"Policy surveillance illuminates the hidden undergirding of our society’s attitudes toward drugs, harm reduction and law enforcement. These laws and policies are often quite hidden from the people who are doing the day-to-day work."
Alessandra’s story:
A great deal of the work that I do is policy analysis. Especially in California, it’s really important to be able to see how other states of similar size and demographics are handling certain issues. Nobody really matches us exactly, but if I can get a detailed picture of what’s happening in New York, Texas or Florida, I can paint a better picture of what the policy environment is for the changes that may be proposed to our laws and policies.
A bill was passed in 2011 to allow the state of California to authorize syringe exchange at the state level. Prior to that, it could only be done at the local level, similar to Massachusetts and Washington. We had to write regulations to go along with the bill, so being able to view exactly what other states had done, which states had the kind of process we were thinking of, who had instituted what rules, was really critical. LawAtlas was instrumental in the process for constructing the program that we eventually designed.
Policy surveillance is essential. There are policies in place that no one knows about unless someone writes about them — policy surveillance illuminates the hidden undergirding of our society’s attitudes toward drugs, harm reduction and law enforcement. These laws and policies are often quite hidden from the people who are doing the day-to-day work.
For example, someone may think that they can only give out 30 syringes in California because, at one point, that is what they were told they could do, when in actuality the law says something completely different. Without being able to dig deeper, to say, “that this is the actual law, and here’s the reason behind it,” we can’t know how to make changes. That’s invaluable.
Alessandra Ross is an injection drug use specialist at the California Department of Public Health, Office of AIDS.