Date: Thu, 3 Nov 1994 07:37:53 -0800 From: Jim Rosenfield To: talk.pol.drugs@conf.igc.apc.org, drctalk-l@netcom.com Subject: Unitarian Church Stmt on Drugs Subject: Unitarian Church Advocates Drug Policy Reform TOWARD A SANE NATIONAL DRUG POLICY A subcommittee report of the Denominational Affairs Committee of the Northwest Unitarian Universalist Congregation We have ascertained that: 1. Attempts to deal with drug problems through elimination of supplies have failed and are doomed to fail due to the multiplicity of possible supply lines for a variety of existing and future drugs. Current government spending is weighted 90% to supply reduction vs. only 10% to demand reduction. Much of the demand reduction efforts which do exist focus on types of education which have virtually no impact on those currently demanding drugs and questionable impact on those considering use of drugs as an escape from serious problems in their lives. 2. Drug addiction is a social problem which is interlinked with other social problems. It will exist, to some extent, regardless of government policies or any actions which society may take. For many drug users, dependence is a transitional phase of crisis in their personal history that can be overcome by the process of maturing outof drug dependence. Drug policy should not impede this process but must instead offer assistance and support. The total damage and costs to individuals and society as a whole can, however, be significantly reduced by more thoughtful policies and more effective use of resources. Such policies would refocus efforts toward assisting individuals in dealing with addictions and toward other techniques proven to reduce the demand for drugs. The important thing is not that people abuse drugs, it is that drugs abuse people. 3. Current policies which attempt to combat drug addiction solely by criminal law and compulsion to abstinence and which make the motivation for abstinence a prerequisite for state aid have failed. These activities are costly, in themselves, yet fail to address the many social costs of substance abuse. Among the social problems made worse by current drug-related activities are: the spread of HIV, crimes of property and violence, the livability of public housing, our school systems ability to cope with ever greater demands, healthcare costs (especially emergency room facilities), and a general atmosphere of fear and hopelessness in many areas of our cities. The cost to the public to support one crack-addicted baby is estimated at $40,000; the lost human potential is immeasurable. 4. Some drug-related problems are made worse by current policies toward users of selected drugs: mandatory sentences of even minor drug offenders result in prison overcrowding and the release of more violent criminals, political and police corruption are financed with illegal drug money, high costs of drugs result in economic crimes to support addictions, uncontrolled dosage levels and impurities result in deaths of users and higher healthcare costs, and finally, addicts are less likely to ask for needed assistance if they fear incarceration. Yet, decriminalization may simply change the nature of the problems. The drugs causing the greatest harm to society today are alcohol and nicotine. Their costs in healthcare and lives far exceed the taxes collected on these substances and far exceed the costs imposed by all illegal drugs combined. 5. Drug problems exist in rural, suburban and urban settings. They exist among all races, ethnic groups, and economic levels. Drug sales activity, on the other hand, has a focused impact on the quality of life in specific neighborhoods already plagued with other social problems. Drug-related violence, youth recruitment and neighborhood terrorism are focused in minority neighborhoods where people feel least empowered to do anything about them. We therefore draw the following conclusions: 1. A dramatic shift in drug policies, resource priorities and actions is necessary if we are to reduce the damage to our society and affected individuals. A shift must be made away from wasteful and ineffective supply reduction efforts and toward effective demand reduction. Police activities should focus on working with the residents of the most highly impacted neighborhoods to identify and reduce drug related crime, terrorism, and youth recruitment. Activities in and around schools should also be a priority. Users should be offered help, those in jail offered treatment programs and those who are hard-core dealers given humane but lengthy isolation from society. 2. In order to reduce suffering, misery, and death, drug addicts must be free from the threat of prosecution. Offers of help must not be linked to the target of total drug abstinence. A legal basis must be created in order to permit the establishment of a supervised setting in which drugs may be consumed. Help should not only be aimed at breaking away from dependence, but must also permit a life of dignity with drugs. 3. Recognition should be given to the varying degrees of addictiveness and the varying degrees of impaired functioning from different drugs. Enforcement programs should focus on the activities with the greatest negative impact on society. 4. The distribution of sterile syringes to IV drug users should be encouraged, as it has been shown in studies by Yale University to reduce the spread of AIDS while having no impact on the level of IV drug use. The use of methadone should be encouraged to assist in reduction of harm to certain opiate users. 5. Assisting addicts to regain control over their lives should be a major thrust of drug policy. Intervention, detoxification, treatment and follow-up support are all necessary steps which, taken together, have been shown to be an effective path to that goal. Education should help people who care about an addicted person learn what to do to help. Addicts who choose to ask for help must be able to obtain properly targeted assistance on demand, 24 hours a day. Waiting lists are an oxymoron; if they could wait for help, they wouldn t need the help. More research on the effectiveness of treatment modes and new medications may also be helpful. 6. We require better cooperation between various government agencies, private sector leadership, the medical community, social agencies, schools, community groups and churches. All aspects of society must pool their information, skills, and resources to address these problems. Get tough political posturing should be exposed for what it is and replaced with effective solutions targeted to truly address the problems. Be it resolved that the Unitarian Universalist denomination: 1. promote a forum for leaders from community groups, business, churches, schools, media, the medical community, treatment professionals, and the justice system to come together, share facts and understandings and address these issues. Each must learn from others so as to build a consensus as to the best strategies for a particular community. 2. study the following strategies and develop a comprehensive drug policy for the purpose of influencing drug and substance abuse legislation and public policy. Strategies to consider: Either as part of a coordinated community efforts or as separate initiatives, specific strategies to be considered include: 1. As individuals, we can become more knowledgeable, educate our friends, get our organizations involved, support needed public policy changes, get trained in effective intervention techniques, and help people we know deal with problems and get desired assistance. 2. Businesses can assist employees with drug problems by providing Employee Assistance Programs (typical costs of $20/year/employee). EAPs provide counseling sessions and referrals. Insurance programs should cover appropriate and effective long-term anti-addiction programs rather than funding only 28-day hospital stay programs which have been shown to be costly and ineffective for many addicts. 3. Schools can identify and council drug-impacted and at-risk children. They can provide well-designed drug education curriculum. They can assist in providing positive after-school activities and otherwise make school facilities a community resource. Drug-free school zone laws (in place in many states) can be more effective with the cooperation of PTAs and school administrators. 4. Centralized intake with 24 hour access is critical to the availability of treatment to those who want help getting off of drugs. Such a central capability is essential to the effective matching of individuals needs with the right treatment program. It must be as easy to get treatment as to get drugs. That centralized program must monitor the effectiveness of the multitude of private and public sector treatment programs and influence the allocation of funding to best target limited financial resources. 5. Community training and education should be made available both at the layman s level and at the counseling professional s level. This is a role that churches, hospitals and treatment professionals can play. Initial intervention and effective early counseling help can aid an addict in regaining control over their life. What techniques work is known and can be taught and put into practice. 6. Community groups, churches, and the media can help educate the general public on drug issues and facts. This can lead to public opinion favoring more intelligent drug policies, broader support for effective strategies, and eventual pressure on the political system for more effective policies and priorities. 7. Laws which currently confiscat the proceeds from the illegal trade of drugs should be changed to allow funding of treatment, educational, and other demand reduction efforts . This is a key element in shifting the ratio of public funding away from purely supply-side efforts. Better coordination of law enforcement agencies could significantly increase the levels of confiscated funds available for positive purposes. Further sources of funds could include taxes on alcohol and other to pay the costs to society of effective treatment programs. Alcohol and nicotine are the introductory drugs for most users who become addicts. 8. Costly prison space should be reserved for individuals posing the greatest danger to society. Drug use levels in many prisons exceed the use levels of the prisoners prior to their incarceration. Treatment programs should be readily available to all inmates. Such programs will quickly pay for themselves. A program of helping, not vengeance should be encouraged, if only for practical economic reasons. 9. Police and building inspectors can work in concert with community groups to identify and demolish uninhabitable structures being used as drug sales centers. These have typically been abandoned by their owners and are legally the property of a bank. The bank can take a tax deduction for donating the cleared land to a Community Development Corporation. CDCs can obtain government funding to build low-cost housing but cannot get such funding for the land acquisition. Thus, the conditions in the neighborhood can be improved, housing can be provided, and an atmosphere of cooperation and neighborhood empowerment created. Creative cooperative strategies such as this can make a powerful impact. 10. Users of illegal drugs should not be punished for the purchase, possession and consumption of small quantities for their own personal use. Trade should be legally regulated. Proceeds from this trade should be used to support the evaluation of a wide range of methadone distribution programs, needle exchange programs as well as full service programs offering help to recovering users and the most down and out addict on the street.