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FOREWORD
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For the third time in as many years, Mexican and American officials and experts gathered at a bi-national conference to collaborate in reducing drug use in both countries. The understanding, goodwill, cooperation and work products generated during and in preparation for these conferences demonstrate what can result when suspicion and blame are set aside for the common good. With each successive conference, bi-national relationships and tools were created that can continue to effectively serve the people of the United States and Mexico throughout the normal periodic changes in leadership that take place in both countries.

While Mexico and the United States have worked together on drug issues for many years, our collaboration took dramatic steps forward under the leadership of Presidents Zedillo and Clinton, prompted in part by the greater economic interdependency fostered during their administrations by the creation and implementation of the North American Free Trade Agreement. In March 1996 the U.S.-Mexico High Level Contact Group for Drug Control (HLCG) was created. In May 1997 at the Mexico City Summit, the two presidents signed a 16-point Alliance against Drugs designed to strengthen our nations’ joint commitment to reducing drug use. Then in February 1998 the two countries produced a Bi-National Drug Strategy that committed both nations to specific measures in the fight against illegal drugs. Both documents reinforce our commitment to reduce the availability of drugs through aggressive interdiction, tough law enforcement and sound judicial processes, but their first priority is together meeting the challenge of eliminating the demand for drugs in both countries.

One of the demand reduction measures in the Bi-National Drug Strategy was to convene a bi-national conference on demand reduction. The first conference, held in El Paso, Texas, USA, in March 1998, was exploratory in nature. Over 250 researchers, practitioners, and treatment and prevention experts in both countries gathered to share their expertise, exchange ideas, and strengthen our shared ability to reduce drug use. From the conference came the beginnings of a framework for joint efforts in demand reduction. Working groups generated explicit strategies in eight areas including research cooperation and the exchange of technical information, public awareness, community participation, youth, special populations, the workplace, HIV/AIDS, and violence and drug-related problems.

Between the first and second conferences, the bi-national demand reduction working group formed by the HLCG developed Performance Measures of Effectiveness (PMEs) to implement the strategies conceived at the first conference. The group identified 108 target actions, 22 of which were bi-national in nature. Before the second conference, 19 of those bi-national target actions were accomplished.

Over 300 people attended the second Bi-National Conference on Demand Reduction June 1999 in Tijuana, Baja California, Mexico. The PMEs developed between conferences to implement the first year’s workgroup strategies were reviewed, adjusted, and supplemented by the second year’s workgroups (reduced to five from eight: research, treatment, prevention, public awareness, and the workplace). Participants were encouraged and excited by all that had been accomplished between conferences and were anxious to build on that momentum.

In addition to plenary sessions and work groups, this second conference featured pre-conference professional development workshops and guided tours to Tijuana research and treatment and prevention centers. Also, special sessions were held for representatives of non-governmental organizations (NGOs) involved in prevention and treatment and for youth participants. Among other actions, the youth agreed to work toward the creation of a Bi-National Youth Organization Coalition for the Prevention and Control of Addictions.

The third Bi-National Demand Reduction Conference, which is described in these proceedings, met in Phoenix, Arizona, USA, in May 2000. Building on the accomplishments of the prior two conferences, this conference’s objectives were:

  • To identify future needs within drug control policy and ways the U.S. and Mexico can work domestically and bi-nationally, benefiting from one another’s ideas and experiences;

  • To bring together key policy makers, researchers, community members, and others from both countries to encourage networking, information sharing, and long-term relationships;

  • To develop a bi-national research agenda;

  • To expand bi-national youth-oriented substance abuse treatment and prevention efforts;

  • To expand bi-national linkages and exchange of technical expertise in the field of substance abuse treatment, especially within the criminal justice system.

The 2000 conference brought together 426 participants for 2½ days of meetings. It was preceded by a research symposium and by three concurrent sessions for non-researchers: Advancements in Prevention Interventions; Advancements in Treatment Interventions; and Initiating and Evaluating Public Awareness Campaigns. Throughout the conference, workshops were organized along three tracks: Prevention, Treatment, and a new emphasis: Linking the Public Health and Public Safety Systems. While these were going on, youth participants convened the first annual meeting of the Bi-National Youth Organization Coalition for the Prevention and Control of Addictions that had been organized the year before. A fourth bi-national conference is scheduled for September 2001 in Mexico.