Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

159Mr. Rangel. Well, I wasn't goin^ to lead you any further, but Iwonder if we were talking about a different economic class of people,whether or not those in the medical profession would be more proneto have this type of community control over dispensation of drugs.Dr. DuPoxT. That is a good point. If it were a different social classI don't think the problem would have gone on in Harlem as long as itdid without any treatment at all. It wasn't until the majority of thecountry, the more affluent part of the country, in any event, becamevery frightened about crime rates in their cities, and until they gotconcerned about their own junior and senior high school children usingdrugs that we got a national commitment.But it is coming and I think it is to everybody's benefit.Mr. Rangel. This national commitment, as far as I can see in thearea of rehabilitation, it has settled down to the question of expandingmethadone treatment ; has it not ?Dr. DuPoxT. No ; I don't think that is true.Mr. Raxgel. How much time does your institution spend on developingscientific methods of curing this, other than methadone ?Dr. DuPoxT. Well, about 25 percent of our patients are not onmethadone, for example.Mr. Raxgel. But are you looking for other scientific cures ?Dr. DuPoxT. No; we don't do any basic research. That would bemore properly done elsewhere. We are a city treatment agency.Mr. Raxgel. But you have no national institution that you can go toin order to increase your ability to deal with the drug addiction problem; do you ?Dr. DuPoxT. Well, the National Institute of Mental Health is probablyone of the logical sources for this kind of activity. In fairness tothem, some activity is going on there, but very little.Mr. Raxgel. Have they been of any assistance to you to reach aprogram Avhere you could professionally feel that you are doing thebest you can with what is available ? Have they assisted you in developingyour program ?Dr. DuPoxT. Yes; they have given us $800,000 a year for one majorcomponent of our program.Mr. Raxgel. I am not making myself clear. I am not talking aboutthe money. I am talking about you, as a doctor, with your background.Dr. DuPoxT. I see.Mr. Raxgel. Have you got a national institution that can give youscientific data as a result of their research that you can depend on sothat perhaps you could expand and develop other methods of treatingdrug addicts, other than methods of Colonel Hassan ?Dr. DuPoxT. No.Mr. Raxgel. So that as far as you are concerned, all you have is whatNew York City has done as a basis of where you are going ?Dr. DuPoxT. Well, I think Chicago and Dr. Jaffe added somethingvery important to the New York experience, and that was the conceptof a multimodality program. So I think there are other additions, andI think all over the country there are a lot of very resourceful andenergetic people who are involved from a variety of sources.For instance, in Stanford University, Professor Goldstein, who is apharmacologist, made a very important contribution, for example, witha urine testing technique which promises a lot of advantages over what