Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
:take no such satisfaction. We have made that point; the record proves thatpoint.Aijain, tlie only productive dialogue in which we can engage this morning isa discussion of the future of cooperative programing.As my original remarks note, we would not presume to recommend a particularadministrative structure to the administration and to the Congress.President Nixon has taken a hold step, an effort obviously designed to give maximumcontrol and coordination.The final de.sign of that administrative structure will be weighed closely andscrutinized intensely by this Congress, as it should be.But, let me say this. The President has properly defined a major problem withFederal programing. He has proposed what the Administration believes is aworkable solution. The Congress may differ on the mechanics, but whateveryour differences, we urge you to reconcile them in the interests of national need,a need that can be met only by coordinated programing.President Nixon has proposed significant increases in all the major programcategories, specifically $105 million for treatment and rehabilitation, .$10 millionfor education and training, $12 million for re.search, $2 million for special communityprograms, and $37 million for law enforcement. These increases, if approved,will bring the level of Federal programing for drug abu.^e up to $371million.Importantly, President Nixon, in asking the Congress to give this programits highest priority, ."^aid he will take every step necessary to deal with theemergency, including the use of additional funds.We have details on some of the administration's goals; \ve do not yet havethe !
593veterans could avail themselves on a voluntary basis of Veterans' Administrationand other facilities. A.:,! :•You and I do not linow the rehabilitation period that will be required for anyindividual soldier, nor even the majority of soldiers.But, I do know that, unless the Federal Government extends its responsibilityfor these addicts, New York State and New York City will bear the bulk of thesocial and fiscal responsibility.Certification and mandatory treatment are not .-entences to confinement. Theyare a protection for both the addict and society. We have many addicts whorespond afl3rmatively and quickly to treatment; many addicts who are not assignedto residential treatment programs because they have suflScient motivationand stability to live in the community while they receive continuing treatmentand assistance.We would like to help you discharge your responsibility rather than have tobear it for you.In the education area, we strongly recommend that an early and very highpriority be given to an analysis of drug education programs before major sumsare spent.Despite certain cost and social advantages, we recommend the administrationand the Congress weigh very carefully any propo.^als that would give disproportionateweight to methadone maintenance, as opposed to all other forms oftreatment. Our prepared testimony more fully explains this note of caution.Above all, we recommend that the Federal Government make every effort tocapitalize upon the experience and knowledge of other professionals in the fieldand that the Ftnleral Government insure that its resources are committed to theareas of greatest need.It's more than just the money, gentlemen. We have the capacity and the desireto help you and help ourselves to solve this problem.THE CONFIDENTIAL SURVEYI said in my major remarks that our Commission has the finest behavorialscience research group in the Nation. The director of that division, Dr. Carl D.Chambers, is with us this morning. And, we are submitting to the Governmenttoday copies of our statewide asses.sment of drug abuse in New York, an extremelysophisticated, highly useful, and most expert document. A summary of the studyis included.Dr. Chambers is to be congratulated on this notable contribution to our stateof knowledge, as are the staff personnel of the Commission who assisted in itsdevelopment and production.Along with the study, which will be released tomorrow, we are submitting tothe committee the following research papers ^'t;: i:1. A Research Overview of the Extent and Types of Drug Abuse in the UnitedStates.2. Considerations in the Treatment of Non-Narcotic Drug Abusers.3. Self-Reported Criminal Behavior of Narcotic Addicts.4. The Detoxification of Narcotic Addicts in Outpatient Clinics.o. The Incidence and Patterns of Drug Abuse Among Methadone MaintenancePatients.0. Predictors of Attrition During the Outpatient Detoxification of OpiateAddicts.The 7. Rationale and Design for a Multi-Modality Approach to ^MethadoneMaintenance.8. Characteristics Predicting Long-Term Retention in a Methadone MaintenanceProgram.n. The Correlates of Drug Abuse.10. A Bibliography of Commission Rt-search Reports.We tru.st the findings in each of these submissions will lie of assistance to thecommittee in its deliberations.Chairman Pepper. Xow. if I iiuiy. I will caU on Gavernor Shapj) ofPennsylvania. (Tovernor Holton of Virginia. G(>^(l•ll()^ Carter ofGeorLna. and Tjieutenant Governor I'rickley of ^Michia-.tn.We are very pleased this morning; to have so many young peoj^lehere, many of them school pupils. We hope you will learn something
- 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 594 and 595: 574there should be something in the
- 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 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
- Page 644 and 645: 624programs that are now available,
- Page 646 and 647: 626all of the top officials in the
- Page 648 and 649: 628perhaps greater than some of the
- Page 650 and 651: )630tion and many others attempting
- Page 652 and 653: 632(3) Long term residential self-h
- Page 654 and 655: 634for the support of drug service
- Page 656 and 657: :636D. NARCO, Inc.Narcotics Addicti
- Page 658 and 659: 638crimes to obtain the necessary m
- Page 660 and 661: 640million to $25 milliou per year.
593veterans could avail themselves on a voluntary basis of Veterans' Administration<strong>and</strong> other facilities. A.:,! :•You <strong>and</strong> I do not linow the <strong>rehabilitation</strong> period that will be required for anyindividual soldier, nor even the majority of soldiers.But, I do know that, unless the Federal Government extends its responsibilityfor these addicts, New York State <strong>and</strong> New York City will bear the bulk of thesocial <strong>and</strong> fiscal responsibility.Certification <strong>and</strong> m<strong>and</strong>atory <strong>treatment</strong> are not .-entences to confinement. Theyare a protection for both the addict <strong>and</strong> society. We have many addicts whorespond afl3rmatively <strong>and</strong> quickly to <strong>treatment</strong>; many addicts who are not assignedto residential <strong>treatment</strong> programs because they have suflScient motivation<strong>and</strong> stability to live in the community while they receive continuing <strong>treatment</strong><strong>and</strong> assistance.We would like to help you discharge your responsibility rather than have tobear it for you.In the education area, we strongly recommend that an early <strong>and</strong> very highpriority be given to an analysis of drug education programs before major sumsare spent.Despite certain cost <strong>and</strong> social advantages, we recommend the administration<strong>and</strong> the Congress weigh very carefully any propo.^als that would give disproportionateweight to methadone maintenance, as opposed to all other forms of<strong>treatment</strong>. Our prepared testimony more fully explains this note of caution.Above all, we recommend that the Federal Government make every effort tocapitalize upon the experience <strong>and</strong> knowledge of other professionals in the field<strong>and</strong> that the Ftnleral Government insure that its resources are committed to theareas of greatest need.It's more than just the money, gentlemen. We have the capacity <strong>and</strong> the desireto help you <strong>and</strong> help ourselves to solve this problem.THE CONFIDENTIAL SURVEYI said in my major remarks that our Commission has the finest behavorialscience <strong>research</strong> group in the Nation. The director of that division, Dr. Carl D.Chambers, is with us this morning. And, we are submitting to the Governmenttoday copies of our statewide asses.sment of drug abuse in New York, an extremelysophisticated, highly useful, <strong>and</strong> most expert document. A summary of the studyis included.Dr. Chambers is to be congratulated on this notable contribution to our stateof knowledge, as are the staff personnel of the Commission who assisted in itsdevelopment <strong>and</strong> production.Along with the study, which will be released tomorrow, we are submitting tothe committee the following <strong>research</strong> papers ^'t;: i:1. A Research Overview of the Extent <strong>and</strong> Types of Drug Abuse in the UnitedStates.2. Considerations in the Treatment of Non-Narcotic Drug Abusers.3. Self-Reported Criminal Behavior of Narcotic Addicts.4. The Detoxification of Narcotic Addicts in Outpatient Clinics.o. The Incidence <strong>and</strong> Patterns of Drug Abuse Among Methadone MaintenancePatients.0. Predictors of Attrition During the Outpatient Detoxification of OpiateAddicts.The 7. Rationale <strong>and</strong> Design for a Multi-Modality Approach to ^MethadoneMaintenance.8. Characteristics Predicting Long-Term Retention in a Methadone MaintenanceProgram.n. The Correlates of Drug Abuse.10. A Bibliography of Commission Rt-search Reports.We tru.st the findings in each of these submissions will lie of assistance to thecommittee in its deliberations.Chairman Pepper. Xow. if I iiuiy. I will caU on Gavernor Shapj) ofPennsylvania. (Tovernor Holton of Virginia. G(>^(l•ll()^ Carter ofGeorLna. <strong>and</strong> Tjieutenant Governor I'rickley of ^Michia-.tn.We are very pleased this morning; to have so many young peoj^lehere, many of them school pupils. We hope you will learn something
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