This paper stems from recent research into understanding the past, present and possible futures of synthetic opioids in North America and beyond.
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
Men and women might respond differently to some treatments for alcohol use disorder. If so, this would be important to consider when selecting treatment. The purpose of this systematic review was to synthesize evidence for gender differences in effects of treatments. While researchers did not identify systematic differences across studies, a paucity of reporting on treatment effects according to gender hindered analysis.
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.
Law Enforcement Efforts to Fight the Opioid Crisis: Convening Police Leaders, Multidisciplinary Partners, and Researchers to Identify Promising Practices and to Inform a Research Agenda 2019
An expert panel of law enforcement leaders identified promising efforts to combat the opioid crisis, including connecting people with opioid use disorder to medication-assisted treatment; building lasting partnerships to achieve community buy-in, enable information sharing, and effectively tackle challenges; and addressing community and other stakeholder concerns before high-priority harm-reduction approaches can be pursued.
The overdose crisis in North America continues to worsen, prompting many jurisdictions to consider opening supervised consumption sites (SCS) that allow individuals to consume street-sourced drugs under medical supervision.
This brief describes the results of a study about the surge in synthetic opioids in the United States. The authors found that limiting policy responses to existing approaches will likely be insufficient and may condemn many people to early deaths.
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.