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State leaders changed the law to allow for more police authority. Three years ago, Oregon decriminalized small amounts of illicit drugs, from fentanyl to methamphetamine to crack. But some state leaders, local residents and others are having second thoughts about the law, which was passed following a voter-approved ballot initiative. Now cities like Portland have seen a surge in homeless people encamped in the streets using drugs. As calls to reform the new law and to give police more authority over the situation continue to grow, some of the law's advocates argue that more time is needed to correct a problem that has been compounding for a long time. Measure , was the first drug decriminalization measure in the country that affected harder drugs outside of marijuana and pushed for a health-based approach to fighting addiction versus arrests. The law went into effect in February and established Behavioral Health Resource Networks BHRNs , which is 'an entity or group of entities working together to provide comprehensive, community-based services and supports to people with substance use disorders or harmful substance use,' according to the law. The BHRNs have received state grants - over hundreds of millions of dollars' worth - to help fund their initiatives. However, after three years and over 7, drug violations, only about calls to the number have been made, according to data from the state city. The surge in open drug use has given way to concern from Oregon's residents. The downtown of its most populated city has remained barren long after covid lockdown ended, increasingly dotted with homeless encampments. Although outreach groups have been up and running for nearly three years, and have been on the streets providing outreach, many said they have struggles getting people to commit to their services. After they initially agreed to the offer, they had second thoughts. Centers for Disease Control and Prevention. State Rep. Kevin Mannix, R , has been one of the staunchest opponents of the law and has contended that voters were misled. Proponents of Measure have noted that the funding of recovery programs has been slow. Oregon didn't begin dispersing funds until May But proponents of the program argued that when the money gets where it's supposed to go, it can make an impact. Dan Hood said he has been nine months sober from drugs such as heroin and meth after he started attending services provided by the clinic Recovery Works. Hood, who started using drugs in high school, said the practice of harm reduction, where a specialist will provide guidance for safer drug use, was a big step in getting him to get off drugs completely. Hood has been sober for nine months, thanks to the help of Recovery Works, a Measure funded clinic. He is currently job hunting at the Measure funded agency. Wheelock, who has been advocating for more harm reduction services for decades, told ABC News that the state still needs more services and facilities if it is going to combat the addiction crisis. She argued that people are blaming Measure for problems that existed long before it was enacted. Still, state officials recently took action to address the public's concerns. Earlier this month, the state legislature voted to roll back parts of Measure , Governor Tina Kotek announced she will sign in the new law sometime this month. Starting Sept. Repeat offenders receive longer probation sentences and eventually may have to serve up to days in jail. Lieber, who led negotiations on the new bill, said the state needs more time to figure out how the new system can balance safety and helping those in need. And yet, I do think that sometimes people need motivation to get into treatment in a way that the criminal justice system offers,' she said. Lieber never supported Measure Stream on. Oregon's drug decriminalization law rolled back as homelessness, overdoses on the rise State leaders changed the law to allow for more police authority. March 12, , AM. In this Jan. Patrick T. ABC News. Dan Hood has been sober from drugs for nine months. Haven Wheelock speaks with 'Nightline. Oct 20, PM. US intelligence on Iran attack appears leaked. Trump mocks Harris' story at a McDonald's. Details from Liam Payne's partial autopsy revealed. Oct 21, AM. Oct 12, AM. ABC News Live.

Number of U.S. overdose deaths appears to be falling

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At a portable cabin in Porto, addicts queue up to use heroin and crack cocaine in safety, with medical staff on hand. P aulo picks up a lighter from the table in front of him, holds it beneath the foil-encased bowl of his thin metal pipe for a few seconds, and then inhales. For a brief moment, he falls silent, head slumped forward. The government-funded service also provides them with clean needles, strips of aluminium foil, and other materials to facilitate their drug-taking and prevent infections. The overarching ethos of the centre revolves around harm prevention. A list of rules by the entrance contains no strict injunctions; it simply invites users to be courteous and preferably not leave litter on the floor. The scene is far from salubrious. Set beside the road on a patch of scrub, the temporary facility faces out to featureless blocks of social housing. Yet the centre offers a rare ray of hope in the scourge of drug addiction, locally and perhaps globally. First, its target users are alive and, if not exactly well, then at least using safely. Three decades ago, it was a different story. Heroin addiction in Portugal affected an estimated one in every adults , and death by overdose or drug-related disease was commonplace. Again, rewind a few decades and the situation looked very different. At the end of the s, the number of people behind bars for drug-related offences stood at 3, In , that figure had dropped by more than two-thirds. Both facts link back to a radical piece of legislation passed by the Portuguese government in At the time, the Portuguese public was overwhelmingly in favour of the measure; foreign legislators and drug enforcement agencies predicted it would unleash a tide of fresh drug use and criminality. The trafficking of drugs remains a criminal offence in Portugal. Police resources are directed to stamping out the supply of drugs, while public health services are committed to providing addicts with therapeutic care. The theory is relatively simple: better that drug users have a place within the health system, rather than being shunted to the margins and left to their fate, as they were before. To that end, the centre has two nurses permanently in attendance: one for those who prefer to smoke their drugs; the other for those who choose to inject them. A psychosocial specialist is also on hand to welcome users as they arrive and provide a listening ear. Two sparsely furnished rooms at one end of the cabin are set aside for consuming drugs, which the users procure by their own means. Both rooms have space for half-a-dozen or so people, with half-hour slots designated on a first-come, first-served basis. Opening hours run from 10am to 7pm, bar an hour over lunch when the doors close. Some users come and then leave, but, with average use rates at eight hits a day, many mill around until the next slot becomes available. The facility has a small toilet and a basic shower room where people can get a wash as they wait. In a spartan kitchen, plastic thimbles of strong black coffee are available, as are donated pastries and other sweet snacks, while stocks last. At the other end of the cabin is a consulting room where visiting doctors from two local hospitals offer checkups twice a week. In addition to basic health appraisals, the medics conduct blood tests for infectious diseases such as HIV and hepatitis C. Only two overdoses have occurred, both of which were treated successfully on the spot. Castro also points to the 1, or so screenings undertaken, and the 89 individuals now receiving treatment for hepatitis C as a consequence. About 10 people have also entered detox programmes of their own volition. Drug-taking is not without its sanctions. These clinics house psychotherapists, psychiatrists, social workers, pharmacologists and primary healthcare specialists, explains Dr Severiano Pinto, a psychologist at one of three such facilities in the Porto district. A long-term sex worker, the year-old Porto resident got hooked on heroin through a boyfriend who later died of an overdose. When she was referred to a clinic 23 years ago, she weighed less than 40kg 6st 4lb. After being prescribed methadone, she quit injecting heroin and shifted to smoking crack cocaine in lower doses. Six months ago, she was diagnosed with ovarian cancer, which prompted her to go clean entirely. Despite breaking her crack habit, Ana Paula continues with a 5ml prescription of methadone. In extreme cases, hospitalisation is also an option. Specialist units exist within the Portuguese public health system for addicts who are pregnant, suffering from some form of psychosis, or are otherwise judged to be at dangerous risk to themselves or others. Likewise, had Ana Paula decided to go cold turkey, there are government-run centres where addicts are supported to abstain from their habit. Most programmes run for a week to 10 days. Many credit decriminalisation with introducing a more liberal attitude towards drug-taking in Portugal. Shops selling cannabis CBD products are now commonplace in large cities, such as Lisbon and Porto, although THC — the psychoactive ingredient of cannabis — remains illegal for retail. Similarly, the use of psychedelics such as LSD, ecstasy and ketamine is now largely normalised in recreational settings such as bars and nightclubs. The health authorities even set up pill-testing facilities at major festivals and music gigs to guard against bad batches. Although drug use by the general population has crept up since , from 7. Portugal now ranks near the bottom for cocaine and cannabis use in the EU. The real test is among problematic users. Here, the picture is less conclusive. After falling dramatically at first, for instance, drug-induced deaths have begun to climb back up. Even so, the numbers remain small. In , Portugal registered 74 deaths from overdoses compared with 37 in On the flipside, drug users complain that low thresholds for illegal possession make it easy for them to be criminalised. Users are permitted to possess enough for 10 days — which the government sets at 1g for heroin and 2g for cocaine. In , Portuguese courts issued 1, such guilty verdicts , marking a steady increase in criminalisation over the past decade, according to the drug support agency Sicad. These mixed results give ammunition to both sides of the decriminalisation issue, which remains hotly debated around the world. To date, more than 20 countries have removed some if not all drugs from their list of banned substances. In few countries is the debate more polarised than in the US, where drug overdoses have cost more than 1 million lives since Recent years have seen some tentative attempts at liberalisation. Following an alleged surge in fentanyl use and a spike in opioid-related deaths, however, a new legislative committee on addiction recently proposed reversing the policy. Even in Portugal, the debate over decriminalisation continues. Supporters of the policy fear that opposition parties could seek to politicise the issue ahead of national elections in March. We need a war. To treat drug addiction as a therapeutic problem is both time-consuming and resource-intensive. But as problematic drug use reduces, he notes, so too does government prioritisation. With the drugs crisis of the s now a distant memory, he observes social prejudices towards drug users resurfacing. This article was amended on 26 January and 2 February The original stated that shops selling marijuana are now commonplace in Portugal; in fact only CBD cannabis products are legal for retail. And an incorrect reference that marijuana was legalised for sale in has been removed. This article is more than 8 months old. View image in fullscreen. Reuse this content. Most viewed.

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