COLUMBUS, Ohio — Despite the public awareness of the opioid epidemic, record numbers of Ohioans are dying from drug overdoses.

State data shows unintentional drug overdoses rose nearly 33 percent from 2016 to 2017, claiming the lives of more than 4,000 people. Assistant professor of health policy at Ohio University Dan Skinner said, like any complex social phenomenon, understanding the opioid crisis is multi-faceted.

"So there's the role of stigma and thinking that addiction is about other people, and you have the role of pharmaceutical companies and the profit motive and the whole story about the misrepresentation of risk factors around OxyContin in particular,” Skinner said. “There's enough blame to go around, for sure."

Nationally, opioid overdose deaths began their gradual rise before the turn of the century; and in 2010, heroin overdoses began to spike. After 2014, synthetic drug overdoses skyrocketed and now are attributed to twice as many overdose deaths as opioids.

Libbie Crawford of East Liverpool understands the tragedy of opioid abuse. Her father suffered from Post Traumatic Stress Disorder after serving in World War II. She said he committed suicide when she was just a little girl after becoming addicted to painkillers. And she said she fears for other struggling families who don't have treatment options.

"We're going to lose an entire generation of people if we don't take care of this issue now,” Crawford said. “The war on drugs has not helped. My definition of insanity is to do the same thing over and over again."

Skinner said a "law and order" approach has been used in the past to deal with drug addiction, but it’s really a public health issue. And he said with the opioid epidemic, society is finally starting to see that it's not only happening in low-income communities.

"We've heard these narratives before people who say we 'were a good family, we went to church, we did the right things, my kids went to college,' all of those kinds of hallmarks of middle class - and I'll say it - white-mostly America,” Skinner said. “A lot of people with the opioid crisis all of a sudden learned that it was them too, that they weren't immune to this."

Since 2011, the Governor's Opiate Action Team has stepped up efforts to stop drug traffickers, ramped up youth drug prevention programs, worked with the medical community to reduce opioid prescriptions, and focused attention on medication-assisted treatment options. Part three of our series runs Wednesday and focuses on the cycle of addiction.

Reporting by Ohio News Connection in association with Media in the Public Interest and funded in part by the George Gund Foundation.


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Mississippi prisons often lack resources to treat people who are incarcerated with substance-use disorders adequately but a nonprofit organization is offering alternative programs focused on treatment instead of incarceration.

The Magnolia State has one of the highest incarceration rates in the nation, with more than 1,000 people per 100,000 residents behind bars.

Christina Dent, founder and president of End It For Good, said they invite people to support approaches to drugs prioritizing life, preserving families and promoting public safety.

"We do education out in the community - with citizens, with advocates, with policymakers - to help them understand why a punitive criminal justice approach to drugs and addiction has not produced good results and why a health-centered approach would produce much better results," Dent explained.

It is estimated more than 578,000 people in state and federal prisons in 2022 had a substance-use disorder in the year prior to their admission, according to the Prison Policy Initiative.

Dent emphasized they recommend lawmakers look at other alternatives to stop reactionary approaches resulting in Mississippians paying harsher penalties for crimes such as drug possession.

"Shift away from increasing penalties," Dent urged. "Another thing that we could do would be to reduce penalties or recategorize penalties for something like drug possession. We would love to see a shift from treating drug possession as potentially a felony to drug possession being a misdemeanor. "

Dent noted such an alternative approach would allow individuals impacted to more easily regain employment, support their families and reintegrate into society. She added felony convictions create lifelong barriers to employment and self-sufficiency.


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April is Second Chance Month and many Nebraskans are celebrating passage of a bipartisan voting rights restoration bill and its focus on second chances.

Legislative Bill 20 restores voting rights to those convicted of a felony upon completion of their sentence, eliminating the two-year waiting period.

Jason Witmer, policy fellow at the ACLU of Nebraska, said the change will promote success for formerly incarcerated Nebraskans. He pointed out it also will increase the likelihood of the state meeting the objectives Gov. Jim Pillen and the Department of Corrections have committed to.

Nebraska became the fourth state to join "Reentry 2030," a national initiative of the Council of State Governments focused on strengthening programs and removing obstacles for those reentering society after incarceration.

"The more somebody can have their rights in place for them, the more invested they are in the society," Witmer contended. "The more invested you are in your community and your society, the more likely you are to succeed. And the right to vote is fundamentally part of reintegrating into society. It's your civil voice."

Reentry 2030 aims to have all 50 states commit to improving outcomes for formerly incarcerated people. Nebraska's goals include increasing GED completion and college coursework by those in Nebraska prisons, and reducing recidivism 50% by 2030.

Pillen allowed the measure to become law but stated it contains "potential constitutional issues" which could lead to a legal challenge.

Nebraska's recidivism rate for those who left prison between 2019 and 2022 was nearly 30%.

Witmer noted it is at least partly attributable to the challenges people face upon leaving incarceration.

"You did the time, and then you come out and find out, 'Oh, I can't vote. Oh, housing is almost impossible to get. Oh, I can't work here,'" Witmer outlined. "Suddenly you don't feel like you're a part of any of this."

Across the country, 37 other states restore voting rights to those charged with a felony either immediately after incarceration or after completing parole or probation. Two states and the District of Columbia allow people to vote while incarcerated.

A new website aims to help Kentuckians just out of prison re-enter their communities and find job training, employment and recovery services.

April is Second Chance Month - and according to the Prison Policy Initiative, about 60% of formerly incarcerated individuals are jobless.

Gov. Andy Beshear said the website - secondchance.ky.gov - is meant to cut bureaucracy around job searching, and tie resources together in one spot to make it easier for people to get back on their feet.

"We are not our worst day," said Beshear. "When we look at how many people have a criminal record in Kentucky, this is the right thing to do. But it's also necessary from a workforce standpoint."

In 2021, lawmakers passed legislation that tasked the Kentucky Department of Corrections with issuing certificates of employability to people who successfully complete programs while incarcerated.

It also helps increase access to state-issued IDs for those leaving prison.

The website includes information on resume help, job searches and local reentry services.

Beshear said eventually, the site will contain a comprehensive list of employers - such as Kentucky State Parks, which is a participant in second chance employment.

"If they need to find resources on how to get that next level of education or workforce training," said Beshear, "and then ultimately be able to see a list of employers that are willing to look at them for second chance employment."

Businesses in the Commonwealth can also find information about programs that can aid in hiring and retaining more second-chance employees - including the Fair Chance Academy, Kentucky Transformational Employment program, Prison-to-Work Pipeline, and Jobs on Day One programs.