cannabisnews.com: Drug Treatment Takes Time To Succeed 










  Drug Treatment Takes Time To Succeed 

Posted by FoM on June 24, 2001 at 10:25:02 PT
By Robert Collier, Chronicle Staff Writer 
Source: San Francisco Chronicle  

If there's anything backers and opponents of Proposition 36 agree on, it's that most of the drug treatment funded under the measure will fail -- at least in the short term. Many of the measure's most ardent defenders are quietly trying to dampen expectations that its hundreds of millions of dollars in counseling services will help addicts kick their habits fast. Get used to failure, they say. In California and across the nation, the vast majority of people getting treatment relapse into drug use after leaving the programs. 
All too typical is actor Robert Downey Jr., who has made countless headlines for his repeated drug-possession arrests despite stints of treatment. "Downey has the same problems as people who have much, much less going for them in terms of money and support," said Barbara Garcia, the San Francisco Public Health Department's director of Population, Health and Prevention. "Proposition 36 won't change that. . . . It's perfectly normal for people to relapse one or many times," she said. Exactly how many people relapse is a mystery. No one keeps such statistics, say officials of the federal, state and county governments. It would be too complicated and expensive to try. Garcia declined to estimate San Francisco's rate but suspected that it far exceeds 50 percent. In fact, Proposition 36, which received 61 percent of the vote in November, explicitly states that none of the measure's $120 million annually for treatment may be used for urine tests, which are used to check whether drug users have relapsed. The measure's authors said the ban is necessary to ensure that counties spend the new funds on treatment, not probation costs. Critics say relapsing is Proposition 36's dirty little secret. "Overall, treatment has failed," said Kern County District Attorney Edward Jagels, a leader of the campaign against the ballot measure. "I expect that additional treatment that is woefully underfunded, as it is in Proposition 36, will prove as inadequate as it has until now." Jagels' argument makes some people livid. "It's ridiculous to expect instant recovery," said Steven Loveseth, a substance abuse program manager and chair of Contra Costa County's task force to oversee implementation of Proposition 36. Loveseth said his own experience is proof that the demons of addiction cannot be shaken easily. A former heroin addict, Loveseth went through five bouts of treatment over a period of several years, relapsing again and again into drug use until he went permanently "clean and sober" in 1983. "I'm a great success story, but people could look at my five times in treatment and say, 'Oh, those programs failed, they're no good.' But they didn't fail. They arrested my acute disorder. I didn't walk out of there with all the tools I needed to go clean, but it was a start," Loveseth said. "Addiction is cunning, baffling and powerful. (Ending it) is all about patience. I still occasionally sit in on a 12-step (Narcotics Anonymous) program, and one guy said to me, 'While I'm here in the group treating my disease, it's out in the hallway doing push-ups.' " Among health authorities throughout California, consensus is growing that treatment providers should not pressure drug users to go clean immediately; instead they should try to prevent acute problems -- overdoses, skin infections, HIV and hepatitis. Such a strategy, known as "harm reduction," was adopted last September as official policy in San Francisco, the first city nationwide to do so. Harm reduction advocates say its benefits are much more important than just getting people to stop drugs. "For example, if you have an injection drug user who winds up in an emergency room with flesh-eating necrosis, that could cost the health system anywhere from $10,000 to $100,000," Loveseth said. "But if you open up a methadone program, where a doctor is there to say, 'Hey, let's look at your arm,' if you get people to use less drugs, if you give them information, if you tell them 'Don't share your works (needles),' then they won't show up in your emergency room anymore. They may still continue to use drugs, but they won't have to go out and steal. On a fiscal basis, whatever you spent on harm reduction are dollars well spent." Note: Relapses are all too common among addicts.E-mail Robert Collier at: rcollier sfchronicle.comSource: San Francisco Chronicle (CA)Author: Robert Collier, Chronicle Staff WriterPublished: Sunday, June 24, 2001 - Page A - 17 Copyright: 2001 San Francisco Chronicle Contact: letters sfchronicle.comWebsite: http://www.sfgate.com/chronicle/Related Articles & Web Site:Campaign for New Drug Policies http://www.drugreform.org/Drug Fighters Organize Opposition To Treatment http://cannabisnews.com/news/thread10096.shtmlCalifornia Lack Resource for Law on Drug Offendershttp://cannabisnews.com/news/thread8637.shtmlCannabisNews Articles - Proposition 36http://cannabisnews.com/thcgi/search.pl?K=proposition+36

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