Transcript Document

Challenges to the Substance Abuse
Treatment Community:
Addiction and the Policymaking Process
September 21, 2012
Barry R. McCaffrey
General, USA (Retired)
211 N. Union Street, Suite 100
Alexandria, VA 22314
[email protected]
703-519-1250
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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BIOGRAPHY OF GENERAL
BARRY R. MCCAFFREY, USA (RET.)
Barry McCaffrey served in the United States Army for 32 years and retired as a four-star General. At
retirement, he was the most highly decorated serving General, having been awarded three Purple Heart medals
(wounded in combat three times), two Distinguished Service Crosses (the nation’s second highest award for valor)
and two Silver Stars for valor.
For five years after leaving the military, General McCaffrey served as the Director of the White House Office
of National Drug Control Policy (ONDCP). Upon leaving government service, he served as the Bradley Distinguished
Professor of International Security Studies from 2001-2005; and an Adjunct Professor of International Security
Studies from 2006-2010 at the United States Military Academy at West Point, NY. He served as an Associate
Professor in the Department of Social Sciences from 1973-1976 teaching American Government and Comparative
Politics.
General McCaffrey has been elected to the Board of Directors of the National Association of Drug Court
Professionals and the Atlantic Council of the United States. He is also: a member of the Council on Foreign
Relations; an Associate of the Inter-American Dialogue; Chairman of the Vietnam Veterans Memorial Education
Center Advisory Board; and is a member of the Board of Advisors of the National Infantry Foundation and the
National Armor & Calvary Heritage Foundation. He has served on the Board of Directors of several corporations in
the engineering design, technology, and services sectors. He is on the Board of Directors of CRC Health Group –
the nation’s largest behavioral health care company.
General McCaffrey attended Phillips Academy, Andover, Mass.; and graduated from West Point with a
Bachelor of Science degree. He earned a master's degree in American Government from American University and
attended the Harvard University National Security Program as well as the Business School Executive Education
Program.
In 2007 he was inducted into the US Army Ranger Hall of Fame at the US Army Infantry Center, Ft.
Benning, GA. In May 2010, he was honored as a Distinguished Graduate by the West Point Association of
Graduates at the United States Military Academy.
General McCaffrey is married to Jill Ann McCaffrey. They have three married adult children and six
grandchildren. Their son, Colonel Sean McCaffrey, just retired from the Armed Forces after his third combat tour.
Currently, General McCaffrey is President of his own consulting firm based in Alexandria, Virginia
www.mccaffreyassociates.com. He also serves as a national security and terrorism analyst for NBC News.
GEN Barry R. McCaffrey, USA (Ret.)
September
June 2012
2012
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THE NATURE OF ADDICTION
• Adolescent drug behavior.
• Neuro-chemical changes in brain function.
• Co-morbidity (mental health).
• The influence of environment.
• The influence of genetics.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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DEALING WITH ADDICTION
• Prevention and education.
• Science based treatment:
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12 step model
Cognitive theory
Behavioral health care
Medical/Pharmaceutical intervention
Maintaining sobriety
• Drug Courts and Social Disapproval.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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THE COSTS OF ADDICTION
• The impact of an addict on the work force,
medical system, public safety, criminal justice.
• A three generation disease.
• Good government and corruption.
• Drugs, terrorism, international crime.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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VETERANS –
THE NATURE OF ADDICTION
• History of adolescent drug behavior.
• Addictive Neuro-chemical changes in brain function.
• Co-morbidity (mental health).
• The influence of environment (parents, peers).
• The influence of genetics.
• U.S. military illegal drug use rates low but increasing.
• Alcohol abuse a major problem – 27% returning Iraq/Afghanistan
troops.
• Prescription drug misuse up 11%.
GEN Barry R. McCaffrey, USA (Ret.)
September
June 2012
2012
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THE POLICYMAKING PROCESS
Policy Evaluation
Problem Recognition
and Definition
POLICIES
Agenda Setting
Policy Formulation
ONDCP
USDA
Policy Implementation
Budgeting
Policy Adoption
HHS
Congress DoJ/DEA
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
Treasury
Customs
DoS
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REAL DECISION-MAKING
IN WASHINGTON
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Shape health care policy arguments based on logic-merit-principle. Do not
anticipate what the politics will allow. (Colin Powell)
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Write the concept paper – own the argument. (If your spouse can’t follow the
jargon – it will not work on Congress and the media.)
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Talk about the policy – control the budget.
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Trick the senior policy officials into reading your work. (They never forget oldbad data.)
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Form inter-agency teams at the career professional level. (Integrity and good
ideas.)
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Work the media with experts – the people have a right to know.
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Work the Congress and staff – do not hide until end game.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
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WORKING WITH CONGRESS
ON HEALTH POLICY ISSUES
• Educate and inform – no “lobbying.” Absolute integrity.
• Leverage travel opportunities – CODELs and STAFFDELs to key behavioral health
care events.
• Listen and respond rapidly.
• Anticipate Congressional concerns to proposed policies.
• Propose prompt solutions to problems that have Congressional interest or require
Congressional assistance.
• Build and maintain relationships with Members of Congress and staff.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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THE POLICY PROCESS AND THE MEDIA
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The media can’t do their job effectively unless you help.
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The career bureaucrats tend to automatically hide information – both good
and bad. The senior political leaders leak all their info.
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The media need news – sound bites, conflict, names.
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They work on deadlines. They will be objective. They will keep their
word.
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Form long-term relationships with serious print media.
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When there is a problem – get in front of TV cameras.
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You can refuse to help shape the story – they will still do the story.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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INFLUENCING HEALTH POLICY IN CONGRESS
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Professional Associations.
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House and Senate Health Policy Caucus.
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Former Health experts working on the Hill
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Health Care Industry Government Relations Representatives.
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HHS, DOJ, Department of Education -- Legislative Affairs Offices and
Principals.
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The Media.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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CHANGING DRUG POLICY
• We must “work” both the Executive and Legislative Branches.
• Active and honest engagement with Congress is essential in gaining
support for health policy with the resources needed.
• Engaging Congress is not a burden – it is a Constitutional
requirement.
• Healthcare industry must maintain independent, best expert judgment
and advice regardless of Administration.
GEN Barry R. McCaffrey, USA (Ret.)
September 2012
www.mccaffreyassociates.com
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