Pubdate: Thu, 06 Apr 2000
Source: Baltimore Sun (MD)
Copyright: 2000 The Baltimore Sun, a Times Mirror Newspaper.
Contact:  http://www.sunspot.net/
Forum: http://www.sunspot.net/cgi-bin/ultbb/Ultimate.cgi?actionintro
Author: Barry R. McCaffrey
Related: http://www.mapinc.org/drugnews/v00/n460/a08.html

PREVENTION, TREATMENT GO TOGETHER

CRIMINOLOGIST Michael Dana argued eloquently in Friday's Sun about the need 
for drug-abuse prevention. However, "and" rather than "or" is the operative 
word here - whether we're talking about anti-drug television commercials 
and entertainment initiatives, drug education in homes and schools, or the 
proverbial debate over demand-reduction vs. supply-reduction. No single 
approach, to the exclusion of others, will be successful in overcoming the 
threat posed by illegal drugs.

Prevention and treatment, like local and national efforts, must work in tandem.

False dichotomies divide and conquer resources.

Baltimore has made significant progress against drug abuse.

Findings just released by the Maryland Department of Education indicate 
that over a two-year period, twelfth-graders in the state were less likely 
than their peers nationwide to have used alcohol and cigarettes during the 
30 days preceding the survey.

This study parallels research conducted by the U.S. Department of Health 
and Human Services, which found that adolescent drug use has decreased 
slightly in recent years.

With respect to drug treatment, identifying effective approaches is the 
key. Numerous studies demonstrate that drug treatment works.

In 1997, the Center for Substance Abuse Treatment(CSAT) sponsored pilot 
studies of treatment facilities in 14 states, including Maryland. The 
following year, Maryland's Alcohol and Drug Abuse Administration was among 
various organizations in 19 states that received legislative health 
mandates to continue this research.

Maryland was at the forefront of drug treatment even before winning CSAT 
funding. Maryland established an Alcohol and Drug Abuse Treatment Research 
Advisory Committee, which recommended a methodology for comparative 
studies. Maryland's Alcohol and Drug Abuse Administration (ADAA) and the 
Center for Substance Abuse Research (CESAR) collaborated on three projects 
to discover features shared by successful treatment programs.

Baltimore's treatment facilities will be ranked in terms of outcome, and 
recommendations will be made for improving less successful programs.

The Office of National Drug Control Policy just released the 2000 Annual 
Report for the National Drug Control Strategy, which includes prevention 
and treatment along with interdiction and law enforcement. The strategy 
defines reduction in demand as the main focus.

Prevention of drug, alcohol and tobacco use among 68 million American kids 
is our most important goal. The strategy ties public policy to a 
scientific, research-based body of knowledge. A performance measurement 
system permits periodic adjustment as conditions change.

Our signature program is a five-year, $1 billion national anti-drug media 
campaign. Because mass media acts like a "proxy-peer" to our youth, 
identifying what's "cool" and what's not, a broad-based anti-drug campaign 
can counteract pro-drug messages that youngsters receive from many sources. 
A minimum of four exposures a week reaching 90 percent of the target 
audience is changing attitudes and behavior.

Drug use among adolescents declined 13 percent from 1997 to 1998.

Ads must be reinforced. Accordingly, we are working with the entertainment 
industry, school systems, families, faith-based organizations and athletic 
groups to send a unified anti-drug message while creating positive 
alternatives for alienated and disadvantaged youth.

We have begun shifting federal spending priorities in support of the 
strategy's goals (see www.whitehousedrugpolicy.gov). Resources for 
prevention have increased 52 percent since 1996, while treatment has risen 
32 percent.

Drug courts channel nonviolent drug-law offenders into tough, 
court-supervised treatment instead of prison.

The first drug court was established in 1989. Now, 700 drug courts are in 
operation or under development.

Mayor Martin O'Malley, Lt. Gov. Kathleen Kennedy Townsend, Rep. Elijah 
Cummings and others who care about the welfare of children are doing a 
great job. The partnership between the Office of National Drug Control 
Policy and Maryland, the Baltimore/Washington HIDTA (High Intensity Drug 
Trafficking Area), and the drug control policy office's Drug-Free Community 
Coalitions are among many fine efforts against a problem that costs America 
52,000 lives and $110 billion a year. Still, we have made enormous progress.

Casual drug use has dropped 50 percent since 1979. Casual cocaine use has 
plummeted 75 percent since 1985. Nevertheless, 5 million people are 
chronically addicted in the United States.

The problem of drug abuse, like illness or warfare, won't go away in the 
foreseeable future.

Like education, drug-abuse prevention must be renewed in every generation. 
In schools we teach the "three Rs" (reading, writing and 'rithmetic); one 
subject is never enough.

Likewise, in the counter-drug area, we follow PTE: prevention, treatment 
and enforcement.
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