States have implemented a variety of legal and policy approaches to address the overdose epidemic. Some approaches, like increasing access to naloxone and connecting overdose survivors with evidence-based treatment, have a strong public health foundation and a compelling evidence base. Others, like increasing reliance on punitive criminal justice approaches, have neither. This article examines law and policy changes that are likely to be effective in reducing overdose-related harm as well as those that are likely to increase it.
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References
1.
National Center for Health Statistics, “Drug Overdose Deaths in the United States, 1999-2017,” NCHS Data Brief No. 329 (November2018); A. Azar, Renewal of Determination That a Public Health Emergency Exists,” 2019.
2.
C. S.Davis, “The SUPPORT for Patients and Communities Act — What Will It Mean for the Opioid-Overdose Crisis?”New England Journal of Medicine380, no. 1 (2019): 3-5.
3.
T. C.Green, E. G.Martin, S. E.Bowman, M. R.Mann, and L.Beletsky, “Life after the Ban: An Assessment of Us Syringe Exchange Programs' Attitudes about and Early Experiences with Federal Funding,”American Journal of Public Health102, no. 5 (May2012): e9-16; C. S. Davis and D. Carr, “Legal Changes to Increase Access to Naloxone for Opioid Overdose Reversal in the United States,” Drug Alcohol Depend 157 (2015): 112-120.
4.
L.LaSalle, “An Overdose Death Is Not Murder: Why Drug Induced Homicide Laws Are Counterproductive and Inhumane,”Drug Policy Alliance (2017).
5.
Id.
6.
S. R.Friedman, E. R.Pouget, S.Chatterjee, C. M.Cleland, B.Tempalski, J. E.Brady, and H. L.Cooper, “Drug Arrests and Injection Drug Deterrence,”American Journal of Public Health101, no. 2 (2011): 344-349; V. Wright, Deterrence in Criminal Justice: Evaluating Certainty vs. Severity of Punishment (Washington, D.C.: The Sentencing Project, 2010).
7.
A. D.Latimore and R. S.Bergstein, “‘Caught with a Body’ yet Protected by Law? Calling 911 for Opioid Overdose in the Context of the Good Samaritan Law,”International Journal of Drug Policy50 (2017): 82-89.
8.
C.McClellan, B. H.Lambdin, M. M.Ali, R.Mutter, C. S.Davis, E.Wheeler,et al., “Opioid-Overdose Laws Association with Opioid Use and Overdose Mortality,”Addictive Behaviors86 (2018): 90-95.
9.
L.Beletsky, “America's Favorite Antidote: Drug-Induced Homicide in the Age of the Overdose Crisis,”Utah Law Review (in press).
10.
M. R.Larochelle, D.Bernson, T.Land, T. J.Stopka, N.Wang, Z.Xuan, S. M.Bagley, J. M.Liebschutz, and A. Y.Walley, “Medication for Opioid Use Disorder after Nonfatal Opioid Overdose and Association with Mortality: A Cohort Study,”Annals of Internal Medicine (2018).
11.
Health in Justice Action Lab, “Involuntary Commitment for Substance Users,”2018.
12.
D.Becker, “It's a Prison. It's Punishing Addicts': Calls to Reform Civil Commitment Increase,”WBUR, December14, 2018.
13.
I. P.Bhalla, N.Cohen, C. E.Haupt, K.Stith, and R.Zhong, “The Role of Civil Commitment in the Opioid Crisis,”Journal of Law, Medicine & Ethics46, no. 2 (2018): 343-350.
14.
Massachusetts Department of Health, “Chapter 55 Overdose Report,”2017; P. Christopher, B. Anderson, and M. D. Stein, “Civil Commitment Experiences among Opioid Users,” Drug Alcohol Depend 193 (2018): 137-141.
15.
D.Werb, A.Kamarulzaman, M. C.Meacham, C.Rafful, B.Fischer, S. A.Strathdee, and E.Wood, “The Effectiveness of Compulsory Drug Treatment: A Systematic Review,”International Journal of Drug Policy28 (2016): 1-9.
16.
I. A.Binswanger, P. J.Blatchford, S. R.Mueller, and M. F.Stern, “Mortality after Prison Release: Opioid Overdose and Other Causes of Death, Risk Factors, and Time Trends from 1999 to 2009,”Annals of Internal Medicine159, no. 9 (2013): 592-600.
17.
Rhode Island Governor's Overdose Prevention and Intervention Task Force, “Rhode Island's Strategic Plan on Addiction and Overdose: Four Strategies to Alter the Course of an Epidemic,” Providence, RI, 2015.
18.
S.Darke, S.Kaye, and R.Finlay-Jones, “Drug Use and Injection Risk-Taking among Prison Methadone Maintenance Patients,”Addiction93, no. 8 (1998): 1169-75; K. A. Dolan, J. Shearer, B. White, J. Zhou, J. Kaldor, and A. D. Wodak, “Four-Year Follow-up of Imprisoned Male Heroin Users and Methadone Treatment: Mortality, Re-Incarceration and Hepatitis C Infection,” Addiction 100, no. 6 (2005): 820-828.
19.
T. C.Green, J.Clarke, L.Brinkley-Rubinstein, B. D. L.Marshall, N.Alexander-Scott, R.Boss, and J. D.Rich, “Postincarceration Fatal Overdoses after Implementing Medications for Addiction Treatment in a Statewide Correctional System,”JAMA Psychiatry75, no. 4 (2018): 405-407.
20.
B.Schwartzapfel, “When Going to Jail Means Giving Up the Meds That Saved Your Life,”The Marshall Project, 2019.
