Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
)630tion and many others attempting to do so. We see, with pride, men who led alife of crime now working and contrihnting to the community. We are fiillycognizant, however, of the effort which we must continue to put forth. Bostonhas not yet fully experienced the impact of the many drug-addicted young menwho will l)e discharged from military service. We cannot fail them. I liope andpray that we will have the resources to aid them.Our Xation has many strengths in its people and in its institutions. We dohave the capacit.v to successfully confront the drug abuse crisis which we face.The House Select Committee on Crime has held hearings throughout the UnitedStates. You, members of the committee, should be among the most knowledgeablein the Nation regarding the extent of the problem and the enormous need foraction. I trust that you will provide the necessary means and leadership forsuch action.Sincerely,Kevin H. White, Mayor.(A response from Richard L. Krabach, city manager, city of Cincinnati, Ohio,was retained in the committee files.[Exhibit No. 26(b)]City of Detroit.June 15, 1971.Claude Pepper,Chairman. House Select Committee on- Crime, U.S. House of Representatives,Wa>shiii(/ton, B.C.Dear Representative Pepper: The city of Detroit shares with other urbanareas throughout the Nation, the problems created by drug addiction. From thestandpoint of law enforcement, drug related arrests during the first months of1971 project a total of 9,137 arrests for the year, or an increase of 163 i>ercentover 1969.The estimates of drug dependent individuals are many and varied, with estimateswell in excess of 20,000 addicts. Further, the total daily amount of heroinpurchases in the city may approximate $700,000, which may necessitate $2 millionof retail valued merchandise.The numbers of people addicted to drugs and the amount of crime related tosupporting drug addiction has been growing at an alarming rate over the lastfew years. The major providers of service have long recognized their inabilityto provide treatment if services are predicated on the precious tax dollars largeurban cities are able to allocate.The financial crises confronting Detroit is the same burdensome problem ofdeclining revenue sources as expressed by every mayor of other cities. Treatmentand prevention of drug abuse is a very co.stly service which cannot be adequatelyprovided by current city budgets.The city of Detroit attempts to provide comprehensive treatment, pi-evention,infomiation, and educational services to its estimated 20,000 heroin addicts undera $2,000,000 budget for the fiscal year 1971-72. Federal sources under the NationalInstitutes of Mental Health have contributed $r)00.000 for our iModel Citiesdrug treatment ])rogram, which serves a populace of 104,000 residents. The Officeof Economic Oppoi'tunity has contributed approximately $500,000 for our programof drug ti-eatment, which is conducted by the Mayor's Committee forHuman Resources Development. The Law Enforcement Assistance Act i-ecentlygranted $250,000 to the Health Department to establish a treatment program.An analysis of Federal and State allocations indicates a sum total of $1.3 million,which is well below the financial commitment by the city.The absence of Federal Revenue sharing and direct grants to our city to permitthe development and establishment of a comprehensive drug abuse treatmentprogram will only compound the problem. We cannot delay action on the Nation'snumber one health prol)lem any longer.The basic needs for the implementation of a viable citywide program wouldnecessitate the following rehabilitation services :(a) Crisis centers,(h) Central laboratory.(c) Court programs.(d) Research.
631(e) Therapeutic communities.(f) Hospital based treatment programs.(g) Educational centers.(h) Acute detoxification centers.( i ) Computer services,(j) Central registry.It is my intention to develop a minimum of 26 centers to include a varietyof modalities with special attention to prevention as it pertains to the adolescent.In the event the Federal Government continues to play a passive role withrespect to our monetary crises, the numbers of heroin addicts in Detroit couldapproximate 40,000 in a year.Gentlemen, our services to the citizens of Detroit have been drastically curtailed.The failure to provide medical/social services for drug dependency willbecome unmanageable without adequate Federal Revenue.Sincerely,Roman S. Gribbs, Mayor.[Exhibit No. 26(c)]Statement of George A. Athanson, Mayor, Hartford, Conn.Hartford, Conn, is a geographically small city (18.4 square miles) in centralConnecticut, surrounded by relatively affluent suburban towns. The city has apopulation of 158,000 including about 44,000 black ijeople and 20.000 PuertoRicans. The capital region, 30 town area, of which Hartford is the hub, has apopulation of over one-half million.Conservative estimates of hard drug users in Hartford suggests about 2.000to 3.000 heroin addicts. About one-half of this number are addicted to substantialamounts of the drug requiring expenditures of $50 to $100 lyer day.The crime i*ates, especially breaking and entering, shoplifting, burglary, andmugging are increasing due in large part to drug dependency. Drug-relatedarrests by the police department are ranging in the neighborhood of one thousandannually. In addition to the major heroin problem, there is a large but indeterminateamount of usage of a variety of other di-ugs, both hard and soft.In the city, cocaine, alcohol and glue seem to pi'edominate. In suburban areas,there is a wide use of marihuana, amphetamines, bai'biturates, and hallucinogens.Further, and even more alarming, is the recent phenomenon of the "psychedelicdelicatessen". This phrase aptly describes the way drug and alcohol users indiscriminatelymix all varieties of both. Needless to say, the results of this practiceare fatal.At a recent meeting of the chief executives of the major drug treatment programs,certain recent trends or changes in drug usage were noted. All agencieshave noted a trend toward younger persons using hard narcotics—children inthe range of 12 years of age are being seen or referred to some progi-ams forcare. The younge.«t seen was age 9. This is also attested to by the increase inyouth drug offenders being sent to the juvenile detention centers in Meriden andCheshire. Conn., as well as the younger age group in the State jail in Hartford.The director of one of Hartford's methadone clinics estimates that nearly 100drug users between the ages of 12 and 15 have been seen by his facility.Another trend, noted by all agencies, was toward increasing use of drug combinationsby young i>eople. Particular attention was called to the use of heroinand alcohol (Boone's Farm Wine and Malt Duck) by urban young people experimentingwith drugs. The sight of children in the streets "stoned" duringregular school hours was noted. A separate new group of addicts, the Vietnamwar veteran, has recently appeared in Hartford. During the past year, 39 veteransaddicted to heroin approached one agency. Neither of the two Veterans' Administrationhopsitals (Newington and West Haven) has a drug service program.A variety of drug treatment programs has sprung up in an attempt to servethe needs of the community. Some of these programs were originally sponsoredby parents who had lost children to the drug culture.The most comprehensive programs for drug abuse are provided by the Alcoholand Drug Dependence Division of the Connecticut State Department of MentalHealth. With the assistance of a major grant from the National Institute ofMental Health, they currently offer the following programs :(1) Outpatient clinic care including group therapy, counseling, and vocationalrehabilitation.(2) Inpatient care in the Blue Hills Hospital including detoxification, a varietyof therapies, and long term followup.
- 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 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 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
- Page 674 and 675: :'654prison and who liave no—wlio
- Page 676 and 677: 65GDr. KT?A:\rEij. 1 suspect tliat
- Page 678 and 679: 658support some of the inethadone p
- Page 680 and 681: '6660Dr. IvKAisrKK. 1 believe that
- Page 682 and 683: 662jrest that the Veterans' Adminis
- Page 684 and 685: 664opiates may be ingested in sever
- Page 686 and 687: 666(5) It suppresses the desire for
- Page 688 and 689: 668Many people have benefited from
- Page 690 and 691: —G70Other researches which may di
- Page 692 and 693: 672synthetic painkillers, our commi
- Page 694 and 695: 074IV. A universal ban on legitimat
- Page 696 and 697: ..676iTlius we must look to educati
- Page 698 and 699: 678states, from Arnold Becker, publ
631(e) Therapeutic communities.(f) Hospital based <strong>treatment</strong> programs.(g) Educational centers.(h) Acute detoxification centers.( i ) Computer services,(j) Central registry.It is my intention to develop a minimum of 26 centers to include a varietyof modalities with special attention to prevention as it pertains to the adolescent.In the event the Federal Government continues to play a passive role withrespect to our monetary crises, the numbers of heroin addicts in Detroit couldapproximate 40,000 in a year.Gentlemen, our services to the citizens of Detroit have been drastically curtailed.The failure to provide medical/social services for drug dependency willbecome unmanageable without adequate Federal Revenue.Sincerely,Roman S. Gribbs, Mayor.[Exhibit No. 26(c)]Statement of George A. Athanson, Mayor, Hartford, Conn.Hartford, Conn, is a geographically small city (18.4 square miles) in centralConnecticut, surrounded by relatively affluent suburban towns. The city has apopulation of 158,000 including about 44,000 black ijeople <strong>and</strong> 20.000 PuertoRicans. The capital region, 30 town area, of which Hartford is the hub, has apopulation of over one-half million.Conservative estimates of hard drug users in Hartford suggests about 2.000to 3.000 heroin addicts. About one-half of this number are addicted to substantialamounts of the drug requiring expenditures of $50 to $100 lyer day.The crime i*ates, especially breaking <strong>and</strong> entering, shoplifting, burglary, <strong>and</strong>mugging are increasing due in large part to drug dependency. Drug-relatedarrests by the police department are ranging in the neighborhood of one thous<strong>and</strong>annually. In addition to the major heroin problem, there is a large but indeterminateamount of usage of a variety of other di-ugs, both hard <strong>and</strong> soft.In the city, cocaine, alcohol <strong>and</strong> glue seem to pi'edominate. In suburban areas,there is a wide use of marihuana, amphetamines, bai'biturates, <strong>and</strong> hallucinogens.Further, <strong>and</strong> even more alarming, is the recent phenomenon of the "psychedelicdelicatessen". This phrase aptly describes the way drug <strong>and</strong> alcohol users indiscriminatelymix all varieties of both. Needless to say, the results of this practiceare fatal.At a recent meeting of the chief executives of the major drug <strong>treatment</strong> programs,certain recent trends or changes in drug usage were noted. All agencieshave noted a trend toward younger persons using hard narcotics—children inthe range of 12 years of age are being seen or referred to some progi-ams forcare. The younge.«t seen was age 9. This is also attested to by the increase inyouth drug offenders being sent to the juvenile detention centers in Meriden <strong>and</strong>Cheshire. Conn., as well as the younger age group in the State jail in Hartford.The director of one of Hartford's methadone clinics estimates that nearly 100drug users between the ages of 12 <strong>and</strong> 15 have been seen by his facility.Another trend, noted by all agencies, was toward increasing use of drug combinationsby young i>eople. Particular attention was called to the use of heroin<strong>and</strong> alcohol (Boone's Farm Wine <strong>and</strong> Malt Duck) by urban young people experimentingwith drugs. The sight of children in the streets "stoned" duringregular school hours was noted. A separate new group of addicts, the Vietnamwar veteran, has recently appeared in Hartford. During the past year, 39 veteransaddicted to heroin approached one agency. Neither of the two Veterans' Administrationhopsitals (Newington <strong>and</strong> West Haven) has a drug service program.A variety of drug <strong>treatment</strong> programs has sprung up in an attempt to servethe needs of the community. Some of these programs were originally sponsoredby parents who had lost children to the drug culture.The most comprehensive programs for drug abuse are provided by the Alcohol<strong>and</strong> Drug Dependence Division of the Connecticut State Department of MentalHealth. With the assistance of a major grant from the National Institute ofMental Health, they currently offer the following programs :(1) Outpatient clinic care including group therapy, counseling, <strong>and</strong> vocational<strong>rehabilitation</strong>.(2) Inpatient care in the Blue Hills Hospital including detoxification, a varietyof therapies, <strong>and</strong> long term followup.