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National Drug Control Strategy 2008 Annual Report

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National Drug Control Strategy 2008 Annual Report National Drug Control Strategy 2008 Annual Report National Drug Control Strategy 2008 Annual Report TO THE CONGRESS OF THE UNITED STATES: I am pleased to transmit the 2008 National Drug Control Strategy, FRQVLVWHQWZLWKWKHSURYLVLRQVRIVHFWLRQRIWKH2IÀFHRI1DWLRQDO Drug Control Policy Reauthorization Act of 2006. 0\$GPLQLVWUDWLRQSXEOLVKHGLWVÀUVW1DWLRQDO'UXJ&RQWURO6WUDWHJ\LQ 2002, inspired by a great moral imperative: we must reduce illegal drug use because, over time, drugs rob men, women, and children of their dignity and of their character. Thanks to bipartisan support in the &RQJUHVVWKHZRUNRI)HGHUDO6WDWHORFDODQGWULEDORIÀFLDOVDQG the efforts of ordinary citizens, 6 years later fewer Americans know the sorrow of addiction. We have learned much about the nature of drug use and drug markets, and have demonstrated what can be achieved with a balanced strategy that puts resources where they are needed most. Prevention programs are reaching Americans in their communities, schools, workplaces, and through the media, contributing to a 24 percent decline in youth drug use since 2001. Today, approximately 860,000 fewer young people are using drugs than in 2001. We have expanded access to treatment in public health settings, the criminal justice system, and in sectors of society where resources are limited. The Access to Recovery program alone has extended treatment services to an additional 190,000 Americans, exceeding its 3-year goal. We have seized unprecedented amounts of LOOHJDOGUXJVDQGKDYHGHQLHGGUXJWUDIÀFNHUVDQGWHUURULVWVWKHSURÀWV WKH\QHHGWRFRQGXFWWKHLUGHDGO\ZRUN'XULQJWKHÀUVWWKUHHTXDUWHUV RIZHVDZVLJQLÀFDQWGLVUXSWLRQVLQWKHFRFDLQHDQGPHWKDPSKHWDPLQH markets, with prices rising by 44 percent and 73 percent, and purities falling by 15 percent and 31 percent, respectively. These results do not mean that our work is done. Rather, they provide a charter for future efforts. By pursuing a balanced strategy that addresses the epidemiology of drug use and the economics of drug availability, we can further reduce drug use in America. I thank the Congress for its support and ask that it continue this noble work on behalf of the American people. THE WHITE HOUSE Table of Contents Introduction .................................................................................................................................................. 1 A Turning Point.................................................................................................................................................. 1 Improved Understanding Has Yielded Results.................................................................................................... 2 Moving Forward: Challenge and Hope............................................................................................................... 4 Chapter 1: Stopping Drug Use Before It Starts.......................................................................................... 7 Deterring Drug Use by Changing Attitudes ....................................................................................................... 7 Random Testing to Prevent Substance Abuse...................................................................................................... 7 Pulaski County Schools, Kentucky .................................................................................................................... 8 Drugged Driving ............................................................................................................................................ 9 Combating Doping in Sports ............................................................................................................................. 9 A Proven Prevention Tool: The U.S. ilitarM y’s Experience With Drug Testing..................................................10 Drug Free Workplace .......................................................................................................................................11 International Association of Bridge, Structural, Ornamental, and Reinforcing Iron Workers ..............................12 Community Partnerships to Protect Youth .......................................................................................................13 Calloway County Alliance for Substance Abuse Prevention, Murray, Kentucky ..................................................13 The rD ug Free Communities Support Program ................................................................................................14 Educating Youth About the Dangers of Drug Use ............................................................................................15 SAPT-Funded Prevention Strategies .................................................................................................................15 The ationalN Youth Anti-Drug Media Campaign.............................................................................................16 Media Campaign Anti-Methamphetamine Efforts ..........................................................................................16 Fighting Pharmaceutical Diversion and Preventing Addiction ..........................................................................17 The edicalM Marijuana Movement: Manipulation, Not Medicine...................................................................18 The hioO Prescription Monitoring Program: Improving Control and Improving Care........................................20 Extreme Ecstasy: The Rising Threat from MDMA (Ecstasy) and Methamphetamine Mixtures ............................21 Chapter 2: Intervening and Healing America’s Drug Users ........................................................................... 23 From Screening to Recovery Support: A Continuum of Care ...........................................................................23 Detecting Drug Use Early Saves Lives ..............................................................................................................23 Screening Tools for Drug Use .........................................................................................................................23 Screening and Brief Intervention ......................................................................................................................24 Prescription Drug Abuse Goes to College.........................................................................................................24 Screening, Brief Intervention, and Referral to Treatment in Cook Inlet, Alaska .................................................25 Medical Education on Substance Abuse............................................................................................................25 Breaking the Cycle of Addiction: Maintaining Recovery ..................................................................................26 The extN Door, Nashville, Tennessee...............................................................................................................27 Marijuana and Mental Health......................................................................................................................28 Treatment for Co-Occurring Disorders ............................................................................................................28 United Community Center, Milwaukee, Wisconsin .........................................................................................29 A Chance to Heal: Treating Substance-Abusing Offenders................................................................................29 Lessons from California’s Drug Courts and Proposition 36 .............................................................................30 Yellowstone County Family Drug Treatment Court, Montana..........................................................................31 Understanding Addiction .................................................................................................................................32 Methamphetamine: Research for Recovery.......................................................................................................32 Preface to Chapter 3: The ationalN Security Strategy: Tackling Transnational Threats .................................. 34 Chapter 3: Disrupting the Market for Illegal Drugs ...................................................................................... 35 TheV ital Role of State and Local Law Enforcement.........................................................................................37 Connecting State and Local Law Enforcement ................................................................................................38 Taking Drugs Off America’s Roadways .............................................................................................................38 Shutting Down Open-Air Drug Markets........................................................................................................39 Targeting Marijuana Cultivation in the United States.......................................................................................40 The nitedU States and Canada: Tackling the Cross-Border Drug Trade.............................................................41 Methamphetamine and Synthetic Drugs ..........................................................................................................42 Attacking Profits from Methamphetamine Production .....................................................................................44 Taking the Fight Against Methamphetamine
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