美国事实上的毒品政策改革的新兴模式
Saba Rouhani1, Leanne Zhang2, Abigail K Winiker2
1Department of Epidemiology, New York University School of Global Public Health, United States; Center for Anti-racism, Social Justice and Public Health, New York University School of Global Public Health, United States; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, United States.
Drug and alcohol dependence
|May 30, 2024
概括
美国政策制定者越来越多地利用检察官的裁量权去除毒品持有罪,优先考虑公共卫生. 这种方法解决了种族不平等和刑事犯罪的失败,但也面临着错误信息和政治反对等挑战.
科学领域:
- 公共卫生 公共卫生
- 刑事司法改革 刑事司法改革
- 卫生政策 卫生政策
背景情况:
- 卫生组织主张废除毒品犯罪,以转向公共卫生.
- 美国政策制定者正在通过检察官的自由裁量权来实施非刑事化,减少毒品持有指控.
研究的目的:
- 描述药物非犯罪化政策的采用驱动因素.
- 分析政策设计,实施和可持续性障碍.
- 通知正在发展的药物使用者政策 (PWUD).
主要方法:
- 与政策制定者和专家进行了22次关键信息人采访.
- 包括13个司法管辖区实际上进行了毒品政策改革.
- 使用了勘探,准备,实施和维持 (EPIS) 框架和混合感应-演分析.
主要成果:
- 领养驱动因素:种族不平等,犯罪化失败,对暴力犯罪的资源分配.
- 三种政策类型识别了不同的资格,服务链接和透明度.
- 可持续性威胁:公众的错误信息,警察的抵抗,政治反对派.
结论:
- 政策制定者在犯罪化危害的证据中采取事实上的毒品政策改革.
- 第一个系统地描述实施过程和政策模式的研究.
- 调查结果为对健康结果和PWUD健康与公平的可持续政策的评估提供了信息.
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