Opioid Use, Health, and Crime: Insights from a Rapid Reduction in Heroin Supply

Working Paper: NBER ID: w28848

Authors: Timothy J. Moore; Kevin T. Schnepel

Abstract: In 2001, a large and sustained supply shock halted a heroin epidemic in Australia. We use drug offenses to identify individual opioid users and examine how the shock affected their mortality risks and criminal activity over the next eight years. Initially, gains from fewer overdoses are offset by drug substitution and more crime, including homicides. Most adverse effects dissipate over time, while persistent mortality reductions save the lives of around one in 48 individuals in our sample. Our results demonstrate that reducing the supply of illicit opioids can lead to meaningful longer-term improvements, even when the short-term effects are ambiguous.

Keywords: opioid use; heroin supply reduction; health outcomes; crime rates

JEL Codes: I12; K42


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Heroin supply reduction (H57)Opioid-related mortality (I12)
Heroin supply reduction (H57)Arrests for opioid possession (K42)
Heroin supply reduction (H57)Violent crime (homicides and assaults) (K42)
Heroin supply reduction (H57)Property crime (K42)
Heroin supply reduction (H57)Specific property crime (robbery) (K42)

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