{"title":"Who Funds the Police? Fiscal Determinants of Opioid Settlement Spending on Law Enforcement.","authors":"Zoe Lindenfeld, Amanda I Mauri","doi":"10.1097/ADM.0000000000001756","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":14744,"journal":{"name":"Journal of Addiction Medicine","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Addiction Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ADM.0000000000001756","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
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.
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.