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

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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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  • A New Tool in Treating Mental Illness: Building Design

    Across the U.S. an influx of new mental health facilities are being designed through a lens of "evidence-based" architecture that aims to use the design itself as a means of treatment. With studies indicating that access to nature and green space can reduce stress, these new facilities aren't "just about being warm and fuzzy."

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  • Therapy From the Living Room

    When the coronavirus pandemic made in-person therapy sessions too risky to schedule, therapists in the Czech Republic moved their services online and set up a hotline for patients to call when needed. Although it's yet to be seen if the service will remain financially viable in regards to health insurance reimbursements, it has helped eliminate many barriers including transportation troubles and feelings of stigma.

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  • After #EndSARS, community support helps Nigerians heal wounds

    To help alleviate the psychological toll of protesting against the Special Anti-Robbery Squad (SARS) in Lagos, two advocacy groups spearheaded a helpline that connected callers with counselors and listeners. The helpline uses task-sharing, so that calls are routed to either trained mental health counselors or psychotherapists and psychiatrists, depending on the severity of the concerns.

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  • In Brattleboro, a new kind of police patrol pushes treatment, not jail

    Police officers paired with substance abuse counselors go onto Brattleboro's streets to offer no-strings-attached help to people using drugs. Without using arrests or other coercion, the Project CARE "recovery coaches" have connected dozens of people to rehab and other needed services since the program began in July 2018. Modeled on bigger, successful programs in Gloucester and Brockton, Massachusetts, CARE's effect on overdoses is unknown and the involvement of police is seen by some as a drawback. But the outreach has let the community know help is available for the asking – even from cops.

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  • Prosecutors try to keep people out of pandemic-clogged courts through diversion programs

    Missouri legislators passed a law in 2019 clarifying that prosecutors can divert criminal cases to social services and healthcare agencies even before charges are filed. Small experiments that had been taking place in recent years suddenly grew in St. Louis County to help the courts focus only on serious cases during pandemic shutdowns. Now those innovations are spreading, as more drug cases and other low-level cases avoid the courts altogether. This eases the burden also on people, who in traditional drug courts still get arrested and face employment barriers even if their cases eventually get dropped.

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  • After 3 years and $1.5 million devoted to testing rape kits, Alaska made one new arrest

    Despite hopes that testing a backlog of rape kits would reveal many new serial-rape suspects, Alaska's three-year push to test 568 kits under the federally funded Sexual Assault Kit Initiative led to only one new prosecution. The reasons the program fell short of expectations include a lack of usable DNA samples, errors by investigators, cases in which victims and suspects had died or victims no longer wished to proceed, or the kits revealed no evidence that wasn't previously known. Alaska is now footing the bill to test more kits, which contain physical evidence collected after a rape.

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  • Pima County program getting people out of jail quicker, speeding up chances for a new life

    An array of services in Pima County, Arizona, greets hundreds of people getting released early from jail or helps keep them out of jail in the first place. By providing drug treatment, housing, job assistance, and other help that people need instead of incarceration, the county's Criminal Justice Reform Unit and Jail Population Review Committee saved the county $2 million in jail costs over just part of 2020. Drug use also declined and officials hope to see longer-range benefits in lower recidivism.

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  • After a sexual assault, where can you get a medical and forensic exam?

    A critical element in responding to rapes with trauma-informed victim care that aids an eventual prosecution is a sexual assault forensic exam. Rape kits, as they are known, are best administered by highly trained Sexual Assault Nurse Examiners (SANEs). But the first nationwide census of available SANEs shows enormous gaps in availability and training. Federal aid since 2005 has helped improve care, and some states have innovated workarounds, including regional mobile SANE units for underserved areas.

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  • An Alternative to Police That Police Can Get Behind

    A street-level view of White Bird Clinic's CAHOOTS program in Eugene explains its appeal as a cost-saving, humane alternative to sending the police to 911 calls concerning mostly minor problems involving homelessness, mental illness, and substance abuse. From the decades-old program's countercultural beginnings to today's 24/7 presence, the private agency's publicly funded teams of a medic and crisis worker have helped keep problems from escalating into violence and jail time. But a number of factors call into question how scalable this approach would be in larger, more diverse cities.

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