San Francisco may be the first city in the nation to open safe injection sites

Portugal has gone perhaps the farthest in decriminalizing drug use. It hasn't stopped drug usage, but it has reduced deaths, the spread of H.I.V., drug crime, and imprisonment.

In a regular court it is very difficult for a person with a history of drug abuse to regain custody of their children. The state of Wisconsin is promoting trauma-informed drug courts which offer participants the chance to get their children back if they pass a strict rehab program.

San Francisco considers the scaling of safe injection sites, which were successfully piloted in Vancouver, to become the first city in the United States to offer this service. However, the main challenge of starting such a service in San Francisco is helping the public get over the concern that safe injection sites encourage drug use for non-abusers. Community groups actively educated the public on the benefits of safe injection sites and politicians made trips to Vancouver to observe the success in action.

Emergency rooms across the country are initiating programs that address addiction and substance abuse. Usually emergency rooms are not equipped with mental health counselors, but to curb the opioid crisis, several are seeing increased uptake into therapy and programs when there are counselors available in the emergency rooms.

Kansas City is trying to prevent people who have mental health or substance abuse disorders, from committing crimes. In order to do that, the city created a police crisis intervention team. They help people access treatment through the Kansas City Assessment and Triage Center, or other treatment centers. “Everything we do here is to really bridge them into whatever that long-term need is.” It’s too early to tell if the method is working, but police officers, judges, and addicts, argue it is. “It's amazing. It puts a smile on my face every day, and I have got a future coming.”

In Vancouver, a program at the Crosstown Clinic is combatting drug overdoses by administering low-dose heroin to people who use drugs to keep them from experiencing withdrawal symptoms. The idea behind this approach is to treat the addiction like a medical problem rather than a criminal one.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

The CDC's 2016 guidelines on prescribing opioids for chronic pain attempted to address the opioid-addiction crisis by restricting the supply of the drugs at their source. The guidelines discouraged their use when possible and suggested strategies to taper patients off of them. Since then, thousands of people have lost access to necessary medications and to their doctors, thanks to overreactions to the CDC guidelines that unintentionally led to deaths by street drugs or withdrawal.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.