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

'Mr.;>•/nmo'.i,,;248deputy commissioner of hospitals, it was recognized that pregnancyin addicts was a problem. ,We approached the chiefs of the obstetrical services and almost toa man they said this is not their problem. Now, our obstetricians seethese cases. They are much interested in them and there is a muchbetter climate for the. pregnant addict than what existed 5 or 10 yearsMr. WioGiNS. Incidentally, does 'the child manifest withdrawalsymptoms?Dr. GoLLANCE. We have watched them very carefully. We are goingto follow those infants for a long time. But the alternative would bethey would have heroin withdra,wal symptoms. '. iChairman Pepper. Doctor, I have to go to the floor for a little while.I will ai^k Mr. Walrlie if he will be good enough to take. the Chair.I will ask you one question and make one comment..! iiL-o oi \How is your program financed ? > ot/j ^oiijj'rt'p.rr vth e-ij; i :Dr. GoLLANCE. Entirely by New York State Addiction ControlCommission, and we are worried very much about future financing.Chairman Pepper. Secondly, on behn.lf of the committee I want toexpress our very deep appreciation for your coming here and giving usthe benefit of j^our knowledge and experience.Dr. GoiXANCE. Thank you. It is a privilege to. be here.Mr. Waldie (presiding) . IMt. ISIurphy. q 'jn'rMurphy. Yes. ii biifi 'jvorfWhat experience do you know of that the Army has had withmethadone?Dr. Gollance. I don't' know the Army's experience. I know theveterans hospitals in our area have been very interested. I have spokento two of them. One of them is setting up a program. I would thinkthat this is a very serious problem. I am not an expert on the Army'ssituation. q aiiH :;loj;J ot Bfiioi>.sdi i vij i> vI had one nian tell me the main reason for reenlistment in a certaingroup was to stay in the Orient where they could get heroin." Mr. Murphy. That is all.-;/•Mr. Waldie. Mr. Eangel. iiii qir kMr. Rangel. Do you know of any feasible way to dispense methadonein such a form that it cannot be reduced to another substance so that-..it can be used intravenously ?Dr. GoLLANCE. Well, if it is given dissolved in Tang, as we do, or> .j^i. vi;.in disket form it can't be injected. - .Mr. Rangel. But we discussed tMte earlier 'aiid determined that itwas not practical to do this. Is there any other form, concrete form,that you can create a methadone treatment or dosage so that it wouldbe impossible for the patient to later reduce it for injection?Dr. Gollance. Well, I don't think they can reduce either of thesetwo forms we use. The type they inject are the pills usually gottenfrom physicians. They are the usual* medical tablets and they are in-tjectable. Perhaps do away with the injectable pills might be one way.Mr. Rangel. Are you saying that in your treatment program youdon't give methadone in any solid form at all? if^b 7o'1 [>;