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The U.S. National Drug Control Strategy developed by the Office of National Drug Control Policy has two components: supply reduction and demand reduction. Supply reduction involves efforts to lower the amount of illicit drugs available in the United States through interdiction, domestic law enforcement, and international efforts. Demand reduction refers to activities designed to stop young people from using illicit drugs or to intervene in the progression of experimental use of these substances to regular use (called "prevention") and services for people who have already developed problems with illicit drugs (called "treatment").

The demand reduction portion of the federal budget has ranged from nearly $6 billion in 2001 to a proposed $4.6 billion in fiscal year (FY) 2008. As a proportion of the federal drug control budget, demand reduction will be 35.6% in FY 2008 compared to 64.4% for supply reduction activities. The percentage of financial resources devoted to demand reduction has been decreasing since 2002. Nearly 66% of the demand reduction funds are directed toward treatment and the remainder toward prevention.

Prevention

The rationale for substance abuse prevention as a demand reduction strategy is quite simple. If it is possible to prevent young people from experimenting with illicit drugs, then the consequences of drug abuse and addiction can be avoided. Because these consequences are extremely serious (e.g., accidents, health problems, incarceration, family disruption, employment issues, and many others), it makes sense to make prevention a priority.

However, prevention receives a relatively low proportion of federal drug control dollars compared to other initiatives. In addition, there is considerable controversy regarding the best ways to spend these resources. As would be expected, nearly all federal prevention activities are directed toward children and adolescents.

Federal Initiatives

The National Institute on Drug Abuse (NIDA), a part of the U.S. Department of Health and Human Services, provides funding for prevention (and treatment) research. In the past few years, NIDA has supported research on prevention of escalation from early drug use to regular use, prevention of abuse and addiction, and the role of primary health care professionals in drug abuse prevention. NIDA also funds basic research related to prevention, such as understanding the neuro-biological consequences of environmental Stressors during childhood and adolescence as they pertain to drug use and addiction. This type of research might investigate chemical changes in the brains of young animal subjects that occur in response to a stressful situation (e.g., abuse) and the relationship between these chemical changes and chemical changes that result from drug craving. NIDA has also produced a guide on preventing drug use among children and adolescents.

The Office of Justice Programs in the Department of Justice has administered the Underage Drinking Prevention Program, a grant program for states to support efforts to prohibit the sale of alcoholic beverages to minors and the purchase and consumption of alcoholic beverages by minors. However, the president's budget has recommended the elimination of this program every year since 2004. Up to this time, Congress has ignored this recommendation and maintained this program.

The U.S. Department of Education has had two substance abuse prevention programs: the Safe and Drug-Free Schools and Communities (SDFSC) state grants and the SDFSC national programs. The SDFSC state grant funds are given to governors (20%) and state educational agencies (80%). The state educational agencies are required to distribute 93% of the funds to local education agencies (i.e., school districts) for a wide variety of activities to prevent or reduce violence and delinquency and the use, possession, and distribution of illegal drugs.

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