Evidence map›Paper›PMID 34826788›Full record

ArticleThe International journal on drug policy2022

Experiences with the Philadelphia police assisted diversion program: A qualitative study.

Evan Anderson, Ruth Shefner, Rebecca Koppel, Cariné Megerian, Rosemary Frasso

Abstract read
In one paragraph

Article in The International journal on drug policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. Disability-Adjusted Life-Years for Drug Overdose Crisis and COVID-19 Are Comparable During the Two Years of Pandemic in the United States.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Evan AndersonCenter for Public Health Initiatives, University of Pennsylvania, 3620 Hamilton Walk, Anatomy Chemistry Room 141, Philadelphia, PA 19104, USA; University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA. Electronic address: evander2@upenn.edu.
Ruth ShefnerCenter for Public Health Initiatives, University of Pennsylvania, 3620 Hamilton Walk, Anatomy Chemistry Room 141, Philadelphia, PA 19104, USA; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, USA.
Rebecca KoppelCenter for Public Health Initiatives, University of Pennsylvania, 3620 Hamilton Walk, Anatomy Chemistry Room 141, Philadelphia, PA 19104, USA; Camden Coalition of Healthcare Providers, 800 Cooper St, Camden, NJ 08102, USA.
Cariné MegerianCenter for Public Health Initiatives, University of Pennsylvania, 3620 Hamilton Walk, Anatomy Chemistry Room 141, Philadelphia, PA 19104, USA; RTI International, 3040 East Cornwallis Rd, Research Triangle Park, NC 27709, USA.
Rosemary FrassoJefferson College of Population Health, Thomas Jefferson University, 901 Walnut St, Philadelphia, PA 19107, USA.

Funding

Training Program on HIV and Substance Use in the Criminal Justice SystemT32DA037801 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Nabila El-Bassel, Lisa R Metsch · 2014 to 2026
$5.7M
NIDA NIH HHS T32 DA037801
6 · The paper itself

Abstract

backgroundThe U.S. relies far too heavily on punitive criminal justice strategies to address problems that are better prevented and resolved through social and health services. The resulting harms are especially large and longstanding for people trapped in the failed War on Drugs. Philadelphia launched a Police Assisted Diversion (PAD) program to address the highest rates of poverty, incarceration, and fatal overdose among large cities in the U.S. PAD enables police officers to connect people with supportive services in many instances that would otherwise result in arrest or through outreach when no crime is suspected.

methodsWe conducted semi-structured interviews with 30 clients, 15 police officers, and 12 other personnel involved with the program. Data were gathered in 2019 and 2020 and analyzed using standard qualitative methods.

resultsPAD represents a new less-punitive model for responding to illegal purchasing of drugs, possession of drugs, prostitution, and retail theft in Philadelphia. Clients reported mostly positive experiences with the program, identifying the primary benefits as avoided arrest and relational support from affiliated service providers. Police officers expressed support for the program in principle but skepticism about its effects in practice, questioning the quality of available services. Program personnel and police officers described multi-sectoral collaboration as essential to addressing frequent and diverse logistical challenges, including overly restrictive eligibility criteria, mistrust between police and service providers, and coordination across different neighborhoods. Finally, all three groups suggested that people can only benefit from service linkages when they are ready to engage and that inadequate access to resources like housing limits program effectiveness.

conclusionsThe PAD program is a promising public health intervention for diverting people away from punishment and towards services to address unmet social and health needs. But increasing investments in training and in other supportive services is essential to sustainable and transformational change.

Indexed as

Law EnforcementPoliceCriminal LawHumansPhiladelphiaQualitative ResearchDiversionHarm reductionPolicing

Identifiers

PMID34826788
PMCPMC9853878

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.