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1. Mental Health Conditions and Substance Use: Comparing U.S. Needs and Treatment Capacity with Those in Other High-Income Countries

Author:
Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, and Roosa Tikkanen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
About one-quarter of U.S. adults report having a mental health diagnosis such as anxiety or depression or experiencing emotional distress. This is one of the highest rates among 11 high-income countries. While U.S. adults are among the most willing to seek professional help for emotional distress, they are among the most likely to report access or affordability issues. Emotional distress is associated with social and economic needs in all countries. Nearly half of U.S. adults who experience emotional distress report such worries, a higher share than seen in other countries. The United States has some of the worst mental health–related outcomes, including the highest suicide rate and second-highest drug-related death rate. The U.S. has a relatively low supply of mental health workers, particularly psychologists and psychiatrists. Just one-third of U.S. primary care practices have mental health professionals on their team, compared to more than 90 percent in the Netherlands and Sweden.
Topic:
Health, Health Care Policy, Mental Health, Drugs, and Substance Abuse
Political Geography:
United States, Europe, and Global Focus

2. Enforcement of Drug Laws: Refocusing on Organized Crime Elite

Author:
Global Commission On Drug Policy
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
In this first report of this decade, the Global Commission on Drug Policy outlines how the current international drug control regime works for the benefit of transnational organized crime. It highlights how years of repressive policies targeted at nonviolent drug offenders have resulted in mass incarceration and produced countless adverse impacts on public health, the rule of law, and social cohesion, whilst at the same time reinforcing criminal elites. The report argues that the top layers of criminal organizations must be disempowered, through policy responses and political will. It provides implementable recommendations for the replacement of the current policy of targeting non-violent drug offenders and resorting to mass incarceration. Law enforcement must focus on the most dangerous and protected actors and primary drivers of the corruption, violence, and chaos around illegal drug markets. The control of psychoactive substances in a rational and efficient way must be centered on people and their needs, and on a repressive approach against criminal elites who benefit from the illegal drug markets’ proceeds, and have access to high-level networks, financial and legal support as needed. Only responsible legal regulation of currently prohibited drugs, with careful implementation, has the potential to disrupt criminal organizations and deprive them of their most lucrative sources of income. The report contains research on the prerequisites for a successful transition towards the reform of the outdated ideology-based international drug control regime, and provides cutting-edge recommendations on how to ensure that international criminal organizations are effectively disempowered by the transition towards a legally regulated drug market under the control of governments.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Medicine
Political Geography:
Global Focus

3. Toward A Drug-Free Society: The Singapore Approach

Author:
Ng Ser Song
Publication Date:
09-2019
Content Type:
Research Paper
Institution:
Brown Journal of World Affairs
Abstract:
Illicit drug use exacts a high cost on abusers, their families, and ultimately society as a whole. Livelihoods are lost, relationships are destroyed, children suffer, and the wider community pays a hefty price through a resulting worsened crime situation. Singapore has hence adopted a harm-prevention approach to drugs, incorporating educational, legal, and rehabilitative measures. While we acknowledge that there is a variety of approaches to drug policy globally, our approach has worked well for our local context and enabled people here to live to their fullest potentials.
Topic:
Crime, Health, Law, Criminal Justice, and Drugs
Political Geography:
Singapore and Global Focus

4. The Straw Men Reigniting An “International War On Drugs”: A Case For Multilateralism

Author:
Yury Fedotov
Publication Date:
03-2019
Content Type:
Research Paper
Institution:
Brown Journal of World Affairs
Abstract:
In drug policy, the problems are never far from the headlines. From opioid overdoses and violence in the Americas to growing tramadol abuse in Africa and methamphetamine trade in Asia, drug threats to health, development, safety, and security are proliferating. Global opium and cocaine production have hit record levels. Drugs are killing people, and governments everywhere are struggling to respond.
Topic:
United Nations, War on Drugs, Narcotics Trafficking, Law Enforcement, and Drugs
Political Geography:
Global Focus

5. Pooled Procurement of Drugs in Low and Middle Income Countries

Author:
Pierre Dubois, Yassine Lefouili, and Stephane Straub
Publication Date:
04-2019
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
We use data from seven low and middle income countries with diverse drug procurement systems to assess the effect of centralized procurement on drug prices and provide a theoretical mechanism that explains this effect. Our empirical analysis is based on exhaustive data on drug sales quantities and expenditures over several years for forty important molecules. We find that centralized procurement of drugs by the public sector allows much lower prices but that the induced price reduction is smaller when the supply side is more concentrated.
Topic:
Drugs, Medicine, Centralization, and Price
Political Geography:
Global Focus

6. Classification of Psychoactive Substances: When Science Was Left Behind

Author:
Global Commission On Drug Policy
Publication Date:
01-2019
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
In Classification of Drugs: when science was left behind, the Global Commission on Drug Policy explains how the biased historical classification of psychoactive substances has contributed to the "world drug problem". It is the first-ever comprehensive report providing a political reading of the current evaluation and classification, or "scheduling" of drugs according to their harms. Psychoactive substances should be classified with regard to their potential for dependence and other harms. This is not the case today, where some substances are legally available because they are considered beneficial (medicines) or culturally important (alcohol), while others are seen as destructive, and are strictly prohibited. The classification of drugs is at the core of the international drug control system. As such, governments must ensure that such a classification is pragmatic and based on science and evidence, makes clear the benefits and harms of drugs, and allows for responsible legal regulatory models to control drugs.
Topic:
Health, War on Drugs, Drugs, Alcohol, Public Health, and Medicine
Political Geography:
Global Focus

7. New Psychoactive Substances: Challenges for Law Enforcement Agencies and the Law

Author:
Kalliroi Ziavrou
Publication Date:
06-2018
Content Type:
Working Paper
Institution:
George C. Marshall European Center for Security Studies
Abstract:
New psychoactive substances (NPS) present a new global phenomenon in the drug market. This phenomenon is characterized by the emergence of a significant number of new substances every year that are not controlled under international drug control conventions, which means that their trafficking is legal. These substances are designed to mimic traditional illicit drugs and may cause severe adverse health effects.Over the last few years, the unprecedented rate of NPS proliferation has resulted in significant risk to public health; the numbers of people who become sick or addicted as well as the number of fatalities are consistently growing at an alarming pace. With the aid of the internet, new psychoactive substances are spreading at such a rapid rate that law enforcement agencies cannot respond quickly enough when it comes to identifying and regulating these substances. This paper will address the NPS phenomenon, presenting why the issue is generating increased interest worldwide and how it has provoked new challenges for law enforcement agencies (LEA) and policymakers. Beginning with a presentation of the current NPS crisis, this paper will demonstrate how illicit networks have managed to flood the drug market with NPS and examine the emerging issues for the involved communities and countries, legislative and judicial communities, and populations worldwide. Finally, it will discuss current governmental responses and containment measures and offer suggestions on how to counter the challenge using a holistic approach.
Topic:
Law Enforcement, Internet, Drugs, and Public Health
Political Geography:
Global Focus

8. Regulation: The Responsible Control of Drugs

Author:
Global Commission On Drug Policy
Publication Date:
03-2018
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
This new report provides a practical roadmap that tackles the real implications and recognizes the difficulties of transitioning from illegal to legally regulated drug markets. It offers concrete answers regarding the organizational capacity of state institutions to regulate and control a legal market of potentially dangerous products. It highlights the challenges facing impoverished populations that constitute the “working class” of the illegal drug markets. It offers possible ways forward to deal with the risks inherent to the resilience of organized crime. Finally, this report calls for a reform of the prohibition-based international drug control system, which is compromising a universal and holistic approach to the “drug problem.”
Topic:
Crime, Health, War on Drugs, Drugs, and Public Health
Political Geography:
Global Focus

9. The World Drug PERCEPTION Problem: Countering Prejudices About People Who Use Drugs

Author:
Global Commission On Drug Policy
Publication Date:
11-2017
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Drug policy reforms have been difficult to design, legislate or implement because current policies and responses are often based on perceptions and passionate beliefs, and what should be factual discussions leading to effective policies are frequently treated as moral debates. The present report aims to analyze the most common perceptions and fears, contrast them with available evidence on drugs and the people who use them, and provides recommendations on changes that must be enacted to support reforms toward more effective drug policies.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Criminology
Political Geography:
Global Focus

10. Paying for Prescription Drugs Around the World: Why Is the U.S. an Outlier?

Author:
Shawn Bishop, David Squires, and Dana O. Sarnak
Publication Date:
10-2017
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
arious factors contribute to high per capita drug spending in the U.S. While drug utilization appears to be similar in the U.S. and the nine other countries considered, the prices at which drugs are sold in the U.S. are substantially higher. These price differences appear to at least partly explain current and historical disparities in spending on pharmaceutical drugs. U.S. consumers face particularly high out-of-pocket costs, both because the U.S. has a large uninsured population and because cost-sharing requirements for those with coverage are more burdensome than in other countries. Most Americans support reducing pharmaceutical costs. International experience demonstrates that policies like universal health coverage, insurance benefit design that restricts out-of-pocket spending, and certain price control strategies, like centralized price negotiations, can be effective.
Topic:
Health, Health Care Policy, and Drugs
Political Geography:
United States, Europe, and Global Focus