Drug courts are not:
- an "alternative to incarceration;"
- a substitute for all drug decriminalization;
- a panacea; or
- a "public health" approach.

I was a drug court representative for years. I know.

A THREAD 🧵🧵🧵....
1. Drug courts cherry-pick their participants so few are eligible. Most have very strict criteria (first-timer, no mental illness, no felonies, no violent charges, etc.) so people with most severe problems who arguably have most to gain are usually INELIGIBLE for services.
2. Judges and non-clinical team members can weigh in on treatment decisions. Drug courts have a terrible track record when it comes to medications like methadone and buprenorphine. A judge can say you need a weekend in jail after your most recent relapse to "teach you a lesson."
3. You have to plead guilty in order to join drug court. This is not pre-arrest diversion or decriminalization. It is criminalization AND treatment. If you finish drug court, you might get your initial charge expunged. If you don’t complete it, you may get sent to jail/prison.
4. Sometimes drug courts take longer than just serving time in jail. Average drug court participants may be in it for 6 months to a year or LONGER. Sometimes this is longer than if you served your time. During program, the court may tell you where you can live, work, & go.
5. Your old or prior charges remain. At best, you may expunge current charge. But it does not expunge previous charges you had from before. So it is not cleaning your slate. You may still face barriers due to your record with housing, benefits, jobs, voting, etc.
6. Question anyone who tells you "drug courts work" and ask them "compared to what?" Because often drug courts "work" because they are the only way one got secure housing, treatment, and case management. Maybe drug courts are a way to bypass a broken system built for failure.
7. We must ask ourselves why, only through a court mandate, was there all-of-a-sudden an available spot at a treatment facility in town? That you got the last bed at the halfway house? That someone checked up on you weekly? THESE ARE SIGNS OF A BROKEN SYSTEM.
8. Why couldn't I have just gotten these needs met anyway? Why did I need to get arrested, plead guilty, sign up for a 12-month drug court commitment, and jump through hoops to get the things I needed for my health, recovery, and wellness all along?!?!
9. Our president-elect supports drug courts. He thinks no one should go to jail for drugs and they should get treatment instead. But here's the thing. Not everyone needs treatment at first (or ever). Some people just need food. Housing. Employment. Family. Sterile syringes.
10. Sure, drug courts have saved lives. I'm not saying they haven't. But I bet you that 10 times out of 10, it was the access to support and services INSTEAD of jail, rather than support and services with the THREAT of jail. We can do that without the courts altogether w/ decrim.

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More from @MyHarmReduction

29 Sep
.@MayaSchenwar opening by discussing the 'alternative to incarceration' that many talk about - electronic monitoring. "We shouldn't have to choose between prison and prison-lite." They "widen" the net. Same with probation- classist, ableist, and racist system. Set many up to fail
.@MayaSchenwar now referencing drug courts as a common alternative to incarceration and the current overdose crisis. "Giving people the choice between prison and treatment is...essentially, mandating it." And although these have gained bipartisan support, are deeply problematic.
Read 10 tweets
29 Sep
Really powerful piece in the New York Times today about the intersection of the overdose crisis and #COVID19. Some thoughts and observations in a thread below: nytimes.com/2020/09/29/hea…
1) I actually LOVED the title of the piece - "The Drug Became His Friend."

As a harm reductionist, I spend a lot of time talking abt the fact that drugs work. They WORK. They meet physical needs, emotional needs, spiritual needs, so many others. We need to be reminded of this.
2) Harm reductionists spend a lot of time trying to create space to talk about how and why drugs work for people. The role they play. The purpose. The meaning. "Don't take away what you can't replace" is a mantra we use a lot. And focusing on abstinence negates this process.
Read 15 tweets
25 Sep
Tuned in to #PharmFest panel right now, "Decolonizing Drugs from the South."

First presenter: Thembisa Waetjen, : “Apartheid’s War on Cannabis.”

You can join us here: uwmadison.webex.com/uwmadison/j.ph… Image
Interesting parallels between marijuana prohibition and demonization in Apartheid SA and US - painting its use as something that would radicalize young white users ( who should support the military) and make their brains "spongey."
Marijuana policing increased dramatically after apartheid implementation and election of their party. It was clearly a prioritized domain of policing and social control. Despite crackdowns, people continued to use and engage with markets. Image
Read 11 tweets
28 Aug
Want to legalize all drugs?

Check out this amazing 8-part international webinar series on the "principles of socially just legal regulation and how this intersects with and impacts areas of sustainable development." Starts Sept 9th.

More info and RSVP: healthpovertyaction.org/news-events/le… Image
Webinar 1 on Sept 9th (check for timezone):

Drugs are a Development Issue: An Introduction to Legal Regulation

More info and RSVP: healthpovertyaction.org/news-events/le… Image
Webinar 2 on Sept 23rd (check for timezone):

Cultural, Traditional, and Indigenous Rights

More info and RSVP: healthpovertyaction.org/news-events/le… Image
Read 10 tweets
24 Aug
NEW OPEN ACCESS STUDY: "Monthly Patient Volumes of Buprenorphine-Waivered Clinicians in the US."

KEY FINDING:
- Prescribers with larger caps are most likely to prescribe to the maximum cap limits; probably already most motivated to do so.
jamanetwork.com/journals/jaman… Image
Other findings:
- 50% of all waivered Bupe prescribers had at least one case in the past 22 months;
- Majority of providers with 30 case cap (60%) did NOT have a case in past 22 months; and 75% had fewer than 10 patient cases in a month.
Takeaways:
- Just because you're waivered doesn't mean that you're an active prescriber or that you're prescribing to the full extent of your case allowance;
- We're still in an overdose crisis and buprenorphine is still inaccessible to most.
Read 4 tweets
20 Aug
📢 Are you a pain patient, caretaker, or prescriber impacted by current opioid policy? The CDC wants to hear from you and may want to interview you. Deadline to submit: TOMORROW Aug 21st at 5pm EST federalregister.gov/documents/2020… #SuicideDue2Pain #SavingUs2Death
Read 4 tweets

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