Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

California's Bold Step on Drug Addiction
NY Times ^ | September 24, 2004 | Masthead Editorial

Posted on 09/23/2004 10:11:19 PM PDT by neverdem

Intravenous-drug users who spread disease by sharing dirty needles and engaging in unprotected sex are responsible for more than a third of all the AIDS cases in the United States and more than half of the new cases of hepatitis C. Addicts will continue to drive these epidemics until the country takes a more enlightened approach to drug treatment. That means discarding the laws that criminalize needle possession because such laws encourage addicts to share needles. It also means developing large-scale treatment programs that admit addicts right away instead making them wait months or years. A blueprint for such a program has been put forward in California, which has embarked on the most ambitious drug treatment effort yet seen in the country.

Many states still make it a misdemeanor to possess needles, and a few states actually direct sanctions at pharmacists who sell needles without a prescription. In contrast, Gov. Arnold Schwarzenegger of California courageously signed an important needle-access bill this week, similar to one that was vetoed twice by his predecessor, Gray Davis. The new law will allow pharmacists to sell as many as 10 syringes without a prescription to any adult in participating cities and counties. The law expires in 2010, when state authorities will evaluate its usefulness.

The state also needs to revisit an absurdly restrictive law that requires localities to declare states of emergency - over and over again, every two or three weeks - to run vital programs that let addicts exchange dirty needles for clean ones. These programs slow the spread of AIDS infections - without spreading addiction - and serve as a gateway to treatment.

Addicts seeking treatment in California are having an easier time getting it thanks to Proposition 36, which offers drug treatment to nonviolent drug offenders. In the last two years, more than 65,000 people have entered treatment; many of them would have otherwise gone to jail . A study describing how effective the program has been is due by year's end. But a report released just this week by a research group at U.C.L.A. provides reasons for cautious optimism. For example, roughly one in three people who entered the program completed it - which is par for the course. And about half the people being treated were participating in a treatment program for the first time, even though many had been addicted for a decade or even longer.

Outpatient programs are readily available, but there appears to be a shortage of residential programs, which are crucial for methamphetamine addicts. They make up the largest bloc of addicts and often need months to recover. Residential programs also help addicts of all kinds who live on the streets or in drug-saturated households where outpatient rehabilitation would be difficult. Criminal justice officials need to shed their biases against methadone maintenance for this program to succeed with heroin addicts, who are the most difficult to treat.

California is already learning that there are many more nonviolent drug addicts in need of treatment, clogging the jails and courts, than many of us thought. If the new regime rehabilitates even a third of those people, prison costs and blood-borne infections like AIDS should decline noticeably.


TOPICS: Crime/Corruption; Culture/Society; Editorial; Government; News/Current Events; Politics/Elections; US: California
KEYWORDS: aids; hcv; hepatitisc; intravenousneedles; ivda; wod; wodlist

1 posted on 09/23/2004 10:11:19 PM PDT by neverdem
[ Post Reply | Private Reply | View Replies]

To: neverdem

---Addicts seeking treatment in California are having an easier time getting it thanks to Proposition 36, which offers drug treatment to nonviolent drug offenders. In the last two years, more than 65,000 people have entered treatment; many of them would have otherwise gone to jail .---

The liberals liked this proposition so they didn't kill it in the courts like so many other expressions of the people's will!


2 posted on 09/23/2004 10:24:26 PM PDT by claudiustg (Go Sharon! Go Bush!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem
Another feel good program that will not help, as many studies in NYC proved. You can give all the clean needles and condoms, they will still share needles and when you are so high, condoms do not even thought of.

To use clean needles and condoms take some personal responsibility, something that addicts have little of, and that's why they are addicts.

3 posted on 09/23/2004 10:25:17 PM PDT by COURAGE (A charter member of the Grim FReeper Club)
[ Post Reply | Private Reply | To 1 | View Replies]

To: neverdem

The Times blows it again. The users etc. are improving the retirement plans of morticans, and reducing CO² emissions. How bout them apples?


4 posted on 09/23/2004 10:32:33 PM PDT by Waco
[ Post Reply | Private Reply | To 1 | View Replies]

To: fourdeuce82d; El Gato; JudyB1938; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; ...
NCBI PubMed NLM PubMed
Entrez PubMed Nucleotide Protein Genome Structure OMIM PMC Journals Books
 Search for
     
About Entrez

Text Version

Entrez PubMed
Overview
Help | FAQ
Tutorial
New/Noteworthy
E-Utilities

PubMed Services
Journals Database
MeSH Database
Single Citation Matcher
Batch Citation Matcher
Clinical Queries
LinkOut
Cubby

Related Resources
Order Documents
NLM Catalog
NLM Gateway
TOXNET
Consumer Health
Clinical Alerts
ClinicalTrials.gov
PubMed Central

 Show: 
Items 1 - 12 of 12
One page.
1: Emmanuelli J. Related Articles,
Free Full Text [Harm reduction policy related to drug use: the needles exchange programs]
Med Sci (Paris). 2004 May;20(5):599-603. Review. French.
PMID: 15190482 [PubMed - indexed for MEDLINE]
2: Ksobiech K. Related Articles,
Free in PMC Return Rates for Needle Exchange Programs: A Common Criticism Answered.
Harm Reduct J. 2004 Apr 19;1(1):2.
PMID: 15169545 [PubMed - as supplied by publisher]
3: Ksobiech K. Related Articles,
Free in PMC Assessing and improving needle exchange programs: gaps and problems in the literature.
Harm Reduct J. 2004 Apr 20;1(1):4.
PMID: 15169543 [PubMed - as supplied by publisher]
4: [No authors listed] Related Articles,
Abstract MOECSW trains master trainers and supervisors.
Popul Educ Asia Pac Newsl Forum. 1995;(42):11.
PMID: 12319759 [PubMed - indexed for MEDLINE]
5: [No authors listed] Related Articles,
Abstract NEP advocates urged: set up needle exchange.
Aids Alert. 1995 Dec;10(12):151-2.
PMID: 11362933 [PubMed - indexed for MEDLINE]
6: Rich JD, Strong L, Towe CW, McKenzie M. Related Articles,
Abstract Obstacles to needle exchange participation in Rhode Island.
J Acquir Immune Defic Syndr. 1999 Aug 15;21(5):396-400.
PMID: 10458620 [PubMed - indexed for MEDLINE]
7: Somlai AM, Kelly JA, Otto-Salaj L, Nelson D. Related Articles,
Abstract "Lifepoint": a case study in using social science community identification data to guide the implementation of a needle exchange program.
AIDS Educ Prev. 1999 Jun;11(3):187-202.
PMID: 10407453 [PubMed - indexed for MEDLINE]
8: Robles RR, Colon HM, Matos TD, Finlinson HA, Munoz A, Marrero CA, Garcia M, Reyes JC. Related Articles,
Abstract Syringe and needle exchange as HIV/AIDS prevention for injection drug users in Puerto Rico.
Health Policy. 1998 Sep;45(3):209-20.
PMID: 10338952 [PubMed - indexed for MEDLINE]
9: Vlahov D, Junge B. Related Articles,
Abstract The role of needle exchange programs in HIV prevention.
Public Health Rep. 1998 Jun;113 Suppl 1:75-80. Review.
PMID: 9722812 [PubMed - indexed for MEDLINE]
10: McCoy CB, Metsch LR, Page JB, McBride DC, Comerford ST. Related Articles,
Abstract Injection drug users' practices and attitudes toward intervention and potential for reducing the transmission of HIV.
Med Anthropol. 1997 Dec;18(1):35-60. Review.
PMID: 9458667 [PubMed - indexed for MEDLINE]
11: Strathdee SA, Patrick DM, Currie SL, Cornelisse PG, Rekart ML, Montaner JS, Schechter MT, O'Shaughnessy MV. Related Articles,
Abstract Needle exchange is not enough: lessons from the Vancouver injecting drug use study.
AIDS. 1997 Jul;11(8):F59-65.
PMID: 9223727 [PubMed - indexed for MEDLINE]
12: Gleghorn AA, Jones TS, Doherty MC, Celentano DD, Vlahov D. Related Articles,
Abstract Acquisition and use of needles and syringes by injecting drug users in Baltimore, Maryland.
J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Sep 1;10(1):97-103.
PMID: 7648292 [PubMed - indexed for MEDLINE]
 Show: 
5 posted on 09/23/2004 10:56:50 PM PDT by neverdem (Xin loi min oi)
[ Post Reply | Private Reply | To 1 | View Replies]

To: claudiustg
The liberals liked this proposition so they didn't kill it in the courts like so many other expressions of the people's will!

There is a fairly non-partisan collection of people, that favor Prop. 36, and the article says it seems to be working.

I would make an exception for meth users. These people are dangerous far beyond what we all know about alcoholics and most drug users.

A few months of heavy meth use can do permanent brain damage. So the idea of turning these people back into society is an unacceptable risk.

If they are set free, they should be tested freuently and one dirty test should return them to prison for a long time.

6 posted on 09/23/2004 11:15:46 PM PDT by truth_seeker
[ Post Reply | Private Reply | To 2 | View Replies]

To: truth_seeker

Why did people need a prescription for syringes in the first place? That is just stupid. Lots of diabetics and others need syringes. Heck, I used one the other day filling a radiator leak with epoxy. Had to do it quick, but it was way better than trying to jam it in the hairline crack with a brush or my hands.

It's amazing what people think THINGS do. Betcha the same people who would be horrified if guns were banned here are the ones most virulently against needle and condom distribution programs 'cause they're morally opposed to them.


7 posted on 09/23/2004 11:26:27 PM PDT by LibertarianInExile (The Fourth Estate is the Fifth Column.)
[ Post Reply | Private Reply | To 6 | View Replies]

To: COURAGE
The state should hire a fleet of Mr. Softee ice cream trucks and send them up and down the streets of selected cities selling new needles. Instead of playing the standard Mr. Softee music, they should blast the theme song from 'Needle Park' over the P.A. system. What will these ding-a-lings think of next.
8 posted on 09/23/2004 11:36:38 PM PDT by Redball2202 (If you can't say 'Amen', say 'Ouch'!)
[ Post Reply | Private Reply | To 3 | View Replies]

To: neverdem

Mike Savage went off the rails yesterday talking about how this will encourage kids to do more drugs.


9 posted on 09/24/2004 4:42:58 AM PDT by cyborg (http://mentalmumblings.blogspot.com/)
[ Post Reply | Private Reply | To 5 | View Replies]

To: cyborg
I don't think it will encourage teens to use drugs. Maybe all the hoopla about it in the press might peak their interest in drugs but not the fact that they are going to allow adults to buy needles. Most who will buy them are already addicts. It's not like they are passing out syringes to junior high students. Only a very tiny percentage of high school students and below are using needles and the percentage of kids this age even using drugs like cocaine, heroin, and meth that some people do end up injecting is also quite low. I think most who try those drugs are already beyond high school and most who do them do not begin injecting them until they are already addicted or well on their way to being there. Most people just experimenting with these drugs snort them and a lower percentage of those just experimenting smoke them. By the time they start jamming needles into their arms most have already been doing these drugs for a while.
10 posted on 09/24/2004 7:09:47 AM PDT by TKDietz
[ Post Reply | Private Reply | To 9 | View Replies]

To: cyborg
Mike Savage went off the rails yesterday talking about how this will encourage kids to do more drugs.

Savage always seems to be going off the rails, like Howard Stern, but on the other end of the cultural spectrum. I caught his last show on MSNBC. I was trying call in about homosexuality and the spread of AIDS, but he had to tell a homosexual caller who insulted him that the caller should die of AIDS!

11 posted on 09/24/2004 10:59:28 PM PDT by neverdem (Xin loi min oi)
[ Post Reply | Private Reply | To 9 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson