The law (and politics) of safe injection facilities in the United States

Leo Beletsky, Corey S. Davis, Evan Anderson, Scott Burris

Research output: Contribution to journalArticle

Abstract

Safe injection facilities (SIFs) have shown promise in reducing harms and social costs associated with injection drug use. Favorable evaluations elsewhere have raised the issue of their implementation in the United States. Recognizing that laws shape health interventions targeting drug users, we analyzed the legal environment for publicly authorized SIFs in the United States. Although states and some municipalities have the power to authorize SIFs under state law, federal authorities could still interfere with these facilities under the Controlled Substances Act. A state- or locally-authorized SIF could proceed free of legal uncertainty only if federal authorities explicitly authorized it or decided not to interfere. Given legal uncertainty, and the similar experience with syringe exchange programs, we recommend a process of sustained health research, strategic advocacy, and political deliberation.

Original languageEnglish (US)
Pages (from-to)231-237
Number of pages7
JournalAmerican Journal of Public Health
Volume98
Issue number2
DOIs
StatePublished - Feb 1 2008

Fingerprint

Politics
Injections
Uncertainty
Needle-Exchange Programs
Controlled Substances
Health
Drug Users
Costs and Cost Analysis
Research
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The law (and politics) of safe injection facilities in the United States. / Beletsky, Leo; Davis, Corey S.; Anderson, Evan; Burris, Scott.

In: American Journal of Public Health, Vol. 98, No. 2, 01.02.2008, p. 231-237.

Research output: Contribution to journalArticle

Beletsky, Leo ; Davis, Corey S. ; Anderson, Evan ; Burris, Scott. / The law (and politics) of safe injection facilities in the United States. In: American Journal of Public Health. 2008 ; Vol. 98, No. 2. pp. 231-237.
@article{d416af4c8c704cef972063ce97b85843,
title = "The law (and politics) of safe injection facilities in the United States",
abstract = "Safe injection facilities (SIFs) have shown promise in reducing harms and social costs associated with injection drug use. Favorable evaluations elsewhere have raised the issue of their implementation in the United States. Recognizing that laws shape health interventions targeting drug users, we analyzed the legal environment for publicly authorized SIFs in the United States. Although states and some municipalities have the power to authorize SIFs under state law, federal authorities could still interfere with these facilities under the Controlled Substances Act. A state- or locally-authorized SIF could proceed free of legal uncertainty only if federal authorities explicitly authorized it or decided not to interfere. Given legal uncertainty, and the similar experience with syringe exchange programs, we recommend a process of sustained health research, strategic advocacy, and political deliberation.",
author = "Leo Beletsky and Davis, {Corey S.} and Evan Anderson and Scott Burris",
year = "2008",
month = "2",
day = "1",
doi = "10.2105/AJPH.2006.103747",
language = "English (US)",
volume = "98",
pages = "231--237",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "2",

}

TY - JOUR

T1 - The law (and politics) of safe injection facilities in the United States

AU - Beletsky, Leo

AU - Davis, Corey S.

AU - Anderson, Evan

AU - Burris, Scott

PY - 2008/2/1

Y1 - 2008/2/1

N2 - Safe injection facilities (SIFs) have shown promise in reducing harms and social costs associated with injection drug use. Favorable evaluations elsewhere have raised the issue of their implementation in the United States. Recognizing that laws shape health interventions targeting drug users, we analyzed the legal environment for publicly authorized SIFs in the United States. Although states and some municipalities have the power to authorize SIFs under state law, federal authorities could still interfere with these facilities under the Controlled Substances Act. A state- or locally-authorized SIF could proceed free of legal uncertainty only if federal authorities explicitly authorized it or decided not to interfere. Given legal uncertainty, and the similar experience with syringe exchange programs, we recommend a process of sustained health research, strategic advocacy, and political deliberation.

AB - Safe injection facilities (SIFs) have shown promise in reducing harms and social costs associated with injection drug use. Favorable evaluations elsewhere have raised the issue of their implementation in the United States. Recognizing that laws shape health interventions targeting drug users, we analyzed the legal environment for publicly authorized SIFs in the United States. Although states and some municipalities have the power to authorize SIFs under state law, federal authorities could still interfere with these facilities under the Controlled Substances Act. A state- or locally-authorized SIF could proceed free of legal uncertainty only if federal authorities explicitly authorized it or decided not to interfere. Given legal uncertainty, and the similar experience with syringe exchange programs, we recommend a process of sustained health research, strategic advocacy, and political deliberation.

UR - http://www.scopus.com/inward/record.url?scp=39649123525&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39649123525&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2006.103747

DO - 10.2105/AJPH.2006.103747

M3 - Article

C2 - 18172151

AN - SCOPUS:39649123525

VL - 98

SP - 231

EP - 237

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 2

ER -