By Melissa M. Labriola, Samuel Peterson, Jirka Taylor, Danielle Sobol, Jessica Reichert, Jon Ross, Jac Charlier, Sophia Juarez

Many law enforcement and other first responder agencies have adopted deflection as a front-line response to the increasing number of drug overdoses and deaths in the United States over the past two decades. Deflection programs aim to connect individuals with substance use disorder (not necessarily limited to opioids or one particular substance) who encounter the criminal justice system with treatment and other services according to the individual's needs.

This report describes the findings from a multi-site evaluation of law enforcement deflection in the United States. The authors describe how each program is implemented and identify key program facilitators and barriers. For two of the six sites, the authors conducted outcome analyses to determine whether the model is effective in reducing drug-related deaths and overdoses, arrests, and treatment admissions.

Key Findings

• Deflection programs in the United States can take many shapes and forms, but there are some trends emerging: gradual incorporation of additional pathways; an overall move toward greater complexity and breadth of service provision, including the coexistence of other diversion programs in the area; and a move toward the professionalization of deflection (e.g., needing own staff, formulation of best practices).

• Qualitatively, perspectives from stakeholders suggest positive results in terms of (1) individual participant journeys, (2) change in policing practice and views, (3) reductions in stigma, and (4) stakeholder and community buy-in.

• Facilitators of implementation can also be identified, primarily as strong partnerships and champions.

• Barriers include persistence of stigma, distrust of police, and challenges pertaining to services for people who use drugs writ large, such as treatment capacity and payment methods.

• The outcome analyses for one site (Lake County, Illinois) suggest a reduction in fatal overdoses and in property crime arrests, but findings for the other site (Plymouth Rock, Massachusetts) are mostly null, likely because of the small sample

Santa Monica, CA: RAND, 2023. 52p.

By Nicholas Paul

While there is a substantial body of placed-based evaluations of drug enforcement strategies, little is known about the nature and effectiveness of the routine tactics used by local police to target individual drug offenders. This study used a mixed-method approach to build on existing research on the efficacy of drug enforcement by documenting the nature and consequences of street-level drug enforcement at the local level. First, a focus group of drug enforcement experts was conducted to identify the tactics used to generate arrests and various types of evidence believed to strengthen drug cases. Next, official data in the form of police reports and court records were coded from one year of proactive felony drug arrests in a large, urban police department. The relationship between offender-focused drug enforcement tactics and various court outcomes (e.g., felony prosecution, formal conviction, and incarceration) were examined through logistic regression analyses. Results indicate traffic stops were the most frequently used tactic to generate felony drug arrests. However, buy-walks were more effective than traffic stops at receiving felony prosecutions. In contrast, search warrants were significantly less likely to result in prosecution. Implications for research and policy are discussed.

Orlando: University of Central Florida , 2022. 167p.

Edited by Henrik Tham. The drug policies of the Nordic countries have been relatively strict. Since this seems to contradict the internationally recognized liberal criminal policy in general, analyses have been devoted to try to understand this gap. Why doesn’t the “Scandinavian exceptionalism” apply to the drug policies? The new question in relation to drug policy is, however, if and how the Nordic countries will adapt to a situation when several countries all over the world are questioning ‘the war on drugs’ and orienting themselves in the direction of decriminalization and legalization.

Stockholm: SWE: Stockholm University Press., 2021. 324p.

By Scott Jacques.

“My first trip to Amsterdam was for a couple of days in the autumn of 2003. A second-year student at the University of Georgia, I was studying abroad at Oxford, just a few hours by air from Amsterdam. Years before, I had learned how to smoke marijuana and enjoy its effects, probably too much so. For stoners like my former self, visiting Amsterdam’s coffeeshops is a recreational pilgrimage. There a smoker can purchase cannabis and get high without fear of legal trouble, despite it being an illegal activity. This was a welcome change from the accustomed stress of acquiring weed in the United States.

UCL press. (2019) 186p.