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What America's Users Spend on Illegal Drugs 1988-2000 - National ...

What America's Users Spend on Illegal Drugs 1988-2000 - National ...

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arrestees who said they used needles. That is, we assumed that heroin at less than 15 percentpurity was used for injecti<strong>on</strong> and that other heroin was snorted. After adjusting for the c<strong>on</strong>sumerprice index, we reported the resulting estimates in the text.We are uncomfortable with this soluti<strong>on</strong>. Most of the decisi<strong>on</strong>s reported in this appendix couldshift estimates by roughly 10 percent either way. This assumpti<strong>on</strong> about heroin prices wouldshift estimates of the amount of cocaine c<strong>on</strong>sumed by a factor of two. We have to entertain thepossibility that Americans c<strong>on</strong>sume more heroin than is accounted for in this model.This estimati<strong>on</strong> problem happens because we lack a good understanding of how the DEA andother law enforcement makes purchases in heroin markets. Plausibly there are very low-leveldealers who purchase quality heroin as small dollar purchases ($100 or less), dilute that heroin,and resell it as heroin suitable for injecti<strong>on</strong>. Law enforcement may focus its purchasing attenti<strong>on</strong><strong>on</strong> the quality-heroin buys, so that the STRIDE data under-represent the purchases of law qualityheroin. We know of no data that help answer this questi<strong>on</strong>, although we are hopeful that ADAMwill shed light <strong>on</strong> this issue. ADAM asked detailed questi<strong>on</strong> about market activity. Included area series of questi<strong>on</strong>s that asked about the amount paid for a drug and what the resp<strong>on</strong>dent didwith that drug – used it, sold it, gave it away, and so <strong>on</strong>. Until ADAM data are available andtabulated, we can do little but speculate.1.5 How Much Do They UseThe final step is basically to divide the expenditure <strong>on</strong> cocaine by the price paid per pure gram ofcocaine and then c<strong>on</strong>vert the resulting estimate into metric t<strong>on</strong>s. There is <strong>on</strong>e adjustment,however. C<strong>on</strong>sistent with earlier versi<strong>on</strong> of this report, we increased cocaine c<strong>on</strong>sumpti<strong>on</strong> by 11percent and we increase heroin c<strong>on</strong>sumpti<strong>on</strong> by 11 to 22 percent to account for income in kind.For both cocaine and heroin, the adjustment for income in kind has been 11 percent since 1995.For heroin, this adjustment for income-in-kind decreased linearly from its 22 percent peak in<strong>1988</strong>.2.0 MethamphetamineWe introduced an innovative but provisi<strong>on</strong>al procedures to estimate the number of chr<strong>on</strong>icmethamphetamine users. The methodology borrowed heavily <strong>on</strong> estimati<strong>on</strong> procedures that werecently developed for the Nati<strong>on</strong>al Institute of Justice. 17 We refer the reader to that report for anexplanati<strong>on</strong> of methodology.Data came from the Treatment Episode Data Set from the Substance Abuse Mental HealthServices Administrati<strong>on</strong>, Office of Applied Studies. Those data report treatment admissi<strong>on</strong>s17 W. Rhodes and R. Kling. Technical Notes <strong>on</strong> Estimating the Prevalence of Hardcore Drug Use. Reportsubmitted to the Nati<strong>on</strong>al Institute of Justice by Abt Associates Inc. January 2002.45

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