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North Carolina’s LEAD program reduces recidivism and overdoses by treating substance use with medication, housing, and jobs instead of jail.
A North Carolina LEAD program in Fayetteville is diverting people with substance use disorder from jail to treatment, housing, and jobs, helping participants like Kayla achieve long-term sobriety through medication-assisted treatment (MAT).
Over 30,000 residents enrolled in treatment in 2024, with numbers rising in 2025, as clinics like Dr. Eric Morse’s in Raleigh provide efficient MAT care to working individuals, even if they test positive for street opioids.
Despite criticism from some lawmakers favoring abstinence-only models, medical evidence shows MAT reduces overdose deaths, and North Carolina’s overdose fatalities have dropped 35% in recent years, reflecting a growing shift toward harm reduction as a public health strategy.
El programa LEAD de Carolina del Norte reduce la reincidencia y las sobredosis al tratar el uso de sustancias con medicamentos, vivienda y empleos en lugar de la cárcel.