COVID-19 as a Frying Pan: The Promise and Perils of Pandemic-driven Reform.
COVID-19 as a Frying Pan: The Promise and Perils of Pandemic-driven Reform.
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DOI：
10.1097/adm.0000000000000703
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发表时间：
2020
影响因子：
5.5
通讯作者：
Rich, Josiah D.
中科院分区：
文献类型：
--
作者：
del Pozo, Brandon;Beletsky, Leo;Rich, Josiah D.
新法规的实施会促使行业争相遵守，从而促进创新。我们如何管理和治疗阿片类药物使用障碍（OUD）患者，最近由于警察暴力和系统性种族主义而引起的广泛社会动荡使我们的司法系统和社会服务需要进行持久的结构性改革，这一点尤为迫切。以前只会进行渐进式改革的专制法律和适得其反的政策已经让位于彻底的变化：被判非暴力毒品犯罪的人已经从监狱和监狱中释放出来，禁毒法律的执行已经被视为优先事项，有关成瘾治疗药物和治疗OUD患者的规定已经大大放宽。这些变化是许多从业者和倡导者多年来（如果不是几十年的话）一直在寻求的，但它们伴随着旧系统在文化上根深蒂固并且可能具有弹性的现实而出现。至关重要的是，研究人员要评估这些变化，并将结果与现有证据综合起来，从而使最有效的应对措施永久化。COVID-19大流行造成了一个具有挑战性的研究环境，但其与oud相关的干预措施创造了新的监管体系，为新兴的法律流行病学领域提供了作为自然实验进行评估的宝贵机会。
The imposition of new regulations can send industries scrambling to comply, fostering innovation in doing so. How we police and treat people with opioid use disorder (OUD), with recent widespread social unrest in reaction to police violence and systemic racism bringing the need for lasting structural changes to our justice system and social services into especially acute relief. Arbitrary laws and counterproductive policies previously subject to only incremental reform have given way to sweeping changes: people convicted of nonviolent drug crimes have been released from jails and prisons, the enforcement of drug laws has been cast aside as a priority, and the regulations surrounding addiction treatment medications and treating patients with OUD have been greatly loosened. These are changes many practitioners and advocates have sought for years if not decades, but they come with the reality that the old systems are culturally entrenched and likely to be resilient. It is critical that researchers evaluate these changes and synthesize the results with existing evidence in ways that empower efforts to make the most effective responses permanent. The COVID-19 pandemic makes for a challenging research environment, but its OUD-related interventions have created new regulatory systems that lend themselves to valuable opportunities for evaluation as natural experiments by the burgeoning field of legal epidemiology.