Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
596gone ahead with several. We have tried different therapeutic techniquesand we are searching with everybody else to find the best.The Medical College of Virginia, which is one of our two outstandingmedical schools, has a methadone program and it has functionedfor 14 months without a single case of death or overdose. It is not justa maintenance program. We have tried to work it in with the otherfacilities like vocational rehabilitation, job training, and counseling,while the methadone is being used. We are trying to reorient the patientback into productivity ; and over a long period of time, we aretrying to see if the methadone can be cut back. With this counselingand other rehabilitation effort, we will try to put them back intosociety.We have, too. an outstanding example of Federal, vState, and localcooperation in a therapeutic community that we recently opened in theRichmond metropolitan area. This was supported by the Richmondcommunity action program with the permission of the city. Our Statedepartment of health furnished medical funds and services and someIniildings, and we have given them approximately 70 acres of land nearRichmond on a State hospital site on loan from the department ofmental hygiene and hospitals while operating costs are paid by GEO.This ]:)roject is going to have a capacity of about 100 inpatients andabout 200 outpatients and we will be watching it to see if we can usethis as a method of rehabilitation.The results to date are A^ery exciting. People have come to it voluntarily,are participating enthusiastically in it, and I feel that maybeit may give us some real hope for the future.Very shortly, our State also will be instituting models within theprison systems to begin work with people who are addicted and abusersof other drugs. In Tidewater, Va.. we have underway a plan to usepart of our State military reservation which has heretofore been exclusivelyfor National Guard use and very underutilized. We are puttingthere personnel from the health department, the department ofwelfare and institutions, the vocational i-ehabilitation department andthQ department of education, perhaps with others—I think specificallymental hygiene hospitals. This group of people will go to Camp Pendleton,actually in the bachelor officers quarters, and will live there.They will have a director and they will answer to that director, thoughthey will, as T sav, come from these other agencies of State government.The patients will come there for counseling and treatment. We hopethat the opportunity for several agencies to interact OA^er each patient'sproblems will give the pi-ogram the ability to grow without won-yingabout the autonomy of anv one agency as such. This is a program thatwill deal mostly with youth.Now, those are some of the activities that we are doing larjrelv onour own, although as I indicated with the GEO fundss, some Federalfunds are iuA^olved. But let's discuss the cost of the treatment and rehabilitatiou.Di'ogT'ams. because I think that is where you are just goingto have to help us.As ])art of our overall State plan, we have developed maior estimatedcost requirements for drug abuse ti'eatment and rehabilitationpi-ograms to treat 2,000 addicts. That is somewhere between a third anda fourth of the addicts that we estimate we have in Virginia. I havean exhibit that shows how these costs add u]> to a total of $7,065,000.
597That would, as I lia\'e pointed out, meet only about a quarter of theaddicts. But it would give the minimum to try to get treatment to thatquarter and perhaps to experiment and, of course, if we could get theadditional funds, we would try to serve all of them.In fiscal year 1969, we spent approximately $100,000 on drug abuseoutside of our alcoholic program. In fiscal 1970, the State spent almost$.'^ million, and today, we are faced with four times that $7 millionfigure if we treat them all, or $28 million. It comes at a time when, justlike all States, and I am sure Governor Shapp is going to tell you aboutthis, we are very hard-pressed financially. You are hearing that fromall your cities and from all your States. We have a $321 million gap inprojected revenue and just exiDenses of carrying on, not even beefing upthis drug program that we think is critical.So the additional costs of the drug program are just going to beextremely difficult for us if we have to do it on our own. If we do italone, the funds more than likely will have to come out of some otherprogram. It has come on us, the narcotics problem, suddenly, just asit does for everybody else. We have to have all the resources. Federal,State, and local. We emphasize to you that we must have Federalassistance to combat this problem.(Governor Holton's prepared statement follows:)[Exhibit No. 22]Prepared Statement of Hon. Lin wood Holton, Governor, CommonwealthOF VirginiaIt is a privilege to report to you on the drug problem in Virginia, the stepswe are taking to meet this problem, and the need which we have for Federalassistance.The rising drug problem in Virginia has paralleled the national experience.From 1060-69, there was a 556 percent increase in narcotic addiction in Virginia,according to statistics of the Bureau of Narcotics and Dangerous Drugs. A grimmermeasure of the rate of increase is revealed by these statistics : in 1966 therewas only one narcotic death reported in Virginia ; in 1970 there were 20. Onehospital alone reports a 350-percent increase in drug abuse inatients in the pastyear. A very conservative estimate of the minimum number of narcotic addictsin Virginia ranges from 6,000 to 9.000 individuals.The most tragic fact is that 90 percent of these addicts are under 30 yearsold. Just last week, we received a report of the youngest addict thus far discoveredin our State, a 12-year-old girl.Faced with the sudden growth of the problem of narcotic addiction to alarmingproportions, Virginia has attempted to develop quickly a sound solution. Werealize that there is no one miraculous cure. We believe that the solution mustcome through coordination of the educational, rehabilitative, and law enforcementresources available to tackle this problem.Therefore, in March of 1970, I issued an executive order creating the Governor'sCouncil on Narcotics and Drug Abuse Control. The mission of this Governor'scoimcil was to coordinate the efforts, assets, technology, and experienceof all State agencies concerned with drug abuse and direct them to a solution ofthe druET problem. The first priority of this Governor's council was to develop aState plan to coordinate our efforts. A .summary of that plan is being submittedto your committee with my testimony.We created regional drug councils to tie the localities into the State effort.Each of these regional councils was also charged with the responsibility of developinga plan which was comprehensive and coordinated with the State plan.Thus, we brought direction, planning, objectives, and goals to the grassrootslevel in our efforts to solve this most complicated pro^blem.In 1970, we took steps to improve the law enforcement phase of our program.The General Assembly passed a new drug code which closely parallels the ModelCode. In 1971, a special session of the General Assembly created a new drug strike
- 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 612 and 613: :take no such satisfaction. We have
- Page 614 and 615: 594of value in the testimony you ha
- 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.
- Page 662 and 663: 642Mr. Perito. Thank yoii. Mr. Chai
- Page 664 and 665: 644narcotic antagonist, and the oth
596gone ahead with several. We have tried different therapeutic techniques<strong>and</strong> we are searching with everybody else to find the best.The Medical College of Virginia, which is one of our two outst<strong>and</strong>ingmedical schools, has a methadone program <strong>and</strong> it has functionedfor 14 months without a single case of death or overdose. It is not justa maintenance program. We have tried to work it in with the otherfacilities like vocational <strong>rehabilitation</strong>, job training, <strong>and</strong> counseling,while the methadone is being used. We are trying to reorient the patientback into productivity ; <strong>and</strong> over a long period of time, we aretrying to see if the methadone can be cut back. With this counseling<strong>and</strong> other <strong>rehabilitation</strong> effort, we will try to put them back intosociety.We have, too. an outst<strong>and</strong>ing example of Federal, vState, <strong>and</strong> localcooperation in a therapeutic community that we recently opened in theRichmond metropolitan area. This was supported by the Richmondcommunity action program with the permission of the city. Our Statedepartment of health furnished medical funds <strong>and</strong> services <strong>and</strong> someIniildings, <strong>and</strong> we have given them approximately 70 acres of l<strong>and</strong> nearRichmond on a State hospital site on loan from the department ofmental hygiene <strong>and</strong> hospitals while operating costs are paid by GEO.This ]:)roject is going to have a capacity of about 100 inpatients <strong>and</strong>about 200 outpatients <strong>and</strong> we will be watching it to see if we can usethis as a method of <strong>rehabilitation</strong>.The results to date are A^ery exciting. People have come to it voluntarily,are participating enthusiastically in it, <strong>and</strong> I feel that maybeit may give us some real hope for the future.Very shortly, our State also will be instituting models within theprison systems to begin work with people who are addicted <strong>and</strong> abusersof other drugs. In Tidewater, Va.. we have underway a plan to usepart of our State military reservation which has heretofore been exclusivelyfor National Guard use <strong>and</strong> very underutilized. We are puttingthere personnel from the health department, the department ofwelfare <strong>and</strong> institutions, the vocational i-ehabilitation department <strong>and</strong>thQ department of education, perhaps with others—I think specificallymental hygiene hospitals. This group of people will go to Camp Pendleton,actually in the bachelor officers quarters, <strong>and</strong> will live there.They will have a director <strong>and</strong> they will answer to that director, thoughthey will, as T sav, come from these other agencies of State government.The patients will come there for counseling <strong>and</strong> <strong>treatment</strong>. We hopethat the opportunity for several agencies to interact OA^er each patient'sproblems will give the pi-ogram the ability to grow without won-yingabout the autonomy of anv one agency as such. This is a program thatwill deal mostly with youth.Now, those are some of the activities that we are doing larjrelv onour own, although as I indicated with the GEO fundss, some Federalfunds are iuA^olved. But let's discuss the cost of the <strong>treatment</strong> <strong>and</strong> rehabilitatiou.Di'ogT'ams. because I think that is where you are just goingto have to help us.As ])art of our overall State plan, we have developed maior estimatedcost requirements for drug abuse ti'eatment <strong>and</strong> <strong>rehabilitation</strong>pi-ograms to treat 2,000 addicts. That is somewhere between a third <strong>and</strong>a fourth of the addicts that we estimate we have in Virginia. I havean exhibit that shows how these costs add u]> to a total of $7,065,000.
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