Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
640million to $25 milliou per year. This cost is considerably lower than the estimatedcosts of crime and law enforcement related to drugs.In order to begin to tackle the drug menace, an insurgence of interest andmoney is required. The costs of adequate services are such that most loeaiities canill afford to make available necessary funds to cope with the needs. The Federalrole must be aimed at the problem center, the large metropolitan areas. Largeamounts of direct funds for ail modes of treatment are required in addition tocontinued support for research to develop better treatment modalities. These fundsshould be channeled to responsible agencies able to secure a balanced approachto treatment and rehabilitation.The drug problem is nationwide. It is not limited to the ghetto or the innercity, but strikes across all segments of society. Its destructive aspects, if allowedto continue, could disintegrate the cities and the very fabric of society, thefamily. The tragedy of many thousands of young people in Philadelphia forcedinto criminal life style to support their habits, the broken homes, the destroyedfamilies emphasize the need for extensive action now with a high priority.Sincerely yours,Leon Soffeb, Ph. D.,Deputy Health Commissioner.[Exhibit No. 26(f)]Statement of Walter E. Washington, Mayor, District of ColumbiaI would like to thank this committee and its chairman for giving me theopportunity to discuss the problem of drug addiction in the city of Washington,and what the city's additional needs are in coping with this serious problem.It is estimated that there cui-rently are approximately 17,000 heroin addictsin the District of Columbia.Presently, the Department of Human Resources' Narcotics Treatment Administration,headed by Dr. Robei-t L. DnPont, has 3.500 of the city's addicts intreatment. This represents a dramatic increase over the 150 addicts who werein treatment a mere 15 months ago. Our plans are to increase treatment to 5,500addicts by July of 1972.The Narcotics Treatment AdminLstratioai, (NTA), is Wa.shington's first comprehensiveand city-wide narcotics treatment program. In addition, it is thelargest, multi-modality agency aimed at treatment of heroin addicts in thecountry. There are several different treatment approaches, each of which isdetermined by the individual's needs as shown after examination, counseling, andpationt-staff consultation. These include: abstinence, methadone detoxification,methadone maintenance, and urine surveillance. Each is backed up by urinesurveillance and individual or group counseling.It is my understanding that Dr. DuPont has testified before this committeeand has provided you with more detailed and technical information regarding allaspects of our heroin treatment program including our planning for the future.Even though we are extremely pleased with the progress we have made in thepast 15 months, we could further increase the amount of addicts treated ifadditional funds were made available.As .vou know, the District of Columbia has been fortunate to receive Federalfinancial assistance. To date, we have received approximately $4.5 million inassistaiice for our narcotics treatment program. The District government, itself,has also made substantial contributions of its own towards providing an adequatetreatment program to deal with the city's heroin problem. Allocalions for thispurpose have been $.3.1 million including fimds for fi.scal year 1972.We realize that the heroin epidemic that exists here in Washington is not aunique phenom.enon, but a serious problem that is plaguing all our Nation's cities.We do believe, however, that our treatment program has taken a le;idership rolein the treatment of heroin addiction. And, we would like to continue this role andgo even further.We know that there are critical areas that need additional and large-scaleattention.First, is the need for preventive education and information. We nuist not onlytreat those who have been drawn into the maelstrom of heroin addiction, butwe must also work to prevent those vi'ho have not yet become involved with drugs.An effective program of education and prevention would help to achieve this.
641Second, ia the need for ancillary and rehabilitative services for the addict whois receiving treatment. Treatment is an important step in breaking the addict'sdrug dependency, however additional services are needed to help tliat person tobe able to function without heroin. Such ancillary and rehabilitative serviceswill help the addict to become a functional member of the community.Third, is the need for special programing and services for youth. Thirty-onepercent of Washington's heroin addicts are under 20 years old. We must developa total range of programs and services aimed at their problems and needs.These issues and others are liighlighted in a recently released report of theProfessional Advisory Committee on Heroin Addiction in the District of Columbia.This committee was appointed by Philip J. Rutledge, Director of the Departmentof Human Resources to study and analyze the District's present narcoticstreatment program and recommend improvements or changes needed tomake the program more effective.In addition to raising several important issues, the report provides an excellentbackground and review of the types of problems that the Washington communityis facing in attempting to mount a large scale heroin treatment program.Many of the people who contributed to the report have expertise in the diiigproblem area, and you might want to elicit their testimony for your committee'sstudy.Heroin abuse and addiction are complex problems. The needs of the addict arevaried. The solution to the addict's problem, so far, is only fragmentary.However, we believe that the effort we have made towards treatment andrehabilitation, while not wdthout I'isks, has produced humane and constnictiveresults. We are anxious to expand our efforts and broaden our spectrum ottreatment modalities, because we will never really be a true success until theplague of heroin addiction has been cured in our city.We in Washington, as well as those in other cities, are trying to commit asmany of our resources as possible to curing this epidemic. But in these timeswhere funds are short, we will need help. And if the national plague of heroinaddiction is to be stopped, the Federal Government will have to commit itselfto underw^riting the financial help.Afternoon SessionChairman Pepper. The committee will come to order, please.Our last witness today is Dr. John C. Kramer, who serves as assistantprofessor in the department of psychiatry and human behavior, and inthe department of medical pharmacology and therapeutics, at the Universityof California at Irvine.Dr. Kramer received his medical training at the University of Californiaat San Francisco and served his internship at Kings CountyHospital in New York. He is certified in psychiatry by the AmericanBoard of Psychiatry and Neurology.From 1966 to 1960, he was chief of research at the California RehabilitationCenter, and is presently a staff psj'chiatrist at OrangeCounty Medical Center.From 1967 to 1969, he served on the review committee of the NIIMHCenter for Studies of Narcotic and Drug Abuse.lie is the author of numerous articles on drug abuse.We heard this morning the chairman of the Narcotics Commissionof New York; we are particularly anxious to have you speak aboutyour experience in the State of California. As you have noticed, wehave had the Governors from Northern and Southern States this morningand a middle State, so we are trying to get an overall ^dew of themagnitude of the problem and the massiveness of the approach thatmust be made if we are to solve it.We are very grateful to you and welcome your statement.Mr. Perito, would you care to examine ?
- 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 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 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
- Page 700 and 701: 680However, we must look at rehabil
- Page 702 and 703: :682(a) The natural history of narc
- Page 704 and 705: 684was a heavy user. The decrease i
- Page 706 and 707: 686(13) Wallace. R. K. : Physiologi
- Page 708 and 709: 688TABLE 9.-USE OF "HARD LIQUOR" BE
640million to $25 milliou per year. This cost is considerably lower than the estimatedcosts of crime <strong>and</strong> law enforcement related to drugs.In order to begin to tackle the drug menace, an insurgence of interest <strong>and</strong>money is required. The costs of adequate services are such that most loeaiities canill afford to make available necessary funds to cope with the needs. The Federalrole must be aimed at the problem center, the large metropolitan areas. Largeamounts of direct funds for ail modes of <strong>treatment</strong> are required in addition tocontinued support for <strong>research</strong> to develop better <strong>treatment</strong> modalities. These fundsshould be channeled to responsible agencies able to secure a balanced approachto <strong>treatment</strong> <strong>and</strong> <strong>rehabilitation</strong>.The drug problem is nationwide. It is not limited to the ghetto or the innercity, but strikes across all segments of society. Its destructive aspects, if allowedto continue, could disintegrate the cities <strong>and</strong> the very fabric of society, thefamily. The tragedy of many thous<strong>and</strong>s of young people in Philadelphia forcedinto criminal life style to support their habits, the broken homes, the destroyedfamilies emphasize the need for extensive action now with a high priority.Sincerely yours,Leon Soffeb, Ph. D.,Deputy Health Commissioner.[Exhibit No. 26(f)]Statement of Walter E. Washington, Mayor, District of ColumbiaI would like to thank this committee <strong>and</strong> its chairman for giving me theopportunity to discuss the problem of drug addiction in the city of Washington,<strong>and</strong> what the city's additional needs are in coping with this serious problem.It is estimated that there cui-rently are approximately 17,000 heroin addictsin the District of Columbia.Presently, the Department of Human Resources' <strong>Narcotics</strong> Treatment Administration,headed by Dr. Robei-t L. DnPont, has 3.500 of the city's addicts in<strong>treatment</strong>. This represents a dramatic increase over the 150 addicts who werein <strong>treatment</strong> a mere 15 months ago. Our plans are to increase <strong>treatment</strong> to 5,500addicts by July of 1972.The <strong>Narcotics</strong> Treatment AdminLstratioai, (NTA), is Wa.shington's first comprehensive<strong>and</strong> city-wide narcotics <strong>treatment</strong> program. In addition, it is thelargest, multi-modality agency aimed at <strong>treatment</strong> of heroin addicts in thecountry. There are several different <strong>treatment</strong> approaches, each of which isdetermined by the individual's needs as shown after examination, counseling, <strong>and</strong>pationt-staff consultation. These include: abstinence, methadone detoxification,methadone maintenance, <strong>and</strong> urine surveillance. Each is backed up by urinesurveillance <strong>and</strong> individual or group counseling.It is my underst<strong>and</strong>ing that Dr. DuPont has testified before this committee<strong>and</strong> has provided you with more detailed <strong>and</strong> technical information regarding allaspects of our heroin <strong>treatment</strong> program including our planning for the future.Even though we are extremely pleased with the progress we have made in thepast 15 months, we could further increase the amount of addicts treated ifadditional funds were made available.As .vou know, the District of Columbia has been fortunate to receive Federalfinancial assistance. To date, we have received approximately $4.5 million inassistaiice for our narcotics <strong>treatment</strong> program. The District government, itself,has also made substantial contributions of its own towards providing an adequate<strong>treatment</strong> program to deal with the city's heroin problem. Allocalions for thispurpose have been $.3.1 million including fimds for fi.scal year 1972.We realize that the heroin epidemic that exists here in Washington is not aunique phenom.enon, but a serious problem that is plaguing all our Nation's cities.We do believe, however, that our <strong>treatment</strong> program has taken a le;idership rolein the <strong>treatment</strong> of heroin addiction. And, we would like to continue this role <strong>and</strong>go even further.We know that there are critical areas that need additional <strong>and</strong> large-scaleattention.First, is the need for preventive education <strong>and</strong> information. We nuist not onlytreat those who have been drawn into the maelstrom of heroin addiction, butwe must also work to prevent those vi'ho have not yet become involved with drugs.An effective program of education <strong>and</strong> prevention would help to achieve this.
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