By The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability

Violence against, and abuse, neglect and exploitation of, people with disability in Australia occur in multiple forms and affect almost every aspect of many people’s lives. This volume of our Final report provides an account of the nature and extent of the violence, abuse, neglect and exploitation people with disability experience in different settings and contexts and across their different life stages. It sets out what occurs in people’s homes and other residences, at school, at work, while socialising, when going about everyday life and when engaging with services and supports. It examines violence, abuse, neglect and exploitation perpetrated by individuals and resulting from systemic and structural barriers, practices and failures. It illustrates how this can alter the life trajectories of people with disability and affec

Key points Violence and abuse • Across all age groups, a greater proportion of people with disability experience violence than people without disability. People with disability also experience violence more frequently. • Rates of violence are particularly high for: ◦ women with psychological or intellectual disability ◦ First Nations women with disability ◦ young women with disability. • More than half of people with disability aged 18 to 64 (55 per cent) have been physically or sexually abused since age 15 compared with 38 per cent of adults without disability in that age group. • People with disability who experience violence are more likely to know the perpetrator than people without disability who experience violence (81 per cent compared with 60 per cent). They are more likely to experience violence in all relationships, including with intimate partners, family members, friends and co-workers. • Forty-six percent of people with disability have been subjected to violence by a stranger. Neglect • Neglect of people with disability occurs in multiple forms. It includes deprivation of basic necessities of life; disability-specific forms of neglect, such as a failure to provide assistance with daily activities; and being excluded from quality settings and services, including education and health care. It includes a failure to provide an environment in which an individual can thrive, and being denied the right to develop personal relationships, friendships or engage in community activities. • Neglect also occurs through failures to prevent the risk of violence, abuse, neglect and exploitation. • Data on neglect of people with disability is limited. Exploitation • People with disability have shared experiences of financial and sexual exploitation by other individuals. Exploitation also occurs through ‘capturing’ of a person’s NDIS services and through payment of very low wages. Data on exploitation is also limited. Practices that deny or diminish autonomy, health and wellbeing • People with disability are disproportionately subjected to practices that deny them their autonomy and can have adverse impacts on their health and wellbeing. These include restrictive practices, such as being physically and chemically restrained; guardianship and administration; and indefinite detention. Segregated environments • Some people with disability have no choice but to live, attend school, work or socialise in completely segregated environments. Forced segregation and limiting people’s access to the community are forms of abuse and neglect.1 Intersecting experiences • Individuals and groups of people with disability experience intersecting forms of discrimination and disadvantage. This includes First Nations, culturally and linguistically diverse, and LGBTIQA+ people with disability. Life outcomes • People’s life trajectories and life outcomes can be profoundly influenced by violence, abuse, neglect and exploitation. ◦ An estimated 400 deaths each year of people with intellectual disability aged 20 and above are considered potentially avoidable. ◦ Nearly half (47 per cent) of working-age people with disability are not in the labour force, a rate that has not substantially changed in 25 years. Costs of violence, abuse, neglect and exploitation • In addition to the high personal cost to people with disability, violence, abuse, neglect and exploitation have a significant cost to Australian society more broadly. In total, this is estimated to be at least $46 billion annually.

Sydney: The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability 2023. 312p.

By Don Weatherburn, Michael Farrell, Wai-Yin Wan, Sara Rahman

Background: Very few studies have examined the criminal careers of drug traffickers. Our aim in this study was to determine (a) the percentage of drug traffickers who cease involvement in crime following their first conviction for drug trafficking, (b) the factors that affect the likelihood and speed of re-offending among drug traffickers, (c) the factors that affect the rate of reoffending among drug traffickers and (d) the scale of drug trafficker involvement in crimes other than drug trafficking.

Methods: We characterize the criminal careers of a sample of 30,020 cases of offenders convicted of drug trafficking in New South Wales (NSW), Australia over the 29-year period between 2000 and 2023, focussing on how drug charge, trafficker type, and drug and alcohol use affect the risk and frequency of offending. We use a combination of descriptive statistics, cure fraction regression and negative binomial regression. Our controls in the regression analyses consist of age, age of first conviction and number of prior convictions.

Results: The 'cure' rate among males aged 30-39 who were first convicted between 19 and 35 years of age, whose principal offence is trafficking in a non-commercial quantity of heroin, who have three prior convictions and who score 'moderate' in terms of the LSI-R drug/alcohol scale is 31 per cent. The instantaneous risk of re-offending among ATS, heroin, cannabis and ecstasy traffickers ranges between 62 and 82 per cent higher than among cocaine traffickers. Convicted drug traffickers commit a wide variety of offences but only a small proportion are convicted of drug offences before or after their first conviction for drug trafficking.

Conclusions: The present study raises two important questions for future research. The first concerns whether those involved in drug trafficking in Australia rely on it as a primary source of income or whether it is just one of several income-generating criminal activities they switch between in the course of a criminal career. The second question is why there are such marked differences in the risk, speed and frequency of offending among traffickers of different drugs.

International Journal of Drug Policy; 2024, 10p.

By Nicolas Lien and Gabriel Feltran

International cocaine trafficking from South America has increased significantly over the past decade. Based on mixed-methods research, we hypothesize that this change has been driven primarily by the globalization of its logistics, which has led to relevant technical and political changes along the value chain. Today’s global criminal logistics connect a wider variety of producers and retailers, ensuring a market without monopoly and monopsony, although very few transnational criminal groups control the center of the value chain. Their cooperation results in a virtuous circle for illicit accumulation, in which the constant improvement in productivity in South America also leads to an increase in consumer demand in Europe and, more recently, in Africa, Asia, and Oceania. We used a mixed-methods approach to relationally analyze coherent changes in the cocaine value chain in Latin American, African, and European countries. 

  Journal of Illicit Economies and Development, 7(1): pp. 20–34

By Oscar Contreras Velasco

This paper builds on social network analysis and structural balance theory to analyze, with a novel approach, some of the unintended consequences of Mexico’s kingpin strategy on the network of criminal organizations. I use data on violent conflicts between Mexico’s criminal organizations, between 2004 and 2020, from the Uppsala Conflict Data Program (UCDP), and a combination of statistics, social network analysis, GIS, and archival methods to understand the patterns and geography of violent conflicts and alliances before and after the war on drugs. The goal of this paper is threefold: first, to show that the kingpin strategy is associated with the fragmentation of criminal organizations in Mexico; second, to show that criminal organizations developed a set of structurally balanced arrangements before the government waged a war against them and that the kingpin strategy disrupted such arrangements, which led to an increase in the number of violent conflicts; third, I will argue that the fragmentation of criminal organizations also produced a process of clustering of violence, where sets of organizations started fighting each other in specific regions of the country, increasing the levels of violence in those geographical spaces.

Trends Organ Crim (2023), 25p.

By Lene Guercke

This Open Access book explores an issue that has received little attention in human rights research: organised criminal groups (OCGs) as perpetrators of human rights violations, especially disappearances. It takes an interdisciplinary approach, combining doctrinal legal research with a qualitative study on present-day disappearances in Mexico. Disappearances are a complex human rights violation that impacts not only the disappeared person but also their relatives, who are left in a limbo of uncertainty about their loved one’s fate. Originally part of state-led repression, today disappearances occur in varied contexts, often involving OCGs and other non-state actors. However, disappearances committed by non-state actors are not human rights violations under International Human Rights Law (IHRL), thereby potentially leaving a gap in the legal protection of victims. The book first analyses state obligations and case law involving state responsibility for human rights violations committed by non-state actors and applies the analysis to OCGs. This ‘internal’ legal perspective is complemented by an ‘external’ study based on interviews with human rights practitioners working on disappearances in Mexico, which often involve OCGs. The qualitative study offers a unique perspective on human rights protection ‘in reality’.

The book adds to scholarship on non-state actors and disappearances, and to incipient international legal scholarship on the issue of organised crime and international law. Moreover, the study on Mexico provides a richer understanding of challenges faced by practitioners ‘on the ground’ where OCGs commit human rights violations alongside, or in collusion with, state forces and against the backdrop of an overall failure of the state. The book may be of interest to a diverse audience, including legal scholars and practitioners, human rights scholars in fields such as political science, international relations, or socio-legal studies, as well as funders supporting the work of NGOs in Mexico and similar contexts, and NGOs themselves.

Cham: Springer Nature, 2025, 339p.

Edited by Simone Baglioni and Francesca Calo

This book explores the labour market integration of migrants, refugees and asylum seekers across seven European countries: the Czech Republic, Denmark, Finland, Greece, Italy, Switzerland and the UK. Using empirical data from the Horizon2020 SIRIUS Project, it investigates how legal, political, social and personal circumstances combine to determine the work trajectory for migrants who choose Europe as their home.

Bristol, UK: Policy Press, 2023, 175p.

By Measures for Justice

South Dakota is currently in a dispute about legalized marijuana use for recreational and medicinal purposes. In this context, it’s worth considering how the state handles criminal cases involving drug and DUI offenses. Measures for Justice (MFJ) recently published county-level criminal justice data for the state of South Dakota that span 2009–2017. A review of our findings suggests that relative to other offenses, South Dakota counties pursue harsher responses to court cases in which the most serious offense was related to drug possession/distribution or driving under the influence (DUI). The pattern can be seen at multiple points in case processing. This report explores these disparate findings using three Measures: dismissal rates, time to disposition, amount of fees and fines. Year by year, we have found that drug and DUI cases (1) are dismissed at a lower rate in most counties, (2) take longer, on average, to dispose of than other case types, and (3) face some of the highest financial obligations at conviction

Rochester, NY: Measures for Justice, 2021. 7p.

By The: United Nations Office on Drugs and Crime

Illicit financial flows (IFFs)- financial flows that are illicit in origin, transfer, or use, that reflect an exchange of value and cross country borders – are major impediments to sustainable development. They divert important resources away from state revenue and public investments, foster impunity, and ultimately erode criminal justice systems as a whole. The harmful effects of illicit Financial flows and the need to reduce them are demonstrated by their inclusion in the 2030 Agenda for Sustainable Development as Target 16.4. It stipulates the goal to “significantly reduce illicit financial flows and arms flows, strengthen the recovery and return of stolen assets and combat all forms of organized crime”. Progress towards this target is measured by SDG Indicator 16.4.1 (the “total value of inward and outward IFFs in current US dollars”), for which UNODC is the custodian together with UNCTAD.

Organized crimes vary in their characteristics, objectives, and the extent to which they cross national borders. Consequently, the amount and nature of the IFFs they generate also varies. Given the transnational nature of smuggling of migrants (SOM) and cross-border trafficking in persons (TIP), monitoring and combatting IFFs is crucially important for disrupting, prosecuting, and dismantling the organized criminal networks committing these dangerous crimes.

This Study focuses on the trends, nuances, and complexities surrounding IFFs associated with smuggling of migrants and trafficking in persons into the European Union (EU), with specific attention paid to those relating to GLO.ACT partner countries.1 It is based on an analysis of available data, field research findings, and review of secondary literature.

Vienna: UNODC, 2023. 86p.

By The United Nations Office on Drugs and Crime (UNODC)

Key Takeaways Significant gross income from illicit drug trafficking Between 2019 and 2022, the Balkan route – a major corridor for trafficking opiates and, more recently, methamphetamine – generated an estimated total annual illicit gross income ranging from US$13.9 to US$21.4 billion. Opiates accounted for about 90 per cent of this total, with methamphetamine representing a smaller but growing share. The aggregated value of these trafficking flows surpasses the gross domestic product (GDP) of several countries along the route, highlighting the significant economic impact of these illegal activities. The data and analysis do not cover the period following the drug ban in Afghanistan that was imposed in 2022 by the Taliban and its impact on drug consumption and trafficking patterns. Geographic distribution of trafficking routes The Balkan route remains a critical pathway for drug trafficking, stretching from Afghanistan through Iran (Islamic Republic of) and Türkiye, and splitting into three main branches, all leading into Europe. Alongside the opiate flow, methamphetamine trafficking is expanding, with manufacturing hotspots identified in Afghanistan, Eastern Europe (Bulgaria, Czechia and Slovakia), Southern Europe (Greece) and Western Europe (Germany and the Kingdom of the Netherlands). Opiates and methamphetamine trafficking is concentrated in key hubs Given their location at the start of the Balkan route, Iran (Islamic Republic of) and Türkiye are the main hotspots for trafficking both drugs. Trafficking through Iran (Islamic Republic of) plays a pivotal role in the opiate trade, accounting for over one-third of total gross income along the Balkan route related to opiates. Other key trafficking hotspots can be found in Belgium and the Netherlands (Kingdom of the). These countries are not only key stops for traffickers but also act as hotspots for distributing opiates and methamphetamine in smaller quantities. Illicit actors in some countries like the Netherlands (Kingdom of the) also contribute to methamphetamine manufacture the impact of proximity and trafficker adaptability on interception rates Interception rates of illegally traded opiates and methamphetamine along the Balkan route are highest in the proximity of production sources. Iran (Islamic Republic of) and Türkiye intercept the highest percentage of all opiates that cross their territories at 28.2 and 29.3 percent respectively. Traffickers' adaptability − through tactics such as breaking shipments into smaller quantities, altering routes and employing advanced concealment methods − continue to pose significant challenges to law enforcement, particularly further along the supply chain. High profit margins in the drug trade Trafficking of opiates and methamphetamine can yield substantial profits, with an estimated combined annual illicit net income ranging from US$10.9 to US$16.9 billion. These profits represent more than 70 per cent of the total illicit gross income acquired through the trafficking of these two substances after deducting intermediate expenditures, production and purchasing costs.The largest shares of illicit net income are generated at the retail level, where price markups are highest. However, individuals higher up in the supply chain may earn more per person, as fewer people share the profits at the international and wholesale levels. Illicit financial flows (IFFs) related to the management of drug trafficking profits are in the order of billions. IFFs are cross border flows of financial or nonfinancial assets that are illicit in origin, transfer or use. These flows represent the hidden movement of wealth that undermines economic stability and evades lawful oversight. Looking at IFFs generated through the trafficking of opiates and methamphetamine, it is estimated that between a quarter and half of the US$13.7 billion in illicit net income generated from drug trafficking along the Balkan route is illegally moved across borders, generating potential IFFs related to the management of drug trafficking profits of US$3.4 billion to US$6.9 billion annually. Link between money laundering and IFFs There is some evidence that income from drug trafficking is laundered both domestically and abroad through investments in real estate, luxury vehicles and other assets. Shell companies and informal systems like Hawala are frequently used to transfer and launder money, complicating efforts to trace the illicit proceeds. Key trafficking transit points not only facilitate drug movement but also serve as hubs for laundering and redistributing illicit financial resources. Contrary to common assumptions, traditional tax havens may play a minimal role in laundering drug trafficking proceeds. Instead, the limited available data suggests that countries like Luxembourg, the Netherlands (Kingdom of the) and Spain are potential hubs for drug-related IFFs generated along the Balkan route, alongside the United Arab Emirates.

. Vienna / ©United Nations, 2025 59p.

By The United Nations Office on Drugs and Crime (UNODC), Research and Trend Analysis Branch\

Opium production in Afghanistan remains low for the second consecutive year, with production at 433 tons in 2024, confirmed new estimates from the UN Office on Drugs and Crime (UNODC). Although this figure represents a 30 per cent increase from 2023, production still remains 93 per cent below 2022 levels, when the de facto authorities began enforcing a country-wide drug ban.

UNODC released opium cultivation figures on 6 November, confirming that cultivation in 2024 had increased by an estimated 19 per cent year-on-year to cover 12,800 hectares, remaining far below pre-ban levels.

The value of the 2024 opium harvest is roughly US$260 million, an increase of 130 per cent over the previous year but still 80 per cent lower than the pre-ban value in 2022.

“A second year of low opium cultivation and production presents opportunities and complex challenges,” said Ghada Waly, Executive Director of UNODC. “International efforts must be coordinated to ensure that this decline is not replaced with production of dangerous synthetic drugs such as methamphetamine within Afghanistan or the wider region. We also need to help poppy-dependent rural communities transition to licit, economically viable alternatives, by investing in infrastructure, agricultural resources, and sustainable livelihoods.”

In 2024, farmers cultivated more alternative crops like cereals and cotton on previously fallow land. However, opium provides up to 60 times more revenue in comparison to wheat. Without profitable, licit alternatives, economic hardships could encourage some farmers to return to poppy cultivation.

The majority of opium cultivation and production has shifted from the southwest provinces to the northeast, where two thirds of opium production was concentrated.

UNODC, in partnership with the UN Development Programme (UNDP), further released a report on capacities and resources for the treatment of substance use disorders in Afghanistan.

The survey findings show that treatment services are available in 32 out of 34 provinces, but significant disparities exist in service distribution, accessibility, and gender representation, particularly affecting female patients.

Although opiates remain the most frequently reported class of substance used by patients seeking treatment, demand for services addressing stimulant-related disorders is rising, as synthetic drugs such as methamphetamine have become increasingly available in Afghanistan.

Kabul/Vienna: UNODC: 2024. 36p.

By The United Nations Office on Drugs and Crime (UNODC), Research and Trend Analysis Branch

The Afghanistan Drug Insights are a series of reports that provide latest data and in-depth analysis on aspects of the evolving drug situation in Afghanistan. This second volume provides the latest figures on national and regional opium poppy production in 2024 and the challenges farmers are facing as they adapt to new economic conditions. The remaining reports in the series will cover a range of topics related to the drug situation in Afghanistan, including the socioeconomic situation of farmers after the drugs ban; drug trafficking and supply; and treatment availability and drug use. Given the unprecedented nature of the ongoing drugs ban in Afghanistan, having continued for a second year, UNODC has sought to examine different aspects of the drug situation in that country. Taken together, reports in the series paint a comprehensive picture of the enforcement of the ban on production, trafficking and consumption of all drugs, and delve deep into the impacts of the ban on the Afghan population, as well as on neighbouring countries and the wider region. The insights are aimed at informing efforts to address demand and supply of drugs within and outside Afghanistan in an objective and timely manner, using latest data at highest quality standards. The present insight has been produced under the project “Monitoring of Opium Production in Afghanistan” (AFG/F98). Information and data contained in this report, unless otherwise stated, are based on data collected by UNODC through remote sensing techniques, rural village surveys; as well as through global data collections on drugs (UNODC Annual Report Questionnaires and UNODC Drugs Monitoring Platform). Data on opium cultivation and production are based on the Afghanistan Opium Surveys 1994-2020 jointly published by UNODC and the Government of Afghanistan, as well as the Afghanistan Opium Surveys conducted by UNODC in 2021, 2022, and 2023.

Opium production in Afghanistan remains low for the second consecutive year, with production at 433 tons in 2024, confirmed new estimates from the UN Office on Drugs and Crime (UNODC). Although this figure represents a 30 per cent increase from 2023, production still remains 93 per cent below 2022 levels, when the de facto authorities began enforcing a country-wide drug ban.

UNODC released opium cultivation figures on 6 November, confirming that cultivation in 2024 had increased by an estimated 19 per cent year-on-year to cover 12,800 hectares, remaining far below pre-ban levels.

The value of the 2024 opium harvest is roughly US$260 million, an increase of 130 per cent over the previous year but still 80 per cent lower than the pre-ban value in 2022.

“A second year of low opium cultivation and production presents opportunities and complex challenges,” said Ghada Waly, Executive Director of UNODC. “International efforts must be coordinated to ensure that this decline is not replaced with production of dangerous synthetic drugs such as methamphetamine within Afghanistan or the wider region. We also need to help poppy-dependent rural communities transition to licit, economically viable alternatives, by investing in infrastructure, agricultural resources, and sustainable livelihoods.”

In 2024, farmers cultivated more alternative crops like cereals and cotton on previously fallow land. However, opium provides up to 60 times more revenue in comparison to wheat. Without profitable, licit alternatives, economic hardships could encourage some farmers to return to poppy cultivation.

The majority of opium cultivation and production has shifted from the southwest provinces to the northeast, where two thirds of opium production was concentrated.

Kabul/Vienna: UNODC, 2024. 36p.

By The United Nations Office on Drugs and Crime (UNODC), Research and Trend Analysis Branch

The Afghanistan Drug Insights are a series of reports that provide the latest data and in-depth analysis on aspects of the evolving drug situation in Afghanistan. This fourth volume provides an assessment of drug seizure trends near Afghanistan and estimates potential opium stocks within the country by the end of 2022, just before the start of the ban. The remaining reports in the series will cover a range of topics related to the drug situation in Afghanistan, including the socioeconomic situation of farmers after the drugs ban, and drug use. Given the unprecedented nature of the ongoing drugs ban in Afghanistan, which has continued for a second year, UNODC sought to examine different aspects of the drug situation in that country. Taken together, the reports in the series paint a comprehensive picture of the effects of the enforcement of the ban on production, trafficking and consumption of all drugs and delve deep into the impacts of the ban on the Afghan economy, as well as on Afghanistan’s neighbors and the wider region. The insights are aimed at informing international engagement in Afghanistan in an objective and timely manner, using the latest data of the highest quality standards, presenting it in an evidence-based, coherent, coordinated, and structured manner as foreseen in Security Council resolution 2721 (2023). The present Insight has been produced under the project “Monitoring of Opium Production in Afghanistan” (AFG/F98). Information and data contained in this report, unless otherwise stated, are based on data collected by UNODC by remote sensing, through rural village surveys and other tools; as well as through global data collections on drugs (UNODC Annual Report Questionnaires and the UNODC Drugs Monitoring Platform). Data on opium cultivation and production are based on the Afghanistan Opium Surveys 1994-2020 jointly published by UNODC and the Government of Afghanistan, as well as the Afghanistan Opium Surveys conducted by UNODC in 2021, 2022, and 2023. Other data used in this report to model stock estimates come from UNODC’s Afghan Opiate Trade Project published in 2020.

Kabul/Vienna: UNODC, 2025. 52p.

By David Blake Johnson and Jason Szkola

Existing research examining gun violence often faces criticism because of complications related to gun laws and gun culture. In this manuscript, we argue that these elements change the overall quality of gun owners and this quality has a significant effect on homicide. To demonstrate this, we introduce a measure of gun owner quality independent of local law enforcement and possibly indicative of illegal or dubious transfer of firearms: the time to crime of "exported" crime guns. We find that decreases in the time to crime of exported crime guns increase homicides and gun homicides while also having no effect on non-gun homicides and only a small effect on suicide. We then show how the time to crime of exported crime gun changes as a function of gun culture and gun laws.

Unpublished paper, 2024, 25p.

By Nicole Kravitz-Wirtz,  Angela Bruns , Amanda J Aubel , Xiaoya Zhang , Shani A Buggs

Understanding the burden of gun violence among youth is a public health imperative. While most estimates are based on direct and witnessed victimization, living nearby gun violence incidents may be consequential too. Yet detailed information about these broader experiences of violence is lacking. We use data on a population-based cohort of youth merged with incident-level data on deadly gun violence to assess the prevalence and intensity of community exposure to gun homicides across cross-classified categories of exposure distance and recency, overall and by race/ethnicity, household poverty, and neighborhood disadvantage. In total, 2–18% of youth resided within 600 m of a gun homicide occurring in the past 14–365 days. These percentages were 3–25% for incidents within 800 m and 5–37% for those within a 1300-m radius. Black and Latinx youth were 3–7 times more likely, depending on the exposure radius, to experience a past-year gun homicide than white youth and on average experienced incidents more recently and closer to home. Household poverty contributed to exposure inequities, but disproportionate residence in disadvantaged neighborhoods was especially consequential: for all racial/ethnic groups, the difference in the probability of exposure between youth in low vs high poverty households was approximately 5–10 percentage points, while the difference between youth residing in low vs high disadvantage neighborhoods was approximately 50 percentage points. Given well-documented consequences of gun violence exposure on health, these more comprehensive estimates underscore the importance of supportive strategies not only for individual victims but entire communities in the aftermath of gun violence.

J Urban Health, 2022 Jun 7, 16p.

By CSE Aware

  The United Nations and other experts have highlighted that women with learning disabilities (LDs) are at higher risk of experiencing gender-based violence (GBV) because of the lifelong isolation, dependency and oppression they often they experience. These inequalities also put them at risk of commercial sexual exploitation (CSE). Despite global recognition of these impacts, in Scotland to date there is very limited evidence and information on how commercial sexual exploitation affects women with learning disabilities. In the recent report Unequal, Unheard, Unjust: But not Hidden Anymore,the Scottish Commission forPeoplewithLearningDisabilities (SCLD) highlighted SEason of the types of GBV women with learning disabilities experienced. What’s more, this groundbreaking report specifically recommended that the Scottish Government “commission national research examining the commercial sexual exploitation of women with learning disabilities in Scotland,” noting the lack of documented information. While some information does exist about learning disabled women’s experiences of selling or exchanging sex, it is mostly anecdotal and has not been documented nor analysed to truly understand the effects on this population and the effectiveness of, andgaps in, service responses.The present report was born from therecognition that there is a significant knowledge gap on the issue of CSE and its intersection with this particularly vulnerable group of women. Whilst the present report is not the much needed full-scale research which SCLD and ourselves are calling for (see recommendations), it does provide initial findings and recommendations from the exploratory researchweconductedoverthecourseofthreemonths. The Aims Of This research were to: Collect and document evidence of learningisabledwomen’sexperiencesof sellingorexchangingsex. Understandthedynamicsofwomen’s involvement and their specific needs. Explore service responses and challenges and opportunities when addressing women's experiences and needs. Produce Initial Recommendations thattheScottishGovernment and organisations canuseas abasis to design service and policy responses that meet theneeds women with LDs impacted byCSE.

Glasgow: CSE, 3035. 32p.

By Vanda Felbab-Brown 

Over the past several decades, the U.S. opioid epidemic has spanned four phases:  Oversupply of prescription opioids in the 1990s.. A significant increase in heroin supply and use in the 2000s.  A supply-driven explosion of fentanyl use after 2012.  Most recently, polydrug use, with fentanyl mixed into/with all kinds of drugs. Since fentanyl entered the U.S. illegal drug market, more than a million people in the United States have died of opioid overdose. The costs of fentanyl use go beyond the tragic deaths and drug-use-related morbidity, however. In addition to having significant implications for public health and the economy, the fentanyl crisis intersects in many ways with U.S. foreign policy. U.S. overdose deaths began declining in 2023. But there is little certainty as to which domestic or foreign-policy interventions have been crucial drivers. The wider availability of overdose-reversal medication is fundamental, as is expanded access to evidence-based treatment. It is also possible that the Biden administration’s actions toward international supply from Mexico and China are contributing to this reduction in overdose deaths: since the start of 2024, China has become more active in suppressing the flow of precursor chemicals, and Mexican cartels, perhaps purposefully, are now trafficking a less lethal version of fentanyl. A wide array of policy measures as well as structural factors outside of policy control could be cumulatively and interactively reducing mortality. The fact that the declines in mortality are not uniform across U.S. ethnic, racial, and social groups or geographic areas suggests the importance of access to medication for overdose reversal and the treatment of opioid use disorder, as well as the influence of structural factors. There is strong bipartisan support for preserving access to medication-based treatments. But crucially, access depends on medical insurance coverage, such as that provided through Medicaid and the Affordable Care Act. There are strong ideological divides about the financing and structure of the U.S. insurance industry as well as other aspects of drug policy. On February 1, President Donald Trump imposed a 25% tariff on imports from Mexico and Canada and a 10% tariff on imports from China until each country stops the flow of fentanyl (as well as migrants, in the cases of Mexico and Canada).1 He gave all three countries a month-long reprieve before implementing the tariffs in March to see if they satisfied his counternarcotics demands. Canada adopted a robust package of anti-fentanyl measures. Mexico too tried to appease the United States through a set of law enforcement actions, though it held out on perhaps the most important form of cooperation—expanding the presence and mandates of U.S. law enforcement agents in Mexico to levels at least approaching those enjoyed during the Felipe Calderón administration. Unlike Mexico or Canada, China did not take any further counternarcotics actions and instead responded with counter-tariffs of its own, even as Trump threatened to add additional tariffs on imports from China of up to 60%.2 On March 4, 2025, Trump dismissed Canada’s and Mexico’s law enforcement actions as inadequate, implementing the 25% tariffs. He also added an additional 10% tariff on China, meaning the second Trump administration has now placed a 20% tariff on Chinese goods.3 Apart from increasing the cost of goods for U.S. customers and driving up inflation, these tariffs will have complex effects on anti-fentanyl cooperation. Any large U.S. tariffs on China will likely eviscerate Beijing’s cooperation with the United States, resetting the diplomatic clock  back to the bargaining of 2018 and noncooperation of 2021-2023. As crucial as it is to induce the government of Mexico to start robustly and systematically acting against Mexican criminal groups, whose power has grown enormously and threatens the Mexican state, Mexican society, and U.S. interests, Mexico has no capacity to halt the flow of fentanyl. Mixing the issues of migration and fentanyl risks Mexico appeasing the United States principally on migration while placating it with inadequate anti-fentanyl actions. Further, U.S. military action in Mexico, which has been threatened by Republican politicians close to Trump, would yield no sustained weakening of Mexican criminal groups or fentanyl flows. It would, however, poison the political atmosphere in Mexico and hinder its meaningful cooperation with the United States. Strong law enforcement cooperation with Canada is crucial. Canada has been facing law enforcement challenges, such as the expansion of Mexican and Asian organized crime groups and money laundering operations in Canada. But disregarding the domestic and collaborative law enforcement efforts Canada has put on the table is capricious. At home, Trump’s favored approach, which renews focus on imprisoning users and drug dealers, and dramatically toughening penalties for the latter, would be ineffective and counterproductive. And while providing treatment is very important, the dramatic effect of treatment modality on effectiveness cannot be overlooked. Approaches to treatment should be designed based on evidence, not ideology.

Washington, DC: Brookings Institute, 2025. 49p.

 By The United States Sentencing Commission

  More than 780,000 Americans died from a drug overdose in the last ten years. Overdose deaths have increased more than 300 percent from the level two decades ago. The number of such deaths has continued to increase in recent years, with the Centers for Disease Control reporting that 91,799 people died of drug overdoses in 2020, 106,699 in 2021, 107,941 in 2022, and 105,007 in 2023. Provisional data shows a recent decline in overdose deaths beginning in late 2023 and continuing into 2024. Overdoses remain one of the leading causes of deaths in adults in the United States. While fentanyl and fentanyl analogues, methamphetamine, cocaine, and heroin are the drugs most often involved in these deaths, synthetic opioids like fentanyl— which is up to 50 times more potent than heroin—contribute to nearly 70 percent of overdose deaths. In this report, the Commission examines all overdoses identified in drug trafficking cases reported to the Commission for fiscal years 2019 to 2023. One or more deaths occurred in more than three-quarters of these cases, while no deaths occurred in the remaining cases. The Commission is able to collect information about the overdoses reported in these cases through the sentencing documents the courts provide to the Commission in every case.8 Using that information, this report provides an analysis of the 1,340 individuals sentenced for a federal drug trafficking offense involving an overdose in fiscal years 2019 to 2023. In it, the Commission analyzes the demographic characteristics of these individuals, the offense conduct that occurred in the case, and how the courts sentenced these individuals—including the application of sentencing guideline provisions that provide for heightened base offense levels when the offense of conviction established that death or serious bodily injury resulting from an overdose occurred, or departures from the guideline range for death or physical injury, or how often courts varied from the guideline range for a similar reason. Additionally, in this report, the Commission provides the results of a special data collection project to explore the outcome of each overdose, the type of drug involved in the overdose, the victim’s knowledge of the drug they were taking, and the sentenced individual’s conduct during the offense.  

Washington, DC, USSC, 2025.   52p.

By Sasha Murray,  Sarah Welland, Madeleine Storry

For victims who have experienced a serious criminal offence in England and Wales, the Crown Court is a vital part of their journey to receive justice. This is where jury trials are conducted to reach a verdict on whether the defendant is guilty of the crime or not. This report comes following a record number of outstanding cases at the Crown Courts in England and Wales. 2 At the end of September 2024, 73,105 cases were outstanding and almost a quarter (23%) of these had been outstanding at the Crown Court for over a year and 8% had been outstanding for over two years. This is a considerable increase since the end of March 2020, when just 7% of cases were outstanding for over a year and 2% of cases were outstanding for over two years. 3 This means an increasing number of victims are waiting extended lengths of time for justice. This report explores how these unprecedented delays in the Crown Court system impact on victims of crime, victims’ services, and the wider criminal justice system. The findings are based on primary research conducted by the Office of the Victims’ Commissioner in 2024, including a survey and interviews with victims and a survey with victim services staff. Based on these findings, the Victims’ Commissioner makes key, actionable recommendations for justice agencies and policy makers to consider. About the research This report aims to: • Understand the experiences of victims of all crime types who are navigating the Crown Court system in England and Wales amidst a record backlog. • Identify the impact of the Crown Court backlog on victims, the criminal justice system and victim services. • Understand victims’ experiences of support and communication whilst navigating the Crown Court backlog. Findings from the research The Crown Court system is experiencing an unprecedented backlog meaning victims commonly face delays and adjournments. • In the latest official statistics, a quarter of trials listed at the Crown Court had to be rearranged on the day of trial. • Further data, provided by HMCTS, showed that the number of completed Crown Court cases that had been rearranged more than three times on the day of trial, was four times higher in 2023/24 than it was in 2019/20. 4 • In our research, we found that of those victims who had been given a trial date, nearly half (48%) had this date changed at some point in their criminal justice journey and 26% of these victims had the date changed four or more times. For  victims often navigating the criminal justice system for the first time, this worsened an already stressful and traumatic process. The delays in the Crown Court cause debilitating stress and trauma for victims. • Our research highlighted how the Crown Court backlog caused immense stress for victims, prompting a deterioration in physical and mental health. Some victims resorted to drug and alcohol use or self-harm to cope, while other victims reported attempting suicide as it was too difficult to continue. • We found that while victims were still involved in the criminal justice process, they were unable to move on and prevented from recovering from the crime. • Additionally, when victims experienced repeated adjournments, the emotional distress and the necessity to re-live the trauma for each additional listing further exacerbated their trauma. The Crown Court backlog damages victims’ lives and futures. • We found that whilst enduring the prolonged waits for Crown Court trials, many victims were unable to maintain their daily functioning. Their lives were subsequently further disrupted by repeated adjournments. • Our findings also highlighted the impact of the Crown Court delays on victims’ employment. Victims often had to take periods of time off work for each trial listing, and some were unable to work or were signed off sick due to the stress of the delays. This had significant financial implications for some victims, particularly those who were self-employed. • The delays also adversely affected younger victims, as it disrupted their education and put their lives on hold during significant periods of their development. Our findings also highlighted the impact on victims’ interpersonal relationships. The turmoil of the Crown Court delays sometimes led to relationship breakdowns, at a time when a victim’s support network was vital. • We also heard how the delays in the Crown Court system impacted on other legal processes. For example, delays to trials concluding caused issues with Family Court proceedings, applications to the Criminal Injuries Compensation Authority (CICA) and eviction orders. The effectiveness of the criminal justice system and victims’ confidence in its ability to deliver justice is at risk due to the delays in the Crown Court system. • Our findings highlighted how increased waiting time for trials heightened the risk of victims’ memories fading and therefore, the quality of their evidence diminishing. • The increased waits also meant supportive prosecution witnesses became more likely to withdraw. • In addition, victims’ faith and trust in the criminal justice system was damaged, leading to disengagement from with the criminal justice process and in many cases, an entire withdrawal. • Where victims persevered with the criminal justice process, they often felt justice did not prevail. We were informed of cases where the time taken for the trial to take place meant the defendants’ sentence had already been served, either on remand or through bail conditions. We were also told of instances where the Crown Prosecution Service had dropped charges due to cases no longer being in the public interest and where defendants had died before the trial could take place. • For many victims, their experiences of the Crown Court backlog left them unwilling to engage with the criminal justice system in the future. High-quality support helps victims to stay engaged with the criminal justice process amidst the Crown Court delays, however the delays impede support organisations’ ability to provide this support. • Despite support being vital for their engagement, we found that for some victims, the delays prevented them accessing support. Some rape and sexual offence victims were advised not to seek therapy until after trial. However, the delays in cases coming to court resulted in long periods without support, further delaying their recovery. • We also found that the delays led to an increased demand for support services. This was due to an increased number of victims waiting for court and increased victim support needs due to the impact of the Crown Court delays. Many staff reported unsustainable caseloads and many support services had to implement waiting lists. Many services also raised concerns about the quality and consistency of support provision being compromised as a result of the overwhelming demand. • Our research highlighted the negative impact of the Crown Court backlogs on the wellbeing and job satisfaction of support staff, with some at risk of burnout and leaving their roles. This further exacerbated issues with support accessibility, quality, and consistency. Poor communication compounds the impact of the Crown Court backlog on victims. • Our research highlighted that poor initial expectation management of how long a case can take to get to trial and a lack of communication whilst victims waited for trial worsened victims’ experiences. • We also found that many victims experienced trials being adjourned at very short notice and with minimal or no explanation. This added to the emotional distress they experienced navigating an already challenging process. Key recommendations This report contains 19 recommendations that are grouped into three overarching aims. We have identified a key recommendation for change to help achieve each of these aims: 1. Improve the victim experience of the criminal justice system. o The government to explore how victims whose case is going to trial might be given a single point of contact to improve communication and ensure their Victims’ Code entitlements are delivered. 2. Make court processes more transparent and efficient. o The restoration of an Independent Courts’ Inspectorate so that the operation of the Court Service is subject to rigorous independent scrutiny. 3. Ensure victim services can provide support to victims as they wait for the case to get to trial. o Providing emergency funding to victim support services to help them cope with increased caseloads arising from the court backlog crisis.  

London: Victims Commissioner, 2025. 73p.

By Jamie MacColl, James Sullivan, Jason R C Nurse, Sarah Turner, Gareth Mott, Edward Cartwright and Anna Cartwright  

The cyber insurance industry has been heavily criticised for providing coverage for ransom payments. A frequent accusation, which has become close to perceived wisdom in policymaking and cyber security discussions on ransomware, is that cyber insurance has incentivised victims to pay a ransom following a cyber incident, rather than seek alternative remediation options. Over a 12-month research project, researchers from RUSI, the University of Kent, De Montfort University and Oxford Brookes University conducted a series of expert interviews and workshops to explore the relationship between cyber insurance and ransomware in depth. This paper argues that there is, in fact, no compelling evidence that victims with cyber insurance are much more likely to pay ransoms than those without. Ransomware remains one of the most persistent cyber threats facing the UK. Despite a range of government, law enforcement and even military cyber unit initiatives, ransomware remains lucrative for criminals. During this research, we identified three main drivers that ensure its continued success: 1. A profitable business model that continues to find innovative ways to extort victims. 2. Challenges around securing organisations of all sizes. 3. The low costs and risks for cybercriminals involved in the ransomware ecosystem, both in terms of the barriers to entry and the prospect of punishment. Despite this perfect storm of factors, the cyber insurance industry has been singled out for criticism with the claim that it is funding organised cybercrime by covering ransom payments. In reality, cyber insurance’s influence on victim decision-making is considerably more nuanced than the public debate has captured so far. While there is evidence that cyber insurance policies exfiltrated during attacks are used as leverage in negotiations and to set higher ransom demands, the conclusion that ransomware operators are deliberately targeting organisations with insurance has been overstated. However, the insurance industry could do much more to instil discipline in both insureds and the ransomware response ecosystem in relation to ransom payments to reduce cybercriminals’ profits. Insurers’ role as convenors of incident response services gives them considerable power to reward firms that drive best practices and only guide victims towards payment as a last resort. But the lack of clearly defined negotiation protocols and the challenges around learning from incidents make it difficult to develop a sense of collective responsibility and shared best  practices around ransomware response. This has not been helped by the UK government’s black-and-white position on ransom payments, which has created a vacuum of assurance and advice on best practices for ransom negotiations and payments. This paper does not advocate for an outright ban on ransom payments or for stopping insurers from providing coverage for them. Instead, it makes the case for interventions that would improve market-wide ransom discipline so that fewer victims pay ransoms, or pay lower demands. Ultimately, this involves creating more pathways for victims that do not result in ransom payments. Beyond ransom payments, cyber insurance has a growing role in raising cyber security standards, which could make it more difficult to successfully compromise victims and increase costs for ransomware operators. Successive years of losses from ransomware have led to more stringent security requirements and risk selection by underwriters. Although the overall effect of this on the frequency and severity of ransomware attacks remains to be seen, by linking improvements in security practices to coverage, cyber insurance is currently one of the few market-based levers for incentivising organisations to implement security controls and resilience measures. However, continued challenges around collecting and assessing reliable cyber risk and forensic claims data continue to place limits on the market’s effectiveness as a mechanism for reducing ransomware risk. This, along with cyber insurance’s low market penetration, makes clear that cyber insurance should not be treated as a substitute for the legislation and regulation required to improve minimum cyber security standards and resilience. Insurers are also commercial entities that primarily exist to help organisations transfer risk, rather than to improve national security and societal cyber resilience. The cyber insurance industry could be a valuable partner for the UK government through increased ransomware attack and payment reporting, sharing aggregated claims data, and distributing National Cyber Security Centre (NCSC) guidance and intelligence to organisations. However, the government has not made a compelling enough case to insurers and insureds about the benefits of doing so. Instead, it has relied on appealing to their general sense of altruism. While insurers will benefit if governments are able to generate more accurate and actionable data on ransomware, albeit indirectly, this needs to be sold to the industry in a more convincing way. Some principles and recommendations for both the insurance industry and the UK government are listed below. These are not designed to solve all the challenges of the cyber insurance market, nor do they present wide-ranging solutions to the ransomware challenge. Instead, they focus on where the cyber insurance industry can have the most impact on key ransomware drivers. This reflects the fact that disrupting the ransomware economy involves applying pressure from different angles in a whole-of-society approach. The recommendations also start from the position that the UK government’s light-touch approach is unsustainable and requires more intervention in private markets that are involved in ransomware prevention and response. While they are specifically aimed at UK policymakers, regulators and insurers, they may be applicable to other national contexts     

London: Royal United Services Institute for Defence and Security Studies, 2023.  84p.

By Jamie MacColl, Jason R C Nurse and James Sullivan 

  GOVERNMENTS AND BUSINESSES are struggling to cope with the scale and complexity of managing cyber risk. Over the last year, remote working, rapid digitalisation and the need for increased connectivity have emphasised the cyber security challenge. As the pursuit of approaches to prevent, mitigate and recover from malicious cyber activity has progressed, one tool that has gained traction is cyber insurance. If it can follow the path of other insurance classes, it could play a significant role in managing digital risk. This paper explores whether cyber insurance can incentivise better cyber security practices among policyholders. It finds that the shortcomings of cyber insurance mean that its contribution to improving cyber security practices is more limited than policymakers and businesses might hope. Although several means by which cyber insurance can incentivise better cyber security practices are identified, they have significant limitations. Interviewees from across government, industry and business consistently stated that the positive effects of cyber insurance on cyber security have yet to fully materialise. While some mature insurers are moving in the right direction, cyber insurance as a whole is still struggling to move from theory into practice when it comes to incentivising cyber security. If this is to change, the insurance industry must overcome significant challenges. One is the competitiveness of the nascent cyber insurance market over the last two decades. Most of the market has used neither carrots (financial incentives) nor sticks (security obligations) to improve the cyber security practices of policyholders. The industry is also struggling to collect and share reliable cyber risk data that can inform underwriting and risk modelling. The difficulties inherent in understanding cyber risk, which is anthropogenic and systemic, mean insurers and reinsurers are unable to accurately quantify its causes and effects. This limits insurers’ ability to accurately assess an organisation’s risk profile or security practices and price policy premiums accordingly. The spectre of systemic incidents such as NotPetya1 and SolarWinds2 has also limited the availability of capital for cyber insurance markets. However, the most pressing challenge currently facing the industry is ransomware. Although it is a societal problem, cyber insurers have received considerable criticism for facilitating ransom payments to cybercriminals. These add fuel to the fire by incentivising cybercriminals’ engagement in ransomware operations and enabling existing operators to invest in and expand their capabilities. Growing losses from ransomware attacks have also emphasised that the current reality is not sustainable for insurers either.

To overcome these challenges and champion the positive effects of cyber insurance, this paper calls for a series of interventions from government and industry. Some in the industry favour allowing the market to mature on its own, but it will not be possible to rely on changing market forces alone. To date, the UK government has taken a light-touch approach to the cyber insurance industry. With the market undergoing changes amid growing losses, more coordinated action by government and regulators is necessary to help the industry reach its full potential. The interventions recommended here are still relatively light, and reflect the fact that cyber insurance is only a potential incentive for managing societal cyber risk. They include: developing guidance for minimum security standards for underwriting; expanding data collection and data sharing; mandating cyber insurance for government suppliers; and creating a new collaborative approach between insurers and intelligence and law enforcement agencies around ransomware. Finally, although a well-functioning cyber insurance industry could improve cyber security practices on a societal scale, it is not a silver bullet for the cyber security challenge. It is important to remember that the primary purpose of cyber insurance is not to improve cyber security, but to transfer residual risk. As such, it should be one of many tools that governments and businesses can draw on to manage cyber risk more effectively.   

RUSI Occasional Paper, June 2021, London: Royal United Services Institute for Defence and Security Studies , 2021. 68p.