Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
448Dr. Brown. The total, as I said, is $17.7 million, perhaps of which$9 to $10 million is available to universities, colleges, and the like.Chairman Pepper. And you are using that now for that purpose?Dr. Brown. Yes; we are.Chairman Pepper. You have how many institutions participating?Dr. Brown. I do not have the exact number but I am sure it is inthe area of 100 or so and I will be glad to make that figure available.(The information referred to above follows :)The number of colleges and universities conducting research with funds fromthe National Institute of Mental Health in field of narcotic addiction and drugabuse is 98.Chairman Pepper. Are any of them working on this possibleimmunizing drug?Dr. Brown. No.Chairman Pepper. Because you have not made any grants for that.Dr. Brown. That is correct.Chairman Pepper. You not did have the money, as a matter offact, I suppose, for that.Well, we have talked about the drug houses and the colleges anduniversities. Now, what other sources are available to help in thedevelopment of these technological leads? Are there other areas?Dr. Brown. Yes; there are in terms of doing the clinical research,the actual comparison of treatment methods, all the facilities that dosuch things, including State institution and aftercare programs, clinics,and hospitals. The actual clinical facilities would be promising placesto explore such questions.Chairman Pepper. In other words, if you had the money to place,you could look over the country and find what clinics or hospitals youthink would wisely use the money that you might make available inareas that joii thought were worthy of exploration?Dr. Brown. That is correct, and then if we are going to look towhat—we might coin a term right now, "the creative far out, not thefoolish far out," one might look to special places for this sort of thing.For example, there are local community action groups, people'sorganizations, in the model cities and HUD and poverty areas whereresearch might be done in a way that is somewhat unusual. For example,they could help us to see which youngsters at ages 14, 15, or 16,become addicted. No university could get into that community to askquestions. We would go, in other words, to somewhat unorthodoxplaces that were seriously responsible, local urban organizations, andask them to help get answers to some key research questions. Thiswould be a little bit more unorthodox but I think it could be veryproductive.Chairman Pepper. While I think of it, Doctor, have you approvedany project or have you in your mind concluded that there are projectsthat would be promising which you have not funded because you didnot have the funds under the appropriation that you now have?Dr. Brown. Yes; there were promising research projects, particularlyin the area of narcotic antagonists, that the NIMH was unableto support because of insufficient funds.Chairman Pepper. Could you give us the overall figure and makethe details available to us?Dr. Brown. I would be glad to do that.
449Chairman Pepper. Do you happen to remember what the overallfigure is?Dr. Brown. We do not have that at hand at the moment.('J'he information requested fon:)ws:)Additional research is sorel.y needed to develop a long-acting narcotic antagonistto be used as a tool in treatment. The National Institute of Mental Healthhad planned to let contracts for this purpose, but was unable to do so becauseof lack of funds. Promising proposals in this area amounted to $360,000 and aredetailed below:Investigator and descriptive title:Alpen— Battelle: Implantable slow release matrix—biodegradable ^styearpolymer $75,000Gray— University of ^"ermont: Preparation of relatively insolublesalts in aqueous or oil suspension 35, 000Meloy Laboratories: Polymer—coupled narcotic antagonists forintramuscular administration 60, 000Willette-— Connecticut, University of: Long acting forms of existingantagonists 40, 000YoUes— Delaware, University of: Sustained release polvmer process1 1 150,000Total 360, 000Note.— Subsequent to thisjjUd passed by both Houses.hearing, a $67,000,000 budget amendment was submitted to the CongressChairman Pepper. Now, you have described those thi'ee sources,])harmaceutical houses, colleges and universities, and the institutions,community and otherwise. Are there others that can be helpful toyou if you could fund them?•'Dr. Brown. Well, the only other category that we are doing somefunding with crosses over the other three and I think it is tremendouslyimportant in the drug area. That is, certain ty])os of research thatcan be best done or better done overseas in the international arena,and I think that is an important facet of our research ])rogram.Chairman Pepper. You are working in collaboration with theUnited Nations or otherwise?Dr. Brown. With the U.N., the World Health Organization, andother bodies, specifically for example, going to places like Indiawhere you have chronic drug usage, working collaboratively evenwith our chapter 480 funding. In the last year I have endeavoredto step up our use of these funds that are already available to increaseour research endeavor at no additional cost to us, so to speak.Chamiian Pepper. That does not come out of your appropriation?That is chapter 480 funds?Dr. Brown. Right; but the other possibilities in overseas research;for example, in identifying chronic use of, say, amphetamines; togo to places where this has perhaps happened more than has happenedhere. This is analogous to what we are trying to do with marihuana.The foreign category of research endeavors is another important lead.There is one other research responsibility that I would like toput on the table, so to speak, which is, that as bad as the problem is,we have to anticipate the problems that are coming on us very rapidly,by which I mean, with the drug industry and science producmg newdrugs, just to stay abreast of screening those drugs with abuse potential,to liave a so-called early warning system to know which drugsare not going to be dangerous so that we can perhaps put them inthe right schedule or alert the medical profession—we need increased
- Page 417 and 418: 397Naloxone, recently approved for
- Page 419 and 420: 399for example, who might be abusin
- Page 421 and 422: 401Now, because of our attention ha
- Page 423 and 424: 403and this is only for the investi
- Page 425 and 426: 405effects this drug will produce i
- Page 427 and 428: 407Now, if it is not used intravene
- Page 429 and 430: 409Mr. Wiggins. Dr. Jennings, does
- Page 431 and 432: 411Penicillin is good for pneumonia
- Page 433 and 434: 413Mr. R ANGEL. But from the studie
- Page 435 and 436: 415Dr. Gardner. Again, we don't hav
- Page 437 and 438: 417Dr. Edwards. I suspect it at lea
- Page 439 and 440: 419On the other hand, if serious si
- Page 441 and 442: 421of the best known programs. Alth
- Page 443 and 444: 423Medical Association, American Ps
- Page 445 and 446: 425of the United States Pharmacopei
- Page 447 and 448: 4275. Repeated examinations. Physic
- Page 449 and 450: 429agement and rehabilitation of se
- Page 451 and 452: —431As the agenc.v within HEW whi
- Page 453 and 454: 433and complex acts such as driving
- Page 455 and 456: 435(Inig induces physical and psych
- Page 457 and 458: 437Chiiirmtin Pepper. Doctor, I thi
- Page 459 and 460: 439A large proportion of youngsters
- Page 461 and 462: 441Dr. Brown, what would you say is
- Page 463 and 464: 443Chairmiui Pepper. Wliat is tlie
- Page 465 and 466: 446The state of the art is promisin
- Page 467: 447Lot nie ask you first, is tlic d
- Page 471 and 472: 451want you to take a look at. We w
- Page 473 and 474: 453In addition to that, there seems
- Page 475 and 476: 455the Mfldict is having a program
- Page 477 and 478: 457—on drugs? By that I mean, vei
- Page 479 and 480: 459\\ e are basically saying, in or
- Page 481 and 482: —;461that this is the extent to w
- Page 483 and 484: 463We could go into the drug area a
- Page 485 and 486: .465program that was i)ut into Jack
- Page 487 and 488: 467Mr. Brasco. Possibly. However, w
- Page 489 and 490: 469him, arrange to get somebody els
- Page 491 and 492: 471ainpheta.mines, or barbiturates.
- Page 493 and 494: 473In the meantime, the Institute d
- Page 495 and 496: 475treated in the community centers
- Page 497 and 498: 477research on narcotics in the sam
- Page 499 and 500: 479c 53 03E
- Page 501 and 502: NARCOTICS RESEARCH, REHABILITATION,
- Page 503 and 504: 483spending for research through NI
- Page 505 and 506: 485There has been no concerted seri
- Page 507 and 508: 487it is left in one of their veins
- Page 509 and 510: 489I do not think I should explain
- Page 511 and 512: 491Dr. ViLLARREAL. Until the reflex
- Page 513 and 514: 493evidence strongly shows is that
- Page 515 and 516: 495Chairman Pepper. One other quest
- Page 517 and 518: 497Dr. ViLLARREAL. So, it is a biol
449Chairman Pepper. Do you happen to remember what the overallfigure is?Dr. Brown. We do not have that at h<strong>and</strong> at the moment.('J'he information requested fon:)ws:)Additional <strong>research</strong> is sorel.y needed to develop a long-acting narcotic antagonistto be used as a tool in <strong>treatment</strong>. The National Institute of Mental Healthhad planned to let contracts for this purpose, but was unable to do so becauseof lack of funds. Promising proposals in this area amounted to $360,000 <strong>and</strong> aredetailed below:Investigator <strong>and</strong> descriptive title:Alpen— Battelle: Implantable slow release matrix—biodegradable ^styearpolymer $75,000Gray— University of ^"ermont: Preparation of relatively insolublesalts in aqueous or oil suspension 35, 000Meloy Laboratories: Polymer—coupled narcotic antagonists forintramuscular administration 60, 000Willette-— Connecticut, University of: Long acting forms of existingantagonists 40, 000YoUes— Delaware, University of: Sustained release polvmer process1 1 150,000Total 360, 000Note.— Subsequent to thisjjUd passed by both Houses.hearing, a $67,000,000 budget amendment was submitted to the CongressChairman Pepper. Now, you have described those thi'ee sources,])harmaceutical houses, colleges <strong>and</strong> universities, <strong>and</strong> the institutions,community <strong>and</strong> otherwise. Are there others that can be helpful toyou if you could fund them?•'Dr. Brown. Well, the only other category that we are doing somefunding with crosses over the other three <strong>and</strong> I think it is tremendouslyimportant in the drug area. That is, certain ty])os of <strong>research</strong> thatcan be best done or better done overseas in the international arena,<strong>and</strong> I think that is an important facet of our <strong>research</strong> ])rogram.Chairman Pepper. You are working in collaboration with theUnited Nations or otherwise?Dr. Brown. With the U.N., the World Health Organization, <strong>and</strong>other bodies, specifically for example, going to places like Indiawhere you have chronic drug usage, working collaboratively evenwith our chapter 480 funding. In the last year I have endeavoredto step up our use of these funds that are already available to increaseour <strong>research</strong> endeavor at no additional cost to us, so to speak.Chamiian Pepper. That does not come out of your appropriation?That is chapter 480 funds?Dr. Brown. Right; but the other possibilities in overseas <strong>research</strong>;for example, in identifying chronic use of, say, amphetamines; togo to places where this has perhaps happened more than has happenedhere. This is analogous to what we are trying to do with marihuana.The foreign category of <strong>research</strong> endeavors is another important lead.There is one other <strong>research</strong> responsibility that I would like toput on the table, so to speak, which is, that as bad as the problem is,we have to anticipate the problems that are coming on us very rapidly,by which I mean, with the drug industry <strong>and</strong> science producmg newdrugs, just to stay abreast of screening those drugs with abuse potential,to liave a so-called early warning system to know which drugsare not going to be dangerous so that we can perhaps put them inthe right schedule or alert the medical profession—we need increased