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Emerging Drug Problems: Despite Changes in Detection and Response Capability, Concerns Remain

HEHS-98-130 Published: Jul 20, 1998. Publicly Released: Jul 28, 1998.
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Highlights

Pursuant to a congressional request, GAO reviewed the efforts of the federal public health agencies to detect the spread of drug use in the United States and their ability to respond to potential drug crises, focusing on: (1) how the public health service agencies have detected and responded to the crack cocaine epidemic; (2) any changes made to improve the nation's drug detection and response capability; and (3) any remaining issues that could compromise the nation's ability to detect and respond to emerging drug problems.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status Sort descending
Office of National Drug Control Policy To improve the nation's drug use detection and response capability, the Director, ONDCP, should implement additional recommended changes that would improve the completeness, accuracy, and overall usefulness of data generated by the nation's drug data collection mechanisms.
Closed – Implemented
ONDCP and other Federal agencies have made substantial progress in implementing recommendations to improve the completeness, accuracy, and overall usefulness of data generated by the nation's drug data collection mechanisms. For example, consistent with recommendations, ONDCP and the Drug Enforcement Administration contracted RAND to improve and update information in existing data systems on the price and purity of illicit drugs. Also, ONDCP is working with the National Institute of Justice to expand research on the effectiveness of law enforcement activities and to redesign the Arrestee Drug Abuse Monitoring program. ONDCP also has been working with the National Institute on Drug Abuse and the Substance Abuse and Mental Health Services Administration to improve their data systems to identify and track emerging drug problems.
Office of National Drug Control Policy To improve the nation's drug use detection and response capability, the Director, ONDCP, should take action to further improve the federal drug data collection system by determining what data should be collected and developing a systematic approach for gathering, analyzing, and disseminating information.
Closed – Implemented
According to ONDCP, it has pursued a systematic research agenda to improve federal drug data collection, including determining what data should be collected and developing a systematic approach for gathering, analyzing, and disseminating information. ONDCP has worked close with its federal partners to increase the federal government's ability to address critical policy questions through improved data collection and research efforts. ONDCP sees its actions as ongoing. Among these efforts, ONDCP has supported the Substance Abuse and Mental Health Services Administration's expansion and redesign of the National Household Survey on Drug Abuse. ONDCP also requested that questions be added to the survey that would provide an improved estimate of the drug treatment gap. Additionally, ONDCP's High Intensity Drug Trafficking Area program is implementing a new performance management system that includes the identification, collection/validation, and analysis of data sets essential to measuring the program's performance. ONDCP is also working with other federal agencies such as the National Institute of Justice and the National Institute on Drug Abuse to improve existing data collection systems.
Office of National Drug Control Policy To improve the nation's drug use detection and response capability, the Director, ONDCP, should develop a defined strategy for determining the timing, magnitude, and nature of actions needed to appropriately respond to potential drug crises or epidemics, taking into consideration that emerging drug problems surface as local phenomena.
Closed – Implemented
According to ONDCP, it is addressing this recommendation through several activities. Annually, ONDCP asks its federal, state, and local partners to provide recommendations on the development of the Nations' drug control policy. ONDCP is working with federal agencies such as the National Institute on Drug Abuse and the Substance Abuse and Mental Health Services Administration, to improve their data systems to identify and track emerging drug problems. Under its 25-City Initiative, ONDCP is undertaking a major effort to focus on the local drug problems of 25 of the largest metropolitan areas. ONDCP is working with these localities to identify their major existing and emerging drug problems, developing initiatives to address them, and monitoring appropriate data systems to track successes.

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Topics

Substance abuseControlled substancesData collectionSubstance abuseSubstance abuse treatmentInteragency relationsNarcoticsPublic health researchSurveysCocaine