Domestic Policy Priorities For Substance Abuse in the Proposed 2011 Budget

Monday President Obama released his 2011 FYchanges. Even as expenditures increased across the
budget proposal. As all the players weigh in, it is beingboard the proportional allocation emphasizes drug
called an attempt to balance domestic policyaddiction treatment and prevention programs. Of the
spending, jobs creation and deficit reduction. Butfive key policy areas, treatment and prevention
even as discretionary spending is being criticallyprograms received the first and second largest
examined, the administration has proposed allocatingpercent increases. The budget for treatment
significant new resources for the prevention andprograms increased 3.7% over 2010 levels, while that
treatment of drug abuse. The budget increasesfor preventive services increased 13.5%.
highlight the need to address the high social toll ofThe treatment and prevention budget increase
substance abuse while looking for productiveincludes over $150 million for the:o Creation of
solutions.national, community-based prevention systems,o
High social costs of untreated substance abuse putTraining for primary health care worker who can
additional pressure on communities contending withidentify or intervene with emergent cases,o
local budgetary shortfalls. The estimated yearly costExpansion of specialty addiction care,o Development
of drug abuse is upwards of $180 billion, includingof new management systems for drug-related
violent and property crimes, prison expenses, courtoffenders ando Establishment of a permanent drug
and criminal costs, emergency room visits, child abusemonitoring system.
and neglect, lost child support, foster care andInterdiction and domestic and international law
welfare costs, reduced productivity, unemployment,enforcement programs received less emphasis than
and victimization. But that doesn't take into accountprevention and treatment programs. Enforcement
the high cultural costs of substance abuse andincreases are aimed primarily at trafficking and
addiction. Especially, as over 23 million Americansprotecting public lands from illicit drug cultivation.
meet the medical definition of abuse or addictionAs the 2011 budget moves to Congress, it is
(NSDUH 2007).important to consider the costs and the benefits of
"The new budget proposal demonstrates the Obamaprevention and treatment vs. the public health and
Administration's commitment to a balanced andsocial concerns of abuse and addiction. It is also vital
comprehensive drug strategy...targeted at reducingthat Congress move away from funding programs
American's drug use and the substantial coststhat have proven ineffective and embrace newer
associated with the health and social consequencesprograms that have proven higher success rates,
of drug use," said Director of National Drug Controlsuch as rapid drug detox.
Policy Gil Kerlikowske of the proposed budget