Artwork stating 'Education Destroys Barriers', 'We Demand Treatment', and 'I Need A Chance'

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  • ‘Every man was drinking': how much do bans on alcohol help women in India?

    The Bihar, India, state government banned drinking and selling alcohol in 2016 after women in the mostly rural state mounted protests blaming men's alcohol abuse for rampant violence against women. Hundreds of thousands of arrests, carrying severe penalties, resulted from the ban. Previous bans in Bihar and other states failed because of unpopularity and loopholes. This one has some evidence to suggest a 15% decline in drinking, but only a 4% decline in violence, while bootlegging and other crimes have increased. The prohibition protests have spread to other states.

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  • Eagle County problem-solving courts offer new hope to repeat offenders battling substance abuse

    Eagle County's two problem-solving courts put treatment ahead of punishment when addressing crimes committed by people with substance abuse problems. Originally set up as one court, they now function separately to address drunken driving and drugs and serve people "teetering on the edge of serious prison time" for repeat offenses. More than 90 percent of participants in 2020 maintained sobriety and more than 80 percent avoided new legal troubles. While the threat of punishment is used to win compliance with rules, prosecutors say they're more interested in permanently curing the underlying disease.

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  • Colorado's Harvest Farm Battles Addiction and Homelessness in Unexpected Ways

    Harvest Farm is an experiential recovery program that helps men experiencing homelessness and struggling with substance abuse achieve sobriety and become self-sufficient with stable work and housing. The program is free and a minimum of 6 months. The men toil on the farm and have access to case managers, addiction support groups, life and career development classes, and counseling. In the last phase of treatment, many hold jobs off of the farm, which provides added support through the post-graduation transition. A year after graduating, 70% of participants maintain housing and sobriety.

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  • Opioid Crisis: Northern cities working toward supervised consumption sites

    Oasis is a supervised drug consumption site in Ottawa that reduces the risk of death from accidental overdose and reduces the spread of infectious diseases. In 2020, operating at reduced capacity because of COVID-19, the site had 18,500 visits with no fatalities reported. The site has five booths and distributes clean needles. After registering anonymously, users can spend up to 30 minutes in a booth with medical staff on site. They also have the option of moving to a post-injection space afterwards, which allows the staff more opportunities to connect with users and connect them to other services.

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  • Opioid Crisis: Naloxone kits 'saving a life today, changing it for tomorrow'

    Paramedics with Cochrane District Emergency Medical Services distribute naloxone kits and provide education wherever they are. From coffee shops to their emergency calls on the street, paramedics distribute 20 to 40 naloxone nasal spray kits a month to people dealing with addiction as well as their families and friends. Each ambulance stocks the kits and display stickers that let the public know they are available. They’ve begun offering refill kits that just restock the naloxone itself. An electronic code allows the Cochrane EMS to track how many kits are given out and to provide quality assurance.

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  • Fresh start: Using agriculture to build confidence during recovery

    Blanchet House is a nonprofit that provides food and housing for people in need. Men who are recovering from substance abuse can live at the farm and have an opportunity to work on the land and learn skills that promote self-sufficiency and confidence. Men generally stay up to 8 months with free room and board, attend daily AA and NA meetings, and are assigned jobs like tending to the animals and ground maintenance. Unlike other sobriety programs that emphasize deep self-reflection, Blanchet House focuses on the physical component of getting your hands dirty and learning responsibility.

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  • The Path Forward: Decriminalizing addiction through diversion

    In Alamosa County, law enforcement officers who believe drug abuse is at the root of a person's criminal behavior can refer that person to treatment and other services, rather than arresting and jailing them. The Law Enforcement Assisted Diversion (LEAD) program, used in multiple places around the country, has helped the county jail fewer people and send more into treatment. It also has caused a large drop in arrest warrants, because case workers help people make their appointments in court and elsewhere. Now, San Miguel County, N.M., is working to adopt LEAD, though it needs more treatment facilities.

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  • Lummi Nation Creates a Community to Support Families

    The Lummi Tribal council created Sche'lang'en Village to provide a supportive community for Native families that have been torn apart by the foster system, drugs, or domestic violence. The more than 30 families accepted to the low-cost housing project receive a host of services to help them recover and build better futures. A disproportionate number of Native children are taken from their families into foster care, which damages not only families but the Native culture.

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  • In Southwest Virginia, Reestablishing a Rural Hospital System Requires Rebuilding Trust

    When two hospital systems merged to create Ballad Health, agreements ensured all hospitals would stay open for at least five years and essential services in each of the rural and poorly served counties would be maintained. Enforceable price controls lowered patient costs and, in an effort to rebuild community trust and improve overall health, $308 million was committed to community-based care. The community health programs are based on the missions of organizations like Health Wagon, which serves its rural patients by forming personal relationships, being easily accessible, and understanding their needs.

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  • ‘Know Your Script' initiative shows success in fight against opioid epidemic

    Intermountain Healthcare implemented an opioid reduction plan as part of Utah’s statewide ‘Know Your Script’ initiative. The plan, which includes an opioid-free surgery program that utilizes nerve blockers and non-opioid pain medications, has led to 11 million fewer opioid prescriptions. While not all surgeries can be performed this way, it has given recovering addicts a treatment alternative. The healthcare system also educates medical staff on ways to reduce opioid prescriptions and empowers patients to tell their providers that they do not want opioids.

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