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 Johanna Higgs and Manith Chhoeng

In 2020, Amnesty International released a report detailing serious abuses against people held in drug rehabilitation centers and prisons in Cambodia, highlighting the severe overcrowding caused by the anti-drug campaign that began in 2017. As of March 2020, Cambodia’s prisons had an estimated capacity of 26,593, but the number of people held exceeded 38,990. Four years later, Cambodia’s Ministry of Interior reported that, as of March 2024, 45,122 people were imprisoned, with 21,644 (48%) held for drug offenses and 2,214 being minors. The General Department of Prisons' response to overcrowding has been to request the construction of new drug rehabilitation centers and prisons.

International standards, such as the United Nations Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders (the Bangkok Rules), the United Nations Standard Minimum Rules for Non-custodial Measures (the Tokyo Rules), and the United Nations Standard Minimum Rules for the Treatment of Prisoners (Mandela Rules), call for detention to be used only as a last resort and promote non-custodial measures, particularly for women and children. Organizations working in Cambodia, like IDPC partner This Life (TLC), aim to address these challenges through programs that improve outcomes for at-risk youth and families. These initiatives align with international standards, advocating for alternatives to incarceration and providing support services.

While Cambodia’s Drug Control Law (2012) gives prosecutors and courts discretion to divert drug offenders from imprisonment in favor of "voluntary" treatment programs, it has not been effectively implemented to reduce detention or imprisonment. TLC offers programs that provide vocational training and family support to juveniles in conflict with the law, aiming to reduce recidivism and promote reintegration. The organization also engages with government ministries, law enforcement, and community leaders to create holistic solutions that strengthen Cambodia's justice system and support vulnerable populations.

There are alternative measures in place for children. The Juvenile Justice Law of Cambodia, promulgated on July 14, 2016, aims to protect the rights of children in conflict with the law, supporting their rehabilitation and reintegration into society. It also provides alternatives to detention, such as diversion, probation, community service, and mediation. This law is seen as a milestone in promoting and protecting children's rights in Cambodia, aligning with the Convention on the Rights of the Child and other international standards. Non-governmental organizations like This Life are committed to evidence-based interventions that promote human rights, reduce inequality, and create opportunities for marginalized communities. Their work complements the goals of the Juvenile Justice Law by focusing on the rehabilitation and reintegration of youth in conflict with the law.

Amnesty International, 2024. 18p