Developing a Penal Abolitionist Application to Drug Treatment Drawing from Insider Perspectives and Lived Experiences

As evidence of a failing war on drugs mounts and a deadly opioid crisis continues, U.S. drug policy is slowly changing to less punitive responses to drug use. Collaborations between treatment programs and law enforcement gained praise from politicians, but concerns regarding the impact of increased surveillance and the rising culture of control call for greater focus on these governing relationships. Framed within an abolitionist perspective, and incorporating insights from successful models of decriminalization in Portugal and deinstitutionalization in Italy, our analysis of in-depth interviews with 117 people who are actively using opioids seeks to understand their perspectives on treatment drawing on lived experiences. Findings reveal a need for radical drug policy reform, a paradigm shift in treatment practices, and increased access to targeted social resources in the community to reduce the harms of problem drug use.