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Commentary

Tackle Fentanyl like a Poisoning Outbreak, Not a Drug Epidemic

Sep 3, 2019

America's fentanyl problem is far deadlier than past crises with other illegal drugs. New ideas, be they public policies, technologies or law enforcement strategies, are desperately needed. Continuing to treat fentanyl just like previous drug epidemics will likely be insufficient and may condemn thousands more to early deaths.
Report

Synthetic Opioid Surge Is a U.S. Public Health Emergency

Aug 13, 2019

In less than six years, the number of fatal overdoses in the United States that involve synthetic opioids has increased tenfold. Where are synthetic opioids concentrated? And to what extent is the problem spreading?

Explore Opioids

Journal Article

Journal Article

Causes of Hospital Admission and Mortality Among People Who Use Heroin: A Cohort Study Comparing Relative and Absolute Risks

Age- and sex-specific mortality and hospital admission rates in the general population of London.

Sep 17, 2019
Journal Article

Journal Article

Who Receives Naloxone from Emergency Medical Services? Characteristics of Calls and Recent Trends

Administration of naloxone by emergency medical services personnel is increasing faster than opioid-related deaths.

Sep 17, 2019
Report

Characterization of the Synthetic Opioid Threat Profile to Inform Inspection and Detection Solutions

Researchers from the Homeland Security Operational Analysis Center evaluated publicly available data to better understand consumption and supply of illegally imported synthetic opioids. In this report, they provide their findings and recommendations.

Sep 9, 2019
Report

How Law Enforcement Can Fight the Opioid Crisis

Law enforcement has a unique role in addressing the opioid crisis because it interacts with those affected by it on a day-to-day basis. Promising efforts include connecting people with opioid use disorder to treatment, collaborating to achieve community buy-in, and protecting officers on the front lines.

Sep 6, 2019
Project

Opioids Uncharted: Mapping America's Opioid Crisis

A RAND initiative to map the underexplored consequences of America's opioid crisis—and discover big-picture solutions.

Aug 29, 2019
News Release

News Release

U.S. Deaths Involving Synthetic Opioids Are Unprecedented; Policymakers Must Pursue Innovative Strategies to Reverse ...

The U.S. overdose crisis worsened dramatically with the arrival of synthetic opioids like fentanyl—now responsible for tens of thousands of deaths annually—and the problem requires innovative new strategies because the epidemic is unlike others that have struck the nation.

Aug 29, 2019
Report

Synthetic Opioids: An Unprecedented Crisis

The rise of fentanyl and other synthetic opioids is unlike any drug crisis in U.S. history. Limiting policy responses to existing approaches will likely be insufficient and may condemn many people to early deaths.

Aug 29, 2019
News Release

News Release

Americans' Spending on Illicit Drugs Nears $150 Billion Annually; Appears to Rival What Is Spent on Alcohol

Spending on cannabis, cocaine, heroin and methamphetamine by Americans reached nearly $150 billion in 2016, with a large proportion of spending coming from the small share of people who use drugs on a daily or near-daily basis.

Aug 20, 2019
Report

How Big Is the U.S. Market for Cannabis, Cocaine, Heroin, and Meth?

Americans spent about $150 billion on cannabis, cocaine, heroin, and methamphetamine in 2016—rivaling U.S. spending on alcohol. This number is driven in large part by the small share of people who use drugs on a daily or near-daily basis.

Aug 20, 2019
Testimony

Testimony

Illicit Supply of Fentanyl and Other Synthetic Opioids: Transitioning Markets and Evolving Challenges: Addendum

Document submitted on August 19, 2019, as an addendum to testimony before the House Committee on Homeland Security, Subcommittee on Intelligence and Counterterrorism and Subcommittee on Border Security, Facilitation, and Operations on July 25, 2019.

Aug 20, 2019
Journal Article

Journal Article

Supervised Consumption Sites: A Nuanced Assessment of the Causal Evidence

Supervised consumption sites (SCS) operate in more than 10 countries. We review the higher-quality SCS literature and discuss the evidence through the lens of three types of decision makers and from three intellectual perspectives.

Aug 6, 2019
Blog

RAND's Summer Reading List for Congress

For busy staff, August's respite from back-to-back meetings, hearing preparation, and late votes is hard-earned. The summer recess also provides an opportunity to get ahead of issues that will resurface in the fall. To that end, we have compiled recent RAND research on topics likely to top the congressional agenda come September.

Aug 5, 2019
Multimedia

Illicit Supply of Fentanyl and Other Synthetic Opioids

An overview of testimony by Bryce Pardo presented before the House Committee on Homeland Security, Subcommittee on Intelligence and Counterterrorism and Subcommittee on Border Security, Facilitation, and Operations, on July 25, 2019.

Jul 25, 2019
Testimony

Illicit Supply of Fentanyl and Other Synthetic Opioids

The drivers behind U.S. overdose deaths have changed in the last ten years. Today's problem largely comes from illicitly manufactured synthetic opioid powders, particularly fentanyl, much of which comes from China. Congress and executive agencies will need to look beyond available drug policy tools when considering responses.

Jul 25, 2019
Journal Article

Improving the Child Welfare System to Respond to the Needs of Substance-Exposed Infants

To realize the gains envisioned by recent legislation, the Administration and Congress should prioritize additional funding to modernize our child welfare system to meet the unique needs of families affected by substance misuse.

Jul 17, 2019
Periodical

Periodical

RAND Review: July-August 2019

This issue spotlights a strategy to reduce roadway deaths to zero; a school principal initiative that yielded positive results for schools and students; and a data-driven effort to enhance equity in a major U.S. city.

Jul 1, 2019
Journal Article

Sexual Minority Disparities in Opioid Misuse, Perceived Heroin Risk and Heroin Access Among a National Sample of US Adults

LGB opioid disparities varied significantly by sexual identity &gender. All LGB subgroups had elevated lifetime pain reliever misuse. Bisexual women uniquely had elevated OUD rates and lifetime injection heroin use.

Jun 12, 2019
Journal Article

Journal Article

The Use of Complementary and Integrative Health Approaches for Chronic Musculoskeletal Pain in Younger US Veterans: An Economic Evaluation

Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.

Jun 11, 2019

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