A top federal drug official is calling for the government to move “away from criminalization” under the drug war, saying that the country’s failure to offer drug treatment to incarcerated people only exacerbates the ongoing opioid overdose crisis.
“It remains a common belief that simply stopping people from taking drugs while in jail or prison is an effective approach to treatment,” Nora Volkow, director of the National Institute on Drug Abuse (NIDA) wrote in a new opinion article. “But that belief is inaccurate and dangerous.”
In fact, drug overdose “is the leading cause of death among people returning to their communities after being in jail or prison,” Volkow continued. “Providing addiction treatment in these settings could change that.”
In addition to calling for wider access to medication-assisted treatment—using the Food and Drug Administration (FDA)-approved drugs methadone, buprenorphine and naltrexone—the NIDA leader also said a shift away from the criminal drug war could help improve outcomes and help families.
“Fundamentally, an individual’s best or only option to receive addiction treatment should not have to be during incarceration,” Volkow wrote in the piece, which appeared last week in the life sciences publication STAT and was republished Monday on NIDA’s website. “In an ideal world, treatment and prevention systems in the U.S. would proactively address social drivers of health and mental health needs to stop the cycle between addiction and incarceration.”
“Moving away from criminalization of substance use disorders toward a public-health approach would remove a key structural practice that perpetuates equalities,” she said. “It would improve lives for people and their families.”
Hellbound and Down 