Since President Donald Trump issued a July 2025 executive order aimed at “ending crime and disorder on America’s streets,” national attention has increasingly focused on involuntary treatment as a response to visible homelessness and drug use.

A few months later, in September 2025, officials in Utah announced plans for a 16-acre facility on the edge of Salt Lake City that would hold up to 1,300 people experiencing homelessness after they are removed from public spaces and offered a choice: the facility’s abstinence-based shelter or jail time. The facility also plans to include 300 to 400 beds reserved for involuntary treatment, for adults who have psychiatric and substance use disorders.

Supporters of this facility describe it as a humane alternative to the streets, while detractors liken it to prison.

Since the release of the executive order, other proposals for expanding involuntary treatment for adults with substance use disorder have been cropping up across the U.S., including in New Jersey, Washington state and New York state.

I am a licensed clinical psychologist, substance-use treatment professional and researcher at the University of Washington. Throughout my three decades in the field, my research has focused on what works when it comes to substance use treatment, including among people experiencing homelessness.

I started reading research on involuntary treatment in 2018, when Ricky’s law – Washington’s version of involuntary treatment – was implemented where I live and work.

Read more at The Conversation

Can a marijuana user be banned from having a gun? How about someone who regularly takes Adderall, Ambien or ayahuasca?

The Supreme Court wrestled with those questions on Monday during arguments over the constitutionality of a federal law that bars drug users and addicts from owning or possessing guns.

A majority of the justices voiced concerns that the federal gun law may be overbroad, lumping together occasional drug users with people addicted to drugs who threaten public safety.

“Is it the government’s position that if I unlawfully use Ambien or I unlawfully use Xanax, then I become dangerous?” Justice Amy Coney Barrett asked a lawyer for the Trump administration, which is arguing to uphold the current law.

Read more at the New York Times

Cartel leaders assassinated. Fast boats intercepted in the Caribbean. Coast Guard cutters in the Pacific. Vessels destroyed from the air. Last weekend, Mexican forces—with CIA intelligence support—killed “El Mencho,” leader of the Jalisco New Generation Cartel; within hours, retaliatory violence erupted across Mexico. Since September 2025, the Pentagon’s Operation Southern Spear has conducted more than 40 strikes on small boats suspected of carrying drugs, killing around 150 people. The images are designed to look decisive, muscular and tough.

This approach, according to the economics of illegal markets, is almost certainly making the problem worse.

Read More

These findings add to the growing international literature highlighting how drug policy contradicts expert assessments of drug harms across nations. To reduce these harms, public health strategies informed by evidence and expert input should be prioritized over punitive approaches.

Read More

Over the past several months, the Trump administration has ramped up the War on Drugs by attacking boats from Venezuela that were allegedly bringing fentanyl to the United States. Much commentary has questioned the legality, humanity, and effectiveness of these measures and also expressed bewilderment at the relation between these actions and President Trump’s pardon of Juan Orlando Hernandez, the former president of Honduras, who was serving a 45-year sentence for cocaine trafficking.

Yet most discussion misses the fundamental point: the War on Drugs is, and always has been, a terrible policy.

Read More

As 2025 comes to a close, the cannabis world is reflecting on the sometimes dizzying series of political, legal and cultural shifts that took place this year—and looking ahead to further developments that advocates and industry stakeholders will be navigating in the new year.

Read More

SOS and methadone were associated with improvements in health outcomes, including reduced opioid toxicities and health-care use, in the year after treatment initiation. The findings suggest SOS programmes play an important, complementary role to traditional opioid agonist treatment in expanding the options available to support people who use drugs.