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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. Solutions for the “Vanishing Drug” Conundrum in Lebanon: A Change in the Subsidy System Coupled with a Digital Prescribing Platform

Author:
Nadim El Jamal, Ulfat Usta, Mona Nasrallah, Elie Al-Chaer, Ghassan Hamadeh, and Hussain Isma'eel
Publication Date:
11-2020
Content Type:
Working Paper
Institution:
Arab Reform Initiative (ARI)
Abstract:
The shortage of foreign currency caused by the multiple crises in Lebanon threatens the availability of pharmaceutical products, with patients experiencing shortages of many drugs despite an importation subsidy system for pharmaceuticals financed by the Central Bank’s foreign reserves. This paper describes Lebanon’s pharmaceutical supply chain and the Central Bank’s subsidy system and proposes recommendations to ensure the continuous availability of medication on pharmacy shelves.
Topic:
Health, Drugs, Medicine, and Pharmaceuticals
Political Geography:
Middle East and Lebanon

4. Fraught with Pain: Access to Palliative Care and Treatment for Heroin Use Disorder in Colombia

Author:
Lucía Ramírez Bolívar and Isabel Pereira
Publication Date:
08-2019
Content Type:
Working Paper
Institution:
Dejusticia
Abstract:
This books seeks to facilitate linkages between discussions on the right to health and discussions on drug policy reform. The populations we talk about here are the noes most in need of a change whereby drug culture measures cease to stand in the way of a life free from pain.
Topic:
Health, War on Drugs, and Drugs
Political Geography:
Colombia and Latin America

5. 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

6. 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

7. Afghan Poppy Production for the World: Dynamics and Entanglements

Author:
Hermann Kreutzmann
Publication Date:
03-2019
Content Type:
Research Paper
Institution:
Brown Journal of World Affairs
Abstract:
In 2017, global opium production peaked at more than 10,000 tons. Ninety percent of that opium originated in Afghanistan—a record production level for that country—making Afghanistan the world’s leading opium producer, according to the United Nations Office on Drugs and Crime (UNODC). Afghanistan has been the world-market leader in opium production since the 1990s, surpassed historically only by the British Empire prior to the mid-nineteenth century Opium Wars.2 Coincidentally, the First Opium War took place at the same time as the Anglo-Afghan military encounters commenced. During the so-called “Great Game” between Russia and Great Britain for geopolitical domination in Central Asia, Afghanistan played a relatively negligible role as far as opium was concerned. At the time, it only supplied limited quantities from Badakhshan to Kashgar in Xinjiang. By contrast, Great Britain—a prosperous and powerful empire—represented the largest global dealer in opium.
Topic:
Narcotics Trafficking, Violence, and Drugs
Political Geography:
Afghanistan and Asia

8. The Contributions of Socioeconomic and Opioid Supply Factors to Geographic Variation in U.S. Drug Mortality Rates

Author:
Shannon Monnat
Publication Date:
02-2019
Content Type:
Working Paper
Institution:
Institute for New Economic Thinking (INET)
Abstract:
Over the past two decades deaths from opioids and other drugs have grown to be a major U.S. population health problem, but the magnitude of the crisis varies across the U.S., and explanations for widespread geographic variation in the severity of the drug crisis are limited. An emerging debate is whether geographic differences in drug mortality rates are driven mostly by opioid supply factors or socioeconomic distress. To explore this topic, I examined relationships between county-level non-Hispanic white drug mortality rates for 2000-02 and 2014-16 and several socioeconomic and opioid supply measures across the urban-rural continuum and within different rural labor markets. Net of county demographic composition, average non-Hispanic white drug mortality rates are highest and increased the most in large metro counties. In 2014-16, the most rural counties had an average of 6.2 fewer deaths per 100,000 population than large metro counties. Economic distress, family distress, persistent population loss, and opioid supply factors (exposure to prescription opioids and fentanyl) are all associated with significantly higher drug mortality rates. However, the magnitude of associations varies across the urban-rural continuum and across different types of rural labor markets. In rural counties, economic distress appears to be a stronger predictor than opioid supply measures of drug mortality rates, but in urban counties, opioid supply factors are more strongly associated with drug mortality rates than is economic distress. Ultimately, the highest drug mortality rates are disproportionately concentrated in economically distressed mining and service sector dependent counties with high exposure to prescription opioids and fentanyl.
Topic:
Economics, Health, Inequality, Macroeconomics, and Drugs
Political Geography:
United States

9. U.S.-Mexico Drug Trafficking: Globalization, Cooperation and Challenges

Author:
Juan Carlos Gachúz Maya
Publication Date:
06-2019
Content Type:
Journal Article
Journal:
Journal on International Security Studies (RESI)
Institution:
International Security Studies Group (GESI) at the University of Granada
Abstract:
Criminal organizations have taken advantage of some of the benefits of the globalization process, have expanded their networks and have become groups that operate regionally and transnationally. The context of globalization entails the need to reform the structure of institutions and their way of operating at the domestic and regional levels. International cooperation between national institutions is not enough to face international challenges such as regional and global crime. The fight against drug trafficking networks between the U.S.and Mexico demands new institutional structures that involve the participation of state and non-state actors at a regional and global level.
Topic:
Globalization, Narcotics Trafficking, Drugs, and Organized Crime
Political Geography:
North America, Mexico, and United States of America

10. Drug Trafficking between Latin America and Africa: A contemporary Case between Security and Global Governance / Narcotráfico entre América Latina y África: un caso contemporáneo entre seguridad y gobernanza global

Author:
Mohamed Badine El Yattioui and Claudia Barona Castañeda
Publication Date:
06-2019
Content Type:
Journal Article
Journal:
Journal on International Security Studies (RESI)
Institution:
International Security Studies Group (GESI) at the University of Granada
Abstract:
In this paper, we will analyze two regions and the relationship between them, concerning drug trafficking (excepting Morocco, a hashish producer), posing a great variability challenges for State Security and their formal cooperation and even further, a real concern of global governance matter. How to create original and international instruments adapted to fight this illegal market, which has an impact on Europe?
Topic:
Security, International Affairs, Narcotics Trafficking, Drugs, and Organized Crime
Political Geography:
Africa and Latin America