Trying to Find the Middle Ground

U.S. federal drug policy has long emphasized criminalization and incarceration, and many negative policy outcomes have disproportionately impacted communities of color and Blacks in particular. The framework of harm reduction informs a range of alternative policy strategies from decriminalization to legalization, treating drugs more as a public health than a criminal justice issue. While Black communities are seen as opposing harm reduction with illicit drugs, Black leadership has recently supported ending the war on drugs. Using in-depth interviews with 21 substance abuse service providers in a Northeastern U.S. urban hub, this study explores views toward the potential impact of, and support for, harm reduction illicit drug policies in Black U.S. communities. Cognizant of the racially skewed impact of drug policies, respondents endorsed policy changes but were generally mixed on harm reduction, opposing liberalization of "hard" drugs, yet supporting it for marijuana given its link to race-based policing. Respondents indicate many Black communities need more than drug policy change, at best seeing harm reduction as only part of larger scale reinvestment. Findings inform considerations of reforming drug policy strategies and priorities for these communities, given views toward illicit drugs and racially skewed outcomes of current drug policy

Criminal justice · Criminalization · Criminology · Decriminalization · Drug control · Harm · Harm reduction · Legalization · Political science · Public health · Sociology · Community Health and Development · Law · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes

• We know the streets

  Open Access•J Owczarzak, Noelle P Weicker et al.•Health & Place•2020

  Incluir item

• Policy actor views on structural vulnerability in harm reduction and policymaking for illegal drugs

  Open Access•Nicole D Gehring, Kelsey A Speed et al.•International Journal of Drug…•2022

  Incluir item

• Framing Kin Resistance to Opioid Overdose in Philadelphia

  Beth A Uzwiak•Medical Anthropology•2022

  Incluir item

• War on Black Men

  Walter E Block, Violet Obioha•Criminal Justice Ethics•2012

  Incluir item

• Malign Neglect Race, Crime, And Punishment In America

  Michael Tonry, Michael H Tonry•Malign neglect--race, crime, and…•1995

  Incluir item

• The Disproportionate Incarceration of African Americans for Drug Offenses

  Arthur J Lurigio, Pamela Loose•Journal of Ethnicity in Criminal…•2008

  Incluir item

• Drug Policy

  Eric E Sterling•Journal of Religion & Spirituality…•2004

  Incluir item

• The Five-Question Method For Framing A Qualitative Research Study

  Open Access•Mark McCaslin, Karen Scott et al.•Qualitative Report•2015

  Incluir item

• The Harm-Reduction School of Thought

  Open Access•Tuukka Tammi•Contemporary Drug Problems•2004

  Incluir item

• The New York Needle Trial

  W Anderson•American Journal of Public Health•1991

  Incluir item

• The New Jim Crow

  M M Alexander, Michelle Alexander•New Jim Crow•2020

  Incluir item

• Racism, Drug Policy, and Aids

  Open Access•Cathy Lisa Schneider, Cathy Schneider•Political Science Quarterly•1998

  Incluir item

• Unfair by Design

  Lawrence D Bobo, Victor Thompson•Social research•2024

  Incluir item

• Race, Class, and the Development of Criminal Justice Policy1

  Open Access•Marc Mauer•Review of Policy Research•2004

  Incluir item

• Dynamics of Black Mobilization against Aids in New York City

  Ernest Quimby, R Friedman et al.•Social Problems•1989

  Incluir item