A top federal health official is offering some pointed critiques of the U.S. drug criminalization model, stressing how politicizing addiction has fostered a system of incarceration that increases overdose risk while biasing research that could reveal the benefits, as well as the risks, of substances such as marijuana and psilocybin. She also rebuked treatment approaches that focus exclusively on abstinence.
National Institute on Drug Abuse (NIDA) Director Nora Volkow made the comments in an appearance last month at the International Drug Policy Reform Conference, speaking on a panel with Drug Policy Alliance (DPA) Executive Director Kassandra Frederique.
One of the conversation points touched on the dangers of focusing on abstinence in drug treatment, rather than meeting people who use drugs where they’re at. The “inflexibility” of abstinence-only “costs a lot of lives,” Volkow said.
If a person wants to get treatment and abstain from drugs, “that’s great” as a “theoretical ideal,” the official said. “But to basically impose that as a reality for everyone—who have very different backgrounds and opportunities—I think it’s sort of like a magical thought and not practical.”
In general, the policies and strategies the U.S. has historically pursued to combat drug misuse are “not helping to address the overdose crisis,” evidenced by the fact that “overdose fatalities are continuing to rise,” Volkow argued.
“What it tells us is whatever we’re doing is clearly not sufficient. What do we need to do to change this?” she said at the panel, a recording of which was shared with Marijuana Moment. “This very polarized categorical perspective that it’s either, ‘you go abstinent or we don’t pay any attention to you and we send you to jail’ is catastrophic. I mean, it has basically contributed to what we’re seeing as a horrific problem in our country with horrible fatalities like we’ve never seen.”
Hellbound and Down 