Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
—650I know of no techinque in prison right now available to better assurethe I'esiilt when the man gets out.Mr. Blommer. That is all the questions I have, Mr. Chairman.Chairman Pepper. Mr. Wiggins.Mr. WiGGixs. I regret, Doctor, that I was not here at the beginningof your testimony. I want to say a word of welcome to a fellow Californian.In reading your resume, it is clear that you are a Californianthrough and through. I take small comfort only in the fact that whenyou were required to do clinical research in psychiatry, you had to goelsewhere, to New York and other States.Doctor, I have observed in California in recent years a proliferationof community-based drug efforts, some of which are attempting to useand perhaps are using methadone as a tool. Are you satisfied that thereare sufficient competent people in the communities in California toconduct these programs on a medically acceptable level?Dr. Kramer. Mr. Wiggins, the term "community based programs"in general refers to abstinence ):>rograms for the most part. Methadoneprograms generally are not referred to as community programs.If you are referring to the methadone programs which are currentlyin operation in California—may I ask you which you arereferring to?Mr. AViGGiNS. All right. To be more specific, in my district, almostall of the communities are concerned about a recognizable drug problemwithin their jurisdiction. Community-based groups— by that Imean not county-supported nor State-supported, nor federally supported,so far as I know, although they all seek funds from any of theseagencies—have sprung up, often under the direction of the city councilinitially. Sometimes it is a PTA or coordinating council group. Butin many cases, the group is created from local citizens.In two instances in my district they have rented facilities and arenow undertaking some sort of treatment program for people who describethemselves as drug abusers. There has been discussion aboutmethadone. I would hope that they are not to the point of dispensingit, even for detoxification purposes as yet, but there has been discussionabout that. That is the kind of situation I am thinking about.Dr. Kramer. I see.Yes; there are a number of community-based progi'ams. There area number in your district, several in your district, that I am aware of.There are many more in northern California than in southern California.They have talked about the use of methadone.Earlier, I discussed the problem of, in essence. Federal licensurenot a licensure, but an FDA permission—to do methadone maintenance.In addition, in the State of California, as you knoAV, we havea research advisory panel which is con\'ened under Califoi-nia lawwhich must a])i)rove each methadone maintenance program. There isa group of seven indiA'iduals who very carefully screen each program.If anything, it has been, in my observation, that they are careful tothe point of being picky about certain very small issues that seem tome to be petty. Nev- rtbeless, this has been their practice, as far as Iknow.Mr. Ed O'Brien, who is the chairman of that committer and adeputy attorney general of the State, continues lo be very carefulabout dispensing permission to do methadone maintenance. They
651have, at least at the present time, with perhaps 18 or 20 programs goingin the State, very close supervision. I, myself, was visit-eel by a neutralfaculty member from another university in the State who examinedthe program. Those programs which have been granted permissionto provide methadone have been very carefully scrutinized and as faras I can tell, this scrutiny will continue.Whether the program is community centered, whether it is sponsoredby a private organization, as at least one in the State is, orunder any other auspices, methadone programs are carefully screened.I can sa}' this because I am also a member of the advisory committeeof the UCLA program, which is a small research program, the LosAngeles County program, and a private program run at a psychiatrichospital in the town of Rosemead.Mr. Wiggins. You spoke a moment ago about the absence of drugprograms in prisons to deal with an addict population which is verylarge in the prisons of California. So far as I know, there is no legalprohibition against using LEAA funds for that. Do you have anyobser\"ation as to why the California Council on Criminal Justicehas not recognized that as a priority in developing its State plan forthe spending of LEAA funds ?Dr. Krajier. The only reason that I can conceive of is that norequest has been made. I think that the CCCJ—^the California Coimcilon Criminal Justice—makes grants only when requests are madeto it for funds. I am not aware that they have gone out and solicitedsuch grants.I think that some of the people in corrections might better be ableto answer that question for you.^Ir. Wiggins. Thank you very much, Doctor, for appearing andtestifying.Chairman Pepper. Mr. Sandman ?Mr. Saxdmax. Doctor, in your State, you have quite an institutionat Corona. Are you familiar with the one there?Dr. Kramer. I was the chief of research there for 3 years.Mr. Saxdmax^. Well, I am sorry, I did not hear you testify onthat.Now, as between whether or not someone who is criminal!}^ committedenters Corona or San Quentin, for example, what is the differencethat is made there ?Dr. Kramer. The difference is sometimes difficult to determine, exceptthat there are certain individuals who, because of excessive criminality,because of a history of violence, because of certain other exclusionaryreasons, are prohibited from entering CRC. Prior to that, itwill depend in part on the judge and in part on the individual himself.Either the judge or the district attorney or the man's attorney or theman himself may make the suggestion that someone who has been convicted,either on a misdemeanor or a felon}-, should be considered forcivil commitment.Mr, Sandman. I am not talking about civil commitment. I am talkingabout criminal commitment. Does it make a difference whether ornot it is a felony ?Dr. Kramer. For someone to go to the addict program ?Mr. Sax^dmax". Can a felon who is also an addict be sentenced toCorona as well as San Quentin?
- 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 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 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
- Page 710: UFRAL BOOKBINDING CO. Q /-^ /-» .1
—650I know of no techinque in prison right now available to better assurethe I'esiilt when the man gets out.Mr. Blommer. That is all the questions I have, Mr. Chairman.Chairman Pepper. Mr. Wiggins.Mr. WiGGixs. I regret, Doctor, that I was not here at the beginningof your testimony. I want to say a word of welcome to a fellow Californian.In reading your resume, it is clear that you are a Californianthrough <strong>and</strong> through. I take small comfort only in the fact that whenyou were required to do clinical <strong>research</strong> in psychiatry, you had to goelsewhere, to New York <strong>and</strong> other States.Doctor, I have observed in California in recent years a proliferationof community-based drug efforts, some of which are attempting to use<strong>and</strong> perhaps are using methadone as a tool. Are you satisfied that thereare sufficient competent people in the communities in California toconduct these programs on a medically acceptable level?Dr. Kramer. Mr. Wiggins, the term "community based programs"in general refers to abstinence ):>rograms for the most part. Methadoneprograms generally are not referred to as community programs.If you are referring to the methadone programs which are currentlyin operation in California—may I ask you which you arereferring to?Mr. AViGGiNS. All right. To be more specific, in my district, almostall of the communities are concerned about a recognizable drug problemwithin their jurisdiction. Community-based groups— by that Imean not county-supported nor State-supported, nor federally supported,so far as I know, although they all seek funds from any of theseagencies—have sprung up, often under the direction of the city councilinitially. Sometimes it is a PTA or coordinating council group. Butin many cases, the group is created from local citizens.In two instances in my district they have rented facilities <strong>and</strong> arenow undertaking some sort of <strong>treatment</strong> program for people who describethemselves as drug abusers. There has been discussion aboutmethadone. I would hope that they are not to the point of dispensingit, even for detoxification purposes as yet, but there has been discussionabout that. That is the kind of situation I am thinking about.Dr. Kramer. I see.Yes; there are a number of community-based progi'ams. There area number in your district, several in your district, that I am aware of.There are many more in northern California than in southern California.They have talked about the use of methadone.Earlier, I discussed the problem of, in essence. Federal licensurenot a licensure, but an FDA permission—to do methadone maintenance.In addition, in the State of California, as you knoAV, we havea <strong>research</strong> advisory panel which is con\'ened under Califoi-nia lawwhich must a])i)rove each methadone maintenance program. There isa group of seven indiA'iduals who very carefully screen each program.If anything, it has been, in my observation, that they are careful tothe point of being picky about certain very small issues that seem tome to be petty. Nev- rtbeless, this has been their practice, as far as Iknow.Mr. Ed O'Brien, who is the chairman of that committer <strong>and</strong> adeputy attorney general of the State, continues lo be very carefulabout dispensing permission to do methadone maintenance. They
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