There's traditionally been two different ways of seeing addiction. Either it's a sin and you're a horrible bad person and you are just choosing to be hedonist or it's a chronic progressive disease. And while I certainly believe addiction is a medical problem that should be dealt with by the health system, the way we've conceptualized addiction as a disease is not actually accurate, and it has unfortunately become stigmatizing and it's also created a lot of hopelessness in a lot of people.
Maia SzalavitzDrug warriors' staunch opposition to needle exchanges to prevent the spread of HIV in addicts delayed the programs' widespread introduction in most states for years. A federal ban on funding for these programs wasn't lifted until 2009. Contrast this with what happened in the U.K. At the peak of the AIDS epidemic in the mid-1990s, the HIV infection rate in IV drug users in the U.K. was about 1%. In New York City, the American epicenter, that figure was 50%. The British had introduced widespread needle exchange in 1986. That country had no heterosexual AIDS epidemic.
Maia SzalavitzThere is a safe, nontoxic drug called naloxone that can instantly reverse opioid overdose and prevent most of these deaths. But the drug war interferes with saving overdose victims in two ways: first, because witnesses to overdose fear prosecution, they often don't call for help until it's too late. Second, because the drug war supports the belief that making naloxone available over-the-counter or with opioid prescriptions would encourage drug use, the antidote is available only through harm reduction programs like needle exchanges or in some state programs aimed at drug users.
Maia SzalavitzIf you're worried about a kid and drug use, the safest, best thing to do is individual counseling or family therapy, none of which will expose kids to more deviant or problematic peers and both of which are proven to be effective and at the very least, they won't hurt.
Maia SzalavitzPunishment by definition isn't going to help. So what you need to do is to help people to change and recover is to help them find different areas of passion and help them find better ways of coping. Because about 50 percent of people with addiction have a preexisting mental illness, about two-thirds have had some type of severe trauma during childhood, and they are not using to the point where they're risking their lives because it's fun. They're doing something to help them cope.
Maia Szalavitz