-veral different programs being carried enters; however, all of the implementers 4 coordinate with each other's programs. son "thing" somewhere, he is nevertheless 10 The CHS are doing. By having the review and world not therefore fund another methado cibe duplication. By not only having the but also the reviewing and comment authority rous programs, have a multimodality approach. sa overlap of programs. 4ze overlap now in the State? www.thek there is overlap in this State. There is some nd if we have not dealt with it on first-year deal with it on second-year funding. de dmg problems of the District of Columbia spil! I would say they provide one of the trafficking sem down here. I think some of the cutting agents de geing there. We have not experienced the methadone that they have up there, and I think it is primarily controls. Bit Harrison has put in, and also due to the 1-Xyes Pk you very much. W- Ders Mr. Prever! Derya Thank you, Mr. Chairman. Because of the hour. I will not ask you any questions, Mr. Matthews It does look to re as if you are doing a good job, and I was particularly gaš to see some mention made before we adjourned the hearings of aw enforcement. I think we get carried away at these hearings, and think of only the soc'a' order, of the sociological and medical side, but law enforcemen: is certa'n'y a part of the multiapproach that we are talking about, and 1 sm glad to have heard that. Mr. MATTHEWS. Enforcement is a part of it, and it is clearly a good ove-forth of CODAC's overall approach, but we recognize the enforce ment impact as limited. The best way to tear out the top of a market is to knock out the bottom floor. That is, to cut out demand. Education does that. Enforcement c'early can never dry up illicit sources but they do have a role to play Mr. ROGERS. Mr. Symington. Mr. SYMINGTON. You have stated in your booklet, and in your statePort to us, that CODAC serves as the regional clearinghouse for drug abuse information and control programs, and Rubicon, I take it, is a treatment program that uses experience and tries to share it with others Mr. MATTHEWS. Rubicon does so, in seating its representatives c the COPAC board, and some of its staff people who are on the CODAC task force committees. We review and comment on the grants as they go into the funding source. CODAC is also a forum, it is a informal communication for interaction of their program with others Mr. SYMINGTON. I am extremely interested in this statement, inas much as he is head of Rubicon, that, for example, the Muslims hav done more to reform drug abuse on all of the treatment programs which the United States has put together, which would of course include his own. To what extent do you in CODAC, of which he is a member, address yourselves to the advisability of approaching a solution to drug problems, through some kind of ethnic activity? Mr. MATTHEWs. Well, I think that, I would agree with him on that, that any group, though not totally ethnically based, whatever their basis may be, can draw people together and give them a sense of security, harmony, and understanding. That is the kind of group which, if they are not curing drug abuse, will probably be preventing it. CODAC has taken this approach to rehabilitation. Rubicon is in a sense similar. Drug education eventually develops an approach, that gets away from strict drug information, and gets into the socialization process. That too is an attempt to set up smaller groups with a commonality of interest and purpose not so much ethnically based, but which can bring people together as a model for interaction and understanding. The learning and the interaction are rehabilitative in themselves. In terms of what the Black Muslims have been able to do, and the reason they have been able to do it, is based on the drawing together of persons. Other programs do this also. Mr. SYMINGTON. Is there as good a way to draw people together than by race, or ethnic identity? Mr. MATTHEWS. I think there are several better ways. Race and ethnic identities are only two ways. There are several other kinds of causes and purposes that draw people together, and many examples of that I am sure are obvious to you. Mr. SYMINGTON. So his conclusion is really unwarranted? Mr. MATTHEWS. No, I do not think so. Mr. SYMINGTON. We should not emulate that approach? Mr. MATTHEWS. I think his conclusions are warranted, but his ex amples are severely limited. Mr. SYMINGTON. Thank you very much. Mr. ROGERS. Do you in effect have a czar in Virginia? I take it you do not. Mr. MATTHEWS. There is a gentleman in Virginia that likes to consider himself a czar, but no. Mr. ROGERS. Your setup does not provide for that as such, because you are a council? Mr. MATTHEWS. Right. Our council is again a regional one as the Governor's council is statewide, with executive directorship. Mr. ROGERS. Do you license in this State halfway houses, therapeutic communities? Mr. MATTHEWS. Yes, the State department of mental hygiene and hospitals is developing now the criteria for such licensing, and I would imagine that it will be put in effect in a year. Mr. ROGERS. So it is now an established policy, although, they are not now currently licensed? Mr. MATTHEWS. I think they have the legal power, but they do not have the criteria at this time. Mr. ROGERS. What is the State funding to meet the drug abuse problem; how much money? Mr. MATTHEWs. The bulk of the State funding has been through the Omnibus Crime Control and Safe Streets Act, and they have blocked out roughly $750,000 here for drug abuse control. They are about to run out of that money, which they started awarding last July. Mr. ROGERS. What does the State do itself? Mr. MATTHEWs. Well, the State agencies themselves have set up a bureau of alcoholic and drug abuse studies, and funded that. Mr. ROGERS. What is the total funding that the State has given? Mr. MATTHEWS. Not being a State official, I could not respond. Mr. ROGERS. Is there any way for us to get that? Mr. MATTHEWS. I can contact Frank Kelly for that for you. Mr. ROGERS. How many people can you provide treatment for in your region? Mr. MATTHEWS. Currently, I would estimate, we are funded to provide methadone therapy for up to 300 people, and therapeutic community therapy for up to 400 people, and adolescent medicine for up to a hundred people. The rest is private psychiatric, not organized, or long-term treatment projects, and I would not put too many people in it. Mr. ROGERS. Are there any waiting lists, people waiting who want treatment? Mr. MATTHEWS. Since most of this funding, as in Rubicon's case, is second year, so they can take more people, and Codac was recently funded for its methadone program. There is then no waiting list. Mr. ROGERS. So anybody that wants treatment in your region gets treatment? Mr. MATTHEWs. Yes. Assuming those programs are not filled. We will be reaching only 10 or 20 percent of the people needing treatment. There is also a deficiency in treatment for adolescents, so we clearly are in need of expanded funding on this. Unfortunately, we have had to go to law enforcement funds to get moneys. Mr. ROGERS. Thank you very much. Your testimony has been most helpful. This concludes the hearing this morning, as I understand. We will take a quick lunch, and then this afternoon we will visit Rubicon. The hearing is concluded. (Whereupon, the hearing was concluded at 12:50 p.m., subject to the call of the chair.) SPECIAL ACTION OFFICE FOR DRUG HEARINGS BEFORE THE SUBCOMMITTEE ON PUBLIC HEALTH AND ENVIRONMENT OF THE COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE HOUSE OF REPRESENTATIVES NINETY-SECOND CONGRESS FIRST SESSION ON H.R. 9264 A BILL TO ESTABLISH A SPECIAL ACTION OFFICE FOR DRUG ABUSE H.R. 9059 AGAINST A BILL TO REQUIRE COMMUNITY MENTAL HEALTH CENTERS AND HOSPITALS AND OTHER MEDICAL FACILITIES OF THE PUBLIC HEALTH SERVICE TO PROVIDE NEEDED TREATMENT AND REHABILITATION PROGRAMS FOR DRUG ADDICTS AND OTHER PERSONS WITH DRUG ABUSE AND OTHER DRUG DEPENDENCE PROBLEMS, AND FOR OTHER PURPOSES (and all other identical or similar bills) JUNE 28, 29, 30; JULY 9, 10, 13, 14, 15, 23, 27, 28, 29, 30; AUGUST 2, 5; SEPTEMBER 9; OCTOBER 22, 26, 27; AND NOVEMBER 8, 1971 66-841 O Serial No. 92-47 Printed for the use of the Committee on Interstate and Foreign Commerce U.S. GOVERNMENT PRINTING OFFICE For sale by the Superintendent of Documents, U.S. Government Printing Office . |