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

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  • Drug treatment program is helping local inmates overcome addiction

    The Bartholomew County Jail's drug treatment program started in January 2020 with a rigorous application process, followed by about 400 hours of group and individual therapy for incarcarcerated people with drug abuse problems. The therapy attempts to unlock the reasons why each person's previous attempts to get healthy have failed. All but five of the 49 graduates so far have stayed out of jail and stayed in touch with the program, which helps them after their release with housing and job searches.

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  • Addiction treatment drug buprenorphine easier to prescribe under Biden

    Bupreneophine (also known as Suboxone) is a highly effective medication to treat opioid use disorder and addiction. It is life-saving, both in reducing the risk of fatal overdoses and helping people function better as they get treatment for their disorder. But prescribing and dispensing it is in many ways more highly regulated than the prescribing and dispensing of opioids themselves. A researcher who surveyed pharmacies found that many refuse to dispense the medication out of fear of regulatory sanctions or because of misplaced moral objections to medication-assisted treatment.

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  • Officers try to break stigma, offer help to drug users

    Tucson Police Department's Substance Use Resource Team reaches out on the streets to people with substance-use disorder, offering them treatment instead of arrest and jail. The team is an extension of the department's mental health support team and was started in response to the opioid epidemic. Officers talk to people they find on the streets, or follow up on 911 calls for overdoses. Not everyone accepts the offered help, and some end up arrested on warrants. But, at a time of rising overdose deaths, the officers and the peer support specialists who accompany them often can get people into treatment.

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  • Portland's Bybee Lakes Hope Center: A jail no more

    Multnomah County sold its unused Wapato Jail to a developer whose nonprofit partner has used grants and donations to turn the former jail into Bybee Lakes Hope Center, a residential treatment program for unhoused people. After two weeks in temporary homeless-shelter status, people can opt to enroll in a three-month treatment program, something that 65% of them have agreed to do. That program combines sober living rules with job training and other services. Nearly 200 people have completed the program. The center is working on a large expansion project providing hundreds more beds.

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  • Restorative Justice in Indian Country

    Like standard drug courts, the Penobscot Nation's Healing to Wellness Court refers people facing drug-related criminal charges to substance abuse counseling as an alternative to punishment. But this court and other tribal wellness courts are steeped in indigenous customs, blended with restorative justice approaches, to emphasize rehabilitation based on trust, support, and native traditions. The threat of punishment looms over participants should they fail in their counseling program. But no one has been jailed in the past two years in the Penobscot program.

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  • Charlotte is taking a new approach to drug cases. It could change lives.

    The Mecklenburg County district attorney stopped prosecuting non-violent, low-level drug cases to free up resources to handle a backlog of more serious cases that built up during the pandemic. The policy had the effect of freeing people from the permanent stain of a criminal conviction and offering them drug treatment as an alternative to punishment.

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  • Translating Portugal's Approach to Drugs and Addiction

    In the 20 years since Portugal decriminalized possession of personal amounts of all drugs, deaths from HIV and overdoses declined and more people take advantage of expanded drug treatment programs. Treating the country's addiction-related problems as a health concern rather than a crime has been embraced domestically and copied by other places, including most recently in the U.S. by Oregon. Portugal's experience serves in part as a cautionary tale about tailoring policies to local conditions and following through on ideals with clear, measurable approaches. Copying the program outright is not simple.

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  • How a Colorado town is untangling behavioral health care from the criminal justice system

    Acting on a recognition that police and the criminal justice system are too involved in responses to mental health and substance abuse crises, UCHealth formed mental health response teams that partner with Fort Collins police on such calls. In about 80% of calls the teams handled, no arrests were made while people received treatment or were referred to needed services. This program plus one that diverts certain criminal cases into treatment, which can result in dismissal of charges, have built-in drawbacks but have begun de-emphasizing criminal-justice remedies when people need other help.

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  • A month into pilot program, Portland Street Response Team brings hope to the streets

    In its first month of operation, Portland Street Response Team began intervening with people on the streets who are experiencing substance abuse or mental health problems. The program, modeled on Eugene, Oregon's CAHOOTS program, provides counseling and paramedic services on 911 calls that once were handled only by police or fire officials. The pilot program is limited to one neighborhood and daytime hours, but will expand if results continue to show positive impacts. The target neighborhood was chosen for its cultural diversity and large numbers of people experiencing homelessness.

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  • Will New York allow incarcerated people to access treatment for drug addiction?

    Medically assisted treatment is proven to reduce fatal opioid overdoses, particularly among formerly incarcerated people. When people are denied treatment in jail or prison and then resume their previous doses once they're released, they are up to 40 times more likely to die of an overdose. Only 18 of New York's county jails and fewer than one in five of its prisons provide access to such treatment drugs as Suboxone and methadone. When Rhode Island became the first state to make MAT available throughout its prisons, its overdose deaths among people recently released from incarceration dropped 60%.

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