Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
(51)4and apprehend the wholesalers and retailers. In this connection, althoughfor security reasons I cannot detail the present work of theState police, we are starting with some excellent progress and therewill be some news coming out of Penns3dvania very shortly. But wehave called for the creation of 240 additional positions for State troopersfor assignments to the drug-control force. This is a measure of thetremendous importance which we attach to this problem, in 1 yeargoing from 30 to 270.In'the department of health and public welfare, we intend to expandour programs for rehabilitation and basic and applied research forthe cure for addiction.The status of the rehabilitation of addicts not only in Pennsylvaniabut throughout the Nation is somewhat in the Dark xlges. I mightadd that education concerning the danger of drugs in my opinionreaches the level of the stone age. We are far sliort of the need in termsof rehabilitation. Rehabilitation does not stop at the door of a treatmentcenter. It must follow the former addict back into the world tothe ])oint where he becomes once again a productive member of society.We have very little infonnation at our disposal and I hope there wouldbe some from this committee and from the Federal Government andfrom other States as to how to set up programs to really accomplishthis very important aim. Because unless we can get an addictrehabilitated and back into work so that he becomes a member ofsociety in fact, then we are not really doing much because we are juststarting the cycle all over again. We are just starting to develoj) programsIn Pennsylvania that recognize this program and we are coordinatingprograms that are part of community affairs so that partof their funds for ongoing job training goes to former addicts.We have increased this jol) training appropriation. Seventy percentof the men presently serving time in our State pi'isons have drugconnectedrecords. Recognition of the drug problem witliin our prisonsand a program to cope Avith it will become part of our o\'erall programof prison reform and I am waiting for such a report now from our Departmentof Justice.We are also improving our State board of probation and parole tocontinue seeking Federal grants under LEAA and to pro\-ide programswhereby those on probation and parole with drug-connectedrecords will receive the appropriate followup in this vital arm of ourcorrections system. This is something that has not been done in theState at all and we are just starting it.Today we are holding a meeting of the appropriate agencies ofState government to start chartering a statewide program of returningvets, with special emphasis on drugs. Again, I will be lia[)py toreport our proposals to this committee as they are formulated.As to treatment, presently in Pennsylvania, this is being accomplishedby several kinds of facilities. These facilities range fromemergency beds in some hospitals for immediate ])roblems to privatehospitals for long-range treatment. We have tlierapentic communitieslike Gaudenzia House, Eagle\ille Sanitorium, and Ten ChallengeFarms. We have some halfway houses, some nonprofit treatmentcenters and counseling organizations. But I must admit to you thatthis dominant im])i'ession received from those many eil'oits is one
)G05of complete fragmentation and I suspect that fragmentation is oneof the key descriptions for onr nationwide effort tlu^s far.Another dominant word for that effort is inadequate. In Pennsylvania,we only have six methadone maintenance clinics serving a])outl,r>00 addicts.In the Commonwealth of Pennsylvania, there is no Statefacility devoted solely to the drug problem.Let me add that my remarks are not meant to downgrade the finework of our ]:)eople at lioth tlie private and public levels. They havedone an excellent job, particularly in law enforcement and throughthe Law Enforcement Assistance Agency here in Washington, we havehad some Federal help.Rut it would be wrong for me to tell vou that the fight againstdrug addiction is not fragmented and inadequate. At best, there area minimum number of beds devoted mainly to detox at State hospitals.Programs of rehabilitation, and aftercare to the extent that they areavailable, are privately administered with a negligible degree of Stateand local involvement.These activities must become coordinated and recognizing the needfor coordination, I have already discussed one area, for exam]:)le.with Governor Cahill of New Jersey, a different kind of coordinatingplan, a joint effort between our States to stop the illicit traffic of drugsover State lines.But we desperately need much more than our State can provide. Weneed more and better facilities, professional people in greater numbers,better enforcement, a better education program, starting in the earliestgrammar school grades. All of these call for a massive infusion ofhelp from the Federal Government.I might add in this connection that some of the studies I have beenlooking at indicate that perhaps we should be starting our educationalprogram via television, educational television networks, and so on, atkindergarten and prekindergarten years so we can get the minds setat the ''no-no'' level very simply so that these youngsters recognize thatdrugs are just not something that are to be plaVed with.Gentlemen, I just ask that you help us with professional assistanceand financial resources and I'think this job can be done. But I thinkwe would be wrong to say that it can be done with the ])rovisions ofthe present administration bill. I think that vre are thinking just interms of $45 million for our State and the Federal Government isrecommending a program that is less than one State is already spendingand they think that is inadequate. I think that if we are really goingto challenge this thing and come to grips with the drug problem,we are going to have to look to a massive program. Then T think w^ecan make strides but only if we apply our collective resources andimagination to solving this issue.I appreciate this opportunity of bringing yon up to date about whatis happening in Pennsylvania. I am sorry I cannot come and reportto you that we are doing great things in our State because most ofthe things that we want to do are still in the embryonic planningstage.Chairman Pepper. Governor, we thank you very much for yourvery able statement.( Governor Shapp's prepared statement follows:60-2,96— 71—pt. 2 IS
- 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 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 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
- Page 666 and 667: 646. Dr. Kramer. From what I have s
- Page 668 and 669: —(348your money on, but methadone
- Page 670 and 671: —650I know of no techinque in pri
- Page 672 and 673: 652Dr. Kramer. Yes, sir. As a matte
(51)4<strong>and</strong> apprehend the wholesalers <strong>and</strong> retailers. In this connection, althoughfor security reasons I cannot detail the present work of theState police, we are starting with some excellent progress <strong>and</strong> therewill be some news coming out of Penns3dvania very shortly. But wehave called for the creation of 240 additional positions for State troopersfor assignments to the drug-control force. This is a measure of thetremendous importance which we attach to this problem, in 1 yeargoing from 30 to 270.In'the department of health <strong>and</strong> public welfare, we intend to exp<strong>and</strong>our programs for <strong>rehabilitation</strong> <strong>and</strong> basic <strong>and</strong> applied <strong>research</strong> forthe cure for addiction.The status of the <strong>rehabilitation</strong> of addicts not only in Pennsylvaniabut throughout the Nation is somewhat in the Dark xlges. I mightadd that education concerning the danger of drugs in my opinionreaches the level of the stone age. We are far sliort of the need in termsof <strong>rehabilitation</strong>. Rehabilitation does not stop at the door of a <strong>treatment</strong>center. It must follow the former addict back into the world tothe ])oint where he becomes once again a productive member of society.We have very little infonnation at our disposal <strong>and</strong> I hope there wouldbe some from this committee <strong>and</strong> from the Federal Government <strong>and</strong>from other States as to how to set up programs to really accomplishthis very important aim. Because unless we can get an addictrehabilitated <strong>and</strong> back into work so that he becomes a member ofsociety in fact, then we are not really doing much because we are juststarting the cycle all over again. We are just starting to develoj) programsIn Pennsylvania that recognize this program <strong>and</strong> we are coordinatingprograms that are part of community affairs so that partof their funds for ongoing job training goes to former addicts.We have increased this jol) training appropriation. Seventy percentof the men presently serving time in our State pi'isons have drugconnectedrecords. Recognition of the drug problem witliin our prisons<strong>and</strong> a program to cope Avith it will become part of our o\'erall programof prison reform <strong>and</strong> I am waiting for such a report now from our Departmentof Justice.We are also improving our State board of probation <strong>and</strong> parole tocontinue seeking Federal grants under LEAA <strong>and</strong> to pro\-ide programswhereby those on probation <strong>and</strong> parole with drug-connectedrecords will receive the appropriate followup in this vital arm of ourcorrections system. This is something that has not been done in theState at all <strong>and</strong> we are just starting it.Today we are holding a meeting of the appropriate agencies ofState government to start chartering a statewide program of returningvets, with special emphasis on drugs. Again, I will be lia[)py toreport our proposals to this committee as they are formulated.As to <strong>treatment</strong>, presently in Pennsylvania, this is being accomplishedby several kinds of facilities. These facilities range fromemergency beds in some hospitals for immediate ])roblems to privatehospitals for long-range <strong>treatment</strong>. We have tlierapentic communitieslike Gaudenzia House, Eagle\ille Sanitorium, <strong>and</strong> Ten ChallengeFarms. We have some halfway houses, some nonprofit <strong>treatment</strong>centers <strong>and</strong> counseling organizations. But I must admit to you thatthis dominant im])i'ession received from those many eil'oits is one
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