contract, I understand, call for a drug-free atmosphere. I would doubt that this is possible at the San Diego Clinic with all 17 outpatients roaming around as well as the inpatient. Dr. BROWN. We will be glad to provide a report on the San Diego facilities. We will look into it this afternoon. Mr. ROGERS. I would be most interested and I am sure the committee will. (The following information was received for the record:) SUMMARY OF NARA CONTRACT NO. HSM-42–69-21 WITH CATHOLIC FAMILY SERVICE, 349 CEDAR STREET, SAN DIEGO, CALIFORNIA 92101 1. The Narcotic Addict Rehabilitation staff in developing a contract for aftercare services for narcotic addicts from San Diego made a total of four field. trips to San Diego during February, October, and September, 1968. The Community Welfare Planning Council, the Director of San Diego County Department of Medical Institutions responsible for Community Mental Health Services, Directors of four hospitals, one private community mental, and three family service agencies were contacted and informed of the services needed. With the exception of two family service agencies all agencies and hospitals contacted stated they were not interested in contracting to provide aftercase services for addicts civilly committed under NARA. 2. Contractor's proposals were received from Jewish Family Service and Catholic Family Service. The review committee recommended that a contract be negotiated with Catholic Family Service. 3. The cost reimbursement contract was awarded for $14,000 with an effective date of April 2, 1969. Prior to that time the agency provided services for three patients through a purchase order. 4. The contract period of performance was extended to June 1, 1970, with an additional $2,000. The contract was renewed June 1, 1970, with $20,240 additional funds making the total contract amount $36,500 for the period of performance of April 2, 1969, to March 31, 1971. 5. The development of community examination and evaluation and community inpatient treatment in California was started in January, 1971. Two contractor's proposals were considered, one from San Francisco and Catholic Family Serv ices. The review committee recommended the negotiation of the proposal from Catholic Family Service because of their past performance and the fact that the greatest number of civil commitments had been and were expected from Southern California. 6. The contract with Family Catholic Service was renewed with an effective date of June 26, 1971. The services for period of performance of June 26, 1971 to June 26, 1972 were increased to provide examination and evaluation of 15 patients, inpatient treatment of 30 patients, and aftercare for 20 patients. Additional funds of $97,400 were provided to make the total contract amount $133.650 for the period of performance starting April 2, 1969 through June 26, 1972. The cost reimbursement contract allows payment for only those services that have been provided. 7. The agency has provided aftercare for a total of 17 patients during the period of December, 1968 through October, 1971. The primary NARA counselor has a doctors degree. He has been with the program since the beginning. The services provided have always been satisfactory. The Narcotic Addict Rehabilitation Branch project officer is stationed in Los Angeles and has monitored the contract on an average of once every three months. In keeping with the policy on methadone maintenance the NARA patients who have shown that they are unable to remain drug free and continued treatment would require serial recommitment may be referred to an acceptable methadone maintenance program. NARA patients in San Diego have been referred for methadone maintenance. The plan developed must allow for detoxification and approximately 12 months drug free time before completion of their civil commitment. One patient, previously employed by the San Diego City Board of Education is being treated by methadone maintenance. The methadone maintenance program is administered by the University of California at San Diego, School of dicine. 8. The community inpatient treatment service was available on August 1, 1971. As of November 16, 1971, one patient has been committed to inpatient treatment. Four patients have been committed for examination and evaluation. Of these one has been found suitable for treatment and is to be committed to treatment November 19. Three are still being examined. Five additional individuals have petitioned the U.S. Attorney for treatment and are waiting for a court hearing for commitment for examination and evaluation. 9. An evaluation of the effectiveness of the inpatient treatment is not possible at this time. However, the treatment plan is sound. Phase I which will be detoxification and medical restoration, will take place at Vista Hill Hospital. This phase will be for a period of 7 to 14 days. Phase II will take place at at 10 bed treatment facility. Here social rehabilitation will take place through individual and group counseling, remedial education and vocational planning. The aftercare counselor will work with the patient in planning housing, job placement and vocational training during the period of inpatient treatment. Mr. ROGERS. How many facilities do you have in the United States for NARA contracts? Mr. BESTEMAN. I would say about 140. Mr. ROGERS. 140. How many in-patient beds are represented in the 140? Mr. BESTEMAN. Can I make a definition here a second? We talk about treatment slots not about beds because one bed may be used more than once during the year. So, when you say beds, I do not have the answer. We have over 1.000 persons that can be treated in community contracts, in-patient, nationwide. Of those the vast majority of those resources are west of the Mississippi in anticipation, as was pointed out, of the proposed transfer for many months. Mr. ROGERS. I think it would be helpful to the committee to have a list of the 140. How many beds in each. Mr. BESTEMAN. How many people they can treat in the course of a 12-month period, or do you want beds? Mr. ROGERS. I think just physical beds. Dr. BROWN. He will provide that. (The following information was received for the record:) NARB PATIENT CARE CONTRACT AGENCIES, AS OF JUNE 30, 1971 NARB PATIENT CARE CONTRACT AGENCIES, AS OF JUNE 30, 1971-Continued CALIFORNIA Contract capacity Examination and evaluation Inpatient Aftercare Santa Barbara County Mental Health Services, 4440 Calle Reale, Santa Family Service Center, 442 North Fulton St., Fresno.. Economic and Youth Opportunities, Los Angeles. Kings View Homes, Inc., DBA, Merced County MH Service, Post Office Catholic Social Service, 433 Jefferson St., Oakland. Sacramento County Mental Health Services 2315 Stockton Blvd., Sacramento. Westside Community Mental Health Center, Inc., 2201 Sutter St., San Santa Clara County Health Department, 2220 Moorpark Ave., San Jose. Family Service of Long Beach, 1041 Pine Ave., Long Beach. |