The research described in this report was prepared for the National Institute of Justice and conducted in the Justice Policy Program within RAND Social and Economic Well-Being. To download this publication for free go to: https://www.rand.org/pubs/research_reports/RRA2491-1.html

Research Questions

  • How have the deflection programs been implemented and viewed by key stakeholders?
  • What factors have facilitated, or hindered, implementation of programs and attainment of objectives?
  • What are the most pressing practical considerations facing deflection programs and communities they serve?
  • What is the impact of program adoption on county overdose and crime rates?

Key Findings

  • U.S. deflection programs tended to gradually incorporate additional pathways; move toward greater complexity and breadth of service provision; and increase professionalization of deflection (e.g., dedicated staff, creation of best practices).
  • Stakeholder feedback suggested positive results for communities.
  • Program barriers included stigma, police distrust, treatment capacity, and funding.
  • Outcomes for one site (A Way Out Program in Lake County, Illinois) indicated reduced fatal and non-fatal overdoses and property crime arrests.