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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  • 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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  • 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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  • COVID-19 Eased Drug Treatment Rules—And That Saved Lives.

    Rules changes designed to prevent the spread of COVID-19 at drug-treatment clinics had the benefit of improving access to treatment, which experts say has saved thousands of lives. Although overdose deaths have increased during the pandemic, they would be far higher but for emergency rules allowing for telehealth consultations with medical professionals, fewer restrictions on the use and storage of long-term supplies of methadone, and insurance coverage of addiction medications. Though not everyone prefers telephone consults over in-person visits, enough do that advocates want to make the changes permanent.

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  • AA to Zoom, substance abuse treatment goes online amid pandemic

    Support groups such as Alcoholics Anonymous are turning to Zoom and other telehealth tools to maintain a connection with clients during the coronavirus pandemic. While data are lacking about "the effectiveness of online rehabilitation compared to in-person sessions," many participants have expressed the digital tools to be crucial to their health while the pandemic has closed in-person options, and health professionals expect these tools to extend well-beyond the timeline of the pandemic.

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  • Alternative sentencing program offers resources for recovery rather than jail time

    The Richland County Community Alternative Center provides court-ordered drug and alcohol treatment in lieu of jail for people facing criminal charges related to their addiction. In 60-, 90-, or 120-day treatment terms, patients from across Ohio receive addiction counseling, therapy, work training, and other skills classes. Case managers help prepare people for re-entry when their sentence has been served. The center is run by the courts, which pay for treatment services, which makes it unusual.

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  • Program in Montrose County Helps Homeless Families Pursue Self-Sufficiency

    Haven House, a faith-based provider of transitional housing for families experiencing homelessness, offers a safe place to live while working to reunite families that face possible loss of child custody over their housing or substance-use status. Required classes in parenting and budgeting, plus job-search services and other classes, have helped more than 370 families over the past decade. Families, who often are referred to the program from the county's Child Protective Services agency, can remain at the house for up to two years if they comply with the rules.

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  • Biden embraces drug courts, but do they actually work?

    Drug courts can help some people with serious drug problems who face serious criminal charges, if such court programs are run carefully, based on evidence-based approaches. But, too often, such courts – which push criminal defendants into treatment as an alternative to incarceration – can do more harm than good. The proof of drug courts' effectiveness is mixed, and fairly thin. Thousands of such courts exist, based on widespread political support for an approach seen as less punitive. But many critics say the courts' track record overall is weak and their approach can be just another form of punishment.

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  • Hanging on: Covid gave Louisiana's addiction patients life-saving drug treatment by phone

    When the coronavirus pandemic caused organizations and businesses to shut their doors, some medical practices, such as facilities that treat addiction, found relief by moving to telehealth services. In Lousiana, "emergency changes to federal and state telehealth regulations" allowed patients to seek therapy and other services via telephone and video, which helped them avoid exposure to the virus, yet still access the care they needed.

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