‘Safety First' Drug Education Program Acknowledges the Failings of ‘Just Say No'

Despite its small student body population, Xavier University, a historically black college in Louisiana, graduates more African American students who eventually become doctors than any other college in the United States. Xavier’s leaders cite its culture of “competitive collaboration,” community of shared experiences and challenges based on race, and free upperclass tutoring services as some of the characteristics that make its students stand out.

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.

Journalist Marcella Bombardieri calls community college "one of America's largest and most important anti-poverty programs." The president of Amarillo College in Texas is testing just how far community colleges can go to fight systemic issues - day care, social workers, and emergency funds for students' daily expenses are part of his plan. Other administrators are looking on at the dramatic experiment with mixed views and takeaways.

The Kansas City school district and a group of local nonprofits are implementing a new software management system that will allow partners to access student data from a range of sources. The data-sharing agreement will paint a more holistic picture of students and, in the future, allow teachers and others to make informed interventions when appropriate.

A community organization in Indiana called Cultivate "rescues" food from local caterers, hospitals, casinos, and businesses to then be packaged into take-home meals for students at Woodland Elementary School that come from food-insecure homes. Cultivate is in its second year of existence, has three staff and 400 volunteers, and hopes to expand beyond their pilot program to reach all 21 schools in the district.

The Romani Education Fund in Slovakia is helping children from the Roma community, which has a history of social and economic disadvantages as well as being subject to ethnic discrimination, overcome challenges to finish high school and pursue higher education. The REF works by providing qualifying students with a stipend to pay for educational supplies, as well as providing school guidance and personal mentorship to help both students and parents overcome the social hurdles that impede the student's desire or ability to fulfill their potential.

Tennessee Reconnect, which started as a small-scale "mentorship and financial support program", has now been adopted and expanded throughout the state as a way to help adults start or continue higher education. Now in its second year, the program matches applicants with "navigators," adult mentors who understand the specific student's financial and social challenges and helps them navigate the process every step of the way. The program also provides funding to students to pay for coursework and is now looking to expand its operations to jails and prisons.

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.

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.

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.