EXECUTIVE
OFFICE OF THE PRESIDENTOFFICE OF NATIONAL DRUG CONTROL POLICY
Testimony of Scott
Burns, Deputy Director
Office of National Drug
Control Policy
Before the House
Committee on Foreign Affairs’ Subcommittee on the
February 7, 2008,
Chairman Engel,
Ranking Member Burton, distinguished Members of the Subcommittee:
Thank you for
the opportunity to testify about how the
I would be remiss, however, if I didn’t open
my testimony with some very good news.
The latest DEA reporting indicates a sharp increase in the street
price of cocaine with a 44 percent increase in the price per pure gram between
Jan-Sept of 2007. Average price per pure
gram of cocaine is now $136.93 (compared to $95.35 in Jan). Purity of cocaine
has dropped by 15 percent in the same period of time. Authorities in thirty-seven
Reducing the Demand for Illegal Drugs
We understand
that
As such, the
first order of domestic business for the

Prevention
efforts focus on youth because the potential for long-term addiction and associated physiological and neurological adverse
effects is greatest among the earliest
initiates. To the extent illicit drug
consumption is delayed, particularly if it is delayed through young adulthood,
the chance of subsequent abuse decreases dramatically.
Great progress
has been made at the state and local level in reducing drug use. These local efforts, conducted by parents,
teachers, coaches, faith community leaders and concerned members of the
business community are highly effective because these individuals best understand
the specific challenges their youth face.
The Federal Government has a vital role in supporting these efforts
through the Drug-Free Communities Support Program, by expanding screening,
intervention, and treatment programs, and through support for drug treatment
courts which provide needed services and close criminal justice supervision to
non-violent offenders.
The Drug-Free Communities
Support Program
Recognizing that local problems
require local solutions, ONDCP in cooperation with its Federal partner, the
Substance Abuse and Mental Health Services Administration (SAMHSA), administers
an innovative grant program to reduce youth substance abuse, the Drug Free
Communities Support Program (DFC).
Unique in its ability to provide Federal funding directly to local
community organizations, DFC currently supports 736 grassroots community
coalitions in 49 States, the
By supporting the development of
local drug-free community coalitions, we are working with parents, youth,
community leaders, clergy, educators, law enforcement, employers, and others to
plan and implement an appropriate and sustainable response to local drug challenges.
Among the 2007 DFC grantees, 38
percent represent communities in economically disadvantaged areas, 23 percent
urban, 41 percent suburban, and 34 percent rural.
From Screening to
Recovery Support: A Continuum of Care
Despite recent reductions in drug use, many Americans continue to drink
to excess, abuse prescription drugs, and use illegal drugs. Many Americans have some experience with substance abuse
and its devastating effects on the person, the family, and the community.
For the thousands of Americans
already suffering from substance use disorders, Federal initiatives such as SAMHSA’s
Substance Abuse Prevention and Treatment Block Grant and discretionary grant
programs and National Institute on Drug Abuse (NIDA) sponsored research on drug
abuse and addiction support State and community efforts to deliver the
treatment services needed to achieve and maintain recovery.
Recognizing
that addiction to substances is a treatable disease and recovery is possible,
the Administration has supported innovative and effective programs designed to
help expand treatment options, enhance treatment delivery, and improve
treatment outcomes. By screening for substance use in the medical system, more
Americans who are in need of interventions or treatment are being identified
early and receiving services. Identifying substance use early may also stop
the disease from progressing to addiction and reduce the need for long-term
inpatient treatment –a costly and complex process involving long-term
interaction with counselors, agencies, and professional services. Through the President’s Access to Recovery Program, approximately
$400 million has been devoted to delivering a comprehensive spectrum of
services tailored to the individual, including recovery support services.
Screening and Brief
Intervention
In 2003, the Federal government began providing funding to support screening and brief intervention programs in States and tribal communities through Screening, Brief Intervention, and Referral to Treatment (SBIRT) cooperative agreements administered by SAMHSA. As of December 2007, over 577,436 clients in 11 States have been screened. Approximately 23 percent received a score that triggered the need for further assistance. Of this number, 15.9 percent received a brief intervention, 3.1 percent received brief drug treatment, and only 3.6 percent required referral to specialized drug treatment programs.
Outcome measures from the Federal program reveal that
screening and brief intervention helps reduce substance abuse and related
consequences, including emergency room and trauma center visits and deaths. Screening and
brief interventions also increase the percentage of people who enter
specialized treatment, have a positive impact on factors that enhance overall
health, and may provide a shield from further drug use, including improvements
in general and mental health, employment, and housing, and a reduction in
arrests. Results from these Federal programs persist even 6 months after a
brief intervention. Moreover, cost-benefit analyses of Federal programs have
demonstrated net health care cost savings from screening and brief
interventions. Considering the favorable
cost-benefit ratio of Screening and Brief Intervention, it is a program that
may be adaptable to the circumstances of drug abuse in
Screening helps identify a large
group of persons at risk for substance abuse disorders, particularly those who
are unaware of or reluctant to acknowledge the consequences of their drug using
behavior. For those who are referred to specialized treatment services as a
result of screening, involvement with the criminal justice system, or on their
own initiative, SAMHSA has made targeted efforts to provide services to
underserved populations and to increase the number of treatment slots,
providers, and modalities.
Breaking the Cycle of
Addiction: Maintaining Recovery
Concerned about treatment for
Americans whose “fight against drugs is a fight for their own lives,” the
President announced Access to Recovery (ATR) in his 2003 State of the Union
address. Starting in 2004, Congress appropriated approximately $98 million per
year over 3 years for the first ATR grants in 14 States and one tribal
organization.
ATR, which is administered by
SAMHSA, expands substance abuse treatment capacity, promotes choices in both
recovery paths and services, increases the number and types of providers,
allows clients through use of voucher systems to play a more significant role
in the development of their treatment plans, and links clinical treatment with
important recovery support services such as child care, transportation, and
mentoring.
As of September 30, 2007, more than 190,000 people with substance use disorders have received clinical treatment and/or recovery support services through ATR, exceeding the 3-year target of 125,000.
Drug Courts: Treating
Substance Abusing Offenders
For many Americans, substance abuse can lead to involvement with the criminal justice system. With 32 percent of State prisoners and 26 percent of Federal prisoners reporting in 2004 that they had committed their crimes while under the influence of drugs, connecting offenders with substance abuse treatment through drug courts, during incarceration, or after release back into the community is an important component of the Nation’s strategy to heal drug users.
For nonviolent drug offenders
whose underlying problem is substance use, drug treatment courts combine the
power of the justice system with effective treatment services to break the
cycle of criminal behavior, alcohol and drug use, child abuse and neglect, and
incarceration. A decade of drug court research indicates
that it reduces crime by lowering rearrest and conviction rates, improves
substance abuse treatment outcomes, reunites families, and produces measurable
cost benefits.
A recent study in
In line with their effects on crime rates, drug courts have
proven to be cost-effective. One analysis in
In addition to the
Merida Initiative which is fundamentally a foreign assistance or security
assistance package, the
o
Intelligence
Collection and Information Sharing;
o
Interdiction
at ports of entry;
o
Interdiction
between ports of entry;
o
Aerial
detection and response;
o
Investigations
and prosecutions;
o
Financial
crime; and
o
Improved
cooperation with
Lead agencies with
responsibility for achieving SWBS objectives are assigned according to agency
expertise and operational experience. The
SWBS primarily is designed to improve operational coordination in a resource
neutral way among
The portion of the SWBS
related to
Some of the most
valuable programs now underway, or soon to be implemented to achieve these
objectives include:
·
Increased
priority for Operation Gatekeeper, a DEA-led OCDETF initiative to shut down
organizations that control drug crossing points in the
·
Multi-agency enforcement efforts being pursued
by OCDETF Co-Located Strike Forces in
·
Expanded
·
Heightened
emphasis on stopping illegal weapons smuggling into
·
Ongoing
coordination with the Department of Homeland Security to assure that
counter-drug measures are built into the Secure Border Initiative.
In addition to what
is occurring as part of the SWBS, ONDCP implemented in 2006 the SWB Flow
Project which provided federal agencies with an assist from the additional
resources and focus of the regionally coordinated Southwest Border High
Intensity Drug Trafficking Area Program on illicit drug activities along the
border. This project was started to complement
the SWBS. The SWB HIDTA encompasses four
states, 47 counties, and has 92 initiatives.
As a result of increased cooperation with the task forces charged with
implementing the initiatives, marijuana seizures have increased along the
entire border. In
My colleagues
from the operational agencies will be able to provide a more in-depth review of
programs they have undertaken in support of SWBS objectives. Oversight of progress toward specific
objectives of the SWBS is exercised by the Office of National Drug Control
Policy, and more directly by the Office of Counternarcotics Enforcement at the
Department of Homeland Security, and the Department of Justice.
Results: In the Region and Beyond
We have seen what is possible when political
will intersects with resources under the circumstances that existed internal to
the illegal drug business in 2007.
Cocaine became less available in the
To sustain
these remarkable results it will be necessary for the