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.
Reports and Articles - Harm Reduction
Below are the most recent reports and articles from the RAND Drug Policy Research Center. Please visit our RAND Topics pages for a complete research archive on these and other drug policy-related research topics.RAND Topic Pages: Substance Use Harm Reduction
Addressing the Opioid Epidemic in the United States: Lessons from the Department of Veterans Affairs 2018
Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.
Considering Heroin-Assisted Treatment and Supervised Drug Consumption Sites in the United States 2018
Given the severity of the opioid crisis in the United States, there is urgency to evaluate tools that might reduce its impact and save lives. In this mixed-methods report, the authors assess evidence on and arguments made about heroin-assisted treatment and supervised consumption sites and examine some of the issues associated with implementing them in the United States.
States that provide legal access to marijuana through dispensaries experience lower treatment admissions for addiction to pain medication.
Effects of Motivational Interviewing Fidelity on Substance Use Treatment Engagement in Primary Care 2018
Motivational interviewing is used extensively to improve health and substance use-related outcomes, but therapists may need more training in strategic use of the approach.
A Population-Based Examination of Trends and Disparities in Medication Treatment for Opioid Use Disorders Among Medicaid Enrollees 2018
The number of Medicaid recipients receiving medication to treat opioid abuse increased sharply in the years after approval of a new drug, but the increase was smaller in poorer counties & areas with larger populations of black and Hispanic residents.
Taking periodic breaks from marijuana use or avoiding using marijuana before work or school may be important protective strategies for young veterans who choose to use marijuana to cope with symptoms of PTSD.
Empowering those under criminal justice supervision to cease drug use on their own - rather than forcing them into formal treatment against their will - is a policy approach that warrants further evaluation.
A Group-Based Motivational Interviewing Brief Intervention to Reduce Substance Use and Sexual Risk Behavior Among Homeless Young Adults 2017
A brief group-based motivational interview intervention was effective in helping homeless young adults make positive changes in their alcohol and condom use.
The Protective Behavioral Strategies for Marijuana Scale: Further Examination Using Item Response Theory 2017
The Protective Behavioral Strategies for Marijuana scale identifies strategies that may mitigate the harms related to marijuana use by young people.