Source: Denver Post (CO) Contact: http://www.denverpost.com/ Pubdate: Sun, 9 August 1998 Author: Robert F. Hickey OUR EFFORTS HAVE FAILED MISERABLY Aug. 9 - We have spent almost $1 trillion since 1971 fighting the "war on drugs.'' We have killed innocent people, raided unsuspecting families, built dozens of prisons, confiscated billions of dollars of property, violated the constitution, sacrificed our civil liberties and, through it all, accepted the lies of those with a vested interest in perpetuating this nonsense. Now we are allowing our government to throw $1 billion more - plus $1 billion from the private sector - into the fray through a national advertising campaign to eliminate substance abuse. Consider what the "war on drugs'' already has achieved. We have about one prison guard per three prisoners versus one teacher per 30 students. We spend $4,000 a year to educate one student; $30,000 a year to house one inmate. As a direct consequence of the "war on drugs,'' one of nine school-age children has one or both parents in prison. One in three black men under age 25 is in prison or some form of supervised release. Our prisons hold more than 1.7 million human beings. Sixty-five percent of federal prisoners are there on nonviolent, drug-related convictions. Meanwhile, another 1.7 million Americans await treatment for some disorder related to substance abuse - but no money is being offered to help them. In "Scapegoat Generation: America's War on Adolescents,'' Mike Males writes: "It's time to recognize that drug use was going down when the drug war started, and it's gone up since. This is what's been tried for 10 years. It's politicians spending money for self-aggrandizement.'' And now comes the government's $2 billion ad campaign. For any dialogue to succeed with teenagers, it must be honest. That ingredient has been absent from all our efforts. Succeeding generations learn to discount our messages at an early age because we have been so disingenuous in our moral pronouncements about human behavior. We preach the absolutes, that all drug use leads to death, psychosis or jail. Clearly, jail is closest to being an absolute in the United States for drug abusers. Even those of us too young to have seen "Reefer Madness'' in the '30s have heard about the bizarre distortions on truth in that film. The latest $2 billion campaign is merely the new edition of "Reefer Madness.'' The one constant through such efforts since Prohibition has been the lack of truthfulness. The new ad campaign continues the attempt to make the exception the rule. All outcomes ascribed to substance abuse in these so-called public service announcements illustrate the most unlikely results. One ad shows a pretty young woman in a take-off of the old "This is your brain on drugs'' routine. In this rendition, she destroys a kitchen with a frying pan in a psychotic rampage supposedly brought on by drug use. Not a specific type of drug, mind you, just any drug. Likewise, DARE fails because children are impressionable and accept everything the officer tells them in fourth through sixth grades. When these children get to high school, 99.5 percent haven't witnessed any of the drastic outcomes threatened by the officers. Almost all of them will experiment with risky behaviors, and a minuscule percentage will become casualties of that experimentation. The outcomes described by the DARE officers are the exception. So students lack respect for law enforcement and distrust all prevention efforts. This new ad campaign fails to prepare young people for the consequences they can expect from their normal, adolescent, risk-taking behavior. In addition, the goals of the ad campaign are poorly defined. What are the anticipated outcomes? Does this effort provide any direction for people already caught up in destructive behavior? Just as politicians, law enforcement and hordes of prosecutors have spent $1 trillion under the guise of a war on drugs, the only segment of society gaining from this ad campaign are the television, radio and newspaper outlets and their agencies, to the tune of $625 million. The campaign is a veiled effort to promulgate a flawed political ideology, one that has mired us for decades in the same erroneous propaganda. And it may cause more harm than good. Said Marc Mauer, assistant director of the Sentencing Project, "There are real questions about whether this ad campaign is based on the best research and might not be counterproductive.'' In reality, our society always has had drug abusers. It always will. We would be much better off acknowledging that history and dealing with it in an effective manner. We glamorize drug use in all forms of media. Our tax dollars subsidize tobacco cultivation. Millions are spent annually to wine and dine our legislators to protect the liquor industry. Yet our political ideology discourages and, in many cases, bars harm-reduction efforts. If we are to abate substance abuse, efforts must be refocused in that direction. Consider the words of Lee N. Robins, Ph.D., professor of social science in psychiatry at the Washington University School of Medicine in St. Louis, as spoken at a meeting this summer of the American Society of Addiction Medicine: "Because substance abuse often remits in early adulthood - usually five years after it starts - a vital part of our job is harm reduction. We need to keep people as safe as possible - from jail, driving, overdoses, etc. We also need more information about the course of a disorder - e.g., which heavy users will continue to have problems. This is the most crucial area of study.'' An audience member said, "Science must replace ideology as the foundation for drug abuse addiction prevention, treatment and policy strategies.'' How could we better deal with substance abuse if we redirected that $1 billion? Could we reduce the student/teacher ratio in classrooms? How about more after-school activities? More remedial reading teachers? More school counselors? How about peer counseling panels? How about strategies that help youths understand the perils of the behavior with which they all will struggle? How about putting politics aside and young people and their families first? We have turned out on the streets hundreds of thousands of people with mental illnesses who cannot get treatment. With realistic budgets, our community mental health centers could play a significant role in ameliorating these problems. Columbia University research has documented that education and treatment are seven times more cost-effective than arrest and incarceration for substance abuse, yet we continue to spend more tax dollars on prisons than on treatment. We should promote educational efforts to inform substance abusers and users as to problems they are likely to encounter. We need community resource centers where people can turn when they're in trouble. Who would you call if your child became a casualty of experimentation? The police or a local public or mental health clinic? Do you want your child to receive help or contend with a conviction the rest of his or her life? Needle exchange programs have proven effective in reducing the spread of AIDS. And such efforts bring addicts to a resource where help is available when they choose to change their life direction. We have a network of care-givers in place. Instead of wasting money on propaganda, let us increase funds for those agencies. Let us promote needle exchange. Let us integrate all funding streams into a seamless system of treatment and prevention across our country. Let us take the billions we are wasting on propaganda, a judicial system exploding with otherwise unemployable lawyers, and a prison industry tripping over itself to expand and address the problems of drug abuse in a responsible and effective manner. This new campaign represents a classic example of the government throwing money at a problem for political gain. There is no rhyme or reason for this monumental and tragic waste of taxpayer dollars. Robert F. Hickey is president and CEO of Innovative Strategies Inc., a national behavioral health management firm. He resides in Edwards. - --- Checked-by: Mike Gogulski