DRUG ADDICTION AND ABUSE AMONG MILITARY

VETERANS, 1971

HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH AND HOSPITALS

OF THE

COMMITTEE ON VETERANS' AFFAIRS

UNITED STATES SENATE

NINETY-SECOND CONGRESS

FIRST SESSION

ON

S. 2108, H.R. 9265, and Related Veterans' Addiction
Treatment and Rehabilitation Bills

69-311 O

JULY 20 AND SEPTEMBER 14, 1971

PART 2

Printed for the use of the Committee on Veterans' Affairs

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1972

COMMITTEE ON VETERANS' AFFAIRS

VANCE HARTKE, Indiana, Chairman

HERMAN E. TALMADGE, Georgia
JENNINGS RANDOLPH, West Virginia
HAROLD E. HUGHES, Iowa
ALAN CRANSTON, California

STROM THURMOND, South Carolina
CLIFFORD P. HANSEN, Wyoming
MARLOW W. COOK, Kentucky
TED STEVENS, Alaska

FRANK BRIZZI, Staff Director
GUY H. McMICHAEL III, General Counsel
F. KEITH LEACH, Associate General Counsel
KEITH MCBEE, Information Officer
SALVATORE DEPRENDA, Professional Staff Member
EDWARD MCGINNIS, Minority Counsel
TYLER CRAIG, Minority Staff Member
RONALD WINTERS, Legislative Aide

SUBCOMMITTEE ON HEALTH AND HOSPITALS
ALAN CRANSTON, California, Chairman

JENNINGS RANDOLPH, West Virginia
HAROLD E. HUGHES, Iowa

STROM THURMOND, South Carolina
CLIFFORD P. HANSEN, Wyoming

(II)

CONTENTS

TUESDAY, JULY 20, 1971

Opening statement of Hon. Alan Cranston, chairman of the Subcommittee
on Health and Hospitals___.

Bill S. 2108, as referred to the Committee on Veterans' Affairs:
Text of____

Amendment of (Amdt. No. 252).

Introductory statement of author (Senator Alan Cranston), including
section-by-section analysis of...

Bill H.R. 9265, as referred to the Committee on Veterans' Affairs:
Text of..

Report of, including section-by-section analysis of.

Text of Public Law 89-793, passed November 8, 1966, including changes
in existing law made by the bill___.

Bill S. 2124, as referred to the Committee on Veterans' Affairs..
Bill S. 1174, as referred to the Committee on Veterans' Affairs___.
Statement of-

Fred B. Rhodes, Deputy Administrator of Veterans' Affairs; accom-
panied by Dr. Marc J. Musser, Chief Medical Director; Dr. Lyndon
E. Lee, Jr., Assistant Chief Medical Director for Professional Serv-
ices; J. C. Peckarsky, Deputy Chief Benefits Director; and A. T.
Bronaugh, Associate General Counsel, Veterans' Administration_.
Dr. Louis Jolyon West, director, Neuropsychiatric Institute, University
of California, Los Angeles---

Page

319

320

328

330

338

347

357

375

383

387

412

Hon. Richard S. Schweiker, a U.S. Senator from the State of
Pennsylvania

431

Hon. Lloyd Bentsen, a U.S. Senator from the State of Texas---Written statement of

433

Fred B. Rhodes, Deputy Administrator of Veterans' Affairs, Veterans'
Administration

388

E. H. Golembieski, director, veterans' affairs and rehabilitation commission, the American Legion---.

435

Miscellaneous

A memorandum from the Department of Justice, dated July 6, 1971, from Mr. Leon Ulman, Deputy Assistant Attorney General, Office of Legal Counsel__.

396

Deputy Defense Secretary David Packard's statement on drugs---. Melvin R. Laird's policy on discharges under other than honorable conditions issued to drug users..

399

399

Department of Defense policy regarding disciplinary and administrative actions related to drug use and the review of discharges under other than honorable conditions issued for drug use_-

400

DD Form 293-Application for review of discharge or separation----
List of VA drug treatment units_-_

401

403

An article on the Palo Alto VA hospital in California, Life magazine, dated July 23, 1971--

423

Tables-
The cost of H.R. 9265--

350

Veterans' Administration, alcohol and drug dependence service, drug dependence treatment unit: proposed staffing pattern and budget-Drug dependence treatment unit: inpatient staff and budget (unit replacing bed section)

404

405

Veterans' Administration drug dependence program, January through
August 1971__

405

Veterans' Administration drug dependence program, January through
August 1971:

Processing of applications for hospital care_
Hospital admission___

406

407

(III)

Tables-Continued

Hospital losses and other workloads..

Outpatient care--

TUESDAY, SEPTEMBER 14, 1971

Opening statement of Hon. Alan Cranston, chairman of the Subcommittee
on Health and Hospitals---
Statement of—

Dr. Jerome Jaffe, Director, Special Action Office for Drug Abuse
Prevention; accompanied by Paul L. Perito, General Counsel and
Assistant Director; and Jeffrey Donfeld, Assistant Director; Execu-
tive Office of the President_-_

Page

408

409

437

439

Dr. Lyndon E. Lee, Jr., Assistant Chief Medical Director for Profes-
sional Services, Department of Medicine and Surgery, Veterans'
Administration

461

Written statement of

Dr. Jerome H. Jaffe, Director, Special Action Office for Drug Abuse
Prevention, Executive Office of the President_.

444

Miscellaneous

"Our Strung-Out Troops and the Big O," an article from the Washington Post, Tuesday, September 14, 1971__.

455

"They Just Hate the Army . . . They Just Hate It," an article written
by Capt. Dean M. Steffy, Ph. D., on his personal observations of the
Army's drug educational program at Fort Bragg, N.C---
Dr. Jaffe's reaction to the two articles in the Washington Post, on
September 14, 1971, on the problems in Vietnam___.
Veterans Administration News, an announcement on the expansion of
the Veterans' Administration drug abuse treatment program__
"VA Cuts Off Staffing at Anti-Drug Centers," an article from the Wash-
ington Post, September 14, 1971----.

459

Section 1552-Correction of military records: Claims incident thereto_
Section 1553-Review of discharges and dismissals___

460

462

462

466

467

A memorandum from the Department of Justice, dated July 6, 1971,
on the admission of crime by patients to VA physicians--
A memorandum from Donald E. Johnson, Administrator, Veterans' Ad-
ministration, to Jeffrey Ronfeld, Staff Assistant, the White House,
dated July 1, 1971.

490

492

The multi-modality narcotics and drug abuse program for veterans proposed to begin development on July 1, 1971, an article prepared by Arnold J. Mandell, VAH, San Diego----

496

Letters to

Hon. Alan Cranston, chairman, Subcommittee on Health and Hospitals of the Committee on Veterans' Affairs, from—

Kenneth McDonald,. president, Drug Awareness, Palo Alto, Calif.,
dated July 15, 1971.

495

J. J. Zuska, Capt. (MC), USN, head, Alcoholic Rehabilitation
Center, Naval Hospital, Long Beach, Calif., dated August 4,
1971

495

Graham S. Finney, commissioner, Addiction Services Agency,
Human Resources Administration, New York, N.Y., dated
July 12, 1971___

496

Tables

Results of urine screening procedures--

445

Veterans' Administration drug dependence program, January through
August 1971-Processing of applications for hospital care--
Gas liquid chromatography results, drug identification statistics from
Vietnam as of September 17, 1971---

473

480

Part 1 of These Hearings Covers Oversight Hearings on Drug Addiction and Abuse Among Military Veterans Held Jointly by the Subcommittee on Health and Hospitals of the Committee on Veterans' Affairs and the Subcommittee on Alcoholism and Narcotics of the Committee on Labor and Public Welfare