Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
.170parole departments. None were civilly committed. About 100 lived in three NTAhalfway houses. Seventy were residents almost always for less than 3 weeks, ontwo NTA detoxification wards at District of Columbia General Hospital. Theremainder, about 2,600, were outpatients. Fifty-four percent were receivingmethadone maintenance, 26 percent were in abstinence programs, and 20 percentwere receiving decreasing doses of methadone leading to abstinence.The unprecedented, sharp dip in the rate of serious crimes in Washingtonduring 1970 (see fig. 5) was widely attributed to increased police presence andparticularly to the effectiveness of the NTA treatment programs (9)How much do treatment progrwms cost?An economic study of drug addiction demonstrates that if NTA can successfullytreat only 40 percent of 1,000 patients (a low estimate on the basis ofperformance studies) the cost of treatment for 1 year will be $1,400,000. Thebenefits in terms of reduced criminal activity will be $5,750,770. This shows abenefit-cost ratio of 4.1 to 1 (6).On January 14, 1971, when NTA had 2,793 patients, the total cost »f the programwas less than $4 million a year.References(1) Kozel, N., Brown, B., DuPont, R. : "Narcotics and crime: a study of narcoticsinvolvement in an offender population." Narcotics Treatment Administration,1971.(2) Glendinning, S. : "District of Columbia coroner's office study." NarcoticsTreatment Administration, 1970.(3) Johnston, E. H., Goldbaum, R., Welton, R. L. : "Investigation of suddendeaths in addicts." Medical Annals of the District of Columbia, 38: 375-380, 1969.(4) Adams, S., Meadows, D. F., Reynolds, C. W. : "Narcotic-involved inmates inthe Department of Corrections." District of Columbia Department of CorrectionsResearch Report No. 12, 1969.(5) Robins, L. N., Murphy, G. E. : "Drug use in a normal population of youngNegro men." Am. J. Publ. Hlth., 57 : 1580-1596, 1967.(6) Holahan, J. : "The economics of drug addiction and control in Washington,D.C. : a model for estimation and costs and benefits of rehabilitation."Special Report by the Office of Planning and Research of the District ofColumbia Department of Corrections, 1970.(7) Gearing, F. R. : "Successes and failures in methadone maintenance treatmentof heroin addition in New York City." Presented at the Third NationalConference on Methadone Treatment, Nov. 14, 1970.(8) Brown, B. S., DuPont, R. L. : "6-month followup of heroin addicts in a largemultimodality treatment program." Narcotics Treatment Administration,1971.(9) DuPont, R. L. : "Urban crime and the rapid development of a large heroinaddition treatment program." Presented at the Third National Conferenceon Methadone Treatment, Nov. 16, 1970, accepted for publication in J. Am.Med. Assoc, 1971.Table 1.— The number of opioid overdose deaths each month from, July throughDecember 1970July 9August 5September 9October 8November 7December 4Total 42Average per month 7
171i
- Page 132 and 133: 120it not be so that we could proje
- Page 134 and 135: .122admission rate was approximatel
- Page 136 and 137: 124BESULTS(1) Although many of the
- Page 138 and 139: 1262. All the members of the methad
- Page 140 and 141: 128HETHADOHE MAINTENANCE TREATMENT
- Page 142 and 143: 11 1 1 1 1 11130Methadone Halnten?n
- Page 144 and 145: 132TABLE 2.-METHAD0NE MAINTENANCE T
- Page 146 and 147: 134Figure 9 Methadone tlaintenance
- Page 148 and 149: 136Methadone Ka'ntanance Treatmf:nt
- Page 150 and 151: :::.::.138Appendix A^—Methadone M
- Page 152 and 153: 140nance treatment patients showing
- Page 154 and 155: 142Figure 3 •lethadone Kaintenanc
- Page 156 and 157: 144Dr. DuPoNT. 1,760 on methadone m
- Page 158 and 159: :146there are dramatic reductions i
- Page 160 and 161: 148Health insurance coverage for me
- Page 162 and 163: 150Dr. DtjPont. Well, there are no
- Page 164 and 165: 152Mr. Blommer. You would agree the
- Page 166 and 167: 154done. Where is the evidence ? No
- Page 168 and 169: 156There are several reasons a pers
- Page 170 and 171: 158It would seem to me a very busy
- Page 172 and 173: 160we had before. I don't think it
- Page 174 and 175: 162heroin addiction and support all
- Page 176 and 177: 164Dr. DuPoNT. I am reluctant to ge
- Page 178 and 179: 166Using this figure as rule of thu
- Page 180 and 181: )168ment facilities for heroin addi
- Page 184 and 185: ::172Table 2.— Selected character
- Page 186 and 187: 174TABLE 3.—HEROIN ADDICTION RATE
- Page 188 and 189: 176W.a^^cc-V.c Cffv..AdF-ro ftcoKjL
- Page 190 and 191: 178.^06V f\QrK-'SEt G^ouP/AJ6SIS're
- Page 192 and 193: I180*i coo)u->CM>—'CMUJCOO O COa>
- Page 194 and 195: I(/I182esiMmin0)^> oo.00 =E|c O.2 o
- Page 196 and 197: 184encouraged to return to methadon
- Page 198 and 199: 186or other side effects. This incr
- Page 200 and 201: :188number as that on the bottle. W
- Page 202 and 203: 190Attachment ThreeTo all medical s
- Page 204 and 205: -jI IALLI192ATTACHMENT- FIVE,J: IPA
- Page 206 and 207: 194ATTACHMENT NINEGOVERNMENT OF THE
- Page 208 and 209: ......—196half of the addicts sta
- Page 210 and 211: 198CONCLUSIONSCertain patterns emer
- Page 212 and 213: 200TABLE 5.— PROFILE OF BARBITUAR
- Page 214 and 215: 202TABLE ll.-SUPPORT OF HEROIN HABI
- Page 216 and 217: 204TABLE 17.-AGE OF ADDICTS AND NON
- Page 218 and 219: 206TABLE 23.—PRESENT MARITAL STAT
- Page 220 and 221: 208TABLE 28.-MILITARY SERVICEAddict
- Page 222 and 223: :210The committee is pleased to cal
- Page 224 and 225: 212sists of a network of 21 geograp
- Page 226 and 227: 214(6) Basic studies on the nature
- Page 228 and 229: 216in fact, constitute autonomous o
- Page 230 and 231: Chairman Pepper. Mr. Perito?218;; M
.170parole departments. None were civilly committed. About 100 lived in three NTAhalfway houses. Seventy were residents almost always for less than 3 weeks, ontwo NTA detoxification wards at District of Columbia General Hospital. Theremainder, about 2,600, were outpatients. Fifty-four percent were receivingmethadone maintenance, 26 percent were in abstinence programs, <strong>and</strong> 20 percentwere receiving decreasing doses of methadone leading to abstinence.The unprecedented, sharp dip in the rate of serious crimes in Washingtonduring 1970 (see fig. 5) was widely attributed to increased police presence <strong>and</strong>particularly to the effectiveness of the NTA <strong>treatment</strong> programs (9)How much do <strong>treatment</strong> progrwms cost?An economic study of drug addiction demonstrates that if NTA can successfullytreat only 40 percent of 1,000 patients (a low estimate on the basis ofperformance studies) the cost of <strong>treatment</strong> for 1 year will be $1,400,000. Thebenefits in terms of reduced criminal activity will be $5,750,770. This shows abenefit-cost ratio of 4.1 to 1 (6).On January 14, 1971, when NTA had 2,793 patients, the total cost »f the programwas less than $4 million a year.References(1) Kozel, N., Brown, B., DuPont, R. : "<strong>Narcotics</strong> <strong>and</strong> crime: a study of narcoticsinvolvement in an offender population." <strong>Narcotics</strong> Treatment Administration,1971.(2) Glendinning, S. : "District of Columbia coroner's office study." <strong>Narcotics</strong>Treatment Administration, 1970.(3) Johnston, E. H., Goldbaum, R., Welton, R. L. : "Investigation of suddendeaths in addicts." Medical Annals of the District of Columbia, 38: 375-380, 1969.(4) Adams, S., Meadows, D. F., Reynolds, C. W. : "Narcotic-involved inmates inthe Department of Corrections." District of Columbia Department of CorrectionsResearch Report No. 12, 1969.(5) Robins, L. N., Murphy, G. E. : "Drug use in a normal population of youngNegro men." Am. J. Publ. Hlth., 57 : 1580-1596, 1967.(6) Holahan, J. : "The economics of drug addiction <strong>and</strong> control in Washington,D.C. : a model for estimation <strong>and</strong> costs <strong>and</strong> benefits of <strong>rehabilitation</strong>."Special Report by the Office of Planning <strong>and</strong> Research of the District ofColumbia Department of Corrections, 1970.(7) Gearing, F. R. : "Successes <strong>and</strong> failures in methadone maintenance <strong>treatment</strong>of heroin addition in New York City." Presented at the Third NationalConference on Methadone Treatment, Nov. 14, 1970.(8) Brown, B. S., DuPont, R. L. : "6-month followup of heroin addicts in a largemultimodality <strong>treatment</strong> program." <strong>Narcotics</strong> Treatment Administration,1971.(9) DuPont, R. L. : "Urban crime <strong>and</strong> the rapid development of a large heroinaddition <strong>treatment</strong> program." Presented at the Third National Conferenceon Methadone Treatment, Nov. 16, 1970, accepted for publication in J. Am.Med. Assoc, 1971.Table 1.— The number of opioid overdose deaths each month from, July throughDecember 1970July 9August 5September 9October 8November 7December 4Total 42Average per month 7