This book comprises of fourteen specially commissioned essays on the theme of drug abuse and the control of drug use in Britain. It analyses and appraises the two strands of that which has been termed the 'British system' of control, namely, prescription to, and rehabilitation of, registered users and enforcement action against illegal users. It also examines issues of contemporary relevance in the drug control debate, including the economics of drug control, drug education, the impact of AIDS, new trends in legislation and decriminalisation.

A book that takes you inside the culture of surveillance that pits healthcare providers against their patients Doctors and pharmacists make critical decisions every day about whether to dispense opioids that alleviate pain but fuel addiction. Faced with a drug crisis that has already claimed more than a million lives, legislatures, courts, and policymakers have enlisted the help of technology in the hopes of curtailing prescriptions and preventing deaths. This book reveals how this “Trojan horse” technology embeds the logics of surveillance in the practice of medicine, forcing care providers to police their patients while undermining public trust and doing untold damage to those at risk. Elizabeth Chiarello draws on hundreds of in-depth interviews with physicians, pharmacists, and enforcement agents across the United States to take readers to the frontlines of the opioid crisis, where medical providers must make difficult choices between treating and punishing the people in their care. States now employ prescription drug monitoring programs capable of tracking all controlled substances within a state and across state lines. Chiarello describes how the reliance on these databases blurs the line between medicine and criminal justice and pits pain sufferers against people with substance-use disorders in a zero-sum game. Shedding critical light on this brave new world of healthcare, Policing Patients urges medical providers to reaffirm their roles as healers and proposes invaluable policy solutions centered on treatment, prevention, and harm reduction.

"This book fills a void in the literature by examining from a scientific perspective the official police response to drugs, drug use, abuse, and dealing and how the different levels of police agencies process drug cases. This book will appeal to a number of criminal justice, criminology, and sociology program courses on drug abuse. Professionals interested in learning more about the criminal justice response to the drug problem, as well as police academies may also find the book useful."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.