a special feature the sundoay doily on combatting heroin addiction Number 71 Page Four Sunday, January 14, 1973 Heoin addic tion: Are there so/utions? I By Lars-Erik Nelson IN A DARKENED, red-walled room, a large white globe cast deep shadows into the wise young faces of a group of former narcotics addicts, seated in a circle and talking about a plan that would' have put most of them in jail for life. The plan was put forward by Gov. Nelson Rockefeller in his "State of the State" message to the legislature at the beginning of the year. It would punish drug sellers more harshly than murderers, rapists or kidnap- pers. In a voice that rasped with frus- tration over increased street crime and years of ineffectual efforts to control drug addiction, Rockefeller demanded that mandatory life sen- tences, with no hope of parole, be giv- en to any adult convicted of selling hard drugs-"heroin, amphetamines, LSD, hashish and other dangerous drugs," as he put it. The proposal won immediate ap- plause from police groups, conser- vatives and some prosecutors. It drew equally immediate fire from the American Civil Liberties Union, the legal aid society and liberals gener-, ally. It also evoked condemnation from perhaps the most anti-drug group in the world-reformed narcotics ad- dicts and pushers, who, like ex-alco- holics, are vehement in damning their former poison. THE GROUP in the darkened room with me was comprised of whites and blacks, ranging in age from 17 to past 40. All were outpatients in the final stages of a rehabilitation pro- gram run by Odyssey House, a partly tax-supported, partly voluntary or- ganization that gets most of its pa- tients from the courts on a "treat- ment-or-else" basis. Most of the ex-addicts were also ex-pushers, who sold drugs to sup- port their own habits. They opposed Rockefeller's proposal for a variety of reasons, but chiefly because it wouldn't work. "I don't think it's too well thought- out," a confessed ex-pusher timidly began. "For one thing, he's got hash- ish on the list but not cocaine or methadone. Hashish isn't a serious drug." "In 1952 Michigan instituted a 20- year minimum sentence for drug by addicts," Commissioner Vanden Heuvel said. "You are talking about a class of people who are for the most part without resources." VANDEN HEUVEL believes in meth- adone as a solution to the nar- cotics - crime problem. "Methadone blocks the craving for heroin, allows you to be productive, to lead a normal life to keep a job." Of New York's estimated 150,000 heroin addicts, 30,000 are now on methadone maintenance, receiving methadone tablets from clinics. But methadone has also become a street drug with a black - market all its own. Though it blocks the craving for heroin when taken orally, when it is injected like heroin, it is the same as heroin. A young black man in the out-pa- tient group said of methadone main- tenance, "Society is trying to beat the addict at his own game. He rushes from methadone clinic to methadone clinic . . they're just legalized jun- kies." Methadone tablets have been the booty in armed robberies \of clinics. Called "biscuits" they are sold on the street for five dollars a tablet-far cheaper than a comparable amount of heroin. "When you give an addict who's a criminal methadone you just give him more time. They have more time to think up a really good crime," a blond young man in the group said. "An enforcement officer I know in Brooklyn says that you're starting to see more unsolved crimes in Brooklyn - because they may have more time to sit down and think about their crimes. The methadone addicts don't have the same desperation as the heroin addicts," another group member said. HEROIN MAINTENANCE - giving free heroin to registered addicts, as practiced in England and Scan- dinavia - also has advocates in America, but is scorned by the former addicts and Rohrs, their psychiatrist. "In England it worked because the heroin addicts they had there came from the white lower middle class. The addicts had work habits, but they had psychological problems- a need for mothering and so on-that made them turn to drugs. English heroin addicts were old ladies, school teachers, passive people," Rohrs said. "These are not the typical Ameri- can addicts. The average American addict of 1972 is 20 years old, a black or Peurto Rican, who uses five or six drugs. And he's got no psychiatric problems, though he may be the type of person who's always been a prob- lem as a juvenile. Now with the In- dians and Pakistanis and West In- dians who have come into Britain, English authorities are finding that their problem is different. "If the pro-heroin people took an honest point of view, if they said there was no hope for a given ad- dict, so he might as well be given heroin, I might have some sympathy for them. But they think that giving addicts pure heroin, the best heroin they ever had, is going to make them want to give up the habit," Rohrs said. ROCKEFELLER'S SOLUTION to the narcotics problem is to jail pushers for life. Vanden Heuvel's is to provide methadone maintenance. England's is tc give out free heroin. New York City's is to try to persuade addicts to go into rehabilitation, re- ceive methadone, financial assistance and job training. Having dismissed the first three answers, many ex-addicts also scoff at the latter. "Very seldom will a drug addict say hmm, well I think I'll go and be rehabilitated," an ex-addict in the group said to general laughter. "If you tell somebody you're going to give him a welfare check and a place to live and free heroin, they're not going to go into the rehabilita- tion clinics. You've got to be crazy to volunteer for a (rehabilitation) pro- gram when you can walk around the corner and the people will give you whatever you want." The ex-addicts and ex-pushers in the darkened room all nodded wise- ly. Most of them were there because they had to be - it was a choice of the rehabilitation program or jag. But they were all off drugs and ap- parently safely so. "How long would it take you to buy drugs right now," a questioner asker one of them. "In this neighborhood, in the East Village? About five minutes, if you wanted it," he laughed. "You can get anything around here." Lars-Erik Nelson is a feature writer for Reuters News Sevice. le Ii f charges for which they were arrest- ed. You'd need 40 times 'the money now being spent on the. courts." Behind Rockefeller's proposal is impatience on the part of authorities -an impatience shared by millions of urban dwellers-with a rise in crime that has made city streets un- safe to walk and city apartments un- safe to live or leave property in. Almost everyone agrees that this rise in crime, particularly over the past five years, is the result of nar- cotics addicts who must steal to pay for their habits. The trouble is, no- body can prove, with statistics, that there is any real relation between ad- diction and street crime. "I can't give ' exact statistics but . . ." officials say when asked how much violent crime is caused by ad- yg nsfate. ". ./ r ,.i":. . . . ..: " d... v, "Rockefeller's plan is the largest invitation to wholesale York, are as 'unsafe as those in any high-crime area even though rela- tively few addicts are on the street. At the same time, Great Neck, N. Y., a middle-class suburb, has a serious narcotics problem but little street crime. The old whaling port of New Bed- ford, Mass., has experienced a sharp increase in juvenile crime that its authorities associate with an equally sharp rise in narcotics use. But Pitts- field, Mass., at the other end of the state, has had an equally high ju- venile-crime increase with no signi- ficant drug problem. ARE ADDICTS responsible for street crime? Is the mugger who sticks a knife at your throat and demands your wallet a drug-crazed fiend who will do anything for the money to feed his habit? Yes and no. Half a century ago, most drugs could be obtained legally and nar- cotics-abuse was not regarded as a source of crime. Even then, however, the streets were not safe. Even more recently, narcotics ad- dicts shunnedhviolent crime and con- frontation. They resorted and still resort chiefly to burglary, thefts from parked cars, shoplifting. "We were sneak thieves," a hand- some young black woman at Odyssey House told me. "You didn't snatch anybody's pocketbook, you picked it up. We were jostling (picking poc- kets), boosting (shoplifting), check- writing, working credit cards. We were all cat burglars."' "But the scene has changed," an- other ex-pusher went on. I see things now that at one time I wouldn't see. Real young drug addicts, street crimes could be perpetrated by them." Speaking of his own 22 years as an addict and a pusher he explained, murder that I have ever seen presented to a reasonable state legislature. . . . Of course they'll kill witnesses. They'll kill anyone. What is there to tell them not to kill?" --William Vanden Heuvel Commissioner, New York City Board of Corrections ..f S. a a.Va.'A .}:^RS"} iras ..ir . .%};.:"S:4amm:"X":.;'4:":.c:.".".,....":. Photos by TOM GOTTLIEB "We used to do sophisticated crimes. Used to be you'd come home and find something in your house was missing. Now you come home and find the door kicked down." "Kids weren't into it in the old days," the young black woman said. "In 1957 you could walk in any hall- way and see an old addict getting off. But the older dope fiends would tell you not to fool around with drugs. They wouldn't sell you a thing." Dr. Charles Rohrs, a psychiatrist who leads therapy groups at Odys- sey House, says he no longer believes the line of reasoning that says hero- in addiction leads to crime and that the root of society's evils is in the narcotics addict. Rohrs is a burly man in his early 30s with a mod moustache. Members of his group call him Charlie, and when one of them wanted to know his opinion on a topic the group was ar- guing about, the invitation to speak was: "Come on Charlie, what do you think? We need some father-figure input here." He draws a distinction between younger and older addicts: "We can't really find statistics, but a consider- able number of street crimes are committed by people under 18. Are they committing crimes because of a hunger for drugs or are they anti- social types who would be committing crimes anyway?" "Each time we find a person in jail who's a junkie, we have to ask whe- ther he committed the crime because of his craving for drugs or whether he would have committed a crime anyway. Older addicts probably com- mit crimes only to get drugs. But the differences between adult and teen- age users are profound," Rohrs said. THE TEEN-AGE drug user is, in- creasingly, an abuser of several different kinds of drugs at the same time. He comes out of school high on "uppers" or "downers," "reds," "greenies," "yellow jackets," "black betties" - all street names for vari- ous barbiturates and amphetamines which speed the mind up or slow it down. With a group of friends he prowls the streets. And when he sees an old woman with an insecure grip on her pocketbook, he grabs it. When he sees a man walking down a lonely street, he robs. "Trouble is." an ex-addict said, "Everybody got hip to the easy ways we had of making money. Once upon i v ,' ll I '4 A sales, the first in the country," an ex-pusher from Detroit said. "It didn't stop the escalation of drugs. I sold after they passed that law. Usually in Detroit they would let you cop to possession. Noting that the mandatory life sentence is stiffer than the current penalty for murder, now that death sentences have been halted, one speaker suggested that accused deal- ers might find it profitable to murder any witnesses against them. "What's to prevent some dude who's up for pushing from knocking off all the witnesses, even the judge? He gets 25 years to life for murder and with parole he'll be back on the street in eight years." T'S THE LARGEST invitation to wholesale murder that I have ever seen presented to a reasonable state legislature," William Vanden Heuvel, commissioner of the New York City Board of Corrections, told a caller. "Of course they'll kill wit- nesses. They'll kill anyone. What is there to tell them not to kill?" dicts. They then proceed to say that 80 per cent of all crime is drug-re- lated, 50 per cent of all crime is drug- related, most prostitution is drug- related, and so on. "There are no statistics," a staff member of a New York District At- torney's office told me. "They'll tell you that 50 per cent of all street crime is caused by junkies, but that's just impressionistic." An observer of drug patterns point- ed out that the streets of Newark, whose junkies usually travel to New 4. I '4