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Use Adobe Acrobat Reader version 10 or higher for the best experience. Most of the expense results from the intangible burden that addiction places on dependent users and their premature mortality and from crime and criminal justice costs. Although the cost estimates focus attention on the primary cost drivers, more work is needed to identify areas in which interventions to reduce meth-use harms could prove most cost-effective. Although the prevalence of amphetamines, particularly methamphetamine meth , has recently increased, meth is not nearly as much a part of the national discussion as cocaine, heroin, marijuana, and prescription-drug abuse are. This is partly because the meth situation is a complicated story of conflicting indicators. National household surveys and school-based studies suggest that meth is a drug of relatively minor concern, but regional data systems, law-enforcement agencies, and county hospitals indicate that meth is the most significant problem facing the populations they serve. Also, despite the documented harms associated with meth use, research has not attempted to quantify the cost or burden that meth places on society. This study attempts to help fill the void, building the first national estimate of the economic burden of meth use, based on information from the most recent year for which the needed data are available. Meth-use data are far from complete or comprehensive, and the scientific literature has yet to develop consistent evidence of causal associations for many of the harms meth is believed to cause; thus, researchers created a range of estimates. The table documents the key meth-use cost contributors, providing a best estimate shaded cells and upper and lower bounds to account for the uncertainties. The former was measured by quantifying the impact that having a lower quality of life has on those addicted to the drug. Premature mortality of meth users was estimated at around deaths in — much higher than the number of marijuana-related deaths in any given year. Substance abuse is a key contributing factor in two-thirds of those removals, although researchers must make some assumptions about the specific role of meth. The health care total is likely an underestimate because it includes only the incremental costs for other conditions, even though a share of those conditions may have been caused by meth and meth-induced behaviors. About half the casualties are suffered by responding emergency personnel, but the more serious and costly events are not those suffered by first responders. The cost estimates focus attention on the primary drivers of meth-use costs, but more work is needed to identify areas in which interventions to reduce meth-use harms could prove most cost-effective. More research would be fruitful in a number of areas; specific areas likely to translate into substantial costs in terms of the overall burden include meth-associated crime, child endangerment in non—foster-care settings, employer costs of hiring meth workers, and health care costs associated with treating meth-induced health problems. Finally, the study suggests caution in interpreting the evidence from national household surveys and school-based studies that suggest that meth use is a relatively minor drug of concern. Those who impose the greatest cost on society are those who become addicted, engage in crime, need treatment or emergency assistance, cannot show up for work, lose their jobs, or die prematurely — populations not adequately represented in such studies and surveys. Nancy Nicosia , Rosalie Liccardo Pacula , et al. RAND research briefs present policy-oriented summaries of individual published, peer-reviewed documents or of a body of published work. Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. Related Products Report. PDF file.

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