RESOURCES
- Protocols for Medications for Opioid Use Disorder (MOUD) in jails & prisons:
HPN’s advocacy and education efforts in 2024 were successful in changing a counterproductive and stigmatizing policy that involved handcuffing patients daily while they received opioid use disorder treatment medications in Lancaster County’s jail.
- Advocate calls on County Prison to discontinue handcuffing participants in MAT drug program (OneUnitedLancaster, Tim Stuhldreher 4/18/24)
- Prison officials stand by handcuffing inmates who receive medication for opioid addiction (LNP/ Lancaster Online, Tom Lisi, 4/18/24)
- MAT/ MOUD in Jails & Prisons: Policy Guidelines /Best Practices / Toolkits/ Research, April 2024
- RE: Handcuff protocol for all participants in a local jail MAT / MOUD program, Memo April 18, 2024 provided to Lancaster County Prison Board and jail administrators. (The protocol described was changed in October 2024.)
- Six Key Strategies to prevent MOUD diversion in jail-based programs (JCOIN, 2022)
- April 18, 2024, Lancaster County Prison Board Meeting, video (1 hour 29 minutes) See discussions & follow-up beginning at 47:35 through 1:27:30
Civil Rights, the ADA, and Addiction
- Justice Department Issues Guidance on Protections for People with Opioid Use Disorder under the Americans with Disabilities Act, (updated Nov. 2022) US DOJ Office of Civil Rights
- To Protect People with Addiction from Discrimination, the Justice Dept. Turns to a Long-Overlooked Tool: The ADA, (June 2022) STAT, Andrew Joseph
- MAT/ MOUD (medications for opioid use disorder) Advocacy Toolkit (Nov. 2022) Legal Action Center
Drug-Induced Homicide Prosecutions
- Charging “Dealers” with Homicide: Explained, The Appeal (2018) Jacob Siegal and Leo Beletsky
Fentanyl Policy
- Policy: Five Pillars of a U.S. Response to Illegally Manufactured Synthetic Opioids (Feb. 2022) Related article: Synthetic Opioids are an EVERYTHING Problem (June 2022)
- A blue-ribbon, bipartisan federal commission spent 12 months studying the national crisis of deadly fentanyl poisoning made 21 recommendations, spread out among these “Five Pillars”:
- Demand reduction and public health that features harm reduction + expanding treatment and recovery supports.
- Policy coordination & implementation to include fixing outdated regulatory frameworks.
- Strong international relationships and cooperation are required.
- Research and monitoring programs to fill the many gaps in our data and surveillance.
- Supply reduction is the longest section, with a 6 requirements to disrupt supply. (None of which includes “border control” between the U.S. and Mexico, because that doesn’t work.)
Harm Reduction
- A Greater Focus On Harm Reduction Will Save Lives, Health Affairs (2022) Bryce Pardo and David Luckey
- Considering Heroin-Assisted Treatment and Supervised Drug Consumption Sites in the United States, a RAND Research Report, (2018) RAND Corporation, Beau Kilmer, et. al.
- PAHRN harm reduction resources: Resources to support your advocacy for effective legislation in PA to address substance use and overdose prevention. Civil Rights, the ADA, and Addiction
Justice System / Criminal-Legal System
- More Imprisonment Does Not Reduce State Drug Problems: Data show no relationship between prison terms and drug misuse (2018) Pew Research Issue Brief
- Making Deflection the New Diversion for Drug Offenders, Ohio State Journal of Criminal Law (2021) Kay Levine, Joshua Hinkle, Elisabeth Griffiths, 45 pp. Disentangling substance use services from criminal-legal control– focusing on helping people with low-level drug offenses before they are arrested or prosecuted.
- Today’s fentanyl crisis: Prohibition’s Iron Law,revisited, International Journal of Drug Policy (2019) Beletsky and Davis (full text pdf)
- We Can’t Arrest Our Way Out of Overdose: The Drug Bust Paradox, American Journal of Public Health (2023) Dr Nabarun Dasgupta’s editorial (pdf here) confirms a geographic correlation between opioid-related seizures by law enforcement (i.e. drug dealer arrests) and overdose deaths in the same neighborhood afterwards.
- Study eferenced in article above: Spatiotemporal Analysis Exploring the Effect of Law Enforcement Drug Market Disruptions on Overdose, Indianapolis, Indiana, 2020–2021 American Journal of Public Health (July 2023) Ray, Korzeniewski, Mohler, Carroll
Language: Substance Use and Addiction
- The AP Style book updated it’s recommendations in 2017 on appropriate terminology, yet some journalists to this day are still using “addict” as a noun, or other language that elicits bias. We can all do better.
- Changing the Narrative, the Action Lab at Center for Health Policy and Law: The Tired Narratives of Drug Policy: resources to accurately report on drug policy issues
- Words Matter: Guide from the Action Lab. I recommend the RECOVERY DIALECTS “checklist” here, by Ashford, Brown & Curtis, Drug & Alcohol Dependence (2018). Their research showed that some terms used by people referring to themselves in private, like in a mutual aid meeting, did not elicit the same level of negative bias associated with stigmatizing terms used in public or by medical professionals
- Reporting on Addiction – new resource for journalists, educators, and experts. Download their condensed style guide
- Language Matters in the Recovery Movement, Faces & Voices of Recovery. Another source for the 1-page infographic RECOVERY DIALECTS “checklist” (2018) by Ashford, Brown & Curtis.
- Study Suggests Calling Myself an ‘Addict’ Is Different Than You Calling Me One (2019) Institute for Research, Education & Training in Addiction (IRETA), short essay by Jessica Williams
Language about persons who are justice-involved
- What Words We Use —and Avoid— When Covering People and Incarceration 2021, The Marshall Project, Nonprofit journalism about criminal justice
- The Prison Studies Project: Eddie Ellis asks for humanizing, person-first language, and to stop using the terms: offender, felon, prisoner, inmate and convict
Opioid Settlement Funds
- Primer on Spending Funds from the Opioid Litigation, A Guide for State & Local Decision Makers, Nine evidence-based abatement strategies. Here is how to choose programs to fund!
- From the War on Drugs to Harm Reduction: Imagining a Just Response to the Overdose Crisis. Expert Recommendations for the Use of Opioid Settlement Funds, (Dec. 2020) FBX Center for Health & Human Rights at Harvard
- * INFOGRAPHIC on the Report*
- A Chance in a Lifetime: Using Opioid Settlement Funds Creatively to Help Older Adults (July 2023) Cassie Cramer, Deborah Steinberg, and Lina Stolyar, Legal Action Center
Peer Support/ Recovery Support
- Peer Support Services in Justice and Public Safety Settings – a Planning and Implementation Toolkit (Jan. 2023) The Legislative Analysis and Public Policy Association (LAPPA)
Pharmaceutical Marketing
- PharmedOut Pharma Marketing Hub: links to fact sheets and summaries of articles, from the pioneering program by Adrian Fugh-Berman, MD, based at Georgetown University Medical Center
- Model Act to License Pharmaceutical Representatives— Legislative language, and a Q&A on Licensing, National Academy for State Health Policy (NASHP) July 2020
- Big Pharma in the Overdose Crisis: A Former Drug Rep Speaks Out, Gail Groves Scott, TEDxLancaster 2021 – 16 minute You-Tube video, posted in 2023
Substance Use Disorders and Opioids
- Curated Library about Opioid Use for Decision Makers (CLOUD) Collection of resources that include: Substance Use, Addiction and Treatment, Recovery, Recovery-Friendly Workplaces, Peer Support, and Law Enforcement Diversion Programs
- Opioid Crisis: No Easy Fix to Its Social and Economic Determinants American Journal of Public Health (2018) Dasgupta, Beletsky, and Ciccarone ( full text pdf ) Authors provide evidence supporting the need for policies addressing social and structural root causes of the overdose crisis, rather than our historic over-focus on supply-side interventions.
- Access to Evidence-Based Treatments for Opioid Use Disorder, Policy briefs, analysis & articles, O’Neil Institute for National and Global Health Law, Georgetown Law
- The Legislative Analysis and Public Policy Association (LAPPA): Model Laws, Research and Analysis on public safety, health, the criminal justice system and substance use disorders