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

'! Dr.245If he is using other drugs we will ask him to tell us so we can workwith him.Mr. Perito. Finally, Doctor, to the best of your knowledge, is therea black market for and in methadone in New York City?Dr. GoLLANCE. I am sorry to say there is. We have asked the policerepeatedly, ever since we have had the program, do they thuik ourprogram is a problem for them.Tliey have told us our program is not. But we do know it is gettingon the*^ streets from some very unstructured, unsupervised programs.I appeared before a group of probation officers and a police officer,and he said, "I know it gets on the street." I said, "I would like to seeit. I don't think it is any of ours." He pulled out a vial and there wasa label of this unsupervised program in New York City.Chairman Pepper. Mr. Blommer.Mr. Blommer. I have no questions, Mr. Chairman.Chairman Pepper. Mr, Waldie.Mr. Waldie. No questions.Chairman Pepper. Mr. Wiggins.Mr. Wiggins. Would you describe the workings of the central registryfor us ?GoLLANCE. The health department gets all the information.Physicians are supposed to report to them and it is strictly confidential.I would say most of their records are gotten through arrestrecords. When arrested, that is reported to the central registry. Also,physicians and others with knowledge are required to report this tothe health department.Incidentally, Dr. Dole has been working on detoxifying prisonersin the New York City prison and at nights I have personally observedthat at least two-thirds of the prisoners are addicts under the influenceof heroin.Mr. Wiggins. Can you describe the methadone registry for therecord?Dr. GoLLANCE. That is a special methadone registry under the directionof Eockefeller University. This registry for the methadonepatients is available to Dr. Gearing and Dr. Dole at Rockefeller. Anypatient we treat, or any hospital connected with us must report everypatient into this central computer. We finance and train hospitals.One thing that we will not yield on in any way is that they mustreport in their results in exactly the same manner as we do. There isstandardized reporting in our program.However, there are programs that do not report to this centralregistry.Mr. Wiggins. That is all.Chairman Pepper. Mr. Brasco.Mr. Brasco. Yes. Could you tell us, Doctor, how long is the waitinglist for the program ? -.iuAj-"ji\r nfi : .Dr. GoLLANCE. It varies. It used to be very long. It has gotten muchshorter. We have set up a number of programs, including what we callrapid induction. We are working now on what we call a holding program.That will cut down waiting time. It varies from weeks "tomonths, depending on the area in which the patient lives.;;Mr. Brasco. That is another thing. I know it is localized. ComingIrom- New. York, I had an opportunity to try to place a young man