Assessing Determinants of Shifting Attitudes on Drug Policy Reform in Maine

There is growing recognition that our decades-long "war on drugs" has not only been a policy failure but has made our societal drug crisis worse. This is painfully evident in our response to the opioid epidemic. Efforts at comprehensive policy reform are likely to emerge first at the state and local levels. We collaborated with policy advocates and practitioners to study policy perspectives of registered Maine voters, and to investigate determinants of receptivity to drug policy reforms rooted in decriminalization and harm reduction. Our results suggest that while political ideology still impacts one's perspective on these issues, increased exposure to those with substance use disorder reduces stigma, resulting in increasingly broad, bipartisan support for policy reform. We conclude with a discussion on how policymakers addressing overdose and substance use disorder at the state and local level should consider implementing and funding evidence-based alternative approaches such as decriminalization and harm reduction.