The topic of harm reduction programs for illegal substances in the U.S.A. today is a rather minimal endeavor, in spite of these programs began here during the 1970s. The dominant method of handling users of illegal drugs since 1980 has increasingly become the criminal justice system. This is reflected in increases in arrests for drug offenses and increases in the numbers of persons in prisons convicted of drug offenses. Despite, and in some cases in reaction to, the immense expansion of the use of criminal law and incarceration in the handling of drug offenders, harm reduction policies are emerging in several states, particularly in the west.
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