Massachusetts
Drug Laws
Compared to the rest of the United States, the laws in Massachusetts
pertaining to drug possession offenses are considered to be somewhat
lenient. However, in comparison to many European countries,
Massachusetts drug laws would be considered quite harsh. In the
Commonwealth of Massachusetts. offenders are rarely jailed for simply
possessing a drug when convicted, unless it can be proven that the
narcotics in question were intended for distribution or trafficking.
For first time offenders, punishments may include loss of driver's
license, monetary fines, probation with drug testing and/or
enrollment in a drug court or drug-awareness class (St Louis 1-4).
Jail sentences are an option for any drug possession conviction, but
are not usually implemented unless aggravating circumstances are
present.
Sentencing
for possession and distribution of narcotics also varies widely
depending upon the classification of the drug. Massachusetts has
established five classes of narcotics (St Louis 6):
Class
A drugs are substances with very high addiction and harm potential.
Sentences for possessing and/or distributing these drugs are the
most severe. Examples include the following: heroin, morphine, and
“date rape” drugs, such as GHB, and Ketamine.
Class
B drugs are also highly addictive, but are considered less lethal
and/or have a legitimate medical purpose. Sentencing pertaining to
these substances are severe, but usually less so than Class A
substances. Some examples include the following: cocaine,
prescription opiates such as Oxycontin and Percocet, LSD, ecstasy
and
methamphetamine.
Class
C drugs are considered to have somewhat less addiction and harm
potential than Class B or Class A drugs. Examples of Class C drugs
are benzodiazapines (Klonopin, Xanax, and Librium) and psilocybin
mushrooms.
Class
D substances are considered to have a low potential for addiction
and a low potential for harm, the most common of which is marijuana.
Penalties relating to Class D substances are far less severe than
Class A,B and C substances.
Class
E substance charges are typically for lighter doses of prescription
narcotics containing codeine (Tylenol #3), morphine, or opium (St
Louis 6).
It
should be noted that although technically a crime, public
intoxication is rarely prosecuted. Also, addiction can be viewed as a
mitigating factor during sentencing in Massachusetts, in that cases
in which addiction or substance abuse are ruled to be a contributing
factor are often sentenced to drug courts and other out-of-prison
programs which aim to rehabilitate the offender.
Federal
Mandatory Minimum Sentencing Laws
Every
Federal judge in the United States, including those in Massachusetts,
are bound by mandatory minimum sentencing laws set by the U.S.
Congress. These laws automatically trigger much harsher sentences if
a crime meets certain standards (ie. a certain amount of a certain
drug), or if a specific type of violence occurs during the commission
of a crime (ie. terrorism or harm to a law enforcement officer) (FAMM
1-10). Someone charged will only be prosecuted in a Federal court,
and will be effected by Federal mandatory minimum sentencing laws if
their alleged criminal activity has been 1) committed in more than
one U.S. State or territory or, 2) was investigated and brought to
prosecution
by a Federal agency such as the Federal Bureau of Investigation
(FBI), the Drug Enforcement Agency (DEA), the Bureau of Alcohol,
Tobacco and Firearms (ATF) or U.S. Federal Marshals (OAS 1-4).
Because this report is focusing on the Massachusetts criminal justice
system, these Federal laws will not be looked at further in this
report; however, they should be noted as they can affect the outcome
of prosecutions of some crimes committed in Massachusetts.
Massachusetts'
“Melissa's Law” and Other “Three Strikes” Laws
Massachusetts
recently passed its own form of a mandatory minimum law by joining
several other states in implementing a three strikes law in 2012.
This is a law which mandates that an offender who “has been
convicted three or more times of an enumerated violent offense shall
be considered a habitual offender and shall be punished by
incarceration at a state prison for the maximum term provided by law.
No sentence thus imposed shall be reduced or suspended, nor shall
such person be eligible for probation, parole, work release or
furlough (Wall, 2).”
This
same law, known as “Melissa's Law,” actually
lessened
the penalties for those convicted of nonviolent drug offenses in many
ways. In fact, several components of Melissa's Law involve
protecting, helping and/or lessening punishments for nonviolent drug
offenders, including:
reducing the mandatory minimum sentences for some nonviolent drug
offenses,
increasing the drug weight requirements necessary to be eligible for
certain minimum sentences,
allowing prisoners serving a mandatory sentence to be eligible for
authorized vocational and educational programs,
reducing the size of a school zone area, which triggers a mandatory
minimum sentence for certain drug offenses from 1,000 feet to 300
feet,
allowing prisoners to receive increased “good time,” or days of
credit for educational or vocational programming, and
allowing for “Good Samaritan” provisions which
allow doctors to prescribe an opioid antagonist (Narcan) to opioid
drug abusers and their family members, and
allow a person in good faith to seek assistance for someone
experiencing an overdose without being prosecuted (Wall, 2).
Compared to the mandatory minimum and three strikes laws of most
other states, most notably California, Massachusetts' laws are quite
lenient. Today, twenty-four states in all have some form of a three
strikes law. The exact application of the three strikes laws varies
considerably from state to state, but the laws call for life
sentences without possibility of release for at least 25 years on a
violator's third strike. Most states require one or more of the three
felony convictions to be for violent crimes in order for the
mandatory sentence to be pronounced. Crimes that fall under the
category of “violent” include the following: murder, kidnapping,
sexual abuse, rape, aggravated robbery, and aggravated assault. Some
states include additional, lesser offenses that one would not
normally see as violent.
For
example, California's three strikes law, known as Proposition 36, is
arguably the most well known as well as the most controversial of
such laws in the United States. Proposition 36 has lead to life
imprisonment for many nonviolent drug offenders as it nullifies
eligibility for probation, parole and treatment for many drug-related
crimes. It must also be noted that
the social costs of California's
Prop. 36 are borne disproportionately by African American men, who
constitute only about 3% of the state's population, but represent
approximately 33% of second-strikers and 44% of third-strikers among California
prison inmates (Chen 345–370). Texas was the first state to
implement a three strikes law in 1974.
Also seen as controversial, Texas does not require any of the three
felony convictions to be violent (Texas Penal Code 12.42).
Massachusetts'
Efforts At Rehabilitating Drug Offenders
According
to the Massachusetts Department of Correction (DOC), 75% of the state
prisons' population has a Substance Abuse Need based on the Texas
Christian University Drug Screen (Pelletier 2). Throughout the
various departments and levels of the Massachusetts criminal justice
system, there are several programs designed to rehabilitate offenders
with substance abuse issues. Upon admission to a Massachusetts state
correctional facility, every inmate will be assessed for substance
abuse disorders. If is determined that an inmate would benefit from a
substance abuse treatment program, they will be encouraged, but not
mandated, to enroll in such a program (Pelletier 3). The programs
offered are both residential and non-residential (Pelletier 4).
Before release from incarceration, the inmate is put on a health
insurance program through Mass Health or a private insurer. Once
released and insured, medication-assisted treatments such as
Vivitrol, Suboxone and Methadone are offered as well as referrals to
doctors, social workers and therapists in the community to which they
are being released (Pelletier 4).
From
July, 2014 through December 2014, 42% of inmates with a need for
substance abuse treatment completed a residential treatment program,
and 15% completed a non-residential treatment program. On the
contrary, 37% of inmates assessed to have a need for substance abuse
treatment were housed at facilities where substance abuse treatment
was not available (Pelletier 6). The Massachusetts DOC has a stated
goal of 70% of inmates assessed to be in need of substance abuse
treatment to complete a program prior to release by July of 2017
(Pelletier, 6).
At
the county jail level, substance abuse treatment programs vary widely
from county to county,
but
most do offer some form of treatment (Pelletier, 7). In Barnstable
County, a residential, boot-camp-style
residential treatment program, known haste Residential
Substance Abuse Treatment Program
(RSAT), is available to male inmates who meet program admissions
criteria. Barnstable County House of Corrections is also one of the
few county-level correctional facilities in the United States to
offer facilitation of medically assisted substance abuse treatment,
in this case, Vivitrol, just prior to, and after an inmate's release
(What Happened, 2014).
Rehabilitation
Efforts of Other Jurisdictions
Portugal:
Several countries in Western Europe have taken their own
innovative approach to combating drug addiction. These countries have
mostly decriminalized all drug possession for personal use crimes;
they have expanded drug treatment and have implemented large, well
funded harms-reduction programs run by the national government.
Portugal was the first Western European country to implement such a
policy, and the policy's results have been very well studied.
In
2001, Portugal decriminalized simple drug possession (possession for
personal use) crimes. The new law
maintained the status of illegality for using or possessing any drug
for personal use without authorization. However, the offense was
changed from a criminal offense with prison as a possible punishment,
to an administrative offense if the amount possessed was no more than
ten days' supply of that substance (EMCDDA, 2011). Data from a
comprehensive 2009 report on Portugal's new drug policy indicates
that decriminalization has had no adverse effect on drug usage rates.
However, drug-related pathologies, such as HIV/AIDS and deaths due to
drug usage, have decreased dramatically as seen in the graph below. (Greenwald, 10).
Several
years before the implementation of these eased drug possession laws,
Portugal had created a large, state run harms-reduction program,
utilizing the country's pharmacies as venues for needle exchanges
which promote safe use and drug treatment options to addicts. The
needle exchange program, "Say NO! to a used syringe," is a
nationwide syringe exchange program which has been
ongoing
since October 1993, involving some 2,500 pharmacies throughout
Portugal. It is run by the
National
Committee against AIDS, and was set up by the Ministry of Health and
the National
Association
of Pharmacies, a nongovernmental organization representing the
majority of Portuguese pharmacies. All drug users can exchange used
syringes at pharmacy counters across the country. They get a kit with
clean needle syringes, a condom, rubbing alcohol and a written
message motivating users to prevent AIDS and to seek addiction
treatment. From 1994 to 1999, pharmacies delivered around three
million syringes annually (EMCDDA 2011).
In addition to
these other measures, Portugal has expanded drug treatment options
for addicts. Health care for drug users in Portugal is organized
mainly through the public network services of
treatment for
illicit substance dependence, under the Institute on Drugs and Drug
Addiction, and the Ministry of Health. In addition to public
services, certification and protocols between NGOs and other public
or private treatment services ensure a wide access to
quality-controlled services encompassing several treatment modalities
such as detoxification units, inpatient rehabilitation programs, and
intensive outpatient programs. The public services provided are free
of charge and accessible to all drug users who seek treatment. There
are 73 specialized treatment facilities (public and certified private
therapeutic communities), 14 detoxification units, 70 public
outpatient facilities and 13 accredited day centers provide full
coverage of drug outpatient treatment across all but four of
Portugal's eighteen districts (EMCDDA 2011).
Because there is
little reliable information about drug use, injecting behavior or
addiction treatment in Portugal before 2001, a thorough study on the
impact of Portugal's new drug policy has not been done (EMCDDA 2011).
There are, however, statistical indicators that suggest the
following correlations between the drug strategy and the following
developments from July 2001 up to 2007:
Reduction in
new HIV diagnoses amongst drug users by 17% (Cardoso et al. 14).
Reduction in
drug related deaths although this reduction has decreased in later
years (Cardoso et al. 14) (Hughes and Stevens 3).
More addicts
entering treatment facilities (Hughes and Stevens 6).
Drug use among
adolescents (13-15 yrs) and "problematic" users declined
(Hughes and Stevens 2010).
Drug-related
criminal justice workloads decreased (Hughes and Stevens 2010).
Decreased
street value of most illicit drugs, some significantly (Hughes and
Stevens, 2010).
Texas: At the other end of the
spectrum, the U.S. State of Texas is known for its lack of harms
reduction and drug treatment practices.
Texas does not permit access to clean syringes for intravenous drug
users, does not have naloxone (Narcan) training and distribution
programs available to the public, and has no Good Samaritan law (Drug
Policy). Texas relies heavily upon its law enforcement and criminal
justice system to curb drug use and addiction, having some of the
toughest drug sentencing laws in the United States, and a high number
of drug arrests per capita. There is also a very high racial
disparity in Texas, with blacks arrested for drug crimes
disproportionately more than whites (Drug Policy). Treatment options
for inmates are offered in the Texas state prison system; however
only 8,200 program placements are available for 152,000 drug-related
offenders (Maxwell 19).
Since 1998 to 2013 in Texas,
Methamphetamine, heroin and
marijuana use have been steadily on the rise (Maxwell 31).
The percentage of drug users
infected with Hepatitis C virus (HCV) has increased (Maxwell 20).
The number of heroin-related deaths
has almost quintupled, jumping from 122 deaths in 1999 to 564 deaths
in 2010 (Maxwell 28)
The number of deaths related to
methamphetamine deaths has drastically increased from 21 deaths in
1999 to 349 in 2013 (Maxwell, 34).
Recommendations Based on
Research
Within
the United States, Massachusetts is often looked upon as socially and
politically liberal. Indeed when compared to much of the rest of the
U.S., Massachusetts is often a leader in creating innovative social
programming. However, when looked at in comparison to the rest of the
developed
world,
Massachusetts' policies, especially those centered around narcotics
and prisons, could be seen as lacking and outdated.
Harm
Reduction: This report's research, along with numerous other
studies done on the subject of drug policy would indicate that
societies which focus on harm reduction practices for individual drug
addicts end up reducing the harm done to the whole society by drugs.
By
funding and implementing needle exchanges and safe injection sites
staffed with medical and mental health professionals, the
Commonwealth of Massachusetts could significantly reduce the spread
of bloodbourne pathogens (ie. HIV Hepatitis C), and significantly
reduce the number of drug overdose deaths. These sites could also
serve as a powerful liaison with the addicted community in promoting
drug treatment options.
Increased
Drug Treatment in State Prisons: Compared to Texas and several
other states, Massachusetts has good drug treatment options for
inmates in state prisons. However, there is room for improvement. By
making drug treatment programs available to all inmates who seek
them, and by making these programs a central theme in inmates' daily
lives and combining them with educational and vocational programs
already in place, a drop in recidivism rates would certainly be seen.
In fact, the more closely state prisons resemble treatment centers,
focusing on rehabilitating inmates, the better they will serve their
collective purpose as “correctional facilities.”
Decriminalization:
The effects of decriminalization of all narcotics for personal
use in Portugal are clear. The ease of the workload on Portugal's
criminal justice system, the willingness of addicts to enter
treatment, the drop in adolescent use rates, and the decreased
monetary value of street drugs are all directly attributable to
Portugal's decision to decriminalize narcotics. Although this policy
would seem far out of reach for Massachusetts for many years due to a
largely more conservative constituency and view on drug addiction
than that of Portugal, this could be a goal to look forward to
sometime
in the future.
In
Conclusion
Because
most of the world has criminalized behaviors associated with drug
addiction, the disease of addiction has been largely treated by law
enforcement instead of by mental health and medical professionals.
This does a disservice to addicts by punishing them instead of
rehabilitating them, to health professionals by not allowing them to
offer their services to those who need it, and to law enforcement
professionals by forcing them into roles which they are not properly
trained and prepared for.
Here in
Massachusetts, we have often been leaders in innovation and changes
in policy which the rest of the United States later follows. As we
move forward in our attempt to curb drug-related crimes and deaths in
Massachusetts, we must once again look outside of established social
norms and stigmas to find our solution and deliver it to the rest of
our country.
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What
Happened Here: The Untold Story of Addiction on Cape Cod.
Dir. Sam Tarplin. By Zach Gallagher. Prod. Nate Robertson and Sam
Tarplin. Perf. Ali Carlisle and Steve Mullally. Tarplin-Robertson
Productions, 2014. DVD.