So, when are we going to do something about it other than continue to good ol adage of the 80's 'Say No'. Its not working, prevention is outdated, and efforts to scare are ridiculous. Prescriptions are rampant, heroin is an epidemic and its being made across the border, the death toll is rising. Treatment is just the beginning but education is key: to society, to families, to social workers and perhaps needing a mass media message. Which one? How about one that places the truth as the forefront? That addresses the epidemic. That reflects the true numbers and attends the lack of attention to outcomes. If 30 day treatment is not working and outcomes have not gotten better with time, what is missing? Wheres long term housing with an emphasis on life skills for youth? Who is leading these movements? Its time for action.