I also had my own addiction to cocaine and heroin in my 20s. I knew that it was driven not by the things that the drug workers were telling me; in fact, I couldn't believe any drug information that was given to me by authorities because I knew from my own experience that it was wrong.
Maia SzalavitzIn a criminal justice setting, it's very hard to create a therapeutic environment where people do feel safe, but the real important thing to do is to do your best to do that.
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 SzalavitzBecause of the war on drugs, pain patients are treated with skepticism and pain doctors live in fear of being prosecuted for overprescribing. The end result is that addicts still get their opioids without much trouble, while genuine patients often can't find treatment. Those who do must typically be tracked in a database and must schedule frequent, expensive doctor visits for surveillance like urine testing.
Maia SzalavitzWe should not be putting kids in cages and hoping that is going to fix their psychological problems of any type.
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 Szalavitz