The Robert Wood Johnson Foundation - Annual Report 2002
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Substance Abuse
 
  Reclaiming Futures | Rosebud, South DakotaDespite continued progress in reducing alcohol abuse and the use of tobacco and illegal drugs, substance abuse continues to take a substantial toll on human life and financial resources. Substance abuse remains the nation's top public health problem, accounting for approximately one in four (500,000) deaths annually in the United States. The economic burden, underscored by the costs of illness and crime, is equally staggering—about $414 billion a year.

In 1991, the Foundation formally adopted as a goal reducing the harm caused by substance abuse. Since then, our programs have included supporting innovative institutions, building public interest and support for policy change, creating and communicating new information about substance abuse, and integrating the most effective prevention and treatment strategies into the nation’s legal and health care systems. The progress of the past decade reflects those efforts. Overall, rates of illicit drug and alcohol use are down from peak levels in the late 1970s and early 1980s, respectively, and tobacco use has declined since the mid-1960s. The most recent data released by the National Institute on Drug Abuse and the University of Michigan show that smoking among high school seniors is at its lowest level in 27 years. Public awareness of the dangers of substance abuse is up, and prevention and treatment strategies are increasingly effective.

Yet illicit drugs are still widely available, tobacco and alcohol continue to be easily accessible to underage youth, and more young people are experimenting with and using some substances. Finally, while effective prevention and treatment programs do exist, they are underused and not broadly available.

 

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