Collateral consequences of the sex offender registry in the United States have been documented for decades, but few studies have examined whether demographic or structural conditions affect the frequency or severity of collateral consequences on sex offenders. We report on a nationwide survey of cisgender men required to register on a sex offense registry. We describe the impact of collateral consequences of sex offender management in key areas, including housing, employment, health, and victimization. We expand on previous literature by examining differential experiences of sex offender conviction based on sexual orientation and race/ethnicity. Non-White persons and non-straight persons were not more likely to experience collateral consequences in specific types of collateral consequence nor the range of possible consequences. The only factor that protected registered sex offenders from collateral consequences was educational attainment. Our findings suggest that the sex offender registry flattens all persons to a similar level of disadvantage.
Introduction: In response to the overdose epidemic, novel strategies including Overdose Response Hotlines and Applications (ORHAs) have been introduced to help mitigate the crisis. These technologies enable individuals with a phone to access harm reduction support via smartphones and applications. Such supports include overdose monitoring, access to social services, mental health referrals, and more. This study analyzed data from the Canadian National Questionnaire on Overdose Monitoring (CNQOM), a large bilingual national survey, to evaluate the perspectives of people who use unregulated substances currently (PWUS-C), people who used unregulated substances previously (PWUS-P), and addiction service provider (ASP) on the importance of specific ORHA features.
Methods: One component of the CNQOM pertained to the importance of specific ORHA service elements. Examined categories included accessibility and technological features, overdose response functionality, data privacy and philosophies of care, additional support services, and substance usage. Each group responded to 33 questions on a 5-point Likert scale, and the data was analyzed using descriptive statistics involving percentages and ordinal logistical regression analysis.
Results: The study involved 971 participants: 840 PWUS-C, 298 PWUS-P, and 169 ASP. The majority of respondents from the key groups considered all ORHA elements important. Generally, the groups ranked the elements in a similar order of importance, with only minor variations. The highest-ranked elements in each element category with regards to importance were: 24/7 availability (84% of PWUS-C, 88% of PWUS-P, and 90% of ASP), the ability of EMS to resuscitate individuals during an overdose (81% of PWUS-C, 83% of PWUS-P, 85% ASP), non-judgmental support (87% of PWUS-C, 87% of PWUS-P, and 91% of ASP), access to mental health support (82% of PWUS-C, 84% of PWUS-P, and 90% of ASP), and feeling safer when using substances (80% of PWUS-C, 81% of PWUS-P, and 88% of ASP).
Conclusion: This paper highlights the importance multiple groups place on various elements of ORHAs, reflecting critical elements that should be considered when standardizing these virtual harm reduction technologies. The results of this study provide insight into opportunities to enhance virtual platforms, making them more responsive, accessible, and trusted as harm reduction resources.
Social work supervisors have the power to shape the next generation of social workers. Thus, it is imperative that social work supervision take an antiracist/antioppressive approach to effect transformational change for the individuals and families with whom we work rather than supporting and maintaining systems and practices that cause harm. This article proposes applying the SHARP (structural oppression, historical context, analysis of role, reciprocity and mutuality, and power) framework to reflective supervision (RS) for this purpose. RS emphasizes important factors for social work supervision such as collaborative meaning making and emotional learning. However, alone, RS does not explicitly address the pervasive issues of racism and oppression that inevitably show up in social work practice. Therefore, authors apply the SHARP framework to RS to promote critical consciousness, mutual accountability, and transformational social work practice. This article introduces the SHARP framework and RS, outlines how each component of SHARP enhances RS, and suggests practical applications.

