Evidence map›Paper›PMID 42236387›Full record

ArticleThe International journal on drug policy2026

Police experiences with cannabis legalization and perceptions of broader drug policy reform.

Bradley E Silberzahn, Kristin E Schneider, Laura N Sisson, Abigail K Winiker, Michal Weiss, Brandon Del Pozo, Saba Rouhani

Abstract read
In one paragraph

Article in The International journal on drug policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Bradley E SilberzahnDivision of Internal Medicine Research, Brown University Health, USA. Electronic address: Bradley_Silberzahn@brown.edu.
Kristin E SchneiderDepartment of Health, Behavior, & Society, Johns Hopkins Bloomberg School of Public Health, USA.
Laura N SissonDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, USA.
Abigail K WinikerDepartment of Health, Policy & Management, Johns Hopkins Bloomberg School of Public Health, USA.
Michal WeissDepartment of Epidemiology, New York University School of Global Public Health, USA.
Brandon Del PozoDivision of Internal Medicine Research, Brown University Health, USA.
Saba RouhaniDepartment of Epidemiology, New York University School of Global Public Health, USA.

Funding

Harm Reduction Policing? A Qualitative Study of Police Culture and Enforcement Practices Toward People Who Use Drugs Amidst Efforts to Align Public Health and Public Safety SystemsR36DA058861 · NIDA · UNIVERSITY OF TEXAS AT AUSTIN · PI SILBERZAHN, BRADLEY EDWARD · 2023 to 2024
$102k
NIDA NIH HHS R36 DA058861
6 · The paper itself

Abstract

backgroundSustained attention to the harms and ineffectiveness of punitive drug law enforcement is prompting jurisdictions across the U.S. to explore safer supply and legalization of cannabis and other illicit substances. As reform debates intensify, understanding the experiences and perspectives of police officers, who play an outsized role in policy implementation, is essential. This study examines police officers' experiences with cannabis legalization and perceptions of safer supply and legalization of other drugs in Baltimore City, MD.

methodsWe conducted 22 in-depth interviews with Baltimore Police Department officers purposively recruited from roll call shifts between January and June 2024. Interviews explored officers' experiences with recent drug policy reforms (de jure cannabis legalization, de facto drug decriminalization) and perspectives on potential policy solutions, including safer supply and legalization. Transcribed interviews were coded using template analysis and interpreted through a labor process framework.

resultsOfficers opposed zero-tolerance criminalization of cannabis, and to some extent other substances, but criticized current models of cannabis legalization and expressed skepticism toward expanding licit access to other drugs. Officer accounts of increased public consumption, persistent illicit markets, and drug-related violence, combined with diminished enforcement authority under cannabis legalization led officers to anticipate similar challenges with safer supply and legalization of other substances.

conclusionsThis study reveals how cannabis legalization experiences shape street-level officers' perceptions of broader drug policy reforms, highlighting critical implementation gaps around equitable market access, public substance use, and drug-related violence. Addressing these challenges is essential for both securing police buy-in and achieving sustainable, equitable drug policy reforms that meet their intended public health and safety goals.

Indexed as

CannabisDrug and Narcotic ControlLegislation, DrugPoliceAdultBaltimoreFemaleHumansIllicit DrugsLaw EnforcementMalePublic PolicyIllicit DrugsCannabisHarm reductionPolicingPolicy implementationSafer supplySubstance use

Identifiers

PMID42236387
PMCPMC13431048

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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.