Free Research Forum on Adolescents and Co-Occuring Disorders, 7/15

The next free Division of Behavioral Health Research Forum will be held Thursday, July 15, 2010 from 8:30 am  – 12:00 pm on “Colorado’s Guidelines for Treatment of Adolescent Co-Occuring Disorders; Implementation Process”.  Please see the attached brochure for more details including registration information.

Click here to see the DBH Research Forum Brochure.

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Colo. Sentencing Reform Bill Has Bipartisan Support

Source: JoinTogether News Summary, 2/24/10

A bill that would cut sentences for drug offenses and put more money into addiction treatment programs has support from both sides of the aisle in the Colorado statehouse.

The Colorado Springs Gazette reported Feb. 23 that the bill from Rep. Mark Waller would make most drug-possession and drug-use crimes either misdemeanors or minor felonies. Some of the money saved due to less incarceration of drug offenders would be used to fund addiction-treatment programs. The legislation was the result of a series of sentencing-reform discussions sponsored by the state’s Commission on Criminal and Juvenile Justice.

Waller, a Republican and former prosecutor, has won support for HB-1352 from Colorado Attorney General John Suthers, most GOP lawmakers, and some influential Democratic leaders. “This isn’t something the Democrats can do alone because they don’t want to appear soft on crime,” Waller said.

Click here to see legislative tracking information for HB10-1352

Obama Proposes Increased Funding for Treatment and Prevention

Source: JoinTogether News Feature, 2/5/2010

The Obama administration’s first stab at crafting its own national drug-control budget priorities (PDF) adds new funding for addiction treatment and prevention, but does little to close the huge gap between spending on drug supply- and demand-reduction efforts despite promises of a “balanced” strategy.

The FY2011 National Drug Control Budget released by the Office of National Drug Control Policy (ONDCP) on Feb. 1 includes a 13.4 percent increase in spending on alcohol and other drug prevention programs and a 3.7 percent increase for addiction treatment.

“The new budget proposal demonstrates the Obama administration’s commitment to a balanced and comprehensive drug strategy,” said ONDCP Director Gil Kerlikowske. “In a time of tight budgets and fiscal restraint, these new investments are targeted at reducing Americans’ drug use and the substantial costs associated with the health and social consequences of drug abuse.”

<<snip>>

However, the budget plan also calls for modest increases in spending on domestic law enforcement, interdiction, and international programs. So, the bottom line is that the Obama administration is proposing to spend 64 percent of its anti-drug budget on supply reduction efforts and just 36 percent on demand-reduction programs like drug treatment and prevention — numbers that are virtually indistinguishable from the ratio in the final drug budget produced under the Bush administration.

<<snip>>

The centerpiece of ONDCP’s demand-reduction plan is $150 million in “new funding for creating a national, community-based prevention system to protect adolescents; training and engaging primary health care to intervene in emerging cases of drug abuse; expanding and improving specialty addiction care; developing safe and efficient ways to manage drug-related offenders; and creating a permanent drug monitoring system.”

After years of declining budgets, the new prevention funding was welcomed by field advocates, although some found the allocation of resources somewhat puzzling. Notably, the budget plan calls for spending $9.5 million less on the Drug Free Communities (DFC) grant program, which had seen steady increases in recent years and is the most popular funding vehicle for community-based anti-drug coalitions nationally.

<<snip>>

The Obama administration is proposing a new “Successful, Safe and Healthy Students” grant program to replace the Department of Education’s Safe and Drug-Free Schools (SFDS) program, which has suffered significant funding cuts in recent years amid doubts about its effectiveness.

The new program — intended to create “an improved school climate that reduces drug use, violence, and harassment and improves school safety and students’ physical and mental well-being” —  would receive $283 million under the Obama plan, $107 million more than SFDS received in FY2010. Unlike the formula-based SDFS national grants, the Healthy Students grants will be awarded on a competitive basis to local education agencies.

<<snip>>

The budget would establish a $15-million Prevention Prepared Communities program, a pilot project intended to create a system of evidence-based youth prevention interventions lasting throughout adolescence. Another $5.6 million would be spent on supporting community prevention specialists who would assist in developing these projects in collaboration with the states, and $2 million would be used to evaluate the project.

Click here to read the entire story
Click here to read the “National Drug Control Budget FY 2011 Funding Highlights”
Click here for more information on the “Successful, Safe, and Healthy Students” grant program from DOE
Click here to read “Proposed FY 2011 Budget HHS Priority Programs” memo from NASADAD

Latest edition of NIDA NewScan, 9/11/2009

Online at: http://www.nih.gov/news/health/sep2009/NS-63.pdf

Articles in this issue:

  • Disparities, Variability Found in Methadone Maintenance Dosing Patterns
  • Marijuana Prevention Campaigns May Have Undesired Effects on Marijuana Use
  • Crack Cocaine Use Hastens Progression of HIV Infection to AIDS
  • Few U.S. High Schools Use Evidence-Based Drug Prevention Curricula
  • Gene Changes Linked to Nicotine Dependence and Success With Smoking Cessation
  • Electronic Diary Captures Moods and Cues Leading to Heroin and Cocaine Use
  • Aging Population of Steroid Abusers May Face Underrecognized Health Problems

Special issue of JDI: Smoking and Substance Abuse

The Spring 2009 v.39(2) issue of Journal of Drug Issues has a focus on “Smoking and Substance Abuse.”  Articles focus on the public health and clinical intervention initiatives related to smoking as well as issues of tobacco dependence in the substance abuse population.

PIC cardholders can access the fulltext contents of the issue online by clicking here:
http://rmchpe.rpa.dynixasp.com/rparmchp/webauth.exe?rs=ebscoaspjid&op=jdi

Contents:

  • Introduction to the Theme Issue
    Joseph Guydish & Douglas Ziedonis
  • Smoking Cessation Services in Adolescent Substance Abuse Treatment: Opportunities Missed?
    Hannah K. Knudsen
  • Exploring Factors Related to Readiness to Change Tobacco Use for Clients in Substance Abuse Treatment
    Danielle W. Toussaint, Nancy R. VanDeMark, Meredith Silverstein, Erik Stone
  • Medical and Mental Health Status Among Drug Dependent Patients Participating in a Smoking Cessation Treatment Study
    Jennifer E. Lima, Malcolm S. Reid, Jennifer L. Smith, Yulei Zhang, Huiping Jiang, John Rotrosen, Edward Nunes
  • Effects of Smoking Cessation on Illicit Drug Use among Opioid Maintenance Patients: A Pilot Study
    Kelly E. Dunn, Stacey C. Sigmon, Edward Reimann, Sarah H. Heil, Stephen T. Higgins
  • Gender Differences in Quit Support by Partners of Health-Compromised Smokers
    Michael J. Rohrbaugh, Varda Shoham, Catherine L. Dempsey
  • Development of the Smoking Knowledge, Attitudes, and Practices (S-KAP) Instument
    Kevin L. Delucchi, Barbara Tajima, Joseph Guydish
  • Staff Knowledge, Attitudes, and Practices Regarding Nicotine Dependence Differ by Setting
    Barbara Tajima, Joseph Guydish, Kevin Delucchi, Emma Passalacqua, Mable Chan, Matt Moore
  • Does the Presence of a Smoking Cessation Clinical Trial Affect Staff Practices Related to Smoking?
    JongSerl Chun, Joseph R. Guydish, Kevin Delucchi
  • Bar Patronage after a Smoking Ban
    J. Michael Menke
  • The Neurobiology of Nicotine Addiction: Clinical and Public Policy Implications
    Paul D. Gardner, Andrew R. Tapper, Jean A. King, Joseph R. DiFranza, Douglas M. Ziedonis

June Round Up: News and New in the PIC

New items Added to the Library Collection in the PIC
Click on each to view or place holds on these items in the library catalog.

New in the PIC Clearinghouse

New Online Publications

June News at a Glance

New CASA report finds that for every federal and state $1 spent on substance abuse and addiction, only 2 cents goes to prevention and treatment

Source: CASA News Release, 5/28/2009

Shoveling Up II: The Impact of Substance Abuse on Federal, State and Local Budgets

NEW CASA* REPORT FINDS FEDERAL, STATE AND LOCAL GOVERNMENTS SPEND ALMOST HALF A TRILLION DOLLARS A YEAR ON SUBSTANCE ABUSE AND ADDICTION

OF EVERY FEDERAL AND STATE DOLLAR SPENT, 96 CENTS GOES TO SHOVEL UP WRECKAGE OF ILLNESS, CRIME, SOCIAL ILLS; ONLY 2 CENTS GOES TO PREVENTION AND TREATMENT

WASHINGTON, D.C., May 28, 2009 – Substance abuse and addiction cost federal, state and local governments at least $467.7 billion in 2005, according to Shoveling Up II: The Impact of Substance Abuse on Federal, State and Local Budgets, a new 287-page report released today by The National Center on Addiction and Substance Abuse (CASA) at Columbia University.

The CASA report found that of $373.9 billion in federal and state spending, 95.6 percent ($357.4 billion) went to shovel up the consequences and human wreckage of substance abuse and addiction; only 1.9 percent went to prevention and treatment, 0.4 percent to research, 1.4 percent to taxation and regulation, and 0.7 percent to interdiction.

The report, based on three years of research and analysis, is the first ever to assess the costs of tobacco, alcohol and illegal and prescription drug abuse to all levels of government. Using the most conservative assumptions, the study concluded that the federal government spent $238.2 billion; states, $135.8 billion; and local governments, $93.8 billion, in 2005 (the most recent year for which data were available over the course of the study).

<<SNIP>>

Key Findings

  • Of the $3.3 trillion total federal and state government spending, $373.9 billion – 11.2 percent, more than one of every ten dollars– was spent on tobacco, alcohol and illegal and prescription drug abuse and addiction and its consequences.
  • The federal government spent $238.2 billion (9.6 percent of its budget) on substance abuse and addiction. If substance abuse and addiction were its own budget category at the federal level, it would rank sixth, behind social security, national defense, income security, Medicare and other health programs including the federal share of Medicaid.
  • State governments spent $135.8 billion (15.7 percent of their budgets) to deal with substance abuse and addiction, up from 13.3 percent in 1998. If substance abuse and addiction were its own state budget category, it would rank second behind spending on elementary and secondary education.
  • Local governments spent $93.8 billion on substance abuse and addiction (9 percent of their budgets), outstripping local spending for transportation and public welfare.[1]
  • For every $100 spent by state governments on substance abuse and addiction, the average spent on prevention, treatment and research was $2.38; Connecticut spent the most, $10.39; New Hampshire spent the least, $0.22.
  • For every dollar the federal and state governments spent on prevention and treatment, they spent $59.83 shoveling up the consequences, despite a growing body of scientific evidence confirming the efficacy and cost savings of science-based interventions.
  • With respect to children, for every dollar federal and state governments spent on prevention or treatment, they spent $60.25 shoveling up the consequences of substance abuse and addiction.
  • For each dollar in alcohol and tobacco taxes and liquor store revenues that federal and state governments collect, they spend $8.95 shoveling up the consequences of substance abuse and addiction.

Click here to read the complete press release.
Click here to download for free or purchase a print copy of the full 287 page report.