Sunday, September 8, 2019

It might be better to divert drug users to social service programs and intensive case management

See Seattle Has Figured Out How to End the War on Drugs: While other cities are jailing drug users, Seattle has found another way by Nicholas Kristof. Excerpts:

"Seattle’s first crucial step came in 2011 when Satterberg and others started a program called LEAD, short for Law Enforcement Assisted Diversion. The idea is that instead of simply arresting drug users for narcotics or prostitution, police officers watch for those who are nonviolent and want help, and divert them to social service programs and intensive case management."

"Almost immediately, this was a huge success. A 2017 peer-reviewed study found that drug users assigned to LEAD were 58 percent less likely to be rearrested, compared with a control group. Participants were also almost twice as likely to have housing as they had been before entering LEAD, and 46 percent more likely to be employed or getting job training.

LEAD isn’t cheap — it costs about $350 per month per participant to provide case managers. But it is cheaper than jail, courts and costs associated with homelessness."
"While the U.S. doubled down on the criminal justice approach to drugs, Portugal took the opposite avenue, decriminalizing possession of all drugs in 2001. It was a gamble, but it succeeded. As I’ve reported, Portugal’s overdose deaths plunged. The upshot is that drug mortality rates in the United States are now about 50 times higher than in Portugal."

"“Legislative and law enforcement solutions to drug problems in the U.S. have consistently caused more harm than they have solved,” noted Alex Kral, an epidemiologist with RTI International, a think tank. Countless studies have shown, he said, that public health approaches work better."

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