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

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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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  • The "Secret Handshake"—A Program Gifting Cannabis to Unhoused People

    In Los Angeles, the Sidewalk Project gives unhoused people gifts of marijuana to ease their anxiety and to show kindness. Since its start in the spring of 2020, the group has gifted gram-sized portions of weed nearly 1,000 times. The harm-reduction group gets its supply from growers who donate weed that isn't up to commercial-grade snuff. Evidence is mixed on whether marijuana is an effective antidote to opioid withdrawal symptoms, but Sidewalk says it has helped some by making them more relaxed. Personal use of marijuana is legal in California, with restrictions on quantities that can be transferred.

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  • Local group gives LGBTQ, BIPOC communities and allies inclusive recovery space

    Diversity in Recovery created an inclusive space for the LGBTQ community, Black and Indigenous people, people of color, and allies, many of whom report negative experiences because of their race, sexuality, and/or gender in other recovery groups. The group provides a safe and affirming space to support each other in recovery and discuss issues that also impact recovery, including conversations about trauma and current events, such as racial injustices and political insurrections. Because of Coivd-19, the group meets twice a week on Zoom, which has enabled people from outside the city to attend.

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  • Almost a year after opening, Compass House provides direction amid safe surroundings

    Compass House provides safety and support for women, many of them newly released from incarceration, who struggle with substance misuse issues or mental illness. The transitional housing program is the first of its kind in a state that is sorely lacking in such services. Peer support and professional counseling and treatment can last a year or more. The women in the program, who are at high risk of homelessness without a refuge like Compass House, pay 30% of their income for rent, with the rest of the costs covered by a state agency.

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  • 'They probably saved my life' | Former inmate says nonprofit keeps him, others out of jail

    St. Louis' Concordance Academy of Leadership turns the traditional approach to prison re-entry programs on its head. Rather than pushing people just released from prison to find housing and a job, the academy pays its participants a living wage while it provides them with the counseling and other support they need not to slip back into trouble. Once their lives are stable, they focus in the 18-month program on employment. The 6-year-old program improves the chances of staying out of prison by more than 40%, according to one study. Concordance is raising the money it needs to expand to other cities.

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  • 'A chance to choose life': For some, drug courts break cycle of addiction and crime

    Cheshire County Drug Court provides intensive drug addiction treatment, behavioral therapy, and other services to help people charged with crimes whose drug problems are their underlying problem. Since 2013, it has helped dozens of people avoid re-offending and put their lives on track. Like other drug courts, it is not suited to all circumstances and its coercive nature – jail is threatened for failure to follow the rules – has its critics. But graduates credit it with saving their lives. And it serves as a gateway to services that people might not otherwise have access to.

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  • How Oregon's Radical Decriminalization of Drugs Was Inspired by Portugal

    After Portugal decriminalized hard drugs in 2001 to treat drug use as a health problem and not a crime, the country expanded treatment services that produced sharp drops in drug-overdose deaths and HIV infections. Its numbers of people incarcerated on drug charges also dropped by nearly half. The Drug Policy Alliance studied Portugal's approach and made a modified version of it the model for Oregon, where courts and prisons have been the gateway to the state's limited treatment services. Oregon voters approved decriminalization and a vast increase in treatment programs that will roll out in 2021.

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