Public Health

All across the U.S. jails are filled with people who need medical care and social services, many of whom cycle in and out of jail without ever receiving the help they need. One emerging model to combat this problem is deflection, which seeks to prevent individuals who have low to moderate criminogenic risk, but significant unmet social, economic, and health needs, from entering the criminal justice system. The goal of deflection programs is to lessen the burden on the criminal justice system by connecting those individuals—before they enter the criminal justice system—to treatment and social services to which they might not otherwise have access. This document is designed to: (1) provide a singular resource for each jurisdiction’s deflection laws; (2) allow for a comparison of these laws between jurisdictions; and (3) identify and highlight interesting provisions....

Newly incarcerated individuals who use substances require medical intervention to mitigate the effects of withdrawal symptoms and prevent death, suicide, and injury while in custody. Recent data show that nearly two thirds of sentenced individuals in jails meet the criteria for drug dependence or abuse. LAPPA’s Model Withdrawal Management Protocol in Correctional Settings Act requires evidence-based treatment of substance use disorders, including the use of FDA-approved medications; requires correctional settings to establish and implement administrative and clinical protocols when detaining individuals at risk of withdrawal; and provides state legislators, policymakers, and those in the correctional and health care professions with a comprehensive framework to better respond to withdrawal symptoms and related mental health crises of individuals in custody to decrease their mortality while in correctional settings. ...

One of the ways in which jurisdictions are combating the epidemic of drug overdoses in communities is through the use of “spike alerts,” that is, targeted messages that notify recipients that there is an unexpected increase in drug-related overdoses in a specific area. The purpose of these notifications is to “reduce injury or death from opioid overdoses during spike events.” ...

Since the late 1990s, the United States has outpaced every other country in per capita opioid consumption. Most research suggests that high levels of prescription opioid consumption in the United States have contributed to the current epidemic of opioid misuse and overdose deaths; a review of the scientific literature through February 2020 on international opioid consumption and prescribing practices points to several possible underlying reasons explaining the difference in opioid consumption per capita in the United States....

Project for Pride in Living (PPL) was founded in 1972 by Joe Selvaggio to create affordable housing for those in need. It began by renovating houses and now builds affordable housing for qualified individuals in the Twin Cities (Minneapolis and St. Paul) area of Minnesota. Additionally, since its inception, PPL has offered employment training to the services it offers. ...

In this survey, the Legislative Analysis and Public Policy Association (LAPPA) examines the legislative and regulatory response at the state level to the issue of fentanyl cleanup. As at the federal level, there is little policy in this area, and the only exceptions to that rule are very recent. Findings are presented jurisdiction by jurisdiction for easy comparison among the states....