By Rose Kim, Elizabeth Wagner, Nandita Somayaji, Silvia Villarreal, Cassandra Crifasi


44,447 people died from gun violence in the United States in 2024. Each day, an average of 121 people died from gun violence—one death every 12 minutes. Gun suicides reached an all-time high in the total number of deaths for the fourth consecutive year. For the past five years, guns remained the leading cause of death among young people (ages 1–17), with more deaths than any other single cause, including car crashes, overdoses, and cancers. While males have higher gun death rates and are at elevated risk for gun violence overall, females are uniquely impacted by the intersection between gun violence and domestic violence—nearly half of all females who are murdered are killed by a current or former intimate partner, and more than half of these intimate partner homicides are by gun. In this year’s report, we examined the overall rise of female gun deaths and their disproportionate impact across certain races and ethnicities from 2015 to 2024.

While the burden of gun violence in the U.S. remains high, there are evidence-based, equitable solutions to save lives. These solutions are supported by most people, including gun owners. Despite this broad support, policymakers hesitate to heed the evidence and enact policies that will save lives.

Each year, it is our mission to provide policymakers and the public accurate and up-to-date data on gun fatalities and illustrate the enormous toll gun violence has on our country. This report is an update to “Gun Violence in the United States 2023: Examining the Gun Suicide Epidemic.” It uses firearm mortality data listed on death certificates that are provided to the Centers for Disease Control and Prevention (CDC) and made available through the CDC WONDER Underlying Cause of Death database. The substantial lag in data availability makes it challenging to understand the burden of gun violence in real time; however, understanding the magnitude of this issue, even with the time lag, is essential to inform public health interventions to reduce violence.We recognize that each data point discussed in this report is a person who died by gun violence. This loss has an immeasurable impact on families, friends, and communities; data can only partly illuminate the true burden of gun violence. In addition to analyzing the data, we must listen to and uplift the voices of those directly impacted by gun violence, their loved ones, and their communities

By Katrina Scurrah, Swen Kuh, Mulu Woldegiorgis, Catherine Andersson, Sean Martin

Using data from Wave 1 (2013–14) and Wave 4 (2022) of Ten to Men: The Australian Longitudinal Study on
Male Health, we found: Higher-risk alcohol use was associated with men starting to use intimate partner violence (IPV) over time. Men with hazardous drinking at Wave 1 were 27% more likely to initiate IPV by Wave 4 than low-risk drinkers; men with harmful use or possible dependence were 57% more likely. The relationship between alcohol use and IPV was similar across the different forms of IPV measured (emotional-type abuse, physical violence and sexual abuse) and was strongest for the use of physical IPV. Men with harmful use/possible dependence had around double the risk (119%) of initiating physical IPV than low-risk drinkers.
How much men drank in a typical session mattered more than how often they drank. Men who typically drank 10+ standard drinks were 55% more likely to initiate IPV than non-drinkers; drinking frequency and age at first drink were not linked to later IPV initiation.

Overall scores for conformity to masculine norms were not associated with IPV initiation but some specific norms were. Higher scores on the measure, used in Wave 1, for the domains of playboy, violence and risk taking were associated with starting to use IPV. In contrast, patterns combining emotional openness, self-reliance and primacy of work were associated with a lower likelihood of starting to use IPV. Another masculinity-related scale that assessed gender-role identity was used in Wave 4 and there was no clear association with the use of IPV. There was little evidence that self-reported masculinities changed the strength of the relationship between alcohol use and IPV initiation. Higher-risk drinking was linked to IPV regardless of the strength between alcohol use and IPV initiation. Higher-risk drinking was linked to IPV regardless of the strength of conformity to these masculine norms. The combined highest-risk group (harmful/probable alcohol dependence plus high scores on the masculine norms measure used at Wave 1) showed at most a modest additional increase in risk of IPV use compared with either high alcohol risk or stronger conformity to specific masculine norms alone.

These findings suggest the following could enhance policy and practice to support IPV prevention efforts: Use alcohol harm reduction as a practical lever for IPV prevention. Strengthen routine alcohol screening and brief intervention/referral pathways in settings that see large numbers of men (primary care, mental health and community services), with clear, safe escalation pathways where IPV risk is identified. Prioritise indicators of heavier drinking in risk identification for IPV initiation. Policies and practice guidance should focus on current severity/patterns rather than drinking frequency alone for men, as these were the measures most predictive of later use of IPV. Target the specific masculine norms associated with IPV use. While this report found little evidence that these norms change the strength of the alcohol–IPV association, the highest observed risks tended to be among men with both higher-risk drinking and higher-risk masculine norm profiles. This suggests prevention and behaviour-change approaches may be particularly valuable when targeted to men already identified as higher risk (e.g. through alcohol-related risk) and should address norms related to violence acceptance, risk taking, sexual entitlement and status/power, and build skills such as emotion regulation and non-violent conflict management – integrated with alcohol-focused interventions where relevant. Taken together, these findings point to the potential value of coordinated alcohol and other drugs–family and domestic violence (AOD–FDV) pathways, rather than separate, parallel responses. This includes alcohol interventions that incorporate safe identification of family violence risk and enable appropriate referral, as well as specialist programs that address both alcohol-related harm and relevant attitudes and behaviours as part of a tailored response.

By Rose Kim, Elizabeth Wagner, Nandita Somayaji, Silvia Villarreal, Cassandra Crifasi


44,447 people died from gun violence in the United States in 2024. Each day, an average of 121 people died from gun violence—one death every 12 minutes. Gun suicides reached an all-time high in the total number of
deaths for the fourth consecutive year. For the past five years, guns remained the leading cause of death among young people (ages 1–17), with more deaths than any other single cause, including car crashes, overdoses, and cancers. While males have higher gun death rates and are at elevated risk for gun violence overall, females are uniquely impacted by the intersection between gun violence and domestic violence—nearly half of all females who are murdered are killed by a current or former intimate partner, and more than half of these intimate partner homicides are by gun. In this year’s report, we examined the overall rise of female gun deaths and their disproportionate impact across certain races and ethnicities from 2015 to 2024.

While the burden of gun violence in the U.S. remains high, there are evidence-based, equitable solutions to save lives. These solutions are supported by most people, including gun owners. Despite this broad support, policymakers hesitate to heed the evidence and enact policies that will save lives. Each year, it is our mission to provide policymakers and the public accurate and up-to-date data on gun fatalities and illustrate the
enormous toll gun violence has on our country. This report is an update to “Gun Violence in the United States 2023: Examining the Gun Suicide Epidemic.” It uses firearm mortality data listed on death certificates that are provided to the Centers for Disease Control and Prevention (CDC) and made available through the CDC
WONDER Underlying Cause of Death database. The substantial lag in data availability makes it challenging to understand the burden of gun violence in real time; however, understanding the magnitude of this issue, even with the time lag, is essential to inform public health interventions to reduce violence.We recognize that each data point discussed in this report is a person who died by gun violence. This loss has an immeasurable
impact on families, friends, and communities; data can only partly illuminate the true burden of gun violence. In addition to analyzing the data, we must listen to and uplift the voices of those directly impacted by gun violence, their loved ones, and their communities

By Haris Mohammad

This thesis examines the origins, activities, and societal impacts of Mexican drug cartels, while assessing the effectiveness of governmental and international responses to their development and influence. This thesis examines the evolution of the cartels, starting with their collaboration with traffickers in Colombia and concluding with their supremacy in the global drug trade. The investigation elucidates the social and
political factors that have facilitated their growth. These factors include pervasive corruption, economic
disparities, and inadequate governance, all of which have fostered an environment conducive to the emergence of cartels. This thesis examines the detrimental effects of cartel involvement on Mexican
communities. These impacts include pervasive violence, societal disintegration, public health challenges stemming from substance addiction, and economic exploitation. Furthermore, it critiques the limitations of military anti-narcotics approaches, emphasizing the unintended consequences of these measures, including heightened violence and the emergence of power vacuums within the system. The research elucidates
the recruitment methods, operational tactics, and the cartels' integration into Mexican society via the use of
sociological and criminological ideas. The thesis advocates for the implementation of a comprehensive plan to counteract cartel influence. This plan must include socioeconomic transformations, government transparency, and international collaboration. This thesis aims to enhance understanding of cartel dynamics to contribute to the global battle against organized crime and to provide sustainable solutions that foster stability and justice in Mexico.

By Robert O. Motley Jr , Eric Williamson , Melissa McTernan , Sara Beeler c, Christopher P. Salas-Wright 

Purpose

Racism-based police violence (RPV) is an emerging public health concern. However, limited research has examined the relationship between RPV exposure and substance use, particularly among Black or African American and Hispanic emerging adults aged 18–29 years. This study assessed associations between lifetime RPV exposure across three domains (direct victimization, witnessing in person, and media-based exposure) and past 30-day and 12-month alcohol and cannabis use in this population.

Methods

A cross-sectional survey was conducted from August to October 2023 using a national nonprobability internet sample recruited via Qualtrics. The analytic sample included 936 Black or African American (48 %) and Hispanic (52 %) emerging adults. Negative binomial and logistic regression models were used to examine associations.

Results

Higher levels of RPV exposure were significantly associated with increased alcohol and cannabis use. RPV–Victim exposure was the strongest predictor of alcohol use, including past 30-day (IRR = 1.02, 95 % CI: 1.00–1.05) and 12-month (OR = 1.04, 95 % CI: 1.01–1.07) use. RPV–Witness exposure was most strongly associated with cannabis use, including past 30-day (IRR = 1.02, 95 % CI: 1.00–1.03) and 12-month (OR = 1.03, 95 % CI: 1.01–1.06) use. A dose-response pattern was observed across increasing levels of RPV exposure.

Conclusions

RPV exposure is a significant correlate of alcohol and cannabis use among Black or African American and Hispanic emerging adults. Findings suggest that perceived racialized policing is a significant risk factor for substance use and warrants further investigation as a potential structural determinant, highlighting it as an important target for public health interventions.

By Laurie Caron, Frank Crispino, Cyril Muehlethaler

Tobacco smuggling remains a widespread illegal activity in Canada, associated with important social and economic impacts, and often linked to organized crime. This study explores the application of forensic profiling as an intelligence tool to support the analysis of contraband cigarette production and distribution. Physical and chemical manufacturing characteristics of seized contraband cigarette packs, provided by police forces, were observed and coded using macroscopic, microscopic, and spectroscopic techniques. Multivariate statistical analyses were then conducted to compare manufacturing characteristics between packs and identify potential links. The analyses highlighted links between cigarette packs and seizures based on shared manufacturing characteristics. The results and the identified groups were also compared with seizure data provided by our collaborator. The results demonstrate the relevance of forensic profiling to formulate hypotheses regarding shared production processes or supply networks. These hypotheses provide information that contributes to understanding tobacco smuggling and aim to examine how forensic intelligence can support law enforcement and measures to prevent and disrupt this criminal activity. A preliminary optimal procedure for applying forensic profiling in operational contexts targeting contraband tobacco was finally proposed. Despite limitations in the dataset creation that were beyond our control, this study represents a starting point for applying this scientific approach to tobacco smuggling.

By William D. Phillips, Jessica Dawney, Emily Hutton, Avery Adams, Lucy Strang, Katherine I. Morley, Nicola Kalk, Jennifer Bostock, Andrew Jones, Tom Ling, Tim Millar, Joanne Neale, John Strang, Jon Sussex, Jennifer Newbould

This study examined how treatment and recovery services are integrated with physical and mental health services following additional funding from England's drug strategy. Findings show wide variation in the extent and type of integration across local areas. While some progress has been made, more needs to be done to strengthen collaboration and achieve effective, person-centred care.

Key Findings

There is substantial variation in what services are offering across different local areas

• While certain activities - such as embedding treatment and recovery staff in broader health services to encourage inward referrals - are relatively consistent across local areas, other initiatives are more localised. This is driven by variations in the stage of development of different services, differences in resourcing and local context, and the varying strength of existing relationships and connections.

We identify five models of integration for treatment and recovery services and an optimal example of an integrated care pathway.

• We conceptualise the following models to help policymakers think about how to monitor, evaluate and communicate about service integration going forward:

• Model 1 - single point of access

• Model 2 - embedded workers

• Model 3 - joint planned care

• Model 4 - leveraging external support

• Model 5 - building in-house expertise

• .

• Many treatment and recovery services are struggling to meet even basic needs due to high caseloads. Limited, short-term and inconsistent funding compounds these problems, making long-term planning and integration very difficult. Stigma, especially within mental health services, also remains a major barrier.

Recommendations

Central government should:

• Facilitate the dissemination and implementation of the co-occurring mental health and substance use delivery framework

• Identify priority interventions for service integration

• Explore ring fenced, longer-term funding for integrating services

• Examine ways in which integration efforts could be measured and monitored.

ICPs should:

• Consider establishing a dedicated role for treatment and recovery services.

Treatment and recovery services should:

• Provide basic mental health training to screen for and deliver mental health interventions

• Strengthen relationships with other health services.

ICPs and treatment and recovery services should:

• Ensure training on substance use is implemented across all healthcare settings, prioritising mental health services.

By María Victoria Llorente and Jeremy McDermott,  Raúl Benítez Manaut , Marta Lucía Ramírez de Rincón , John Bailey

Since the mid-2000s, violence related to drug trafficking and other transnational crime has increased exponentially in Mexico. By the end of the decade the public began to seriously doubt the government’s strategy and its ability to guarantee public safety. The nature and intensity of violence in Mexico brought forth memories of the 1980s and ’90s in Colombia, when the country was besieged by the Medellín and Cali drug cartels. Over the course of more than a decade, Colombia’s security situation has improved dramatically; it has become an “exporter” of security expertise and has trained thousands of military and police personnel in Mexico, Central and South America, and the Caribbean as well as around the world. What aspects of Colombia’s strategy and tactics for fighting organized crime in its own territory offer useful lessons for Mexico? What might Colombia’s steps and missteps offer by way of example or counter-example? What is unique about each case such that comparisons are misleading? What do current security challenges in Colombia suggest about the threat posed by organized crime more generally? In One Goal, Two Struggles: Confronting Crime and Violence in Mexico and Colombia, international experts address the utility of comparing Colombia and Mexico’s experiences and strategy for combatting organized crime and violence more generally.

By: Tyson Singh Kelsall, Caitlin Shane, Kelsey A. Speed, et al.

People and communities in Vancouver, British Columbia (BC) have been profoundly impacted by the toxic drug crisis, which has driven a province-wide public health emergency since 2016. In 2023, BC implemented a “Decriminalization Pilot,” which temporarily removed criminal sanctions for the possession of small amounts of certain substances. In May 2024, the Decriminalization Pilot was amended to exclude its application in almost any urban outdoor space; a reform colloquially referred to as “Recriminalization.” This study sought to address gaps in understanding how law enforcement practices towards people who use criminalized drugs may have changed during the Decriminalization Pilot and subsequent Recriminalization periods.

Methods

We undertook a community-based, qualitative study. We conducted 21 interviews with people who use criminalized drugs and who interacted with law enforcement in Vancouver between January and May 2025. We employed combined reflexive thematic and interpretative phenomenological analyses.

Results

We derived five main themes: 1) confusion over the Decriminalization Pilot; 2) selective enforcement and pervasiveness of policing; 3) police interference with overdose response and other public health interventions; 4) seizures of belongings, including government-supplied resources; and 5) displacement from public space.

Conclusion

Our findings illustrate how harmful law enforcement practices that target people who use criminalized drugs, particularly those relying on public spaces for survival, persisted during the evolving drug policy periods. Together, these law enforcement practices along with the lack of understanding regarding the shifting Decriminalization Pilot, may have undermined the potential success of a policy dedicated to decriminalizing drug possession in BC

By the U.K. Ministry of Justice and Department of Health & Social Care

1 In April 2025, approximately 40,000 people in prisons in England and Wales (50%) had an identified drug problem. Misuse of illicit drugs by people in prison creates or exacerbates risks to their health, well-being and personal safety. Between December 2022 and December 2024, the Prisons and Probation Ombudsman investigated 833 deaths, of which 136 (16%) were drug-related. Conveyance, supply and use of illicit drugs also increase risks to the safety and stability of the prison regime. Availability of drugs inside prisons creates an illicit economy that can fuel debt, which can lead to assault, extortion or self-harm. Prisoners who are using illicit drugs often reoffend after leaving prison. 2 Effective interventions require HM Prison and Probation Service (HMPPS) and health service providers, commissioned for prisons in England by NHS England (NHSE), to work closely together. • HMPPS is primarily responsible for action to detect illicit drugs and prevent their conveyance into prisons, and it also seeks to reduce demand for drugs through initiatives to encourage positive behaviour changes. • Health service providers deliver drug treatment and recovery services inside prisons. • The overall prison environment can support prisoners by providing a rehabilitative culture; education and other purposeful activities; building relationships; delivering a safe regime; and facilitating access to health interventions, including addressing mental health needs. Focus of our report 3 This report focuses on how the prison and health services are using public funds to tackle drug harms in prisons. It examines: • how well the Ministry of Justice (MoJ), HMPPS, Department of Health & Social Care (DHSC), NHSE and wider government understand the scale and nature of drug harms in prisons (Part One); • the funding available for HMPPS and NHSE to tackle drug harms in prisons, and how resources are prioritised (Part Two); and • how effectively resources have been used and how well the prison and health services work together (Part Three).4 The report focuses only on illicit drug harms in prisons. We do not cover national and international work by the police and others to counter criminal activity supplying drugs to prisons, nor do we review interventions for people on community orders or the continuity of drug treatment services for prison leavers. ‘Substance misuse’ is a broader term often used in healthcare, which includes misuse of alcohol and diversion of prescription medicines, as well as illicit drugs. We touch on these broader issues where relevant, but they are not the focus of our report. While HMPPS is responsible for prisons in England and Wales, healthcare in Wales is a devolved function provided by NHS Wales, and therefore falls outside the scope of this report

By The International Drug Policy Consortium

The 2016 UN General Assembly Special Session (UNGASS) on drugs was a watershed moment in global drug policy. It created a rare opportunity to reconsider the prevailing international paradigm on drugs and to chart a new direction.

The UNGASS process was notable for the unprecedented involvement of civil society, affected communities, UN entities and human rights experts. It helped place public health, human rights and communities closer to the centre of drug policy-making, and paved the way for better alignment between the UN drug control regime and the wider UN system. The process also generated valuable momentum for new debates and advocacy at the national level.

However, the UNGASS ultimately fell short of introducing genuine reform of the norms and institutions underpinning the international drug control system.

This report examines progress made since the 2016 UNGASS to assess the role of the global drug control regime in shaping change. It draws on UN data and reporting, academic research, contributions from civil society and community organisations, and a dedicated civil society survey conducted among IDPC members and partners.

Key conclusions

The report concludes with four forward-looking findings:

• Civil society and community organisations play a critical role in drug policy, yet continue to be sidelined, underfunded, and increasingly exposed to threats and attacks.

• The UN drug control treaties require urgent modernisation in order to respond to new realities and remain fit for purpose.

• A drug control system oriented towards human rights, health and development requires a thorough reconfiguration of the existing architecture, including strong and systematic inter-agency cooperation across the UN system.

• Regular discussion of drug policy at the UN is essential, but the agenda and working methods of the Commission on Narcotic Drugs (CND) must change to enable meaningful progress.

By National Academies of Sciences, Engineering, and Medicine

The U.S. medicolegal death investigation system is responsible for investigating and providing determinations of cause and manner of death, playing a vital role in the nation's public health and criminal justice systems. Recent, high-profile deaths in custody cases have drawn widespread attention to the determinations of cause and manner of death made by forensic pathologists, medical examiners, and coroners, and questions have been raised about the scientific validity of such determinations.

Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody evaluates the handling of deaths in police custody by the medicolegal death investigation system and recommends actions to strengthen the nation's medicolegal death investigation system.

By Hallvard Gjerde, Ragnhild Elén Gjulem Jamt

Driving under the influence of alcohol or drugs is a significant contributing factor to road traffic crashes. Detection rates for alcohol and drugs among drivers in random road traffic have been studied in several countries; this article presents a comprehensive overview of findings in studies conducted from 2010 to 2024. We searched PubMed, Google Scholar, Google Search, and the International Council on Alcohol, Drugs and Traffic Safety Conference Papers database. We also examined reference lists and citation records. We identified 53 studies, of which 25 studies focused exclusively on alcohol. The studies were conducted across 24 countries. Alcohol was the most frequently detected substance, followed by tetrahydrocannabinol (THC). Detection rates exhibited variability across jurisdictions; alcohol was most commonly observed in studies conducted in North America and in some low- and middle-income countries, whereas THC and cocaine were most frequently detected in studies from North America, Italy, and Spain. Several countries have implemented effective measures that have led to a significant reduction in the incidence of drink-driving. However, despite the introduction of legal thresholds or zero-tolerance policies for drug-impaired driving, the detection of drugs among drivers has increased in certain regions.

Forensic Science International: Reports. Dec. 2025

By Arthur MacDonald.

The narrative in Volume 1 asks many pointed questions: What does it mean to be “abnormal”? Who decides? And how have these judgments shaped modern science, education, and criminal justice?

First published in 1893, Arthur MacDonald’s Abnormal Man is one of the earliest American attempts to systematically study human difference through the emerging tools of psychology, anthropology, and criminology. Drawing on international research—from European criminal anthropology to American child-study movements—MacDonald sought to classify the physical, mental, and moral traits considered “aberrant” in his era. His work reflects the hopes and anxieties of a society confronting rapid industrialization, immigration, social change, and new scientific approaches to crime and mental health.

To the modern reader, Abnormal Man reveals both the ambition and the pitfalls of nineteenth-century science. Its pages contain pioneering observations about child development, deviance, and social responsibility, alongside early theories—now discredited—about heredity, physiognomy, and race. What emerges is a vivid and sometimes unsettling portrait of a culture striving to understand human variation without the benefit of modern psychology or ethical safeguards.

The Read-Me.org edition Volume 1 presents Abnormal Man as both a historical artifact and a gateway to critical reflection. It illustrates how scientific thought evolves, how cultural bias can shape research, and how early debates about abnormality laid the groundwork for contemporary approaches to mental health, special education, criminology, and social policy. To make such work, much of it controversial then as it is today, minimally believable, requires extensive documentation. The voluminous Bibliography of Abnormal Man reproduced here in Volume 2, contains all that Macdnald referred to within his detailed exposition. To some, his arguments may seem unsupported, or lacking in evidence. But he left no stone untuned as this amazing bibliographical documentation of all relative contemporary research

A foundational text at the crossroads of science and society, Abnormal Man invites readers to explore the origins of modern debates about deviance, diversity, and the boundaries of the “normal.”

Read-Me.Org Inc. New York-Philadelphia-Australia. 2025. 240p.

By Arthur MacDonald. Introduction by Graeme R. Newman

What does it mean to be “abnormal”? Who decides? And how have these judgments shaped modern science, education, and criminal justice?

First published in 1893, Arthur MacDonald’s Abnormal Man is one of the earliest American attempts to systematically study human difference through the emerging tools of psychology, anthropology, and criminology. Drawing on international research—from European criminal anthropology to American child-study movements—MacDonald sought to classify the physical, mental, and moral traits considered “aberrant” in his era. His work reflects the hopes and anxieties of a society confronting rapid industrialization, immigration, social change, and new scientific approaches to crime and mental health.

To the modern reader, Abnormal Man reveals both the ambition and the pitfalls of nineteenth-century science. Its pages contain pioneering observations about child development, deviance, and social responsibility, alongside early theories—now discredited—about heredity, physiognomy, and race. What emerges is a vivid and sometimes unsettling portrait of a culture striving to understand human variation without the benefit of modern psychology or ethical safeguards.

This new Read-Me.org edition presents Abnormal Man as both a historical artifact and a gateway to critical reflection. It illustrates how scientific thought evolves, how cultural bias can shape research, and how early debates about abnormality laid the groundwork for contemporary approaches to mental health, special education, criminology, and social policy.

A foundational text at the crossroads of science and society, Abnormal Man invites readers to explore the origins of modern debates about deviance, diversity, and the boundaries of the “normal.”

Read-Me.Org Inc. New York-Philadelphia-Australia. 2025. p.193.

UNITED STATES. DRUG ENFORCEMENT ADMINISTRATION

From the document: "Education plays a critical role in preventing substance use and misuse. 'Drugs of Abuse, A DEA Resource Guide,' is designed to be a reliable resource on the most commonly used and misused drugs in the United States. This comprehensive guide provides important information about the harms and consequences of drug use by describing a drug's effects on the body and mind, overdose potential, origin, legal status, and other key facts. 'Drugs of Abuse' also offers a list of additional drug education and prevention resources, including the DEA websites: www.DEA.gov[;] www.JustThinkTwice.com, aimed at teenagers[;] www.GetSmartAboutDrugs.com, designed for parents, educators, and caregivers[;] www.CampusDrugPrevention.gov, for higher education[; and] www.OperationPrevention.com, for opioid curricula[.]"

UNITED STATES. DRUG ENFORCEMENT ADMINISTRATION. 2024. 117p.

RAND CORPORATION

From the document: "Global catastrophic and existential risks hold the potential to threaten human civilization. Addressing these risks is crucial for ensuring the long-term survival and flourishing of humanity. Motivated by the gravity of these risks, Congress passed the Global Catastrophic Risk Management Act in 2022, which requires the Secretary of Homeland Security and the administrator of the Federal Emergency Management Agency to coordinate an assessment of global catastrophic risk related to a set of threats and hazards. The U.S. Department of Homeland Security Science and Technology Directorate and the Federal Emergency Management Agency requested the Homeland Security Operational Analysis Center's support in meeting this requirement. This report documents findings from our analysis." Authors include: Henry H. Willis, Anu Narayanan, Benjamin Boudreaux, Bianca Espinosa, Edward Geist, Daniel M. Gerstein, Dahlia Anne Goldfeld, Nidhi Kalra, Tom LaTourrette, Emily Lathrop, Alvin Moon, Jan Osburg, Benjamin Lee Preston, Kristin Van Abel, Emmi Yonekura, Robert J. Lempert, Sunny D. Bhatt, Chandra Garber, and Emily Lawson.

RAND CORPORATION. HOMELAND SECURITY OPERATIONAL ANALYSIS CENTER. 30 OCT, 2024.237p.

By Drug Policy Alliance

We all want people living with addiction to get the help they need. At the Drug Policy Alliance, we believe that everyone should have access to the substance use disorder (SUD) supports that they choose to improve their physical and mental health — and that effective services should be available when and where people are ready for them, without hurdles like cost or preconditions to get help. In short, SUD supports should be voluntary, effective, affordable, accessible, and appealing.

Unfortunately, the United States has neither prioritized on-demand care nor ensured that available SUD supports are effective or beneficial. Having failed to provide even remotely sufficient access to the kinds of health-centered approaches that research shows are most effective (e.g., medications for opioid use disorder, or MOUD, and contingency management for stimulant use disorder, or CM), some ill-informed policymakers are advocating for expanding the power of courts to force people into existing SUD services, against their will and not of their choosing. This is not entirely new. Forced treatment has been a familiar practice in criminal courts for decades — where criminal defendants have had the “choice” to opt for court-ordered SUD services or face traditional sentencing, often including incarceration

New York: Drug Policy Alliance, 2024. 32p.

UNITED STATES. OFFICE OF NATIONAL DRUG CONTROL POLICY

From the document: "America is facing the deadliest drug threat in our history. Over the last 25 years, drug overdose deaths in the United States from synthetic opioids, including fentanyl, have risen to more than 100 times their 1999 levels. The rate of fatal overdoses from other drugs, including cocaine and methamphetamine, has also surged. The overdose crisis calls for bold action. The Office of National Drug Control Policy (ONDCP) has outlined vital steps for attacking two drivers of this crisis. [...] ONDCP's 2024 '[National Drug Control] Strategy' looks to the future this Nation needs. That future is one with greater access to prevention, treatment, harm reduction and recovery support services; with a focus on equity and equal justice; with support for incarcerated individuals, as well as post-incarceration reentry assistance; with a SUD [substance use disorder] and health care workforce that meets our Nation's needs; with a payment system that sufficiently funds care; and with a concerted transnational effort to hold drug traffickers, their enablers, and facilitators accountable. [...] The 2024 'Strategy' is aimed at addressing the overdose crisis from multiple angles. This includes preventing youth substance use, expanding access to life-saving medications like naloxone, expanding access to evidence-based treatment, building a recovery-ready Nation, and ramping up efforts to disrupt and dismantle drug trafficking."

UNITED STATES. WHITE HOUSE OFFICE; UNITED STATES. EXECUTIVE OFFICE OF THE PRESIDENT; . MAY, 2024. 124p.

By Jakob Manthey, Jürgen Rehm,and Uwe Vertheina

With the enforcement of the Cannabis Act on 1 April 2024, Germany has adopted one of the most liberal legal approaches to cannabis on the continent. The German model prioritises a non-profit approach and precludes legal market mechanisms. We believe these are the main drivers for increasing cannabis use and related health problems, based on observations following cannabis legalisation in Canada and many states in the U.S. Although legalising cannabis possession and cultivation may not immediately eliminate the illegal market, it is expected to serve public health goals. Despite the overall positive evaluation of the Cannabis Act in Germany, there are three potential areas of concern: the potential for misuse of the medical system, the normalization of cannabis use, and the influence of the cannabis industry. The German model may herald the beginning of a new generation of European cannabis policies, but concerted efforts will be required to ensure that these policy reforms serve rather than undermine public health goals.

The LANCET Regional Health - Europe, Vol 42 July, 2024