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Addiction Treatment

Lou Dobbs Sucks Live

I don't have cable, so the only way to catch the latest edition of Lou Dobbs' appalling series "The War Within" was to attend a live filming at George Washington University. The value of actually being there was limited, although it was comforting knowing I could disrupt the live broadcast if I felt I had to.

To be fair, tonight's episode was a bit less offensive than previous installments. The focus was on addiction, and despite periodic outlandish Dobbsisms about "winning the drug war" and so forth, there were many valid concerns raised. Still, for a show that promises "News, Debate, Opinion," Lou Dobbs entirely failed to provide any debate. He brought out recovering addicts and school administrators, but his primary expert guests were Nora Volkow (NIDA), Joseph Califano (CASA), and Terry Klein (SAMHSA). As far as I can tell, these people completely agree on everything from public health policy to pizza toppings.

Having just discovered that the drug war isn't working, Dobbs would do well to consult some of the experts who've been predicting failure for decades. Califano offered the startling statistic that the U.S. has 4% of the world's population, but consumes 2/3 of the world's drugs. It is of course mind-boggling to contemplate how such an observation doesn’t lead to an immediate referendum on the policies that have gotten us here.

Thus, Lou Dobbs has become a curious and increasingly common character in the drug policy discussion. He can see that nothing's changed. He wants to talk about "how to win," yet he insists on having that conversation with people who haven’t had an original idea about drug policy in their wildest dreams. Bizarrely, he interrupts the discussion of treatment to complain that our interdiction efforts are ineffective and under-funded, quickly snuffing out my faint hope that Dobbs' newfound interest in treatment would lead him to question the value of buying more helicopters to chase speedboats across the Gulf of Mexico.

Dobbs' insistence that the drug war is failing stands in stark contrast to recent ONDCP propaganda about how "America's drug problem is getting smaller," thus it's interesting to consider how a John Walters appearance on the "The War Within" would play out. If Walters could get over any potential objections to the premise of the program, he and Dobbs might have a blast plotting how to double our drug war losses.

Lou Dobbs, self-proclaimed champion of the middle-class, seems to think the solution to drug abuse is inside the wallets of American taxpayers. Guess he's got a "war within" going on right up there in his giant, ignorant head.

The Truth About Marijuana Use in the UK

As Phil notes below, there's a new wave of reefer madness taking hold in England. The Independent's reporting is hysterical in both senses of the word, so much so that the ONDCP blog wasted no time in picking up the story.

We're told that marijuana addiction among teenagers has skyrocketed, that marijuana is 25 times stronger than it was generation ago, and that marijuana just might cause schizophrenia. And the underlying implication of all this is that the effort to legalize marijuana, culminating in the UK's 2004 reclassification decriminalizing simple possession, has somehow caused all of these horrible problems.

Interestingly, The Independent's multiple articles yesterday reached their conclusions without mentioning usage rates. Here's why: marijuana use in the UK is going down. From The Observer in October, 2006:
According to a report by the Central Narcotics Office, after more than a decade of rapid growth, seizures of cannabis resin in Europe dropped by a fifth last year, to 831 tonnes.
…

The apparent trend is reinforced by British figures which show that the popularity of cannabis in the UK has plummeted, with 600,000 fewer people smoking or eating marijuana than three years ago.
The failure to address this relevant, yet contradictory fact is a hallmark of alarmist pseudo-scientific drug war reporting. Instead we get this:
Today record numbers of young people are in treatment programmes for skunk [high-grade marijuana] abuse and hospital admissions due to the drug are at their highest ever.
We know that rumors of more potent pot are both wildly exaggerated and largely irrelevant since users adjust their doses to achieve the desired effect regardless of potency. We also know that potency has increased notably (3-4 times, not 25) and that increased potency has much to do with prohibition, which creates a financial incentive for growers to maximize their risk/reward ratio since punishment is determined by weight rather than THC content.

So if it isn't the potency, then what's driving the spike in marijuana treatment in the UK? I think the answer is that reduced stigma and a new policy of not arresting casual users have resulted in more people seeking help. It makes vastly more sense than arguing that marijuana suddenly turned into crack laced with heroin the moment they decriminalized it.

I can't prove my theory anymore than addiction "experts" can prove that marijuana had almost no THC in the '60's. But it makes intuitive sense. Wouldn't you expect more people to seek treatment once the risk of arrest is removed?

After decriminalizing marijuana, the British are seeing lower usage rates and more people seeking treatment. Let's talk about that.

The Salt Lake Methamphetamine Conference Gets Underway

EDITOR'S NOTE: I tried to post this Friday morning from the Hilton in Salt Lake City, but due to some mysterious problem with the internets, it didn't get through. The 2nd National Conference on Methamphetamine, HIV, and Hepatitis is now in its second day. The Hilton Hotel in downtown Salt Lake City is doing an admirable job of dealing with the influx of treatment providers, social service workers, needle exchangers, speed freaks, drug company representatives, academics, researchers, and politicos who have flooded into the hotel for three days of plenaries, panels, workshops, and breakout sessions on various aspects of the methamphetamine phenomenon. For me, a lot of the sessions and presentations are of limited interest, which is not to say they have no value, only that they are directed at people who are doing the hands-on work in the field. As someone interested in drug policy reform and, frankly, legalizing meth and everything else, the differences in behavior or susceptibility to treatment between gay urban speed freaks and rural hetero speed freaks is not really that important to me. Ditto for comparisons of different treatment modalities. Again, I'm not saying this stuff is unimportant, only that it's not what I'm about. I'm much more interested in the politics of meth, the methods of blunting repressive, reactionary responses from the state, and the ways of means of crafting more enlightened policies. For all the progress we have made in the drug reform arena in the past decade or so, it seems like all someone has to do is shout "Meth!" and we are once again in the realm of harsh sentencing, repressive new legislation, and drug war mania reminiscent of the crack days of the 1980s. That's why it's so heartening to see political figures like Salt Lake Mayor Rocky Anderson stand front and center for enlightened responses to meth use and abuse. Of course, it isn't just Rocky. Here in the Salt Lake Valley, state and local officials from the governor on down are attempting a progressive response, whether it's the governor lobbying for more money for treatment or local prosecutors practicing restorative justice. And it's not just Utah. Cut across the Four Corners into New Mexico, and you find another state where officials are rejecting harsh, repressive measures and instead seeking to educate youth and adults alike with evidence-based curricula. As one measure of the changing status quo, the Drug Policy Alliance is getting involved in the Land of Enchantment. It has been selected by the state government to administer a $500,000 grant to develop prevention and education curricula. I find it just a little bit ironic that I'm sitting in Salt Lake at this major meth conference just as SAMSHA puts out an analysis of national survey data showing that meth use is declining after about a decade a stable usage patterns. There was a significant drop in the number of new meth users between 2004 and 2005 and a steady decline in past year meth users since 2002. Despite all the hoopla, meth users now account for only 8% of all drug treatment admissions. Meth crisis? While there is no denying the social and personal problems that can and do result from excessive resort to the stimulant, it seems like there is less to it than meets the eye. Still, it has the politicians and funding agencies riled up enough to cough up money for programs and conferences and the like. I guess we'll take what we can get.

A Question for Dr. Volkow

Drug warriors don’t answer phone calls or emails from the likes of us, so the only way to ask them questions is to show up when they’re speaking publicly and hope to get called on during Q&A. Sitting in the moderator’s line of sight helps, as does not looking like a balls-to-the-wall hippie drug-legalizer (not that there’s anything wrong with that).

Canadian Federal Government Demands More Research on Safe Injection Site, But Won't Pay For It

The Canadian federal government -- relatively hostile to harm reduction measures like safe injection sites since the Conservative Party took power in the last elections -- will not fund further research for Vancouver's InSite safe injection site, Health Ministry spokesman Eric Waddell told the Drug War Chronicle this afternoon. That was news to the site's operator, the Vancouver Coastal Health Authority, whose spokesperson Viviana Zonacco said she had not been informed of that aspect of the ministry's decision.

UNODC: The Russians Are Coming

The Russians want more appointments to high positions in the UN, and it looks like a Russian diplomat will replace outgoing UNODC head Antonio Maria Costa. Given Russia's retrograde positions on drug policy issues, alarm bells are going off.

Feature: Schwarzenegger Trying to Gut California Methadone Funding in Budget Move

California Gov. Arnold Schwarzenegger wants to help balance the budget by cutting out almost all Medi-Cal funding for more than 35,000 methadone maintenance patients. The nicest thing opponents can say about that idea is that it's penny wise but pound foolish, and the legislature seems to agree. But the Governator can still wield the line-item veto, so the fight isn't over yet.