1. Public Health

2. Geno, pls. research on TC and public health issues

3. “Surely there must be something more to life than treating patients, writing prescriptions, ordering diagnostic tests and doing surgery?”

4. Why Public Health? Opiates – 0.05% (2005) Cocaine – <0.01% (2005) Cannabis – 0.08% (2008) Amphetamine – 2.1% (2008) UN World Drug Report, 2010

5. Opiates – 30,000 Cocaine – 6,000 Cannabis – 47,000 Amphetamine – 1,234,743 Treatment – 3,000 NSO Population Data, 2010

7. Ounce of Prevention Many treatment programs are expensive, labor-intensive and plagued by high rates of recidivism (Botvin & Griffin, 2005)

8. Therapeutic Community Dropout 50% within the first 30 days. Some studies show that of those who stay beyond the first month, approximately 60% of residents complete TC programs, 1/3 of those graduates will relapse to drug use. Gibbons, Anderson and Garm, THE THERAPEUTIC COMMUNITY TREATMENT MODEL: OVERVIEW AND ANALYSIS OF KEY THEMES AND ISSUES 2002

9. Demand “Does drug education work?” Yes 1.Timing and Programming Considerations – (timing, needs, goals, booster sessions) 2.Content and Delivery – (Social Influence, interactive, focus on behavior change, single drug focus, peer interaction) Vinluan, 2009. History of Preventive Drug Education

10. Demand 3.Skills of teacher 4.Dissermination – (Marketing and Cost)

11. What’s the other item in the curve? Supply. In Singapore, long term imprisonment, caning and capital punishment. Heroin – 2 grammes vs 10 grams Cocaine – 3 grammes vs 10 grams Meth – 25 grammes vs 50 grams Cannabis – 30 grammes vs 500 grams Misuse of Drugs Act 1998 revised RA 9165 2001