Inquiry: The Journal of Health Care Organization, Provision, and Financing (Dec 2024)

Depoliticization of Violence: Critical Limits of Risk Environment Frameworks in Drug Use Research

  • Tyson Singh Kelsall MSW,
  • Jenn McDermid MA,
  • Echo Vieira BA,
  • AJ Withers PhD,
  • Vince Tao BA,
  • Jackie Dives,
  • Tara Myketiak MSW,
  • Nanky Rai MD,
  • Jake Seaby Palmour MSW,
  • Mathew Fleury MPH

DOI
https://doi.org/10.1177/00469580241308442
Journal volume & issue
Vol. 61

Abstract

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The risk environment framework (REF) is a widely-accepted tool in policy research related to drug use. Its prevalence warrants a critical exploration of its strengths and weaknesses. This critical appraisal is a comprehensive analysis of the REF by definition and through relevant examples of its use within the context of public health evaluations, social science research, and epidemiological strategies in substance use-related policy. We examine the tensions inherent to a risk environment analysis, centering on its deficit-based lens of behavior, risk, and harm. This narrative review argues for shifts in frameworks within drug policy research away from individual- and community-level blame.