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

247interested, and I have applications from doctors to join the program.I don't have spots for them right now. The nurses enjoy doing thiswork. We are one of the few programs that doesn't have difficultyrecruiting nurses.The counselors are flooded with requests from bright young peoplenow because of the job situation and we can get a good calibre ofcounseling. We are not having problems getting personnel that wehad, maybe, 2 years ago, 3 years ago.Our problem now is boiling down to money.Mr. Maxn. To what extent do you use ex-addicts in your program ?Dr. GoLLANCE. We use ex-addicts. We call them research assistants.They are a very valuable part of the program. We have a very limitednumber. In our requirement we will not take an addict right fromour program and hire him as a research assistant. He must get a joband show he can hold a job on the outside. When he does, we can hirehim. They are very useful, they are useful as a model to the new patientin explaining the program to the new patient, useful in explaining theaddict to the "square" staff that we hire. So they are very, very useful.Mr. Mann. Thank you.No further questions, Mr. Chairman.Chairman Pepper. Mr. Winn.Mr. Winn. Along that same line, what difficulties have you encounteredin obtaining physical facilities for treatment of the addicts ?Dr. GoLLANCE. We have had many problems in that area, and weuse any physical facilities we can get. We use stores, brick them up.We don't call them storefronts because our addicts have had bad experienceswith storefronts. We use health buildings, office buildings.We even set up a program in a church and are looking at anotherchurch to get space. So we will use available space.Now, there is a problem in getting space. We go into a communityand try to see if the community is going to back this program. Theyare very much in favor of it but don't want it on their block.So we have worked that out.In the Harlem cormnunity, fortunately, we don't have that problem.We have been able to open up a great many clinics and we are expandingthere.But in certain other areas, it is a problem.Mr. Winn. Do you use the residential system Dr. Jaffe referred to ?Mr. GoLLANCE. No ; we haven't done that. Practically all our patientsare treated on an ambulatory basis. We have a certain number of bedsfor those who have difficult problems and we will take them into thehospital for 6 weeks.We also have a medical service and obstetrical service to take care ofthe patients.I would also like to touch on that because this comes up. We thinkit is important for the pregnant addict to be stabilized on methadone.Our experience is that the pregnant woman stays on the street as longas she can. She is a prostitute, gets no prenatal care, takes a shot ofheroin and tries ta smuggle some heroin in with her when she entersthe hospital for delivery. At least on methadone maintenance theyget prenatal care, we can follow them carefully, and I might say thatmethadone has brought about a great change in climate. When I was