respite opened in Appleton in 2015, the number has grown to six Department of Health Services-funded respites, including one specifically for veterans.

This growth reflects a changing understanding of mental health support, recognizing the value of peer-led interventions alongside traditional clinical approaches.

What Sets Peer-Run Respites Apart from Clinical Settings?

Non-medical, home-like environment
Emphasis on personal choice and self-directed recovery
Flexibility in daily routines and activities
Focus on building community and peer relationships
Absence of clinical diagnoses or treatment plans

Challenges and Opportunities in the Peer-Run Model

While the peer-run respite model offers many benefits, it also comes with its own set of challenges. Maintaining appropriate boundaries while providing empathetic support can be a delicate balance for staff members who have their own recovery experiences.

Additionally, integrating peer-run respites into the broader mental health care system requires ongoing education and collaboration with clinical providers and emergency services.

How Can Peer-Run Respites Complement Traditional Mental Health Services?

The Lighthouse and similar facilities are not intended to replace clinical interventions but rather to complement them. They can serve as a bridge between intensive treatment and community living, providing a supportive environment for individuals to practice coping skills and build resilience.

Rasch explains the Lighthouse’s approach: “We purge the power structure of recovery. Instead of a medical model where you’re quick to diagnose and solve and fix, we keep an open mind for what recovery could look like, whether that’s physical, emotional, social or spiritual.”

The Impact of La Crosse Lighthouse: Early Success Stories

Although the Lighthouse has only been open for a short time, its impact is already being felt in the community. Hundt shares a powerful anecdote about reconnecting with a former acquaintance who came to the Lighthouse seeking help:

“There was a time that I was homeless, and I was out there using with this man that came in. I’ve been right there, where he was. And this man came to us seeking help, seeking a path after this place.”

The Lighthouse staff was able to connect this individual with a treatment facility after his stay, demonstrating the respite’s potential to serve as a crucial stepping stone in the recovery journey.

What Long-Term Effects Might Peer-Run Respites Have on Community Mental Health?

Reduced stigma around seeking mental health support
Increased early intervention, potentially preventing crises
Greater community awareness and understanding of mental health challenges
Development of a more robust peer support network
Potential reduction in emergency room visits and hospitalizations

As the La Crosse Lighthouse continues to serve the community, its success could pave the way for similar initiatives across Wisconsin and beyond, reshaping how we approach mental health and addiction support at a grassroots level.

The Future of Peer-Run Respites: Expanding the Model

The success of facilities like La Crosse Lighthouse raises questions about the potential for expanding the peer-run respite model. As awareness grows and more data becomes available on the effectiveness of these programs, there may be opportunities to increase funding and support for similar initiatives.

How Might Peer-Run Respites Evolve in the Coming Years?

Possible developments could include:

Integration of telehealth services to extend support beyond physical stays
Specialized respites for specific populations (e.g., youth, LGBTQ+ individuals)
Partnerships with local businesses to provide vocational support
Expanded outreach programs to connect with underserved communities
Development of peer support training programs to grow the workforce

As the La Crosse Lighthouse and other peer-run respites continue to demonstrate their value, they may play an increasingly important role in reshaping mental health and addiction support services across the country.

The innovative approach of La Crosse Lighthouse represents a significant step forward in community-based mental health support. By harnessing the power of lived experience and creating a flexible, welcoming environment, the Lighthouse offers hope and practical assistance to those navigating the challenges of mental health and addiction recovery. As this model continues to prove its worth, it may well become a cornerstone of comprehensive mental health care strategies in communities nationwide.

La Crosse Lighthouse opens peer respite for mental health

This story discusses mental health and addiction. If you or someone you know is struggling with addiction, call the Wiscoonsin addiction recovery helplineat 833-944-4673

LA CROSSE, Wis. — In his work as a peer support staffer at the new La Crosse Lighthouse, Joshua Hundt recently came across a familiar face.

(Photo courtesy of Karen Kuhlmann)

The Lighthouse uses a peer-run respite model to support those struggling with mental health or addiction issues. That means Hundt, like the other staff members, is in recovery himself: “I come from a background of heavy substance abuse,” he said. “I’ve lost a lot of things because of my substance abuse in the past.”

The peer-run setup is designed to bring an extra layer of lived experience to the table — and brought extra meaning to Hundt’s work with a recent guest.

“There was a time that I was homeless, and I was out there using with this man that came in,” Hundt said. “I’ve been right there, where he was. And this man came to us seeking help, seeking a path after this place.”

In this case, staffers were able to connect the guest with a treatment facility after his stay at the Lighthouse. Hundt said it’s “really a good feeling” to be in a place now where he’s helping others through their own recovery.

It’s that kind of work — filling in gaps for those who need support, and doing so from a place of real understanding — that inspired the mission of the Lighthouse in the first place, its leaders said. Now that the respite is open, its staff hopes they can be a source of hope and connection in the La Crosse community.

Even just by being there, the staff members can serve as “living proof” that the recovery people are seeking is possible, explained executive director Karen Kuhlmann.

“Because they have that personal experience, that lived experience, they can sit next to somebody and say, ‘I know how you feel,’ and really mean it,” Kuhlmann said. “And I just think that is so important for our guests.”

The Lighthouse project has been years in the making, but the team really started “actively pursuing this dream” in September, Kuhlmann said — after they received funding from the Department of Health Services. The respite was finally able to open its doors in December, after bringing on 11 staffers and settling into a four-bedroom home that was purchased by a donor.

The peer-run model has been growing in Wisconsin since 2015, when the state’s first respite opened in Appleton. The La Crosse Lighthouse brought the state’s total up to six DHS-funded respites, including one especially for veterans.

(Photo courtesy of Karen Kuhlmann)

At any of these respites, people can refer themselves for a short stay — generally up to a week — to get support for mental health or substance use concerns.

For the Lighthouse team, a lot of the original goal was focused on a need for more addiction support in the La Crosse community, especially for meth and heroin, program coordinator Aaron Rasch said. A respite could serve as a transition space to bring people into treatment for substance abuse, or help them get back to longer-term stability afterward, he explained.

But like the other state-funded respites, the Lighthouse has expanded its mission to help with a wide range of mental health challenges, from people experiencing psychosis to those who are struggling at home and need someplace to reset.

Rasch, who’s worked in clinical roles in the past, said he sees a need for these kinds of “softer interventions” for mental health, beyond emergency room visits and psychiatric wards.

“I think so many people are just white-knuckling it. They’re just at a level of, ‘I just can’t do this anymore,’” Rasch said. “And it’s too bad that we have to wait for it to get so, so bad before someone can get help.”

At the Lighthouse, the idea is to “purge the power structure” of recovery, Rasch said. Instead of a medical model, where “you’re quick to diagnose and solve and fix,” he said the respite staff keeps an open mind for what recovery could look like, whether that’s physical, emotional, social or spiritual.

When guests arrive, they create a wellness plan and let staff know whether they’re looking for more privacy or more connection, Hundt said. From there, guests can really choose how they want to spend their time — board games, activities, books, shared meals or just conversation are all on the table.

The respite also sits on two acres of land, “sandwiched” between the bluffs and the marsh, Kuhlmann added, so there’s plenty of room to spend time out in nature. The hope is to create a more natural healing process that can be flexible to fit each guest’s needs, Hundt said.

“That’s all we ask of the guests: Just be here for the right reasons, and have that desire or willingness to make a change in your life,” Hundt said. “We can help with that.”

As of last week, the Lighthouse had served eight guests in less than a month of being open, Kuhlmann said. The house — which can hold up to four guests at once — has been full at times, which Hundt said shows there’s a high need in the community for this kind of support.

(Photo courtesy of Karen Kuhlmann)

The Lighthouse, like other peer respites across the state, also runs a 24-hour warmline to help support people over the phone. Hundt said that a lot of the calls come in at night, and that “just being that ear for somebody who is struggling” can make a big difference.

As the respite moves forward, Rasch said he’d like to keep building relationships in the community — working outside the Lighthouse’s walls instead of just “waiting for the phone to ring.” And even beyond La Crosse, the Lighthouse team hopes that the peer-run respite model can keep growing to provide a different form of mental health help.

In the peer respite model, recovery isn’t a linear path, Rasch said. That can make it hard to put a label on success — but Rasch is confident that the authentic sharing that happens at the Lighthouse can make a real difference.

“You don’t have the instant gratification of someone just walking out, like, ‘I’m healed,’” Rasch said. “However, what we do have are these powerful moments of connection.”

If you or someone you know is experiencing emotional distress or are in a low-level crisis, you can contact the La Crosse Lighthouse warmline at 608-519-1489. For contact information on the other peer-run respites in Wisconsin, check the DHS website here.

Lighthouse of La Crosse, a beacon of hope

Mihalovic

The Lighthouse of La Crosse Project is a local community advocacy team that supports those with substance dependency.

The team came together with the vision of establishing a peer-run respite center in La Crosse to address the “detrimental gap” in our community that so many face when seeking recovery. Peer respite care provides a home-like environment available short-term to those struggling with mental health and/or substance abuse concerns while receiving support from peers who have successfully recovered from similar experiences.

After five years in the planning, the Lighthouse of La Crosse Project will soon be able to turn on the lights thanks to a recent grant awarded by the Wisconsin Department of Health Services. This federal block grant will provide $438,500 annually with possible annual renewals for five consecutive years.

The La Crosse Lighthouse was one of six recent awards to Peer Run Respites across the state, of which four are beginning their sixth year as successful recovery centers. The Peer Run Respite care facility is evidenced-based and has been in existence most commonly in the last ten years nationally.

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Our La Crosse Lighthouse is a local non-profit and peer-run organization, meaning that staff, volunteers, and board members all share lived experiences related to mental health, substance use, trauma, or other life-interrupting challenges. Lighthouse of La Crosse Mission: “To establish individual community resources that will support, preserve, and enhance the dignity and rights of those challenged with mental health issues and the disease of drug addiction, and in doing so, seek their own level of recovery and independence. ”

Peer-run respites (PRR) are truly homes that welcome guests who are committed to their personal recovery. The Lighthouse will strive to be a sanctuary that is considered a safe-haven and staffed 24/7 by individuals who have lived similar experiences and are successful long-term in recovery. As long as the guests come with a desire to be helped voluntarily, the Lighthouse staff will provide food and shelter, transportation for appointments and meetings, and caring support, including for those who may be going through detox due to drug addiction. The Lighthouse understands and affirms that mental health disorders often contribute to those suffering from drug addiction. Unfortunately, there is still the stigma surrounding those who are challenged with mental health and addiction in our society, but PRRs recognize this is a disease and should be treated accordingly.

While the excitement about being awarded the federal grant has started the wheels turning, we have needs that will require community support and financial assistance. For example, the grant does not allow for food purchase so the Lighthouse team will need to seek other avenues within the community to access meals for our guests. Most importantly, the organization’s number one goal is to find a “suitable home” to begin our journey. The grant outlines a three to five-bedroom home with kitchen facilities, functioning large and small-group spaces, multiple bathrooms with showers, and with easy access to transportation for social support options and health care needs. We have recently hired our new executive director, Karen Kuhlmann, who will lead our work to build a foundation for the first La Crosse peer-run respite. We are now seeking applications for a house manager and likely nine peer specialists for whom we will provide the required training.

For those who wish to seek more information or have a desire to help or assist the Lighthouse Project financially, please contact Lighthouse Board President Scott Mihalovic. [email protected] or by cell at 608-790-4979.