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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. Dr.612Bourne informs me that we have used successfully methadone.It was first used in Georgia in August 1970. We have 530 patientswho were treated over an 8-month period on a methadone witlidrawalprogram, of whom within 60 days, 70 percent reverted to their previousaddiction. We now have 60 patients on methadone maintenance.We feel methadone is an excellent tool for the treatment of addictionof heroin, based on our own experience and knowledge from Washington,D.C., and New York. We have never had an adequate programto utilize it effectively. We recognize the dangers involved. We havenevei' had a serious incident or death from overuse of methadone inGeorgia.I notice that Dr. Chambers, or I think Mr. Jones, said tliat metliadonewas only effective in 20 or 30 percent of the cases. I think this iscertainly' true in a permanent withdrawal or treatment or correctivesituation. But if you put into the picture the effect of heroin addictionon the crime rate, we believe that it will seriously or greatly alleviatetlie problem in at least 80 percent of the cases.A recent interrogation by me of the Athmta police authorities resultedin the information that 75 percent of the robberies recently committedin Atlanta were caused by heroin addicts.Well, I would like to express my own personal appreciation on behalfof the State of Georgia to this committee for bringing to light anextremely serious problem which has now progressed far beyond whatit should have. I can assure you that if the Federal Government wouldgi\e us the means and the advice and the information, we will strivewith the greatest determination toward correcting what I considerto l)e the most serious single problem in Georgia today.Thank you, Mr. Chairman.Chairman Pepper. Governor Carter, we thank you very much for3^our able statement. /^' ,".(Governor Carter's prepared statement follows :)[Exhibit No. 24]Prepared Statement of Hon. Jimmy Carter, Governor, State of GeorgiaThanlv you, Mr. Chairman, for this opportunity to testify before yourcommittee.The State of Georgia is experiencing the initial throes of a heroin epidemic.In Atlanta, doctors who are working daily with heroin users agree in theirestimates that the metropolitan area now has some 5,000 heroin addicts, aligure which is substantiated by the number of deaths from h(>roin overdoses.Twelve months ago, these same doctors estimated less than 2.000 addicts inAtlanta. If the experience of other cities holds true, we can con.servativelyexpect that there will be more than 10,000 heroin addicts in Atlant

613I think it is more appropriate today to present to you my thoughts on theproblems of heroin addiction in the armed services, and how that problemaffects Georgia.Georgians have always held the military professions in high regard, and wehave probably tended to join the armed services in disproportionate numbers.Today, some 71.500 Georgians are serving in the Armed Forces. We know thatmany of these Georgians have been exposed to heroin use in Vietnam andEurope, and we can expect them to bring their habits home when they return.Further, Georgia is the location of several of our country's largest militarybases. There are 81,000 service men and women stationed at Georgia's 11 militarybases. Fort Benning in Columbus and Fort Gordon in Augusta together havemore than 50,000 personnel, or about two-thirds of the total in Georgia.Military operations are an important part of Georgia's economy—and militarypersonnel are a large part of our heroin addiction problem. Although precise informationdealing with heroin use in the Armed Forces is simply not available,it is probably safe to estimate that the return of Vietnam veterans, either toGeorgia military bases or to civilian life in Georgia, will double again the heroinaddiction problem in my State in the coming year.To Georgians, therefore, it is crucial that the Armed Forces carry out thoroughand conscientious rehabilitation programs for servicemen who are addicted toheroin. Let us make no mistake : the heroin addiction that is growing so rapidlyamong our troops in Vietnam is in large part the result of a problem in morale,discipline, and leadership. The blame for this breakdown rests with the MilitaryEstablishment ; tlie responsibility for caring for veterans who are disabled byheroin addiction must also rest there.I am concerned that the Military Establishment will shirk this responsibility.We understand that the typical heroin addict in the military is not very differentfrom his counterpart in civilian life. He did not finish high school, he comes froma broken home, and there is a good chance he is a member of a minority group. Inall likelihood, he is a draftee, and no one would argue that treating his habit isessential to the military mission. When he returns to civilian life, he will findhimself on the street with little chance of landing a good job. In short, he ispowerless, and it is not hard to suspect that the Armed Forces would be happyto quietly sweep him under the rug, or into the hands of civilian agencies.The Armed Forces should not be allowed to discharge their responsibility forheroin addiction by simply retaining an addict on active duty for an additional 21days of treatment. There is no 21-day cure for heroin addiction, and it is dishonestto lead the American public to believe this. To the Vietnam veteran whois retained, and to the civilian agencies that must eventually provide him services,3 short weeks of extra treatment by the military is a cynical joke.If the Armed Services take seriously their re.sponsibility for treatment of theirheroin addicts, then I am convinced that Georgia can bring its heroin emergencyunder control. In Georgia, I will make every effort to assure that State and militaryefforts are coordinated. I intend to propose that a joint drug abuse coordinatingcommittee be established, with membership consisting of the Governor andthe commanding ofiicers of the major military bases in Georgia. This committeewould meet regularly to discuss progress on existing programs, and to initiatenew efforts.I am not convinced that the Veterans' Administration alone should be expectedto be capable of mounting the many types of programs required to treat heroinaddiction among returning servicemen. I hope that we will be able in Georgiato arrange for contracts between the Veterans' Administration and those civilianprograms which will complement VA programs. The Veterans' Administrationmight, for example, contract with Georgia's statewide program to operate storefronttreatment centers in cities where military bases are located. Or the Veterans'Administration might seek epidemiological advice from the U.S. Public HealthService's National Center for Disease Control, located in Atlanta.A simple solution may be joint financing of our overall drug addiction programfor Georgia, which will cost from .S.^ million to $7 million annually—a cost whichwe cannot afford and which has not been budgeted.At the Democratic Governors' Conference in Omaha last weekend, I discussedheroin addiction with other southern Governors. They and I believe that theheroin addiction problem offers important opportunities for regional cooperation,such as centralizing laboratory facilities and record systems. A regional approachto the problem of heroin addiction among returning Vietnam veterans would alsobe important. I expect to set a date in the near future for a meeting of southern

613I think it is more appropriate today to present to you my thoughts on theproblems of heroin addiction in the armed services, <strong>and</strong> how that problemaffects Georgia.Georgians have always held the military professions in high regard, <strong>and</strong> wehave probably tended to join the armed services in disproportionate numbers.Today, some 71.500 Georgians are serving in the Armed Forces. We know thatmany of these Georgians have been exposed to heroin use in Vietnam <strong>and</strong>Europe, <strong>and</strong> we can expect them to bring their habits home when they return.Further, Georgia is the location of several of our country's largest militarybases. There are 81,000 service men <strong>and</strong> women stationed at Georgia's 11 militarybases. Fort Benning in Columbus <strong>and</strong> Fort Gordon in Augusta together havemore than 50,000 personnel, or about two-thirds of the total in Georgia.Military operations are an important part of Georgia's economy—<strong>and</strong> militarypersonnel are a large part of our heroin addiction problem. Although precise informationdealing with heroin use in the Armed Forces is simply not available,it is probably safe to estimate that the return of Vietnam veterans, either toGeorgia military bases or to civilian life in Georgia, will double again the heroinaddiction problem in my State in the coming year.To Georgians, therefore, it is crucial that the Armed Forces carry out thorough<strong>and</strong> conscientious <strong>rehabilitation</strong> programs for servicemen who are addicted toheroin. Let us make no mistake : the heroin addiction that is growing so rapidlyamong our troops in Vietnam is in large part the result of a problem in morale,discipline, <strong>and</strong> leadership. The blame for this breakdown rests with the MilitaryEstablishment ; tlie responsibility for caring for veterans who are disabled byheroin addiction must also rest there.I am concerned that the Military Establishment will shirk this responsibility.We underst<strong>and</strong> that the typical heroin addict in the military is not very differentfrom his counterpart in civilian life. He did not finish high school, he comes froma broken home, <strong>and</strong> there is a good chance he is a member of a minority group. Inall likelihood, he is a draftee, <strong>and</strong> no one would argue that treating his habit isessential to the military mission. When he returns to civilian life, he will findhimself on the street with little chance of l<strong>and</strong>ing a good job. In short, he ispowerless, <strong>and</strong> it is not hard to suspect that the Armed Forces would be happyto quietly sweep him under the rug, or into the h<strong>and</strong>s of civilian agencies.The Armed Forces should not be allowed to discharge their responsibility forheroin addiction by simply retaining an addict on active duty for an additional 21days of <strong>treatment</strong>. There is no 21-day cure for heroin addiction, <strong>and</strong> it is dishonestto lead the American public to believe this. To the Vietnam veteran whois retained, <strong>and</strong> to the civilian agencies that must eventually provide him services,3 short weeks of extra <strong>treatment</strong> by the military is a cynical joke.If the Armed Services take seriously their re.sponsibility for <strong>treatment</strong> of theirheroin addicts, then I am convinced that Georgia can bring its heroin emergencyunder control. In Georgia, I will make every effort to assure that State <strong>and</strong> militaryefforts are coordinated. I intend to propose that a joint drug abuse coordinatingcommittee be established, with membership consisting of the Governor <strong>and</strong>the comm<strong>and</strong>ing ofiicers of the major military bases in Georgia. This committeewould meet regularly to discuss progress on existing programs, <strong>and</strong> to initiatenew efforts.I am not convinced that the Veterans' Administration alone should be expectedto be capable of mounting the many types of programs required to treat heroinaddiction among returning servicemen. I hope that we will be able in Georgiato arrange for contracts between the Veterans' Administration <strong>and</strong> those civilianprograms which will complement VA programs. The Veterans' Administrationmight, for example, contract with Georgia's statewide program to operate storefront<strong>treatment</strong> centers in cities where military bases are located. Or the Veterans'Administration might seek epidemiological advice from the U.S. Public HealthService's National Center for Disease Control, located in Atlanta.A simple solution may be joint financing of our overall drug addiction programfor Georgia, which will cost from .S.^ million to $7 million annually—a cost whichwe cannot afford <strong>and</strong> which has not been budgeted.At the Democratic Governors' Conference in Omaha last weekend, I discussedheroin addiction with other southern Governors. They <strong>and</strong> I believe that theheroin addiction problem offers important opportunities for regional cooperation,such as centralizing laboratory facilities <strong>and</strong> record systems. A regional approachto the problem of heroin addiction among returning Vietnam veterans would alsobe important. I expect to set a date in the near future for a meeting of southern

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