Who Funds the Police? Fiscal Determinants of Opioid Settlement Spending on Law Enforcement.

IF 3.1 3区 医学 Q1 SUBSTANCE ABUSE
Zoe Lindenfeld, Amanda I Mauri
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引用次数: 0

Abstract

Objectives: To examine the proportion and amount of opioid settlement funds allocated to law enforcement activities, including remediation-aligned activities (ie, that directly address the harms associated with opioid use) and nonremediation uses, and to assess whether local fiscal characteristics related to policing are associated with allocation decisions.

Methods: We constructed a longitudinal data set linking detailed, mandated reports of Indiana local government settlement expenditures (2023-2025) with administrative data on local revenue sources, expenditures, and demographic characteristics. Outcomes included the percentage of settlement funds allocated to (1) any law enforcement activities, (2) remediation-aligned law enforcement activities, and (3) nonremediation law enforcement activities. Regression models estimated associations between reliance on fines, fees, and forfeitures, and policing expenditures per capita and settlement spending patterns.

Results: Across years, local governments allocated a mean of 9.81% (SD: 16.14%) of settlement funds [$3916.86 (SD: $27,922.8000)] to law enforcement. This included $3222.83 (SD: $23,120.37) for remediation-aligned activities and $8703.75 (SD: $41728.45) for nonremediation. Greater reliance on fines, fees, and forfeitures was associated with higher allocation to law enforcement overall (AOR: 1.11; 95% CI: 1.05-1.18) and to nonremediation activities (AOR: 1.15; 95% CI: 1.08-1.22). Higher policing expenditures per capita were also associated with greater allocation to nonremediation activities (AOR: 1.85; 95% CI: 1.06-3.24).

Conclusions: Jurisdictions that rely more heavily on law enforcement-generated revenue and spend more on policing had higher odds of directing settlement resources toward strategies not aligned with opioid remediation. Future research evaluating settlement effectiveness should account for these local fiscal incentives.

谁为警察提供资金?阿片类药物解决执法支出的财政决定因素。
目的:检查分配给执法活动的阿片类药物结算资金的比例和金额,包括与纠正相关的活动(即直接解决与阿片类药物使用相关的危害)和非纠正使用,并评估与警务相关的地方财政特征是否与分配决策相关。方法:我们构建了一个纵向数据集,将印第安纳州地方政府安置支出(2023-2025)的详细强制性报告与当地收入来源、支出和人口特征的行政数据联系起来。结果包括分配给(1)任何执法活动、(2)与整治相关的执法活动和(3)非整治执法活动的和解资金百分比。回归模型估计了对罚款、费用和没收的依赖与人均警务支出和结算支出模式之间的关联。结果:历年,地方政府将和解资金[3916.86美元(SD: 27922.8000美元)]的9.81% (SD: 16.14%)分配给执法部门。其中包括用于补救活动的3222.83美元(标准差:23,120.37美元)和用于非补救的8703.75美元(标准差:41728.45美元)。对罚款、费用和没收的更大依赖与总体执法分配(AOR: 1.11; 95% CI: 1.05-1.18)和非补救活动分配(AOR: 1.15; 95% CI: 1.08-1.22)相关。较高的人均警务支出也与更多的非补救活动分配相关(AOR: 1.85; 95% CI: 1.06-3.24)。结论:更依赖于执法产生的收入和更多的警务支出的司法管辖区更有可能将解决资源用于与阿片类药物补救不一致的策略。未来评估结算效果的研究应考虑到这些地方财政激励。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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