title: Isla evangelista-a story of church and state: Puerto Rico's faith-based initiatives in drug treatment.
abstract: This article describes the debates leading to Puerto Rico's Mental Health Law of 2000, which defined addiction as a spiritual and social problem rather than a mental disorder, in order to trace three competing approaches to addiction in Puerto Rico: evangelist, biomedical, and harm-reductionist. Highlighting the ways in which the evangelist approach of Puerto Rican street ministries challenges the individualism underlying US faith-based initiatives and the punitive approach of the US War on Drugs, this article concludes that the virtues of the evangelist approach to addiction would be best supported by public funding for biomedical and harm-reduction approaches within a pluralistic system of treatment for addiction.
authors.affiliation: Department of Psychiatry, NYU Medical Center, New Bellevue 20N11, New York, NY 10016, USA. hanseh03@med.nyu.edu
authors.forename: Helena
authors.initials: H
authors.lastname: Hansen
mesh_terms: D002835:Christianity; D029221:Faith Healing / Q000379:methods*; D040261:Harm Reduction; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D011647:Puerto Rico; D012069:Religion and Psychology; D019966:Substance-Related Disorders / Q000628:therapy*