y in the execution of this plan will seriously hinder our strengthen the capacity of State and local authorities to listically with this serious problem.

our deletion of the reference to Fort Worth in the final

n.

neral.

ELLIOT L. RICHARDSON, Secretary, Department of Health, Education, and Welfare.

. Nelsen, I would like to say, speaking as a profesic health psychiatrist, that much of the inspiration 1 community treatment came from the very distinhealth leader in your State, Dr. David Vale. Dr. Vale been a leader in the community approach.

Dr. Shepard out there worked with Dr. Vale.

will be very anxious to receive the report on the num, the number of beds, the number of inpatients and ts and the judges have been told to send these people I think this is needed.

still awaiting the reports from the FDA. Do you think t it?

his week, Mr. Chairman.

. Also you were going to let us know when the advisory gency health personnel agent would be a reality. Letters e months ago. Has this yet been appointed?

N. Yes, sir, they have been appointed. We have their acek and I think a date has been set for a meeting.

s. Let us have specifics on that.

u so much. We appreciate your presence here today. witness and we will try to do this very rapidly, Mr. Richard eputy Director, Bureau of Prisons, Department of Justice ittee welcomes you.

NT OF RICHARD HEANEY, DEPUTY DIRECTOR, BUREAU
OF PRISONS, DEPARTMENT OF JUSTICE

EANEY. Mr. Chairman, I have just a brief statement here.
GERS. That will be fine.

LEANEY. Then I will be glad to answer any questions you might

pleased to have this opportunity to discuss with you plans the u of Prisons has for utilizing the Federal Correctional Institut Fort Worth, Tex.

nsfer of the Clinical Research Center at Fort Worth to the FedBureau of Prisons will enable us to increase the total capacity of drug treatment programs to 1,200 Federal offenders. With the enactment of the Narcotic Addict Rehabilitation Act in 6, the Bureau of Prisons was given the responsibility for providing cialized institutional treatment and aftercare services to offenders ting the criteria outlined in title II of the act. NARA treatment ts are in operation at five institutions with a capacity for 600

ates.

Over and above the addict offenders who meet the criteria for comment under title II of the Narcotic Addict Rehabilitation Act, each r we receive a very substantial number of offenders from the courts,

66-841 O - 72 pt. 4 --5

under regular sentencing procedures, who have serious problems involving the use of drugs. Last year alone, about 30 percent of all those committed to our institutions had a history of drug abuse, and there is no doubt that this drug usage played a significant role in the offender's criminal career.

Based on our experience in our NARA programs, we now have five additional units providing treatment to non-NARA drug abusers These units, at our institutions at Lewisburg, Pa., Petersburg, Va. Terre Haute, Ind., El Reno, Okla., and Lompoc, Calif., have a total capacity of 250. We are hopeful that these programs, when supplemented by appropriate aftercare services, as proposed in H.R. 11352, will be helpful in reducing the number of men and women who return to lives of crime following release from a correctional institution.

The Fort Worth facility is exceptionally well suited to provide additional capacity for offenders with drug related problems. It is pres ently planned to utilize from 300 to 350 beds of this 500–550-bed capacity facility for offenders with drug abuse problems. The first 25 to 30 drug offenders will be received at Forth Worth during the week of November 14. The program for them will be modeled after our NARA programs, and will include intensive counseling, vocational training and education, and a variety of other supportive programs,

More than 200 former Clinical Research Center staff members have been transferred to the Bureau of Prisons rolls. These individuals have had considerable training and experience in treating addicts and drug users, and their skills will be invaluable in getting the new program underway. Only a small number of career Bureau of Prisons employ ees will be moved to Forth Worth.

While major emphasis will be placed on treatment programs drug users, the balance of the facility's capacity, between 200 and 250 beds, will be used for offenders with other medical-correctional prob lems. There will be a demonstration unit for about 50 offenders who are chronic alcoholics. There will be another unit for geriatric cases. who are not ill enough to require full-time hospitalization, but who will benefit from treatment in a facility having well-developed medical services and a staff trained in working with such patients. Another unit will be developed to provide treatment to offenders with psychia tric problems.

Generally, offenders committed to Fort Worth will be persons who will eventually be released to the southwest and south central States. For the most part, prisoners at Fort Worth will be within 18 to 24 months of being released to the community.

In addition to providing much needed specialized programs for about 550 persons, the transfer of Fort Worth to Bureau of Prisons will allow us to reduce the population levels at some of our more seri ously overcrowded institutions. On September 1, our present facilitie held more than 1,300 offenders above the maximum rated capacities of

these institutions.

A

The Dallas-Fort Worth community provides an excellent oppor tunity for us to develop collaborative programs with colleges and universities, and with community groups anxious to work with us in developing a wide range of community and volunteer programs. research protocol to evaluate the effectiveness of the Fort Worth pro gram is being designed. This gives us a unique opportunity to eval ate an institutional pro the very beginning of the activity.

We believe the programs proposed for Fort Worth will contribute significantly to our Nation's correctional progress in the treatment of drug abusers and other special types of offenders.

Thank you, Mr. Chairman, and I will be happy to answer any questions you gentlemen may have.

Mr. ROGERS. Mr. Nelsen?

Mr. NELSEN. I have no questions. It's a very fine, interesting report and I want to thank the witness. I am interested in your background. You have been serving in this capacity for many years; have you not? Mr. HEANEY. Yes, sir; I am a Minnesotan, also. I started at our correctional facility in Sandstone, Minn., 25 years ago.

Mr. NELSEN. Are you any relative of Gerald?

Mr. HEANEY. That is my older brother.

Mr. NELSEN. You are just as handsome as he is.
Mr. HEANEY. Thank you, sir.

Mr. ROGERS. Let me ask you two or three questions. We appreciate your statement.

You are keeping the staff there pretty much as it was.

Mr. HEANEY. Yes, sir; almost all of the staff. There are some few that have chosen to retire or have accepted positions with Public Health or NIMH and other places.

Mr. ROGERS. I think it is interesting that they cannot find staff at Lexington but they are willing to turn over staff to the prison system. That is an interesting point to me.

Now, let me ask you this, suppose you have a man that has been in prison 5 years. He was a drug user and he was sentenced for drugs. What happens to him during that time? Hasn't he gone cold turkey within that time?

Mr. HEANEY. He obviously has. For the most part the real physiological addiction is over by the time he is committed to the institution. Mr. ROGERS. What do you have to do to him in an inpatient hospital?

Mr. HEANEY. I think you need to provide a whole variety of services to that man.

Mr. ROGERS. I can see you may want to get him trained for a job or something like that, but is actually having specialists in treatment of drug withdrawal and addiction-I am not sure that you really need those people there.

Mr. HEANEY. I think there is a concensus among the people that are most involved that our drug abusers have some problems that are peculiar to that group and that these drug abusers do need some kinds of group and individual counseling and therapy that most of the others perhaps do not need, at least in the same intensity.

Mr. ROGERS. I can understand that but I question whether an expert staff is necessary. I would think most of that has already been done by the time they get to Fort Worth.

Mr. HEANEY. The withdrawal will already have been accomplished. But if you are going to work with them, you need to have the

Mr. ROGERS. I understand but I question whether you need the expertise and the learning that we had there developed to turn it over when most of them have withdrawn or hopefully are withdrawn. This is not always the case, I understand. Is that true?

Mr. HEANEY. The withdrawal is almost always accomplished in a medical situation. The emotional needs of the patients need people who really know how to relate to patients.

Mr. ROGERS. What is the plan of the prison system to build a new hospital facility?

Mr. HEANEY. We are presently underway with a new facility, a behavior research center in Hutner, N.C., for which money has already been appropriated. That will be underway soon. The final plans are being drawn now and hopeful ground will be broken down there within the next 60 to 90 days.

Mr. ROGERS. How many beds will there be there?

Mr. HEANEY. About 350 to 400 beds.

Mr. ROGERS. Will you treat any drug patients there or not! Mr. HEANEY. This is going to be largely an experimental demonstra tion kind of program. We may set aside 50 beds for the treatment of certain kinds of behavior disorders of one kind or another. Those specific kinds of treatment have not yet been fully decided but it is entirely possible that there may be à unit for addicts with certain kinds of problems.

Mr. ROGERS. After the North Carolina facility is built, will you utilize all of Fort Worth?

Mr. HEANEY, I would assume that at least for the next several years that the facility will be used to its capacity.

Mr. ROGERS. Otherwise you might shift some of them to North Carolina?

Mr. HEANEY. That would be possible.

Mr. ROGERS. Thank you so much. We appreciate your presence here

today.

The subcommittee on Public Health and Environment conducted an official visit to the Kingdom of Thailand, the Republic of South Vietnam, Hong Kong, and Japan during the period August 6, 1971, through August 22, 1971. A report on that visit has been transmitted to Hon. Harley O. Staggers, chairman, Committee on Interstate and Foreign Commerce, a copy of which, without objection, will be placed at this point in the record of these hearings.

(The report entitled "Production and Abuse of Opiates in the Far East." follows:)