{"id":61392,"date":"2014-02-15T09:00:17","date_gmt":"2014-02-15T14:00:17","guid":{"rendered":"http:\/\/thesocietypages.org\/socimages\/?p=61392"},"modified":"2014-06-09T01:10:50","modified_gmt":"2014-06-09T06:10:50","slug":"should-drug-treatment-aim-to-end-drug-use-or-reduce-harm","status":"publish","type":"post","link":"https:\/\/thesocietypages.org\/socimages\/2014\/02\/15\/should-drug-treatment-aim-to-end-drug-use-or-reduce-harm\/","title":{"rendered":"Should Drug Treatment Aim to End Use or Reduce Harm?"},"content":{"rendered":"

In the wake of Philip\u00a0Seymour Hoffman\u2019s sad death, many are\u00a0calling<\/a>\u00a0for various \u201charm reduction\u201d approaches to substance use.\u00a0Proponents<\/a>\u00a0of harm reduction have identified lots of ways to reduce the social and personal costs of drugs, but they often require us to shift our focus from the prevention of drug use itself to the prevention of\u00a0harm<\/em>. Resistance to such approaches often hinges on the notion that they somehow tolerate, facilitate, or even subsidize risky behavior.<\/p>\n

This tension emerged clearly in my new\u00a0article\u00a0with\u00a0Sarah Shannon<\/a>\u00a0in\u00a0Social Problems<\/a><\/em>. We re-analyzed an experimental jobs program that randomly assigned a basic low-wage work opportunity to long-term unemployed people as they left drug treatment. In some ways, the program worked beautifully. The job treatment group had significantly\u00a0<\/em>less crime and recidivism, especially for predatory economic crimes like robberies and burglaries. After 18 months, about 13 percent of the control group had been arrested for a new robbery or burglary, relative to only 7 percent of the treatment group. Put differently, 87 percent of those not offered the jobs survived a year and a half without such an arrest, relative to 93 percent of the treatment group who were offered jobs.<\/p>\n

\"2\"<\/a><\/p>\n

A randomized experiment that shows a 46 percent reduction in serious crime is a pretty big deal to criminologists, but the program has still been considered a failure. In part, this is because\u00a0the \u201ctreatment\u201d group who got the jobs relapsed to cocaine and heroin use at about the same rate as the control group. After 18 months, about 66 percent of the control group had not yet relapsed, relative to about 63 percent in the treatment group. So, there\u2019s no evidence the program helped people avoid cocaine and heroin.<\/p>\n

\"3\"<\/a><\/p>\n

From an abstinence-only perspective, such programs look like failures. Nevertheless, even a crummy job and a few dollars clearly\u00a0helped people\u00a0avoid\u00a0recidivism and improved the public safety of their communities. So, did the program work? From a harm reduction perspective, a jobs program for drug users surely \u201cworks\u201d if it reduces crime and other harms, even if it doesn\u2019t dent rates of cocaine or heroin use.<\/p>\n

Chris Uggen\u00a0is a professor of sociology at the University of Minnesota and the author of <\/em>Locked Out: Felon Disenfranchisement and American Democracy<\/a>, with Jeff Manza. You can follow him at his\u00a0blog<\/a>\u00a0and on\u00a0twitter<\/a>. This post originally appeared at\u00a0Public Criminology<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

In the wake of Philip\u00a0Seymour Hoffman\u2019s sad death, many are\u00a0calling\u00a0for various \u201charm reduction\u201d approaches to substance use.\u00a0Proponents\u00a0of harm reduction have identified lots of ways to reduce the social and personal costs of drugs, but they often require us to shift our focus from the prevention of drug use itself to the prevention of\u00a0harm. Resistance to […]<\/p>\n","protected":false},"author":51,"featured_media":61622,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[2056,252,237,85,304,76],"class_list":["post-61392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-crimelaw","tag-healthmedicine","tag-drugs","tag-politics","tag-the-state","tag-work"],"jetpack_featured_media_url":"https:\/\/thesocietypages.org\/socimages\/files\/2014\/02\/55.jpg","_links":{"self":[{"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/posts\/61392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/users\/51"}],"replies":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/comments?post=61392"}],"version-history":[{"count":4,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/posts\/61392\/revisions"}],"predecessor-version":[{"id":62859,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/posts\/61392\/revisions\/62859"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/media\/61622"}],"wp:attachment":[{"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/media?parent=61392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/categories?post=61392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thesocietypages.org\/socimages\/wp-json\/wp\/v2\/tags?post=61392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}