By Lynn Langton, Christopher Krebs, Michael Planty, Marcus Berzofsky

This report describes efforts to compare estimates from the Bureau of Justice Statistics’ (BJS) National Crime Victimization Survey (NCVS) Supplemental Fraud Survey (SFS) to estimates and victimization patterns from other available sources of fraud data. There are numerous sources of data on the prevalence and nature of personal financial fraud. Each source uses different definitions of fraud, employs different methodologies, and suffers from a variety of limitations. BJS developed the SFS to address the major limitations and shortcomings of other existing fraud data collections. It was the first effort by BJS to estimate the prevalence and characteristics of fraud in the United States. The survey was administered to all NCVS respondents age 18 or older from October to December 2017. This paper examines initial SFS estimates of the prevalence and nature of personal financial fraud and explores the similarities and differences between the SFS and other sources of fraud data as one component of an effort to validate the SFS estimates.

Washington DC: U.S. Bureau of Justice Statistics, 2023. 95p.

By Corinne May-Chahal, Lancaster University; Professor Adam Crawford, Universities of Leeds and York; Dr Christine A Weirich, University of Leeds; Dr Larissa Engelmann

The aim of this two-year project was to take a place-based and problem-oriented approach to understand and improve offline responses to OCSEA.

The project commenced in May 2022 with a pilot study in one local authority area, using a mixed-methods approach involving a rapid appraisal, co-production, and a police case file analysis. A wide range of local stakeholders co-designed 11 priorities that have formed the basis of shared quality standards to improve responses to OCSEA locally.

Local action groups (representing local services and young people) were tasked with co-creating these standards. Implementation of shared priorities is complex and ongoing but the passion and interest of young people, parents and services to address OCSEA is loud and clear.

Community practitioners struggle to respond to online child sexual exploitation and abuse (OCSEA) victimisation due to its volume, complexity and the lack of relevant evidence-informed guidance and training.

Police reactions to peer-on-peer abuse can influence the extent to which enforcement, social care or educational approaches dominate local responses. Holistic and multi-agency informed practices are needed to combat the problem.

There needs to be meaningful engagement with children and parents when delivering community-based responses to OCSEA.

Empowering communities to tackle OCSEA requires collaboration to agree local priorities and co-produce quality response standards

University of Leeds, The Vulnerability & Policing Futures Research Centre , 2024. 4p.

By Diana Kriger

A masterful intersection of Bible studies, gender studies, and rabbinic law, Diane Kriger explores the laws pertaining to female slaves in Jewish law. Comparing biblical strictures with later rabbinic interpretations as well as contemporary Greco-Roman and Babylonian codes of law, Kriger establishes a framework whereby a woman’s sexual identity also indicates her legal status. With sensitivity to the nuances in both ancient laws and ancient languages, Kriger adds greatly to our understanding of gender, slave status, and the matrilineal principle of descent in the ancient Near East.

Newton, MA: Academic Studies Press, 2008, 425p.

Edited by Christelle Molima Bameka, Jastine C. Barrett, Mohamed Kamara, Karl Hanson, and Mark A. Drumbl

This multi- disciplinary volume provides an innovative approach to children and violence, looking beyond the existing literature that focuses on child soldiers in the ‘Global South.’ Harnessing expert contributions from over a dozen countries, the book examines the relationship between children and violence, with a focus on children ensnared in military conflict, embroiled in criminal gangs, and enmeshed in political activism. It analyses how children join fights, how they fight, and what happens to them after fighting officially ends. It addresses cutting- edge issues such as cyberwars, self-defence, intergenerational trauma, gender fluidity, racism and state surveillance. Throughout, the book underscores the need to respect the agency and dignity of children and youth, to build cultures of juvenile rights, and to think critically of the place of the child amid global power politics and decolonisation. Through accessible writing, and the provision of considerable new data, this book supports advocacy work and will enrich teaching and spark further academic research.

London; New York: Routledge, 2025. 271p,

By Lena Gunnarsson, Translated by B.J. Woodstein

How does sexual consent work? How do we know that another person really wants to have sex with us? Why do people sometimes give in to sex that they are not in the mood for? And how come it is sometimes difficult to draw a sharp line between sex and assault? Dynamics of Sexual Consent addresses these questions based on deeply personal interviews with 20 Swedish women and men of various ages and sexual orientations. In doing so, it contributes to understandings of sexual consent and sexual grey areas through its combination of conceptual rigour, analytical detail and empirical richness. While starting in the legal definition of consent as voluntary participation, the book broadens the discussion to a wider sociological and philosophical sphere where gendered power dynamics and relational dependencies challenge simplistic understandings of voluntariness. Contesting tendencies to see miscommunication as the key problem related to consent, it shows that emotional aspects are often the main factor standing in the way of genuinely consensual interactions. While the analysis is informed by a gender perspective emphasizing the gendered power asymmetries of heterosexuality, it also foregrounds men’s vulnerability and the power dynamics of samesex interactions. A key argument of the book is that, given the contextual and ambiguous nature of sexual interactions, it is impossible to delineate unequivocal and concretely applicable guidelines for what counts as consent. To compensate for the lack of universal, fail-safe rules, what is needed is an intensified collective reflection on consent and sexual grey areas, which can make individuals better equipped to identify and respect their own and others’ boundaries. An empirically rich and conceptually sophisticated contribution to understanding of sexual consent and sexual grey areas,

London; New York: Routledge, 2025. 284p.

By Melanie Burton, Savannah Minihan, Mariesa Nicholas, et al.

eSafety is the first government agency to implement a dedicated scheme responsible for facilitating the removal of non-consensual intimate images posted online via the establishment of an image-based abuse (IBA) reporting portal and a civil penalties scheme. This research examines the operation of eSafety’s IBA scheme from 2018 to 2023. The paper examines what was being reported under the scheme, including who was reporting and changes in report numbers over time.

The increasing number of reports over the first five years of the scheme highlights the importance of community awareness-raising and preventative education, as well as investment in initiatives that destigmatise and de-shame image-based abuse and encourage help-seeking.

The IBA scheme enables eSafety to engage directly with online service and platforms to get the intimate content removed. It finds that the scheme has increasingly helped remove harmful content and enabled Australian victims of image-based abuse to access expert assistance, regain control over their situation and to receive practical support to help them feel safer online.

Key findings

Reports to the IBA scheme increased by more than 960%, from 849 reports in 2018/19 to 9,060 reports in 2022/23.

The increase in reports was led by a 1,332% increase in reports for sexual extortion and a 2,206% increase in reports for child sexual exploitation.

eSafety sent 1,961 removal requests to online services and platforms and were successful in having all or some of the material removed for 89.9% of these requests.

Journal of Online Trust and Safety, April 2025, 37p.

By Malore Dusenbery, Jeanette Hussemann, Teresa Crowe

More than 11 million people in the United States are Deaf, deaf, hard of hearing, late-deafened, or Deaf-Blind. Research indicates deaf people report experiencing victimization at higher rates, but a lack of accessible resources and trauma-informed services for American Sign Language (ASL) speakers makes it difficult for deaf people to report crimes and access support. In response to these issues, the Manhattan District Attorney’s Office in 2017 began funding Barrier Free Living (BFL), a provider of services for survivors of domestic violence and their families, to increase access to direct services for deaf survivors and increase local stakeholders’ awareness of deaf survivors’ needs through its Deaf Services (DS) program.

In 2019, Urban, in collaboration with Gallaudet University and NORC at the University of Chicago, began a multimethod process evaluation of BFL’s DS program to document its implementation and assess to what extent it achieved its intended goals. Drawing on information gathered from BFL staff, deaf consumers of BFL’s services, and community partners, we identified the following key findings:

The DS program provided a range of services to meet the diverse needs of deaf survivors, including counseling and support groups, legal services, case management, housing support, employment support, occupational therapy, and child care. Consumers reported overall positive experiences with the services they received and communication accessibility at BFL.

The DS program helped increase BFL’s ability to communicate with deaf survivors by increasing routine use of interpreters, training hearing staff in ASL, and improving communications technology.

The DS program led to increased awareness and collaboration around services provided to deaf clients, but communication and staffing challenges remain.

The DS program partners with a range of external agencies to support referrals or coordinate service provision, provide education and training, and conduct outreach and advocacy.

Funding and staffing are the primary factors that impede the provision of enhanced services for deaf survivors, but a community-wide lack of accessible and available services and housing also hinders providers from meeting their clients’ needs.

Based on these findings, we provide recommendations for

how BFL and similar direct service programs can improve and adapt staffing, services, and outreach to strengthen their response to deaf survivors;

how policymakers, funders, and system-level stakeholders can address societal and policy-level barriers to meeting the needs of deaf survivors; and

how researchers and funders of research can fill critical gaps in research on deaf survivors and deaf-focused services by increasing and improving the research done with the deaf community.

Washington, DC: The Urban Institute, 2022. 83p.

By Mostafa Soliman

The purpose of this research is to explore the domestic and international markets for small arms. Firstly, the research begins by summarizing the factors contributing to the illicit market of small arms and light weapons, including their ammunition, since their inception after World War II. Secondly, it explains the social, economic, and political aspects that impact weapons trafficking. Finally, it analyzes the attitudes of countries' policies towards the international regime for regulating small arms transfers, by comparing their national laws for acquiring and dealing with small weapons, as well as the various initiatives undertaken by either countries or non-governmental organizations to curb the illicit market of small arms.

Unpublished paper, 2023. 46p.

Edited by Thiago Pierobom de Ávila, Aline Yamamoto, Cristina Elsner de Faria, Jude McCulloch, Kerry Carrington

This collection of articles is the fruit of a joint project implemented between Brazilian and Australian researchers and professionals committed to the work of gender and family violence prevention and response. With the support of the Australian Embassy in Brazil and the United Nations Entity for Gender Equality and the Empowerment of Women Brazil Country Office, an innovative project was designed to support research exchange and strenghten academic collaboration, as well as foster a collaborative network of experts and professsionals, with the aim to enhance debate on gender and family violence prevention and extract lessons from both countries’ policy experiences. The Brazil-Australia Partnership on Preventing Domestic and Gender-based Violence project included several institutions. Amongst those institutions, it is important to highlight the role played by the Gender Equality Cabinet of the Public Prosecutor’s Office of the Federal District (MPDFT), along with the Monash Gender and Family Violence Prevention Centre and the School of Justice of Queensland University of Technology in Australia, in the organization of international conferences and the coordination of this collection. This initiative also had the active participation of the São Paulo Public Prosecutor’s Office (MPSP), the Pontifical Catholic University of São Paulo (PUC-SP), the Research Group on Criminal Policies of the Law Faculty at the University Center of Brasilia (UniCEUB), the Superior School of the Public Prosecutor of the Union (ESMPU), the Institute for Applied Economic Research (IPEA), the Center for Studies and Research on Women at the University of Brasilia (UnB) and the Gender Observatory of the Brazilian Senate. From the Australian side, the project was financially supported by the Council on Australia Latin America Relations (COALAR), and additionally to the institutions previously mentioned, it also had the participation of Australia’s National Research Organisation for Women’s Safety (ANROWS) and RMIT University. In June 2019, as part of the Project’s planning, a delegation of Australian professionals from governmental institutions, non-governmental organizations, academic and justice sectors came to Brazil (Brasilia and São Paulo) to explore the Brazilian policy framework and analyse program cases. Following it, in December 2019, a delegation of Brazilian experts went to Australia (Brisbane and Melbourne) to participate in expert workshops and conferences, as well as visit Australian successful programs for violence prevention. As a result, the project allowed an in-depth policy dialogue and advanced debates related to measuring the costs of domestic violence, as well as its impact on the economic growth. It also created opportunties to share good practices in gender equality policies, particularly primary prevention approaches, and to promote an integrated approach across the justice, public security and public health systems. The aim is to establish collaborative arrangements between both countries, contributing to policy development on gender and family violence prevention in Brazil and Australia.

Brasilia 2021 Ministério Público do Distrito Federal e Territórios, Brazil. 2021. 203p.

By Lyla Latif

Illicit financial flows (IFFs) cost Africa around US$88.6 billion per year. They have hamstrung progress and created poverty, insecurity and financial challenges which today impede implementing the 2030 UN Agenda for Sustainable Development and the AU Agenda 2063: The Africa We Want. IFFs have also driven the African continent towards indebtedness, in addition to eroding funds that could be used for services such as education, health care and infrastructure.

This study focuses on one form of IFF, namely corruption and the resultant money laundering. It describes and analyzes the symbiotic relationship between corruption and money laundering and how they mutually reinforce an IFF ecosystem inclined towards draining resources needed for development. It further proposes measures to enhance the effectiveness of the fight against corruption and money laundering.

This study is produced by the Office of the Special Adviser on Africa (OSAA) within its mandate to support analytical work in improving coherence and coordination of the UN System support to Africa and to facilitate intergovernmental deliberations on Africa\

United Nations, 2022. 46p.

By Dan Ngabirano

illicit financial flows pose a critical challenge to African countries, as IFFs deny countries the opportunity to generate the revenues required for them to meet their expenditure needs and to fund long-term development plans. UNCTAD has put the magnitude of IFFs in Africa at an average of $88.6 billion per year, which represents about 3.7% of the continent’s total Gross Domestic Product. Curbing IFFs can reduce the region’s financing gap by 33%. IFFs drain foreign exchange reserves, affect asset prices, distort competition, and undermine the capacity of countries to maintain economic and financial stability. Consequently, African countries are constrained in meeting commitments made under various regional and international frameworks, including the 2030 Agenda for Sustainable Development and Agenda 2063.

This report is focused on IFFs linked to aggressive tax planning and other illegal commercial practices in the context of Africa. Commercial practices constitute the largest source of IFFs from Africa (65%), followed by crime (30%) and corruption (5%). The report provides a broad overview of the scale and distribution of IFFs in Africa; discusses different forms of IFFs that arise from tax and illegal commercial practices; and reviews current initiatives for combating tax and commercial-related IFFs in Africa. The report provides the conclusion and policy recommendations for combating tax and commercial IFFs in Africa.

United Nations, Office of the Special Adviser on Africa, 2022. 42p.

By Amazon Watch

This report, developed by Amazon Watch in collaboration with various Indigenous and human rights organizations, addresses the recent security crisis in Ecuador and the impacts of the repressive policies implemented by the government of Daniel Noboa. It highlights the increasing influence of organized crime and illegal mining in the Ecuadorian Amazon. This research exposes how criminal economies not only pose a threat to the livelihoods of Indigenous peoples, Afro-descendant communities, and traditional rural communities by endangering their territorial governance projects and the sustainability of their ways of life, but also severely compromises the ecological integrity of the Amazon. The conclusion contains a series of recommendations aimed at ensuring the rights of the civilian population in the context of the non-international armed conflict recently declared by the national government to address this crisis. It particularly emphasizes the need to provide protection guarantees and establish coordination mechanisms with the organizational structures of Indigenous peoples and nationalities, whose territorial governance projects are at risk. Additionally, it underscores the urgency of strengthening the government’s institutional capacity by developing coordinated actions to halt the advance of illegal economies, declaring the Amazon in a state of emergency, and taking immediate measures to prevent its destruction

Oakland, CA: Amazon Watch, 2024. 24p.

By Mercedes De Freitas , et al.

Organised crime and corruption in Venezuela have become a state problem that not only keeps Venezuelans in constant danger, but their effects are already impacting a number of Latin American countries, while the United States and several European nations have witnessed how illegal operations of power groups have infiltrated their financial and real estate systems with dirty money stolen from Venezuela’s coffers. A simple explanation for the complex humanitarian emergency facing Venezuela is that the country was subjected for several years to misguided public policies and decisions by authorities, which in most cases right out aimed to steal large amounts of money from the nation’s Treasury. It was a Grand Corruption scheme,1 with systematic measures that impinged on the entire population. This context was a breeding ground for organised crime, which became stronger with substantial firepower and economic resources, to the point of collaborating—in many cases—with agencies at all levels of authority, including senior officials in the administration. In view of this situation, at the end of this investigation we propose a set of initiatives to combat this evil, which will require forceful and unprecedented actions in Venezuela, such as resorting to the support of international organisations in the search for solutions that have been effective in other countries of the hemisphere, to punish the culprits. This work encompassed a nationwide vision—as opposed to the 2019 Organised Crime and Corruption study2 focused on border issues—which shows the map of criminal organisations, the types of crimes, the regional situation in various states, the role of the Bolivarian National Armed Forces (FANB), as well as an analysis of the situation of women regarding organised crime and corruption. The most important findings of this new study can be summarised as follows: 1. The existence of at least 9 major organised crime rings in Venezuela, involving more than 13,000 criminal organisations, some of which have ties to policy makers and public officials. 2. Crimes and acts of corruption boast total impunity. 3. The lack of robust public institutions, the dismantling of some of them, as well as the existence of incentives derived from some public policies such as price controls and fuel subsidies, are a breeding ground for misdeeds, crimes, human rights violations and the theft of public funds. 4. Venezuelan migrants are victims of illegal groups. 5. The implementation of a model called garrison state, “banana republic” style, whose main characteristics include institutionalised violence, colonisation of public administration and the incorporation of members of the Armed Forces into the economic leadership of the country. 6. The differentiating aspect of organised crime and corruption among Venezuelan women In this investigation, the effort was focused on determining the institutional, social and economic aspects of criminal activity in Venezuela and is developed in 6 chapters: 1. Anatomy of crime: the 9 major crime rings controlling Venezuela 2. Corruption and crime in the regions: lawless states. 3. Military power, crime and corruption. 4. Differential impact of corruption and organised crime on women in Venezuela. 5. Crime, security agencies and human rights. 6. A proposal to desmantled organized crime in Venezuela. The general objective has been to gather and organize relevant information, with the purpose of providing sufficient data and empirical analysis for political leadership, with power to lead the country, can design the strategies and public policies that will defeat and overcome corrupt practices, incentives to corruption and the action of organized crime that, to the detriment of governance and institutional integrity, have had devastating consequences for the lives of Venezuelans with violations to the human rights, destruction of the productive apparatus, of the public services, opportunities to overcome poverty, and that have generated a process of unprecedented degradation that led to the complex humanitarian emergency that they are suffering and still waiting for solutions. The statements, opinions, and ratings present in all chapters correspond experts, witnesses, victims and affected persons, some of whom have chosen not to disclose their identity

Caracas: Transparency Venezuela, 2020.....135p.

By Yehor Hrynyk, Andrii Biletskyi, and Amanda Cabrejo le Roux

This report offers a detailed deep dive into how corruption fuelled illegal logging in Ukraine during the period before the full-scale war. It explains how the Russian invasion has raised the risks of illegal logging, by increasing demand for wood and its relative value as a resource, and by reducing inspections and civil society oversight.

Building on pre-war case studies, selected interviews and a review process with various stakeholders, the report outlines the widespread corruption challenges in Ukraine's forestry sector and proposes relevant interventions in the war and reconstruction contexts.

The report identifies specific corruption patterns linked to three main types of illegal logging:

By private actors such as communities and criminal groups, who can evade justice by corrupting law enforcement officials.

By forest management officials, who sometimes obtain false paperwork to fell trees – thus easing their export abroad.

Following the illegal appropriation of forests through manipulation of land documents.

A significant proportion of wood illegally logged in Ukraine comes with (illegally obtained) permits, so can be "legally" exported to foreign markets in the European Union and elsewhere.

Both governments and the private sector in countries that import wood and/or support Ukraine's reconstruction efforts have a role to play in preventing the illegal destruction of Ukraine's forests.

Working Paper 43

Basil SWIT: Basel Institute on Governance, 2023. 62p.

By Jacopo Costa

This report is part of a multi-disciplinary project focused on intelligence-led action against financial crime in illegal wildlife trade (IWT). Under this project, the Public Governance division of the Basel Institute on Governance is leading research in East Africa that aims to contribute to the prevention and combating of IWT by developing a better understanding of the context-specific drivers of the trafficking and the role of criminal networks in sustaining such illicit strategies. The three main research questions are: • Why does wildlife trafficking happen? • How does wildlife trafficking happen? • What can be done to curb it? This report empirically answers the second research question and, in doing so, offers several promising avenues to answer the third. This report was funded by PMI IMPACT, a grant award initiative of Philip Morris International (PMI). In the performance of their research, the authors maintained full independence from PMI. The views and opinions expressed in this document are those of the authors and do not necessarily reflect the views of PMI. Neither PMI, nor any of its affiliates, nor any person acting on their behalf may be held responsible for any use which may be made of the information contained herein.

Working Paper 35

Basel, SWIT: Basel Institute of Governance, 2021. 58p.

By The Basel Institute on Governance

This guide is a high-level “how-to” for carrying out a corruption risk assessment in a conservation/environmental law enforcement context, using the Map, Characterize, Assess, and Recommend (MCAR) approach designed by the Basel Institute on Governance.

The first section covers planning: the resources, timing, and other considerations for setting up the assessment.

The second section lays out each step of the assessment, with tips, basic instructions, and implementation recommendations for each stage.

Finally, the annexes provide sample supporting materials, including a simplified process diagram and map, a sample questionnaire for interviews, and a basic confidentiality agreement.

It was developed under the Basel Institute's Green Corruption programme as part of a wider research collaboration between the Basel Institute and Targeting Natural Resource Corruption (TNRC) project consortium.

Basel, SWIT: Basel Institute on Governance , 2023. 26p.

By Global Initiative Against Transnational Organized Crime - ECO-SOLVE

This international conference was convened in recognition of environmental crimes as threat multipliers to an increasingly fractured and vulnerable planet. They pose threats to not only the environment, but also public health, security, political stability, the rule of law, human rights, sustainable development, food security, livelihoods, habitats, cultural heritage, and the global economy and integrity of the international financial system. Coalescing a more coherent and effective international response was a daunting, but necessary common objective of the government of France and the GI-TOC, who invited a diverse set of participants in Paris for the third security and development dialogue on environmental crime in Paris in April 2025, with the financial support of the European Union through the ECO-SOLVE project. The event is part of a series aimed at building political will and momentum for a more ambitious global response to environmental crime through the multilateral system. The dialogue series aims to determine shared priorities for action and to prepare for collective engagement ahead of important multilateral processes taking place in 2025 and 2026, with an agenda focused on ways of prioritizing environmental crimes for urgent and collective action at global, regional and national levels to protect both people and planet. As such, it enables participants to: ■ discuss strategies to draw attention to the environmental crimes in upcoming multilateral processes; ■ debate ways to advocate for and work towards the adoption of the most ambitious and effective measures (at global, regional and national levels) to deter environmental criminality and end impunity, while ensuring sustainable alternative livelihoods for affected communities and individuals; ■ reaffirm the critical role, expertise and contributions of civil society in supporting states in their efforts to prevent, detect, investigate, prosecute and adjudicate environmental crimes, and related corruption and financial crimes; and ■ commit to further develop multistake-holder cooperation and partnerships against environmental crimes and support the active participation and engagement of members of civil society in multilateral discussions. More than 100 participants from across government, civil society, academia, law enforcement and criminal justice gathered, under the Chatham House Rule, to discuss these issues and make recommendations for the international system. This report reflects the common priority issues identified, and considers what can be done to enhance international action. It highlights the key takeaways from the discussions, and lays out a set of the conclusions and recommendations put forward by speakers. These are packaged to support upcoming multilateral processes, and delegates who attend them.

Geneva: ECO-SOLVE - Global Initiative Against Transnational Organized Crime, 2025. 22p.

By Abbas Panjwani, Greg Oxley, William Downs

Criminals successfully stole £1.2 billion from individuals through banking fraud and scams in 2023 according to industry figures. 1 Fraud accounted for over 40% of crimes against individuals in England and Wales in 2024. And the government has said the total impact of fraud when counting things like emotional harm and investigatory costs is over double that of the direct losses from fraud. Despite the prevalence of fraud and the public costs, the government and police approach to fraud in recent years has been criticised for failing to take the crime seriously. For example, in the year ending March 2024, only around 2% of fraud offences recorded by police were referred to territorial forces for investigation. In 2023 the government published its fraud strategy which included a range of measures to stop fraud happening in the first place, pursue fraudsters when they are successful, and help victims. Some of the main initiatives include establishing a National Fraud Squad of specialist investigators, overhauling the fraud reporting system and requiring payment service providers to reimburse victims of authorised payment fraud. The nature and scale of banking fraud Industry body UK Finance estimates that criminals successfully stole £1.17 billion through banking fraud and scams in 2023. Of this £709 million was unauthorised and £460 million was authorised, levels which have remained broadly flat since 2021. Unauthorised fraud is where the fraudulent transaction is carried out by a third party, not the victim. Authorised fraud involves the victim being tricked into paying money into another account that is controlled by a criminal. This is also known as Authorised Push Payment (APP) fraud. Payment providers almost always reimburse victims of unauthorised fraud. For APP fraud, in 2023 62% of losses were reimbursed, a figure which has increased over time. From October 2024, payment providers are required by law to reimburse APP victims, subject to some conditions.

London: House of Commons Library, 2025. 32p.

By Avalere Health

In 2022, over six million people in the United States reported having an opioid use disorder (OUD). Past research has not yielded comprehensive estimates of the full societal burden of OUD or the impact of OUD treatments in limiting associated costs. To evaluate the costs of OUD and the benefits and cost savings associated with OUD treatment, Avalere Health conducted secondary research and modeled the costs as well as the savings associated with treatment of OUD, nationally and by state. This research (1) characterized the prevalence of OUD, (2) modeled the costs of OUD, and (3) modeled the net cost impact of four ambulatory OUD treatments: (a) behavioral therapy alone, (b) behavioral therapy plus methadone, (c) behavioral therapy plus transmucosal buprenorphine, and (d) behavioral therapy plus longacting injectable (LAI) buprenorphine. Key findings: 1. OUD prevalence: OUD cases per capita (the percentage of individuals per state with OUD) ranged among states from 0.75% to 2.99%. New Hampshire, Nevada, Massachusetts, and Kentucky had the highest rates of OUD (greater than 2.5%), while Wyoming, Hawaii, Washington DC, and Minnesota had the lowest (less than 1.0%). 2. Cost burden of OUD: The average annual total cost per OUD case OUD is approximately $695,000 across all stakeholders analyzed. The annual cost per OUD case, excluding the patient burden to the individual with OUD, is approximately $163,000, spread across public and private stakeholders. Including lost quality and length of life, the patient burden of OUD is approximately $532,000 per year. 3. Costs to external stakeholders: The costs to the federal government, state/local government, private businesses, and society are driven by lost productivity for employers ($438 billion), employees ($248 billion), and households ($73 billion). Health insurance and uninsured costs were $111 billion, criminal justice costs are $52 billion, and other substance use treatment costs are: $12 billion. 4. Treatment benefits of OUD: Medications and behavioral therapy to treat OUD are associated with significant average cost savings per case. Estimated annual per-case savings net of treatment cost from ambulatory treatments are estimated to be: • $144,000 for behavioral therapy alone • $271,000 for behavioral therapy plus methadone • $271,000 for behavioral therapy plus sublingual buprenorphine • $295,000 for behavioral therapy plus LAI buprenorphine

Washington, DC: Avalere Health, 2025. 21p.

By Sung Hwan Joo, Doyun Koo, Stephen J. Watts

With the notable recent population growth of the Asian population in the US, the need for scholarly attention to offending patterns of this population has correspondingly increased. Utilizing waves of 1 to 4 of the National Longitudinal Study of Adolescent to Adult Health (Add Health) (n=9412), the current study examines the offending trajectories among Asian populations in the US, with particular attention to the distinct experiences and offending patterns between US-born and non-USborn individuals. Employing group-based trajectory modeling (GBTM) and multivariate regression, the study reveals distinct patterns of offending between Asian and non-Asian populations, while highlighting significant variations in offending trajectories between US-born and non-US-born Asian populations. Results indicate that social control factors, such as social bonds and self-control, have varied influences across US-born and non-US-born Asian populations. Overall, the findings point to the importance of considering how distinct institutional adjustment processes and identity negotiations shape offending trajectories among Asian populations in the US. The discussion focuses on how the current study contributes to a deeper understanding of the complexities facing Asian populations in the US, suggesting future studies incorporate institutional adjustment processes to elucidate Asian offending trajectories further.

Journal of Developmental and Life-Course Criminology (2024) 10:501–524