Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

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NARCOTICS RESEARCH, REHABILITATION,AND TREATMENTHEARINGSBEFORE THESELECT COMMITTEE ON CRIMEHOUSE OF REPRESENTATIVESNINETY-SECOND CONGEESSFIRST SESSION '" '"PUESUANT TOH. RES. 115, A RESOLUTION CREATING A SELECT COMMITTEETO CONDUCT STUDIES AND INVESTIGATIONS OFCRIME IN THE UNITED STATESPART 1 OF 2 PARTSAPRIL 2Q, 27, 28, 1971 ; WASHINGTON,D.C.Serial No. 92-1Printed for the use of the Select Committee on CrimeU.S. GOVERNMENT PRINTING OFFICE60-296 WASHINGTON :1971For sale by the Superintendent of Documents, U.S. Government Printing OfficeWashington, D.C, 20402 - Price .$1.50NORTHEASTERN UNiVERSin SCHOQL of LAW IMM
Page 7: CONTENTSApril 26 1April 27 77April
Page 10: :VIEXHIBIT NO. 13 (a) THROUGH (C)'P
Page 16 and 17: cover unit of the narcotic division
Page 18 and 19: 5692D CONGKES.S1st J>kssionH. RES.
Page 20 and 21: 831 or odierwise, tlu' aUciKljiiicc
Page 22 and 23: 10The question currently before you
Page 24 and 25: 12a variety of committees of the Am
Page 26 and 27: 14suppresses signs of abstinence we
Page 28 and 29: 16strong narcotic use is ^Yith drug
Page 30 and 31: —18available narcotic antagonists
Page 32 and 33: 20Dr. Seevers. They have a rising m
Page 34 and 35: :::22recogrnize vre professional pe
Page 36 and 37: 24(The following letter was receive
Page 39 and 40: 27Fiscal years—1967 1968 1969 197
Page 41 and 42: '^29Dr. Eddy began his career with
Page 43 and 44: 31I have been involved in this prob
Page 45 and 46: 33you had taken all of the heroin o
Page 47 and 48: 35Dr. Eddy. No.Chairman Pepper. The
Page 49 and 50: 37kitchen from morpliine if you hav
Page 51 and 52: —39hour period. It is exceedingly
Page 53 and 54:
41and may facilitate dilation of th
Page 55 and 56:
:::—;431930-39—Research profess
Page 57 and 58:
:45(28) Nathan B. Eddy and Robert A
Page 59 and 60:
47(74) Nathan B. Eduy and C. K. Him
Page 61 and 62:
1 132)49(122)(123)Nathan B. Eddy. "
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51In the past, Dr. Brill has served
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53indications but under nonemergenc
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I55Dr. Brill. I think there would b
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57Chairman Pepper. Dr. Brill, I thi
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...59many conditions undef which th
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;;61Mr. Rossides is a vice presiden
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63cept, thereafter called Operation
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:65Mr. Manist. But without other sa
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67the traffickin
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—69criminal groups within this co
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71slow prcx?ess. Some possible alte
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73for the income farmers who are pl
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75Mr. RossiDEs. I do not consider i
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NARCOTICS RESEARCH, REHABILITATION,
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79We then will hear from Dr. Robert
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$1There are others who would have u
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;;;;;;83Determination of harvesting
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85Figure 2wheat. But the ones made
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87fuONIS)O•J33j•n^> t3i6£ '^I
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o MEH89Cm W« OKEHOCMEHWCO60-296 O
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—91ures; to assess likelihoods of
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93In other words, can you envision
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d5altitude the satellites should op
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97of the enforcement agencies. So p
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99ISIr. Brasco. Is that a possibili
Page 113 and 114:
101Mr. Jaffe. I think it is a very
Page 115 and 116:
.103magnetostrictive behavior of fe
Page 117 and 118:
105I would do this committee a seri
Page 119 and 120:
107Dr. Gearixg. I have been asked t
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:109Doctor, on page 3 of the paper
Page 123 and 124:
11(1Mr. "VViGGixs. How does a patie
Page 125 and 126:
113Mr. WiGGixs. Is it more difficul
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115Dr. Gearing. The New York City p
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:117some kind of skill training in
Page 131 and 132:
119Mr. Manx. I have one or two more
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121go to two or three different cli
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:123When we look at reasons for dis
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.::::;125Methadone maintenance as a
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127
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1 1..=I129METHADONE MAINTENANCE TRE
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131Figure 7 METHADONE HAINTEHAHCE T
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133Figure 8HETHAOOIIE MArMTCMArXE J
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135TABLE 5.—METHADONE MAINTENANCE
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137Figure 12 Methadone Maintenance
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1391. DRUG PKOPEKTIESMethadone has
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141Figure Methadone Maintenance Tre
Page 155 and 156:
143Chairman Pepper. Our next witnes
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145grams, at least in our experienc
Page 159 and 160:
147Mr. Perito. Doctor, under the IN
Page 161 and 162:
149Dr. DuPoNT. No ; we haven't. The
Page 163 and 164:
151Dr. DuPoNT. It is about equal. I
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153Dr. DuPoNT. To do what ?Mr. Blom
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155
Page 169 and 170:
157the part of the committee, when
Page 171 and 172:
159Mr. Rangel. Well, I wasn't goin^
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161the sincerity of many of these p
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163mon finding with people iisino;
Page 177 and 178:
::165or not there is great resistan
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)167in the Nation, the Narcotics Tr
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)169period of addiction prior to th
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171i
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173Fi'aard To-c. 0.h:irac-hirjs4/ct
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I•—. 0> CO 00 00 o. CO . . -co
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'177Number InThousands4038363432302
Page 191 and 192:
179had an arrest rate of 2.8 percen
Page 193 and 194:
I181(0 0)0I-aoUJa.00s00 =l_-o >oEra
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:183[Exhibit No. 11(c)]Dr. DuPont's
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::;185venously administering heroin
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)):187I. Methadone maintenance trea
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189Attachment OneInformed Consent t
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191Day;Maintenance Schedule 10Day:1
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•fi193ATTACHMENT SEVENPATIENT'S I
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)195A.O. 202.1AddendumApril 7, 1971
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....197heard of methadone treatment
Page 211 and 212:
199TABLE 2.—SELF-REPORTED USE OF
Page 213 and 214:
201TABLE 8.-PR0FILE OF HEROIN USEAd
Page 215 and 216:
203TABLE 14—DRUG USE AMONG FRIEND
Page 217 and 218:
205TABLE 21.—NUMBER OF BROTHERSAd
Page 219 and 220:
207TABLE 25.—NUMBER OF PLACES RES
Page 221 and 222:
Page 223 and 224:
:;211In the State of Illinois our e
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::213of the pretreatment rate. Unti
Page 227 and 228:
215About 20 percent of our patients
Page 229 and 230:
217Mr. Wiggins. "\Yliere else is it
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219somebody who, almost as a profes
Page 233 and 234:
:1;o22l"''Mr. Wiggins. A lot of peo
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223answer is that its oral to paren
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. .>99; zoDr. Jaffe. I would say th
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227Dr. Jaffe. I think that more wor
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229Mr. Brasco. Then for those who a
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231arrangement with tlie physician
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. Dr..Mr.;.,Dr.,I)r.„jAFFE..Mr.''
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235Dr. Jaffe. Well, we have pointed
Page 249 and 250:
237Special Consultant (Technical Ad
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)239Submitted or accepted for publi
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MSMethadone has properties that mak
Page 255 and 256:
2fi3The 115 arrests per 100 per yea
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'! Dr.245If he is using other drugs
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247interested, and I have applicati
Page 261 and 262:
249Mr. Hangel. That is a solid form
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:251—pliysicians who are familiar
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:253that the means to do this must
Page 267 and 268:
Chairman PEPPEr.. The next witness
Page 269 and 270:
257I guess I have read most of what
Page 271 and 272:
;259- I would only add to that the
Page 273 and 274:
)261Mr. Perito. Is your thinking ba
Page 275 and 276:
263Chairman Pepper. Mr. Steiger ?Mr
Page 277 and 278:
265Mr. Steiger. Limiting the dispen
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267vide otlier ways to take care of
Page 281 and 282:
269Mr. HoRAN. That is right.Mr. Win
Page 283 and 284:
271Chairman Pepper. The committee w
Page 285 and 286:
273Any other questions, gentlemen ?
Page 287 and 288:
Avho spoke about methadone and meth
Page 289 and 290:
277were tied around your hand. You
Page 291 and 292:
279and secondary withdrawal syndrom
Page 293 and 294:
281.They are immediately psychologi
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)283Drug addiction can be cured. Th
Page 297 and 298:
285basis in order to continue with
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—287Just to get back to your ques
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?.—:289Dr. Casriel. No; that hasn
Page 303 and 304:
291I am out in the street at 3 and
Page 305 and 306:
293You have been kind to take me ou
Page 307 and 308:
295same kid literally, the same kid
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:—297What will the other 50,000 a
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::299Association, December 16, 1968
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:!301me adequately explains why the
Page 315 and 316:
303be no loss of applicants due to
Page 317 and 318:
305general character to induce an a
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307used in humans. In intraperitone
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309COMPAKISOXThe subjects who had u
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A«—311[Exhibit No.14(c)]Signific
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313The concomitant is the assumptio
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315fo focus on the problems of both
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317other shells under which to hide
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319down to 20 uioiiths, and we hope
Page 333 and 334:
( 19'321(8) Instructor to New York
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, At•b'23So then 1 weut to 'see D
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—325Chairman Pepper. "Well, Docto
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''- oMv feelino- about methadone is
Page 341 and 342:
329Mr. Steiger. Assuming that Perse
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•Mi;.'.'•):3^1:•f.-Mr. Vv^ixx
Page 345 and 346:
333The Perse experiment also reveal
Page 347 and 348:
.-' . ,/.•.335,!',,tiou. While uo
Page 349 and 350:
337be satisfactory substitutes in t
Page 351:
339other hand, it is capable of swi
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SELECT COMMITTEE ON CRIMECLAUDE PEP
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IVPageGoUance, Dr. Harvey, associat
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:VIEXHIBIT NO. 13 (a) THROUGH (C))P
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Page 363 and 364:
343Also testifying today is Dr. Cha
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345collaboration with Congressman R
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347of methadone addiction than they
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;;;;349They will add to the ranks o
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351at a functionary level for the m
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353programs that the Secretariat ha
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355]Mr, Ingeksoll. Yes, sir; tliat
Page 377 and 378:
357Mr. Ingersoll. Yes ; I am famili
Page 379 and 380:
359require the provision of markets
Page 381 and 382:
361only country in history to devel
Page 383 and 384:
363Mr, Ingersoll. No, sir. This par
Page 385 and 386:
365Mr. Ingersoll, "Well, before I w
Page 387 and 388:
367distribution, then we can at lea
Page 389 and 390:
369Mr. Ingersoll. I agree. The prob
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I371So it is a problem I think that
Page 393 and 394:
373Mr. Murphy. John, one problem yo
Page 395 and 396:
375Mr. Ingersoll. I think so, becau
Page 397 and 398:
377Mr, Keating. Are sufficient prec
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379Mr. Ingersoll. I am not at all s
Page 401 and 402:
.381-,,, Mr. Rangel. Please, I am n
Page 403 and 404:
, Mr.383Rangel, Will your Bureau ha
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385As I understood you to say befor
Page 407 and 408:
387Mr. Brasco. Well, as I understan
Page 409:
389emergency basis because it is a
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302Any reasonable amount of money,
Page 414 and 415:
394ranging from chronic hospitaliza
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396study an adequate number of pati
Page 418 and 419:
398Dr. Gardner. No, I don't. That w
Page 420 and 421:
400Mr. Perito. Were you getting dat
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'402How many would you say are bein
Page 424 and 425:
404system of treatment and rehabili
Page 426 and 427:
406did not permit adequate study fo
Page 428 and 429:
408Dr. Edwards. No; I wouldn't know
Page 430 and 431:
410least curtail to some extent, th
Page 432 and 433:
412Dr. Edwards. All 1 know, I can l
Page 434 and 435:
414sible for someone to conceal fro
Page 436 and 437:
;416Well, very briefly, does it hav
Page 438 and 439:
418maybe the rest of their lives, o
Page 440 and 441:
420[Exhibit No.17(a)]Statement of J
Page 442 and 443:
——422such analgesic agents are
Page 444 and 445:
424available to authorized personne
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426comprehensive medical care is av
Page 448 and 449:
———428ing of the form "Notice
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—430He has served as a consultant
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432STATEMENT OP DR. BROWNDr. Brown.
Page 454 and 455:
434had been in aftercare for 3 mont
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436The first drug that we studied w
Page 458 and 459:
438In addition to this, however, th
Page 460 and 461:
440Dr. Brown. Our current estimate
Page 462 and 463:
442and hopefully develop drugs that
Page 464 and 465:
444tific leadership, might produce
Page 466 and 467:
446Dr. Brown. T notice the ])icture
Page 468 and 469:
448Dr. Brown. The total, as I said,
Page 470 and 471:
450capacity to do this kind of anti
Page 472 and 473:
,Chairman452Navy took and developed
Page 474 and 475:
454ation is becoming aware of the p
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—456There are, however—as drama
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458the mother is an addict befoi'e
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460with the problem, not evading; t
Page 482 and 483:
462Mr. Besteman. The man on my staf
Page 484 and 485:
464Mr. Mann. No questions, Mr. Chai
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—466saying how many or what propo
Page 488 and 489:
468$15, $17, and $19 million, just
Page 490 and 491:
470Studies on the waj^s in which to
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472Lastly, I might mention the prog
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474The Narcotic Addiction and Drug
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476sponsoring the developinent and
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478o zl= S=3 TOOE
Page 500 and 501:
480TABLE 11(b).—NIMH RESEARCH GRA
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482In past hearings we have concent
Page 504 and 505:
484Dr. ViLLARREAL. I would prefer t
Page 506 and 507:
486Dr. ViLLARREAL. Well, it may be
Page 508 and 509:
—488Mr. Perito. Doctor, given the
Page 510 and 511:
490In the lower two graphs are ilhi
Page 512 and 513:
492good model in animals of the pro
Page 514 and 515:
494only about 500 or 600 ])eople on
Page 516 and 517:
496Mr. Blo-mmer. Can the learning b
Page 518 and 519:
49SDr. ViLLARREAL. That puts it ver
Page 520 and 521:
500Dr. ViLLARREAL. Well, the Nation
Page 522 and 523:
502Dr. ViLLARREAL. There are a few
Page 524 and 525:
504forth. It is to be hoped that th
Page 526 and 527:
506of urine testing, plus psychothe
Page 528 and 529:
508naloxone, then I would be a fool
Page 530 and 531:
510(The following letter was receiv
Page 532 and 533:
512Mr. McCoy. Yes; when you first c
Page 534 and 535:
514frMr. McCoy. I believe I could i
Page 536 and 537:
5162,500 milligrams to obtain a 24-
Page 538 and 539:
directordirector—:518Inlernship.
Page 541 and 542:
52)1and medical certificates on tho
Page 543 and 544:
523brought back a return to abstine
Page 545 and 546:
525-ment into the free society, mad
Page 547 and 548:
52i7TABLE 7.—EXPIRATION OF PAROLE
Page 549 and 550:
929DISCUSSIONAlthough the approach
Page 551 and 552:
531PERIOD OF RETENTION OF PAROLEES
Page 553 and 554:
533TRANSFERS(These were parolees wh
Page 555 and 556:
535DIRECT ADMISSIONS (SELECTED PRIM
Page 557 and 558:
.537Charts No. 8, 9, and 10 ( ^^-'^
Page 559 and 560:
589'Chairman Pepper. Our last mtnes
Page 561 and 562:
541it to us for nothing and I do no
Page 563 and 564:
54^when they know that the cyclazoc
Page 565 and 566:
545Mr. Murphy. Well, nobody from th
Page 567 and 568:
S47over a period of time, from 1 to
Page 569 and 570:
549with more vigor and funded the p
Page 571 and 572:
55)1Chairman Pepper. Dr. Resnick, a
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•Present^NARCOTICS RESEARCH, REHA
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gei-soll of tlie Bureau of Narcotic
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:I557Our investigators have reporte
Page 579 and 580:
;559Mr. Jones. With your permission
Page 581 and 582:
561ing back from overseas, going ba
Page 583 and 584:
563crime being committed. The same
Page 585 and 586:
. 20.ij^.565—Mr. JoxES. True, par
Page 587 and 588:
567can do controlled evaluation and
Page 589 and 590:
—569lar project. So if you are go
Page 591 and 592:
—571Mr. Jones. Not a pemiy.Chairm
Page 593 and 594:
573and we could not get them to ent
Page 595 and 596:
575are going to spend these large s
Page 597 and 598:
577Mr. Jones. We are doing consider
Page 599 and 600:
;;;;579and types of drugs that are
Page 601 and 602:
581It is absolutely essential that
Page 603 and 604:
583Some of the results of this stud
Page 605 and 606:
:585treatment and rehabilitation, $
Page 607 and 608:
587For instance, we need to study a
Page 609 and 610:
;To the contrary, the current combi
Page 611 and 612:
591We appreciate your frustration t
Page 613 and 614:
593veterans could avail themselves
Page 615 and 616:
o95ernor's Council on Narcotics and
Page 617 and 618:
597That would, as I lia\'e pointed
Page 619 and 620:
599without worrying al>out the auto
Page 621 and 622:
Drug601local programs, costs for a
Page 623 and 624:
603I think that indicates that the
Page 625 and 626:
)G05of complete fragmentation and I
Page 627 and 628:
607Second, we intend to greatly int
Page 629 and 630:
:—;609I do not intend this mornin
Page 631 and 632:
:'611required to treat heroin addic
Page 633 and 634:
613I think it is more appropriate t
Page 635 and 636:
615because I agree with them, as lo
Page 637 and 638:
J617LEAA funds—Congress says, you
Page 639 and 640:
;:619As a result of this effort, th
Page 641 and 642:
621But we need immediate help or so
Page 643 and 644:
623Governor Carter. Tliey are begin
Page 645 and 646:
625New York and other places that t
Page 647 and 648:
627couple of years ago to try to ge
Page 649 and 650:
:629Yet, in spite of these efforts,
Page 651 and 652:
631(e) Therapeutic communities.(f)
Page 653 and 654:
—633Presently, drug education in
Page 655 and 656:
;;:635amines, heroin, and barbitura
Page 657 and 658:
637now handles 200 people at a cost
Page 659 and 660:
This639(iucludiug 902 juveniles). I
Page 661 and 662:
641Second, ia the need for ancillar
Page 663 and 664:
:643Regrettably, few addicts volunt
Page 665 and 666:
645you think that it is possible to
Page 667 and 668:
647ceptionally useful, not only for
Page 669 and 670:
—649are not pressed when the civi
Page 671 and 672:
651have, at least at the present ti
Page 673 and 674:
G53Mr. Saxdmax. Within tlie prison.
Page 675 and 676:
655Dr. Kramer. Dr. Max Fink is a co
Page 677 and 678:
'•657ill Southeast Asia tliat her
Page 679 and 680:
659if properly operated iiiider ])r
Page 681 and 682:
661(2) And second, that that would
Page 683 and 684:
663from too little control to too m
Page 685 and 686:
:665communities laave different pro
Page 687 and 688:
667ous effects when the patient tre
Page 689 and 690:
:669reference symptoms are consider
Page 691 and 692:
G71There is a simplistic appeal to
Page 693 and 694:
—673Brill stated that on a scale
Page 695 and 696:
v675api-eurs, in fact, that an incr
Page 697 and 698:
:;677of this subgroup is questionab
Page 699 and 700:
:679[Exhibit No. 30]Statement of Re
Page 701 and 702:
:;681[Exhibit No. 31]Harvard Medica
Page 703 and 704:
"medium683METHODSTiie tecliDique of
Page 705 and 706:
685transcendental meciitation into
Page 707 and 708:
687TABLE 5— USE OF OTHER HALLUCIN
Page 709 and 710:
689NARCOTICS(16621 (1862) (13301 (
Page 712:
BOSTON PUBUCVBBAHV3 9999 05706 0780
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