By Katherine LeMasters, Samantha Nall, Cole Jurecka, Betsy Craft, Paul Christine, Ingrid Binswanger & Joshua Barocas

In response to the U.S. overdose crisis, many states have increased criminal penalties for drug possession, particularly fentanyl. This study sought to qualitatively explore diverse community perspectives on increasing criminal legal penalties in Colorado for fentanyl possession (House Bill 22-1326) and the broader role of the criminal legal system in addressing substance use and overdose prevention. We conducted 31 semi-structured interviews in 2023 with community leaders directly working with people who use drugs, individuals with lived experience with drug use and the criminal legal system, and law enforcement throughout Colorado. Interviewees were asked about the perceived impact of House Bill 22-1326 on their communities and agencies. After interviews were complete, we created templated summaries and matrix analyses to conduct rapid qualitative analysis, an action-oriented approach to qualitative data analysis.

Results

Respondents included peer support specialists (n = 7), policymakers (n = 6), community behavioral health/harm reduction providers (n = 6), criminal legal program staff (n = 8), and law enforcement (n = 4), with nine participants from rural counties. Analysis revealed that participants found increasing criminal penalties for fentanyl possession to be misguided: “And the felony [of HB-1326] is such a good example of a policy being led by feelings rather than evidence.” This was in the context of participants’ divergent views on police as conduits to treatment and punishment and perceiving jail as an (in)appropriate response for substance use disorder treatment.

Conclusions

All participants supported policy efforts to prevent fatal fentanyl overdoses, yet, most thought that increased use of police and incarceration as avenues to prevent overdose was misguided. This study highlights a diverse array of community perspectives that can inform policy decisions concerning criminal penalties for fentanyl possession and distribution and can inform policies that affect people who use drugs broadly.

Health & Justice volume 13, Article number: 26 (2025)

By Penal Reform International and Women Beyond Walls

Globally, the number of women who are criminalised and imprisoned is rising at an alarming rate. Data published in February 2025 shows that more than 733,000 women and girls are estimated to be in prison worldwide. The female prison population has increased by 57 percent since 2000. The number of women going to prison is growing at a faster rate than that of men. Due to challenges in obtaining accurate information and the systemic lack of prioritisation of this issue, the true scale of the issue is likely to be significantly underreported. Thousands more women – and their children, whether detained alongside them or left behind – are impacted by the well-documented harms of involvement with the criminal justice system. Despite its rapid growth, women’s detention is largely overlooked in policy-making and high-level forums on women’s rights. In 2021, research by Women Beyond Walls revealed that initiatives supporting incarcerated women and girls are critically underfunded, with 70 percent of 34 organisations across 24 countries receiving no funding from women’s rights or human rights donors. This lack of prioritisation and resources hinders efforts to reduce women’s incarceration globally. In the rare instances where imprisoned women are considered in policy conversations, they are often reduced to their caregiving roles, marginalising those who do not fit this stereotype and exposing them to harsher penalties, stigma, and policy neglect, which exacerbates their vulnerabilities and makes their struggles invisible. The global female prison population is estimated to have increased by 57 percent since 2000. The number of women going to prison is growing at a faster rate than that of men. To address the criminalisation and imprisonment of women, there is an urgent need to gain a more detailed understanding of the causes. This report published by Penal Reform International and Women Beyond Walls, both members of the Global Campaign to Decriminalise Poverty and Status, examines some of the laws and practices across the world that, while not explicitly targeting women, disproportionately criminalise them due to poverty, their vulnerability and/or their status as a woman. Poverty is not gender-neutral, and women are overrepresented amongst the poor, resulting in the criminalisation of poverty having an excessive impact on women. The report also exposes how gender discrimination and patriarchal norms target women due to their socially constructed status as women, with laws and practices that disproportionately or differently impact them due to their gender, such as restrictions on reproductive rights or sexuality

Women Beyond Walls, 2025. 56p.