Almost half of people in rural areas who use illicit drugs were in prison or jail in the last six months, according to a new national study.
surveyed nearly 3,000 people in rural areas spanning 10 states, including Oregon, who use illicit drugs including fentanyl, heroin and other opioids. Within the group, 42% were in prison or jail within the past six months.
The study suggests the nation 鈥� and Oregon 鈥� should do more to reach and treat people for drug addiction while they are incarcerated and in custody. The findings come as Oregon is in the midst of an opioid addiction crisis and hundreds of Oregonians are dying every year from overdoses.
鈥淵ou have a reachable time in jails, and most jails are not providing this kind of addiction care,鈥� said the study鈥檚 lead author, Dr. Dan Hoover, an assistant professor of medicine at Oregon Health & Science University鈥檚 School of Medicine. 鈥淚n a broader sense, our correctional institutions have a mandate to rehabilitate people who have entered the system 鈥� and treating addiction is a huge part of that.鈥�
Researchers at Oregon Health & Science University and from nine other states 鈥� Illinois, Wisconsin, North Carolina, Kentucky, West Virginia, Ohio, Massachusetts, New Hampshire and Vermont 鈥� participated in the study, which was published Thursday in the journal . The study relied upon data from the , a research consortium.
In Oregon, much of the attention on drug addiction is through the lens of Measure 110, which voters passed in 2020 to decriminalize possession of small amounts of hard drugs and put cannabis revenue toward addiction treatment and services. Since then, concerns have mounted about public drug use and rising drug overdoses. Gov. Tina Kotek and Oregon lawmakers say Oregon鈥檚 addiction crisis will be front and center during the 2024 session as the state looks for ways to help addicts get treatment, keep public areas safe and prosecute drug dealers.
The study鈥檚 participants were surveyed between January 2018 and March 2020, before Measure 110 passed.
And the study鈥檚 findings offer lessons for Oregon, Hoover said.
鈥淭here is an incredibly large mismatch really between where the medical need in jails is for substance use disorder care, and then how available that is and how funded that is,鈥� Hoover said. 鈥淭hat鈥檚 something that we really need to do something about.鈥�
Hoover said Oregon鈥檚 system could take several steps to address the problem, including prioritizing funding and partnering with providers, with a focus on getting treatment inside facilities.
鈥淲e need the leadership inside the correction system to say that that鈥檚 a high priority,鈥� he said.
More than half of about 12,000 inmates in Oregon鈥檚 state prisons have an addiction or drug use problem, according to a 2022 of the state鈥檚 addiction treatment services and gaps in coverage. But only about 9% of inmates who need treatment receive it while in custody, according to the Oregon Department of Corrections submitted in March when lawmakers considered a bill to expand access to treatment. That bill died.
County officials, Hoover said, also have a role to play and can direct funding, including opioid settlement funds, toward their jails.
Incarceration without treatment does not serve people, Hoover said.
When incarcerated people have withdrawal symptoms without treatment, they will be more vulnerable to begin using drugs and reoffend when they are released, Hoover said.
Drugs continue to be a challenge as incarcerated people with addiction problems enter jails on other charges, like property crimes.
鈥淪ubstance use disorder is still in our jails,鈥� Hoover said. 鈥淲e did not come anywhere close to eliminating the need for substance use disorder treatment in our jails. It鈥檚 just a persistent need that will be there. And we definitely want to respond the best way we can.鈥�
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