Monday, August 10, 2009

Drug, alcohol treatment vital in solving problem

Drug, alcohol treatment vital in solving problem
Health Happenings
Alamogordo Daily NewsBy Ken Nicholson, For the Daily News
Posted: 08/09/2009 12:00:00 AM

In spite of the nationwide prohibition of street drugs, New Mexico and Otero County, as well as the rest of the United States, has a persistently growing drug problem with increasing numbers of younger students using drugs and alcohol.
With that is the typically disastrous results of addiction, incarceration, unintended pregnancies, failing grades and school drop-outs. While education and law enforcement are making strides in stopping the illegal drug trade while educating our youth about the consequences of drug use, drug and alcohol use continues to be a devastating problem, suggesting once again that peer-pressure can be a stronger force than education.


Making drugs illegal has, no doubt, been a deterrent to the vast majority of Americans. On the other hand, this has put the burden of the drug war on law enforcement and the judicial system, especially since 1986 when Congress enacted mandatory minimum sentencing laws, which mandated judges to deliver fixed sentences to individuals convicted of the crime of addiction, regardless of culpability or other mitigating circumstances.


Overwhelmingly, drug defendants 85 percent of them are nonviolent, according to Families Against Mandatory Minimums. Yet many mostly minorities and the poor are convicted of felonies and receive mandatory minimum sentences of five to 10 years or more. Also, those addicted at the time of their incarceration are generally still addicted upon release and still need treatment.

While giving a big boost to the private prison industry, incarcerating drug offenders is expensive for the tax payer. In New Mexico, the average cost of incarceration is $30,000 per inmate per year. The average cost of probation and parole in New Mexico is $1,533 per person per year. According to a 1998 study conducted at the Brown University Center for Alcohol and Addiction Studies, the average cost for drug treatment per year is between $1,800 for regular outpatient care and $6,800 for long-term residential care.


For each person that receives treatment, rather than being incarcerated, New Mexico could save between $22,000 and $27,000 per year (prison savings less probation/parole and treatment costs), according to the Drug Policy Alliance.
The American Medical Association has given formal recognition to the disease concept regarding addiction since 1956. Medically, addiction is classified as a chronic disease similar to other chronic diseases such as Type II diabetes, hypertension, asthma and cardiovascular disease. Research conducted by the National Institute on Drug Abuse has shown that they all have similar relapse rates.


Addiction is a chronic, relapsing brain disorder that should be managed with all the tools at medicine's disposal. While lifestyle choices may be a contributing factor in diabetes, lung cancer or cardiac disease and is the only factor in an addict's first use. No one regards lifestyle choice as a reason to withhold treatment for any of these conditions, except for addiction.
Just as it takes an average of seven attempts for a smoker to quit tobacco, we should understand that relapse is an integral part of the disease of any addiction. We should treat the addict with the same care and compassion we treat diabetes or cardiac patients struggling to make prescribed lifestyle changes.


Ken Nicholson represents Peace & Justice, of La Luz. This column is provided as a service of the Otero County Community Health Council and the Alamogordo Daily News as a way to provide the latest in health and wellness information, services and events. This column is submitted by OCCHC partners and does not necessarily reflect the views or policies of the OCCHC.

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