Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

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598force within our State Police Department. This will have the ability andmobility to move across the face of our State after the criminals who profit bydealing in drugs.In the education phase of our program, in the summer of 1970, 200 teacherswere given an intensive 2-week course in drug use and abuse. These teachersthen returned to their communities with the mandate to give 10 hours of awarenesstraining to their fellow teachers. By awareness training is meant knowingwhat the drugs are, the symptoms the children will exhibit when taking themand some of the syndromes behind the taking of drugs.Virginia recognizes our t.eachers are the front line of defense in our schoolsand that education is the long range weapon to thwart the spread of the drugabuse. To date 47,000 of our teachers have been given this 10-hour awarenesstraining. By the end of July we hope to have some 55,000 teachers trained.We do not feel this is enough in education. The State is now completely revisitingthe health curriculum from kindergarten through the 10th grade to includedrug education—not drug information but drug education. This then meansthe State will have to certify its teachers to teach this program. This also meansthe State has to retraiji, between 1972 and 1974, its 1,500 health teachers and2,000 counselors.This gives a 2-year period for the universities and colleges of the Commonwealthto gear up to begin to produce certified teachers in this area. Besides thistraining, the State is also carefully looking at a program to utilize the Parent-Teacher Associations throughout our Commonwealth as a vehicle to give to thepeople of our State 10 hours of awareness training. Our hope would be for atleast 21/4 million people to be trained by 1975..This brings me to the efforts we are making in the area in which you are mostconcerned—treatment and rehabilitation. In 1969, Virginia had no rehabilitationprogram to speak of. Today we have the beginnings of such a program, but weshare the feeling of inadequacy which is so general in this area.We doubt that there is any single type of treatment and rehabilitation programwhich will be successful in all cases. We are not even confident about therelative merits of the more popular programs used today. Therefore, we havebegun with several different models of different therapeutic techniques so that wemay determine which will be the best method or methods for Virginia to use inthe future. V.^!,,;i,. ,,,,, i,.,, .; • -ir.., ,;,,..!.,.One of the most respectell medical schools'in the country, the ^ledieal Collegeof Virginia, has a methadone program. This program has been functioning for14 months without one incident of death or overdose. It is not simply a maintenanceprogram. The program u.ses other facilities like vocational rehabilitation,job training and counseling while the drug methadone is being used as a buffertool to give us time to reorient our patient back into a productive life. Over a longI>eriod of time the patient's methadone is cut back as he receives counseling andbecomes strong enough t.o reenter society.An example of local. State, and Federal cooperation is a therapeutic communityrecently opened in the Richmond metropolitan area. The Richmond communityaction program supported this program with permission of the City eople who are addicted and who are abusers of otherdrugs. In the Tidewater area, plans are on the way to take a good section of oneof our military bases. Camp Pendleton—in fact we will use the bachelor officer'squarters—and take personnel from each of the service agencies such as thehealth department, vocational rehabilitation department, and department ofeducation who will live on the Pendleton project. They will be answerable toonly one director and have that director answerable to the board of agenciesvi^hich submitted the personnel. In this way we give the personnel the freedomto interact over each patient's problem, and give the program the ability to grow

599without worrying al>out the autonomy of each agency. This project will deal priii'.arilywith youth.Evaluation of these programs is the key for our State to find the best methodor methods to treat and rehabilitate narcotic addicts.Now, let me discuss the costs of these treatment and rehabilitative programs.As a part of our overall State plan, we have developed major estimated co.st requirementsfor drug abuse treatment and re^habilitation programs to treat 2,000addicts. I am submitting with my testimony an exhibit outlining the.se programsand estimates of their major costs. The total estimate is $7,065,000.Yet, we have an estimated 6,000 to 9,000 narcotic addicts in Virginia at thepresent time. Therefore, these facilities would serve only approximately onefourthof the minimum estimated number of addicts. The cost would be approximatelyfour times this $7 million figure to serve the entire minimum estimatednumber of addicts, or $28 million.In fiscal 1969, the State of Virginia spent approximately $100,000 in funds ondrug abuse outside of alcoholic programs. In fiscal 1970, the State spent almost$3 million on drug abuse programs. Today we are faced with this estimate ofapproximately $28 million to meet the need just for treatment and rehabilitativefacilities.This comes at a time when Virginia, like all States, is being severely hard-[»ressed financially. We see a gap of $.321.3 million between our estimated revenuesand expenses for the upcoming biennium. Thus, additional costs such as these,no matter how important, are very difficult to meet. It may be that they canonly be met by taking them out of the hide of another program. The narcoticsproblem which has come on us so suddenly calls for a marshaling of all of ourresources at the Federal. State and local level to check it. We must have Federalassistance, particularly for treatment and rehabilitative programs.AppendixDrug AsrsE Tkeatmext and Rehabilitation Programs Projected MajorProgram CostsThe di'veloirment of comprehensive drug abuse treatment and rehabilitationprograms in Virginia will require significant funding. The Federal Comprehen-.•-ive Drug Abuse Control Act of 1970 authorized $75 million to be spent overthe next 3 years. If Virginia acts quickly in planning moecified number of drug dependent individuals. A goal of 2.000individuals under treatment and rehabilitation by December 1972 is proposedas an ambitious but feasible goal.

598force within our State Police Department. This will have the ability <strong>and</strong>mobility to move across the face of our State after the criminals who profit bydealing in drugs.In the education phase of our program, in the summer of 1970, 200 teacherswere given an intensive 2-week course in drug use <strong>and</strong> abuse. These teachersthen returned to their communities with the m<strong>and</strong>ate to give 10 hours of awarenesstraining to their fellow teachers. By awareness training is meant knowingwhat the drugs are, the symptoms the children will exhibit when taking them<strong>and</strong> some of the syndromes behind the taking of drugs.Virginia recognizes our t.eachers are the front line of defense in our schools<strong>and</strong> that education is the long range weapon to thwart the spread of the drugabuse. To date 47,000 of our teachers have been given this 10-hour awarenesstraining. By the end of July we hope to have some 55,000 teachers trained.We do not feel this is enough in education. The State is now completely revisitingthe health curriculum from kindergarten through the 10th grade to includedrug education—not drug information but drug education. This then meansthe State will have to certify its teachers to teach this program. This also meansthe State has to retraiji, between 1972 <strong>and</strong> 1974, its 1,500 health teachers <strong>and</strong>2,000 counselors.This gives a 2-year period for the universities <strong>and</strong> colleges of the Commonwealthto gear up to begin to produce certified teachers in this area. Besides thistraining, the State is also carefully looking at a program to utilize the Parent-Teacher Associations throughout our Commonwealth as a vehicle to give to thepeople of our State 10 hours of awareness training. Our hope would be for atleast 21/4 million people to be trained by 1975..This brings me to the efforts we are making in the area in which you are mostconcerned—<strong>treatment</strong> <strong>and</strong> <strong>rehabilitation</strong>. In 1969, Virginia had no <strong>rehabilitation</strong>program to speak of. Today we have the beginnings of such a program, but weshare the feeling of inadequacy which is so general in this area.We doubt that there is any single type of <strong>treatment</strong> <strong>and</strong> <strong>rehabilitation</strong> programwhich will be successful in all cases. We are not even confident about therelative merits of the more popular programs used today. Therefore, we havebegun with several different models of different therapeutic techniques so that wemay determine which will be the best method or methods for Virginia to use inthe future. V.^!,,;i,. ,,,,, i,.,, .; • -ir.., ,;,,..!.,.One of the most respectell medical schools'in the country, the ^ledieal Collegeof Virginia, has a methadone program. This program has been functioning for14 months without one incident of death or overdose. It is not simply a maintenanceprogram. The program u.ses other facilities like vocational <strong>rehabilitation</strong>,job training <strong>and</strong> counseling while the drug methadone is being used as a buffertool to give us time to reorient our patient back into a productive life. Over a longI>eriod of time the patient's methadone is cut back as he receives counseling <strong>and</strong>becomes strong enough t.o reenter society.An example of local. State, <strong>and</strong> Federal cooperation is a therapeutic communityrecently opened in the Richmond metropolitan area. The Richmond communityaction program supported this program with permission of the City eople who are addicted <strong>and</strong> who are abusers of otherdrugs. In the Tidewater area, plans are on the way to take a good section of oneof our military bases. Camp Pendleton—in fact we will use the bachelor officer'squarters—<strong>and</strong> take personnel from each of the service agencies such as thehealth department, vocational <strong>rehabilitation</strong> department, <strong>and</strong> department ofeducation who will live on the Pendleton project. They will be answerable toonly one director <strong>and</strong> have that director answerable to the board of agenciesvi^hich submitted the personnel. In this way we give the personnel the freedomto interact over each patient's problem, <strong>and</strong> give the program the ability to grow

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