By Aaron Lenihan,  Amanda Hauke,  Francisco Sanchez and Paul Guerin,

The Department of Health, Housing, and Homelessness (HHH) launched the Albuquerque Peer to Peer: Opioid Coordination and Outreach Project in September 2017. The project aims to reduce opioid misuse, overdose, and death in the Albuquerque area by using peer support workers to connect individuals suffering from opioid use disorder with appropriate treatment and recovery support services. This report presents the results of CARA’s evaluation of the Peer to Peer project. We review the scientific literature on similar programs to establish a baseline for expected client outcomes and best practices, and then compare the Peer to Peer project to this baseline through an analysis of program documents and service data. The results of our analysis reveal that Albuquerque Peer to Peer is broadly designed and implemented according to best practices. However, we recommend clarifying the procedures for assessing client needs and facilitating client engagement in referred-to services. In terms of the short-term outcome -- proportion of clients who engaged in the treatment services to which they were referred – we found that Albuquerque Peer to Peer is performing as well as comparable, state-of-the-art peer outreach programs. We recommend the project track middle to long-term client outcomes, like rates of EMS involvement and overdose death, moving forward.

Albuquerque: New Mexico Statistical Analysis Center, Institute for Social Research, Center for Applied Research & Analysis, 2023. 40p.

By Jon Heidt

This report reviews the key research literature on the impact of decriminalization, depenalization, diversion, and harm reduction programs from countries in Europe, North America, South America Oceania, and several U.S. states including California, Maine, Oregon, and Washington state. From this review, key indicators emerged in two domains: crime and criminal justice and mental and public health. Crime and criminal justice indicators include crime rates, levels of organized crime, rates of imprisonment, levels of public disorder (e.g., open air drug use and dealing), drug use trends and patterns, drug availability and price, rates of treatment uptake, addiction and overdose, police clearance rates, costs of enforcement, and functioning. Mental and public health indicators include drug use rates and patterns, rates of drug treatment participation, and rates of drug related mortality. These indicators were used to evaluate the impact that different approaches to drug policy have on society.

Vancouver, BC:  International Centre for Criminal Law Reform, 2021. 80p.