Treating Drug Problems Volume 1 (1990) / Chapter Skim
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1 Introduction
1 Introduction
Pages 33-39
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From page 33... ...
It seemed likely that the study might identity unmet needs for new federal action. For example, the state-level components of the national drug treatment system had been cast adrift in the 1980s from earlier, more restrictive federal controls, and the system's ability to help communities respond to new challenges, such as the crack-cocaine epidemic, the acquired immune deficiency syndrome (AIDS)
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From page 34... ...
Public expenditures should be increased, especially at the federal level, to support the most carefully validated treatment modalities, as well as to improve clinical training and facilities, treatment research activities, and program evaluation and management systems. Public funding should focus on boosting the average quality of treatment as well as the number of program admissions, with special emphasis on increasing treatment opportunities for those under criminal justice supervision and for pregnant women or women who care for young children.
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From page 35... ...
In analyzing the treatment literature, reviewing submitted evidence, and visiting treatment programs in the field, committee members were struck by differences between programs that principally served privately insured clients and programs that did not. These differences became dramatically evident in detailed analyses of data collected in the 1987 National Drug and Alcoholism Treatment Utilization Survey.
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From page 36... ...
The plan relies in the near term on direct program financing, with a longer term goal of incorporating drug treatment support more systematically into Medicaid and other mainstream health care payment mechanisms. Important components of the plan are more extensive outreach to mothers and criminal justice populations in need of treatment, well-developed systems of performance assessment, and better utilization review and control, particularly of high-cost elements.
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From page 37... ...
Juvenile drug problems rightfully capture a great deal of attention, but in terms of sheer demographic mass, the drug problems of major concern today occur principally in adult populations. The overwhelming majority of drug transactions are between adults, the social costs of their problems clearly predominate, and most identified drug treatment resources are directed toward them.
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From page 38... ...
The National Forum on the Future of Children and Families, a joint effort of the Institute of Medicine and the National Research Council, has recently conducted the first in a series of workshops and panel meetings to address some of these issues. The Criminal Justice System The criminal justice system at present is the first line of societal response to drugs, absorbing about 90 percent of the public expenditures allocated to this problem.
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From page 39... ...
The committee looks toward investigations, such as the study of drug abuse prevention research now being conducted by the National Research Council, to address these issues and work toward comprehensive recommendations regarding appropriate environmental interventions to prevent drug problems.
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