Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
512Mr. McCoy. Yes; when you first come out 3-ou have to go contmuouslyfor 7 days a week until you earn credit days off and one nighta week you have therapy with a ps3^chiatrist up there.Mr. Steiger. Discussion.Mr. McCoy. That is right.Mr. Steiger. Mr. McCoy, you are aware, I suspect, that there arelots of ways to beat the urine sample. We have had testimony as to allkinds of devices for masking the urine—take bicarbonate of soda, usesomebody else's urine in a syringe.Mr. McCoy. Well, sir, at that point I would say that is highlyimpossible because of the way the thing is situated. You have mirrorson all sides of you and you have an attendant with you all the time,and he practically holds your private while you put it into the jug.Mr. Steiger. Incidentally, is the naloxone injected?Mr. McCoy. No; it is four tablets. You take them with a small cupof water.Mr. Steiger. When 3^ou had taken the naloxone, did you ever tryany speed or cocaine?Mr. McCoy. Never.Mr. Steiger. Or anything else?Mr. McCoy. Never had the urge for it.Mr. Steiger. Do 3^ou know of any other fellows on the programwho tried anything else, besides heroin?Mr. McCoy. Yes; they tried other things but they became ill. Theybecame ill. The}^ did not get any feelings from whatever they injected.Mr. Steiger. Thej did not get a high?Mr. McCoy. No; they did not. The only thing, the}^ became ill.As I previously stated, I had drugs in my system the night the\^ gaveme my first dose of naloxone and 5 minutes after that I became illand threw it all up.Mr. Steiger. Is that a typical reaction with naloxone as far asyou know, or ])erhaps Dr. Kurland could better respond to this. Inaddition to being unable to achieve a high, is there a generally nauseatingeffect if you have naloxone in the system and you take heroin?Dr. Kurland. It is a very interesting c^uestion that you ask, sir.One of the things we learned in the exi)erimentation is that thoseindividuals who were by])assing the 5-hour period, say, and taking thedrugs, if they continued to take drugs for a period of 3 or 4 daj^s, thenaloxone i)reci])itated a withdrawal reaction of moderate intensity inthe individuals and this was completely an unexpected finding fromour standpoint.Mr. Steiger. Even while they were on the drug they were gettingsome mild withdrawal symi)toms.Dr. Kurland. If they continued to take o])iates every day. Forexam[)le, if we gave the drug between 6 and 9 in the evening, whichwe always did, and they took the drug, say, the next morning theymight get a high but if they continuetl to take the drug every morning,say, for 3 or 4 da.ys, then a withdrawal reaction was ])r(>cipitated inwhich the}^ became nauseated, vomiting, chills, some persphation, feltjittery, and they identified it as a moderate withdrawal reaction.Mr. Steiger. Mr. McCoy, do you know of any illegal traffic innaloxone? Can you buy it on the street at all as far as you know?Mr. McCoy. No; I do not think >^ou can because it has not beenreleased to the general public for usage yd.
513]Mr. Steiger. Do you feel from your past experience that this wouldbe a problem in that it might achieve a popularity in the street?Mr. McCoy. No, I do not think it would create a problem in thestreet because those that want to stay on drugs would not want touse anything that would stop them from using drugs.Mr. Steiger. That is a very reasonable answer. I wonder in youropinion, if it it would be necessary to have more than just a casualdesire to get off drugs in order to be successful jKirticipants in thisprogram. In other words, it takes either somebody who is less hooked,who does not have a real heavy habit or who really wants to getstraight; woidd he be the most likely to be successful under this particularprogram?Mr. VicCoY. Well, it depends upon the willingness of the personhimself to get away from it.Mr. Steiger. I will ask the question this way: From the hardaddicts that you may have known, would you say that if you could getthem started on this program, there would be as much likelihood ofsuccess there as it would be from somebody who really wanted off?Mr. McCoy. Well, owing to the fact of personal experience afterusing drugs for 25 years myself, I would say if you can take a personlike me, if he really wanted to get oft", I see possibilities of this being agood chance for him.Mr. Steiger. Dr. Kurland, did you have anybody else who had theextensive experience of Mr. McCoy. Were there others who had thatlong a history of addiction in your program?Dr. Kurland. Yes, we have; and we have had our successes andwe have had our fcdlures. As I mentioned earlier, we were workingwith a low-dosage system. We could not apply the dru^ in a mannerthat we would have liked to as we knovv' now, and this is the nextcrucial ex}:)eriment that has to be carried out in this continuing investigation,plus the fact there was another element; namely, thesewere patients, these were parolees, over whom mandatory controlcould be exercised.In a program where there is voluntary admission, I do not thinkthat the program would be as acceptable because where individualshave a free clioice, the first drug would be heroin, the second, methadone,and naloxone would be last.Mr. Steiger. If I understand correctly, if anybody in this ])rogramnow who has reacheti the stage, say, of Mr. McCoy, where he has beenclean for a long period of time, if he feels a stress situation or feels theneed, is he free in this particular jjrogram to request naloxone?Dr. Kurland. I will let Mr. McCoy answer that.Mr. McCoy. I would like to clarify that by saying when I was firstreleased on parole I was released on complete abstinence. I was nottaking any type of drug and I started deviating while I was out, so Ipersonally volunteered myself for the naloxone j^rogram. They didnot ask me. I volunteered to keep from going back into this rut. I heardit was something helpful and useful to the addicts, so I went to mytherapist and said could he tell my counselor and see if I could get onthis program because I was going back to drugs and I did not want toget back to it.Mr. Steiger. If now, for some unknown reason, you should feel theneed, could you get the medication now upon request?
- 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
- Page 519 and 520: '.499could result in a laboratory s
- Page 521 and 522: 5qifinds it in normal exploration.
- Page 523 and 524: 503synthesized a large number of na
- Page 525 and 526: 505STATEMENT OE DR. ALBERT KURLAND,
- Page 527 and 528: 507discovered if we iiad taken the
- Page 529 and 530: 509Mr. Perito. Dr. Kurland, do you
- Page 531: 511Chairman Pepper. Has the Food an
- Page 535 and 536: 515In this second study there was a
- Page 537 and 538: 517were any significant differences
- Page 539: 519The Deceptive Communication and
- Page 542 and 543: .522than a State psychiatric hospit
- Page 544 and 545: 524Department of Mental Hygiene), R
- Page 546 and 547: TABLE 3—COMPARISON OF THE 1ST POS
- Page 548 and 549: 528TABLE 10—RELATIONSHIP OF AGE T
- Page 550 and 551: 530tution and his involvement in th
- Page 552 and 553: Attachment No. 5;r\ N-CH,-CH=CHo ,
- Page 554 and 555: '-534Chart No. U (case No. 672)Disp
- Page 556 and 557: 536Chart No. 4 (case No. 694)Illust
- Page 558 and 559: 538Chart No. 35 {case No. 697)Excep
- Page 560 and 561: 540This amount of heroin is roughly
- Page 562 and 563: 5msuccessful or not in that short a
- Page 564 and 565: 544Chairman Pepper. Would you repea
- Page 566 and 567: 54^creased amount of licit as well
- Page 568 and 569: —54Sand the bureaucracy and the a
- Page 570 and 571: ,,Mr.550you have used some of the s
- Page 572 and 573: 552so many areas is also a pitiful
- Page 574 and 575: 55,4nitiide of heroin addiction in
- Page 576 and 577: 556reached $976.5 billion, we can w
- Page 578 and 579: 558Mr. Jones was appointed to the c
- Page 580 and 581: 560cant when you consider that Out
513]Mr. Steiger. Do you feel from your past experience that this wouldbe a problem in that it might achieve a popularity in the street?Mr. McCoy. No, I do not think it would create a problem in thestreet because those that want to stay on drugs would not want touse anything that would stop them from using drugs.Mr. Steiger. That is a very reasonable answer. I wonder in youropinion, if it it would be necessary to have more than just a casualdesire to get off drugs in order to be successful jKirticipants in thisprogram. In other words, it takes either somebody who is less hooked,who does not have a real heavy habit or who really wants to getstraight; woidd he be the most likely to be successful under this particularprogram?Mr. VicCoY. Well, it depends upon the willingness of the personhimself to get away from it.Mr. Steiger. I will ask the question this way: From the hardaddicts that you may have known, would you say that if you could getthem started on this program, there would be as much likelihood ofsuccess there as it would be from somebody who really wanted off?Mr. McCoy. Well, owing to the fact of personal experience afterusing drugs for 25 years myself, I would say if you can take a personlike me, if he really wanted to get oft", I see possibilities of this being agood chance for him.Mr. Steiger. Dr. Kurl<strong>and</strong>, did you have anybody else who had theextensive experience of Mr. McCoy. Were there others who had thatlong a history of addiction in your program?Dr. Kurl<strong>and</strong>. Yes, we have; <strong>and</strong> we have had our successes <strong>and</strong>we have had our fcdlures. As I mentioned earlier, we were workingwith a low-dosage system. We could not apply the dru^ in a mannerthat we would have liked to as we knovv' now, <strong>and</strong> this is the nextcrucial ex}:)eriment that has to be carried out in this continuing investigation,plus the fact there was another element; namely, thesewere patients, these were parolees, over whom m<strong>and</strong>atory controlcould be exercised.In a program where there is voluntary admission, I do not thinkthat the program would be as acceptable because where individualshave a free clioice, the first drug would be heroin, the second, methadone,<strong>and</strong> naloxone would be last.Mr. Steiger. If I underst<strong>and</strong> correctly, if anybody in this ])rogramnow who has reacheti the stage, say, of Mr. McCoy, where he has beenclean for a long period of time, if he feels a stress situation or feels theneed, is he free in this particular jjrogram to request naloxone?Dr. Kurl<strong>and</strong>. I will let Mr. McCoy answer that.Mr. McCoy. I would like to clarify that by saying when I was firstreleased on parole I was released on complete abstinence. I was nottaking any type of drug <strong>and</strong> I started deviating while I was out, so Ipersonally volunteered myself for the naloxone j^rogram. They didnot ask me. I volunteered to keep from going back into this rut. I heardit was something helpful <strong>and</strong> useful to the addicts, so I went to mytherapist <strong>and</strong> said could he tell my counselor <strong>and</strong> see if I could get onthis program because I was going back to drugs <strong>and</strong> I did not want toget back to it.Mr. Steiger. If now, for some unknown reason, you should feel theneed, could you get the medication now upon request?
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