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June 19, 2014

Notable AG Holder speech on modern approach to modern drug war

Attorney General Holder delivered this speech today at a government summit on heroin and prescription drugs use and abuse, and criminal justice fans might be especially interested in these excerpts:

Between 2006 and 2010 -- across America -- heroin deaths increased by 45 percent. That’s a shocking statistic, but it’s only one of many clear indications that we’re up against an urgent public safety and public health crisis -- one that affects Americans in every state, in every region, and from every background and walk of life.  We’ve learned from scientific studies, treatment providers, victims, and investigations that the cycle of heroin abuse commonly begins with prescription opioid abuse.  And this can make the problem exceedingly difficult to track and to overcome....

Since the beginning of this Administration, with DEA as our lead agency, the Justice Department has adopted a sweeping strategy to prevent pharmaceutical controlled substances from getting into the hands of non-medical users....

We also have stepped up our investigatory efforts, opening more than 4,500 heroin-related investigations since 2011, and increasing the amount of heroin seized along America’s southwest border between 2008 and 2013 by 320 percent.  Of course, like you, I recognize that we cannot solve this problem through enforcement alone.  And we will never be able to arrest or incarcerate our way to becoming a safer nation.

This is why education, prevention, and treatment -- along with vigorous enforcement -- must all be significant components of any comprehensive solution.  Over the past few years, the DEA and others within the Department of Justice have stepped forward to help educate pharmacists, doctors, and other health practitioners in the identification and prevention of controlled substance diversion during the healthcare delivery process....

On the national level, we’re moving even more broadly -- under the Smart on Crime initiative I announced last August -- to put in place a range of targeted, systemic reforms to ensure that 21st century challenges can be met with 21st century solutions.

This groundbreaking new effort relies upon proven, evidence-based strategies to achieve better outcomes throughout the federal criminal justice system -- and particularly with regard to nonviolent, drug-related crimes.  These policy changes are predicated on the notion that our work must be informed, and our criminal justice system continually strengthened, by the most effective and efficient strategies available.

We’re also strengthening diversion programs like drug courts, veterans courts, and community service initiatives -- so we can provide alternatives to incarceration for some people and offer treatment and rehabilitation to those who need it.  Nationwide, the Justice Department is supporting more than 2,600 specialty courts that connect over 120,000 people convicted of drug-related offenses with the services they need to avoid future drug use.

And we’re striving to improve and reinforce reentry programs and initiatives from coast to coast – so we can enable formerly incarcerated individuals to return to their communities better prepared to contribute, and to lead, as full and productive members of society.

Let me be clear: we will never waver in our commitment to act aggressively to keep America’s streets safe and our children free from drug addiction and abuse.  And we will never stop being tough on crime and the choices that breed it.  But, like you, we also recognize that we must be smart, efficient, and effective as we strive to disrupt and diminish the scourge of addiction -- along with the underlying conditions that trap too many individuals in a vicious cycle of drugs, criminality, and incarceration....

At the end of the day, the most important work we do is invariably the work that takes place within our own communities – not simply as professionals, but as mentors, advocates, and counselors; as parents, neighbors, and friends.  We need to make sure our kids live in neighborhoods where adults can reach out to them -- where moms and dads, teachers and faith leaders, little league coaches and Scoutmasters can be trusted and positive influences in young lives.  And this work must be embraced by whole communities – because it is only by standing together, through collective action and comprehensive effort, that we’ll be able to make the difference we seek.

June 19, 2014 at 04:48 PM | Permalink

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According to the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) National Survey on Drug Use and Health,1 23.5 million persons aged 12 or older needed treatment for an illicit drug or alcohol abuse problem in 2009 (9.3 percent of persons aged 12 or older). Of these, only 2.6 million—11.2 percent of those who needed treatment—received it at a specialty facility.
The DOJ's "Nationwide Initiative" is limited to 120,000 drug offenders going to 2600 "specialty courts" = 46 offenders per court. A very weak start to a very pervasive problem,

Posted by: ? | Jun 19, 2014 9:56:27 PM

If patients are unable to receive adequate pain medication from physicians, they will find ways to self medicate. As a consequence of dea and JD making decisions about best medical practice for pain control, most physicians are very reluctant to provide pain management.

Street drugs and alcohol will be substituted for adequate pain relief perscribed by medical doctors.

A rational solution is to completely divorce drug and alcohol treatment from law enforcement and the court system. Court ordered treatment will be the new systeic problem.

Posted by: beth | Jun 20, 2014 1:50:12 PM

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