Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
574there should be something in the nature of a clinic? It need not belarge. It might be private as well as public. But do you agree withothers who have testified here that there needs to be not only the administrationof a drug to counteract the heroin addiction, whateverthe accepted drug may be, but in addition to that, there needs to betheiapeutic care, occupational assistance, general aid and considerationgiven to the addict ? What kind of facility do you find from your experienceto be the most desirable one for the treatment and rehabilitationof heroin addicts ?Mr. JoxES. As Dr. Chambers mentioned, Congressman Pepper, Iwould be wary of trying to isolate any one program as the most efficientor the most efficacious that we should pursue. I think the onlyrational approach has to be the one that we have followed; namely,a multimodality approach. Even with regard to methadone, which isi-eportedly the most successful to date, it speaks in terms of quiclaiessof easing the problem that we are addressing, you see. But even themost ardent supporters of the methadone approach, I think, will admitthat it is a modality that is suitable for no more than 25 or 30 percent ofthe total population, you see. So that it would be a mistake to say, well,we ought to go all out for methadone, because it simply can't be appliedsuccessfully to the bulk of people that we are addressing.The same thing would hold true for the therapeutic treatment, thetherapeutic community approach. Not all addicts, of course, will respondto that kind of modality or treatment. It is awfully difficult to tryto isolate one method and sell it to this Congress or to the administrationas the one that should be followed.Mr. Rangel. It is true. Commissioner, that most people who are unawareof wliat is going on in the drug addiction area do ask for results.But it seems to me that there should be a Federal program which woulddissiminate the results that are coming in from all of the States ratherthan having any one mimicipality or any one State ask what they aredoing with their particular addicts. But we are now listening to thisadministration declaring war on addiction and everyone is being apologetic.But on page 18 of your prepared statement, you indicate that theNational Institute of Mental Health, in setting up its recent 25-targetcity programs, did not include a single city in New York State. Well,I would like to direct my question to the liaison here and ask how canyou avoid being critical ?Mr. Hesse. With a great deal of difficulty. Congressman.I am sorry ; that is a facetious answer and I should not give it.No, we were rather upset at the guidelines which were incorporatedinto Public Law 91-211 by the Congress when it passed that bill andthe guidelines that were adopted by the National Institute of MentalHealth, because it did not give us what we thought was a meaningfulopportunity to participate and we very much hope that in the future,such opportunities will be forthcoming.We would like to see the National Institute of JNIental Health, if Imay take just a second here, implement the provision of Public Law91-513 whicli requires the Secretary of HEW to establish priorities forthe States having the more significant problems of drug abuse. To thebest of our knowledge, that has not been done. Possibly if the moneyhad been forthcoming, it would have been done. But ceitainly, if you
575are going to spend these large sums of money that are being talkedabout in the various bills, we would hope that a system of prioritieswould be worked out, not just because New York State has the largestproblem and we need a lot of money, but to address the national effortin a coordinated response with our own toward those areas having theiiighest incidence of drug abuse.Mr. Rangel. May I suggest this, that certainly, this is not a socialgathering. The Chair has made it abundantly clear that the committeeis looking for direction and certainly not attempting to embarrass anyone.It seems to me that with the great amount of money New YorkState has spent—honestly admitting that they are still searching forthe answer — your commission might be able to give some very strongsuggestions and recommendations to this committee as to how the Congresscan be more responsive to the problem of rehabilitating drugaddicts. If this includes being critical of programs that are suggested,this committee will accept it from the experts making the recommendations.So I hope that we can look forward to some very strong suggestions,not only as it relates to the needs of the people in the State ofNew York, but certainly as to the Nation as a whole.Mr. Brasco. And with respect to that problem, I wish you would•communicate with Mr. Rangel's and my ofhce, in connection with NewYork being left out as one of the 25 target areas. We should knowabout things like that.Mr. Jones. Well, the guidelines, Mr. Brasco, as presently written,seem to impose a penalty on those States in areas where programs andfacilities and services are provided. So that the more New York does,you see, the more we are likely to be excluded. This is actually what hashappened.Mr. Brasco. I appreciate that, except we would like to know about itin writing and we will see what we can do about it.Chairman Pepper. Mr. Winn ?Mr. Winn. Mr. Jones, just one quick question. Do you have any ideahow much foundation money and how much medical school money hasbeen made available for fighting the drug problems in the State ofNew York?Mr. Jones. I know we have contracts with the New York MedicalCollege. Dr. Chambers can give you more precise details.Mr. Winn. Could you give the committee just a round figure? Wehave been batting figures around.Dr. Chambers. Those are funds that we provide to the medicalschools. The medical schools do not provide funds.Mr. Winn. I am talking about foundation money that they mayhave that they are spending on their own, medical schools and foundationmoney.Dr. Chambers. I do not have that figure.Mr. Winn. Could you supply the committee with that figure ? I haveheard of several programs where foundations are supplying funds tothe medical schools for fighting drug abuse in the State of New York.Thank you, Mr. Chairman.Chairman Pepper. Mr. Keating ?Mr. Keating. I have heard a lot of talk this morning about theexpenditure of funds and I was happy to hear from the doctor withregard to behavioral sciences that he also is concerned with the quality
- 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
- Page 582 and 583: 562criminal act in his lifetime. Ye
- Page 584 and 585: —564Mr. Perito. Would it be fair
- Page 586 and 587: 566Now, Dr. Cliambers, can yon resp
- Page 588 and 589: —568Mr. Raxgel. Our distinguished
- Page 590 and 591: ;-570Mr. Jones. That is correct. Ou
- Page 592 and 593: 572the commissioner, $186 million i
- Page 596 and 597: 576and the way in which the funds a
- Page 598 and 599: 57SDr. Chambers. I think wliat you
- Page 600 and 601: 580Education is the best way of pre
- Page 602 and 603: 58-2Certain essential facts must re
- Page 604 and 605: 584done through determined action,
- Page 606 and 607: 586druffs, has the Nation's largest
- Page 608 and 609: :588To repeat, methadone maintenanc
- Page 610 and 611: :590I believe the Federal Governmen
- Page 612 and 613: :take no such satisfaction. We have
- Page 614 and 615: 594of value in the testimony you ha
- Page 616 and 617: 596gone ahead with several. We have
- Page 618 and 619: 598force within our State Police De
- Page 620 and 621: 60PRased on the proposed goal of 2.
- Page 622 and 623: 602STATEMENT OF HON. MILTON SIIAPP,
- Page 624 and 625: (51)4and apprehend the wholesalers
- Page 626 and 627: J'606[Exhibit No. 23Prepared Statem
- Page 628 and 629: 608Under our 1071-72 budget proposa
- Page 630 and 631: GIOcenters for the treatment of her
- Page 632 and 633: . Dr.612Bourne informs me that we h
- Page 634 and 635: 614Governors in Atlanta to which re
- Page 636 and 637: 616pretty bad news, because it indi
- Page 638 and 639: 618Scientific statistical ioformati
- Page 640 and 641: 620((')) Finally, I believe that al
- Page 642 and 643: 622Governor Carter. I certainly rec
575are going to spend these large sums of money that are being talkedabout in the various bills, we would hope that a system of prioritieswould be worked out, not just because New York State has the largestproblem <strong>and</strong> we need a lot of money, but to address the national effortin a coordinated response with our own toward those areas having theiiighest incidence of drug abuse.Mr. Rangel. May I suggest this, that certainly, this is not a socialgathering. The Chair has made it abundantly clear that the committeeis looking for direction <strong>and</strong> certainly not attempting to embarrass anyone.It seems to me that with the great amount of money New YorkState has spent—honestly admitting that they are still searching forthe answer — your commission might be able to give some very strongsuggestions <strong>and</strong> recommendations to this committee as to how the Congresscan be more responsive to the problem of rehabilitating drugaddicts. If this includes being critical of programs that are suggested,this committee will accept it from the experts making the recommendations.So I hope that we can look forward to some very strong suggestions,not only as it relates to the needs of the people in the State ofNew York, but certainly as to the Nation as a whole.Mr. Brasco. And with respect to that problem, I wish you would•communicate with Mr. Rangel's <strong>and</strong> my ofhce, in connection with NewYork being left out as one of the 25 target areas. We should knowabout things like that.Mr. Jones. Well, the guidelines, Mr. Brasco, as presently written,seem to impose a penalty on those States in areas where programs <strong>and</strong>facilities <strong>and</strong> services are provided. So that the more New York does,you see, the more we are likely to be excluded. This is actually what hashappened.Mr. Brasco. I appreciate that, except we would like to know about itin writing <strong>and</strong> we will see what we can do about it.Chairman Pepper. Mr. Winn ?Mr. Winn. Mr. Jones, just one quick question. Do you have any ideahow much foundation money <strong>and</strong> how much medical school money hasbeen made available for fighting the drug problems in the State ofNew York?Mr. Jones. I know we have contracts with the New York MedicalCollege. Dr. Chambers can give you more precise details.Mr. Winn. Could you give the committee just a round figure? Wehave been batting figures around.Dr. Chambers. Those are funds that we provide to the medicalschools. The medical schools do not provide funds.Mr. Winn. I am talking about foundation money that they mayhave that they are spending on their own, medical schools <strong>and</strong> foundationmoney.Dr. Chambers. I do not have that figure.Mr. Winn. Could you supply the committee with that figure ? I haveheard of several programs where foundations are supplying funds tothe medical schools for fighting drug abuse in the State of New York.Thank you, Mr. Chairman.Chairman Pepper. Mr. Keating ?Mr. Keating. I have heard a lot of talk this morning about theexpenditure of funds <strong>and</strong> I was happy to hear from the doctor withregard to behavioral sciences that he also is concerned with the quality
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