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Addressing the 'Risk Environment' for Injection Drug Users: The Mysterious Case of the Missing Cop

Scott Burris
Temple University - James E. Beasley School of Law

Martin Donoghoe
World Health Organization

Kim Blankenship
Yale University - School of Medicine

Susan Sherman
U.S. Department of Labor

Jon S. Vernick
Johns Hopkins University - Bloomberg School of Public Health

Patricia Case
Harvard University - Harvard Medical School

Zita Lazzarini
University of Connecticut Health Center

Steve Koester
University of Colorado at Denver - Health Sciences Center



Milbank Quarterly, Vol. 82, pp. 125-156

Abstract:     
Ecological models of the determinants of health and the consequent importance of structural interventions have been widely accepted. Operationalizing these models in research and practice has been challenging. Examining the role of criminal law enforcement in the "risk environment" of injection drug users (IDUs) provides an opportunity to apply structural thinking to the health problems associated with drug use. This paper reviews international evidence that laws and law enforcement practices influence IDU risk. It argues that more research is needed at four levels - laws; management of law enforcement agencies; knowledge, attitudes, beliefs and practices of front-line officers; and attitudes and experiences of IDUs - and that such research can be the basis of interventions within law enforcement to enhance IDU health.

Keywords: Injection Drug Use, Structural Interventions, Social Determinants of Health, Law Enforcement, Criminal Law

Accepted Paper Series

Date posted: October 20, 2006 ; Last revised: April 16, 2007

Suggested Citation

Burris, Scott C., Donoghoe, Martin, Blankenship, Kim, Sherman, Susan, Vernick, Jon S., Case, Patricia , Lazzarini, Zita and Koester, Steve, Addressing the 'Risk Environment' for Injection Drug Users: The Mysterious Case of the Missing Cop. Milbank Quarterly, Vol. 82, pp. 125-156. Available at SSRN: http://ssrn.com/abstract=937013


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Contact Information

Scott C. Burris (Contact Author)
Temple University - James E. Beasley School of Law ( email )
1719 N. Broad Street
Philadelphia, PA 19122
United States
215-204-6576 (Phone)
215-204-1185 (Fax)
HOME PAGE: http://www.temple.edu/lawschool/phrhcs/index.html
Kim Blankenship
Yale University - School of Medicine ( email )
New Haven, CT 06520-8034
United States
Patricia Case
Harvard University - Harvard Medical School ( email )
641 Huntington Avenue
Boston, MA 02115
United States
Martin Donoghoe
World Health Organization ( email )
20 Avenue Appia
Geneva 27 CH-1211
Switzerland
Steve Koester
University of Colorado at Denver - Health Sciences Center ( email )
4200 E. Ninth Avenue
Denver, CO 80262
United States
Zita Lazzarini
University of Connecticut Health Center ( email )
263 Farmington Avenue
Farmington, CT 06030
United States
860-679-5495 (Phone)
860-679-5464 (Fax)
Susan Sherman
U.S. Department of Labor ( email )
Frances Perkins Building
200 Constitution Ave., NW
Washington, DC 20210
United States
Jon S. Vernick
Johns Hopkins University - Bloomberg School of Public Health ( email )
624 N. Broadway
Baltimore, MD 21205
United States
410-955-7982 (Phone)
410-614-9055 (Fax)
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