Season Four of the The Breach explores one central question: What happens when drug use during pregnancy becomes a felony?

In our last episode, we met Reneé, a woman jailed under 240-D, a unique law in Fort Peck, Montana, that criminalizes substance use during pregnancy. As part of her sentence, Reneé was required to participate in a special court in the Fort Peck justice system known as Healing to Wellness Court.

This is the tribal system’s version of a drug court, which is often billed as a more humane solution to drug-related crime. Today there are more than 3100 drug courts operating in the United States, including more than 70 Healing to Wellness Courts. But beneath the assurances of compassion and the glossy data suggesting success lurk very real concerns about the effectiveness of this system.

In this episode, host Lindsay Beyerstein speaks with drug court expert Denise Tomasini-Joshi. Together, they unpack the reality behind these band-aid courts and reveal how a seemingly humane solution falls short in practice.

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