Drugs and Alcohol Today最新文献

{"title":"The misuse of drugs act – a user perspective","authors":"Mat Southwell","doi":"10.1108/dat-10-2021-0056","DOIUrl":"https://doi.org/10.1108/dat-10-2021-0056","url":null,"abstract":"\u0000Purpose\u0000This paper aims to demonstrate the ways in which the Misuse of Drugs Act (MDA) militates against the interests and situations of people who use drugs. The author reflects on the author’s journey as a drug user, drugs workers and drug user organiser to critique the MDA. The author describes the impact of the MDA on the author’s early experimentation with substances and highlights the limitations of simplistic drugs prevention. The author describes how the MDA maximises drug-related risks and undermines the creation of healthy cultural norms and community learning among people who use drugs. The author talks about the author’s work as a drugs practitioner and mourns the vandalism of the UK’s harm reduction and drug treatment system. This paper describes the opportunity to use drug policy reform as a progressive electoral agenda to begin the journey towards racial and social justice. This paper calls for the rejection of the Big Drugs Lie and the repeal of the failed MDA.\u0000\u0000\u0000Design/methodology/approach\u0000Personal reflection based on experience as drug user, drugs worker and drug user organiser.\u0000\u0000\u0000Findings\u0000Successive UK Governments have used the MDA as a tool of social control and racial discrimination. The Big Drugs Lie undermines science-based and rights-compliant drug policy and drug services and criminalises and puts young people at risk. There is the potential to build a progressive political alliance to remove the impediment of the MDA and use drug policy reform as tools for racial and social justice.\u0000\u0000\u0000Practical implications\u0000The MDA maximises the harms faced by people who use drugs, stokes stigma and discrimination and has undermined the quality of drug services. The MDA needs to be exposed and challenged as a tool for social control and racial discrimination. Delivering drug policy reform as a progressive electoral strategy could maximise its potential to improve social and racial justice.\u0000\u0000\u0000Originality/value\u0000This paper represents the view of people who use drugs by a drug user, a view which is seldom expressed in the length and level of argument shown here.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45093170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More harm than good? Cannabis, harm and the misuse of drugs act","authors":"G. Potter, Hattie Wells","doi":"10.1108/dat-09-2021-0047","DOIUrl":"https://doi.org/10.1108/dat-09-2021-0047","url":null,"abstract":"\u0000Purpose\u0000This paper aims to consider the nature of cannabis-related harms under the UK’s Misuse of Drugs Act (MDA). Written for the specific context of this four-paper special section on 50 years of the MDA, it argues that the MDA may cause more harm than it prevents.\u0000\u0000\u0000Design/methodology/approach\u0000An opinion piece offering a structured overview of cannabis-related harms under prohibition. It summarises existing evidence of the ways in which prohibition may exacerbate existing – and create new – harms related to the production, distribution, use and control of cannabis.\u0000\u0000\u0000Findings\u0000The paper argues that prohibition of cannabis under the MDA may cause more harm than it prevents.\u0000\u0000\u0000Originality/value\u0000It has long been argued that the MDA does not accurately or fairly reflect the harms of the substances it prohibits, and much existing research points to different ways in which drug prohibition can itself be harmful. The originality of this paper lies in bringing together these arguments and developing a framework for analysing the contribution of prohibition to drug-related harm.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47434265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk perception, health stressors and reduction in sharing cannabis products during the COVID-19 outbreak: a cross-sectional study","authors":"D. Rosenberg, S. Sznitman","doi":"10.1108/DAT-07-2021-0030","DOIUrl":"https://doi.org/10.1108/DAT-07-2021-0030","url":null,"abstract":"Purpose: This study aimed to understand the extent to which cannabis-related risk perception and COVID-19-related health worries were associated with the reported reduction in sharing cannabis smoking products to mitigate the risk of the coronavirus transmission or infection. This association was tested in two different periods in terms of toughness of national lockdown policy imposed in the first months of the pandemic in Israel. Design/methodology/approach: The study population included adult recreational cannabis users who completed one of the two online cross-sectional surveys dedicated to COVID-19 and the cannabis use situation in Israel in the first half of the 2020. The two surveys were conducted six weeks apart. One survey was conducted in the period when strict lockdown measures were in place (N1 = 376). The other survey was conducted in the period when many lockdown measures were lifted (N2 = 284). Differences between the samples regarding risk perception, health stressors and reduction in sharing cannabis products were assessed using t-test. Regression analysis was used to test the independent correlates of reported reduction in sharing cannabis products. Findings: Means of risk perception, health stressors and reported reduction in sharing cannabis products were higher in the sample surveyed in the period of the strict lockdown measures than in the sample surveyed in the period of eased lockdown measures. Risk perception was associated with reported reduction in sharing cannabis products only in the sample surveyed in the period of strict lockdown measures. In contrast, health stressors were related to reported reduction in sharing cannabis products in both samples. Social implications: Health stressors may represent a more stable mechanism by which cannabis users engage in protective behavior during the pandemic than risk perceptions. Originality/value: To the best of the authors’ knowledge, the current research is one of the first studies that examine the associations among risk perception, primary stressors and protective behavior in recreational cannabis users while referring to cannabis-related behavior other than use. © 2021, Emerald Publishing Limited.","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48278334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From law to regulation: re-appraising the misuse of Drugs Act 1971","authors":"T. Seddon","doi":"10.1108/dat-07-2021-0035","DOIUrl":"https://doi.org/10.1108/dat-07-2021-0035","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to re-appraise the Misuse of Drugs Act 1971 in order to develop alternative and new ideas for drug law reform.\u0000\u0000\u0000Design/methodology/approach\u0000The approach is to analyse the Act from historical and socio-legal perspectives, drawing on the inter-disciplinary field of regulation studies.\u0000\u0000\u0000Findings\u0000The Act has its roots in radical counter-cultural reform activism in the 1960s. Its innovative legal structure has enabled a diverse range of policy approaches to be possible over the last 50 years. Future drug law reform efforts need to broaden out from a narrow focus on law and also to engage more seriously with the politics of drug law and policy.\u0000\u0000\u0000Originality/value\u0000Drawing on the inter-disciplinary field of regulation studies leads to novel insights about the politics and practice of drug law reform.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44309114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fifty years of the UK Misuse of Drugs Act 1971: the legislative contexts","authors":"B. Stothard","doi":"10.1108/dat-08-2021-0038","DOIUrl":"https://doi.org/10.1108/dat-08-2021-0038","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to illustrate the history of relevant legislation before and after the 1971 Misuse of Drugs Act (MDA).\u0000\u0000\u0000Design/methodology/approach\u0000A chronological narrative of laws and reports with concluding discussion.\u0000\u0000\u0000Findings\u0000That UK legislators have not made use of the evidence base available to them and have favoured enforcement rather than treatment approaches. That current UK practice has exacerbated not contain the use of and harms caused by illegal drugs.\u0000\u0000\u0000Research limitations/implications\u0000The paper does not cover all relevant documents, especially those from non-governmental sources.\u0000\u0000\u0000Practical implications\u0000The practical implications centre on the failure of consecutive governments to reflect on and review the impact of current legislation, especially on people who use drugs.\u0000\u0000\u0000Social implications\u0000That the situations of people who use drugs are currently ignored by the government and those proven responses which save lives and reduce harm are rejected.\u0000\u0000\u0000Originality/value\u0000The paper attempts to show the historical contexts of control and dangerousness of which the MDA is one instrument.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44541597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Benefits and barriers associated with take-home-naloxone in the view of Italian service providers","authors":"S. Rolando, Franca Beccaria, Susanna Ronconi","doi":"10.1108/dat-12-2020-0077","DOIUrl":"https://doi.org/10.1108/dat-12-2020-0077","url":null,"abstract":"\u0000Purpose\u0000Spanning almost 30 years, Italy’s experience with take-home-naloxone (THN) provides an interesting case study on the international scene because of its specific history, regulation and trends in overdose (OD) rates. Accordingly, this study aims to contribute to the evidence base for THN and its delivery in a different setting.\u0000\u0000\u0000Design/methodology/approach\u0000The study focuses on service providers’ perceptions of the benefits, risks and barriers associated with THN provision. Data was collected using a mixed-methods approach as follows: an online structured questionnaire (no. of respondents = 63) and two focus groups (no. of total participants = 18).\u0000\u0000\u0000Findings\u0000Findings show that service providers believe the benefits of THN far outweigh the risks and accrue to services, as well as users. The study also suggests that the barriers in Italy are mostly ideological and political, and illustrates how resistance to administering THN can re-emerge when ODs are no longer a social emergency. Furthermore, the study found that health and social workers have different attitudes which are also reflected at the level of public and private services, thereby shaping slightly different models of THN supply.\u0000\u0000\u0000Originality/value\u0000The study suggests that barriers associated to THN are more ideological and political rather than concrete, which explains why, even where it seems long established, can easily re-emerge once ODs are no longer a social emergency.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“We don’t have any answers within the current framework”: tensions within cannabis policy change in Ireland","authors":"Chris Ó Rálaigh, S. Morton","doi":"10.1108/dat-10-2020-0064","DOIUrl":"https://doi.org/10.1108/dat-10-2020-0064","url":null,"abstract":"\u0000Purpose\u0000International policy approaches to cannabis production and use are changing rapidly, and within the Irish context, alternatives to prohibition are being considered. This study aims to explore policymaker’s attitudes towards the decriminalisation and legal regulation of cannabis for recreational use in the midst of an unfolding policy process, examining the degree which a “policy window” might be open for the implementation of cannabis policy change.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews were held with eight key informants within the policy field in Dublin, Ireland. Kingdon’s (2014) Multiple Streams framework was used to consider whether the problems, policy and political streams were aligning to support progressive policy change.\u0000\u0000\u0000Findings\u0000Irish policymakers indicated broad support for the decriminalisation of cannabis. The legal regulation of cannabis received more qualified support. Existing policy was heavily criticised with criminalisation identified as a clear failure. Of particular interest was the willingness of policymakers to offer opinions which contrasted with the policy positions of their organisations. While a policy window did open – and close – subsequent governmental commitments to examine the issue of drugs policy in a more deliberative process in the near future highlight the incremental nature of policy change.\u0000\u0000\u0000Originality/value\u0000This study provides unique insight into the opinions of policymakers in the midst of a prolonged period of policy evolution. A latent aspiration for historical policy change was situated within the realpolitik of more traditional approaches to policy development, demonstrating that the alignment of Kingdon’s (2014) problem, policy and political streams are essential for change in cannabis policy.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42912431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guest editorial","authors":"Mélina Germes, Bernd Werse, Marie Jauffret-Roustide","doi":"10.1108/dat-09-2021-086","DOIUrl":"https://doi.org/10.1108/dat-09-2021-086","url":null,"abstract":"","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43177715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping “drug places” from below. The lived cities of marginalized drug users","authors":"M. Germes, Luise Klaus, Svea Steckhan","doi":"10.1108/dat-12-2020-0085","DOIUrl":"https://doi.org/10.1108/dat-12-2020-0085","url":null,"abstract":"\u0000Purpose\u0000On top of their legal, economic, social and institutional marginalization, marginalized drug users (MDUs) also experience political marginalization: drug policies shape their lives without their political participation. From a scientific as well as a political perspective, the inclusion of their various viewpoints and situated knowledge is a major challenge, and one to which this paper aims to contribute in light of the experiences and imaginaries of MDUs urban spaces in several German cities.\u0000\u0000\u0000Design/methodology/approach\u0000Following a socio-geographical approach, this paper interrogates how MDUs appropriate and imagine the city, drawing on Lefebvre’s Production of Space and mixing critical cartographic with grounded theory, in the attempt to both understand and reconstruct the world from the situated perspective of MDUs based on their own words, drawings and emotions.\u0000\u0000\u0000Findings\u0000The narratives and drawings of participants show another cityscape, radically different from the hegemonic discourses and mappings antagonizing MDUs and making their existence a social problem. Space appears as a means of marginalization: there are barely any places that MDUs can legitimately appropriate-least of all so-called “public space.” By contrast, MDUs’ imaginaries of an ideal city would accommodate their existence and address further social justice issues.\u0000\u0000\u0000Originality/value\u0000The notion of “public places” appears unable to express MDU’s experiences. Instead of focusing on the problem of public spaces, policymakers should tackle the question of placemaking for MDUs beyond the level of solely drug-related places.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48225666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marginalised identities between fatalism and desperation – experiences of low-level cannabis street dealers in Frankfurt","authors":"Bernd Werse","doi":"10.1108/dat-03-2021-0012","DOIUrl":"https://doi.org/10.1108/dat-03-2021-0012","url":null,"abstract":"\u0000Purpose\u0000This paper aims to research people who sell cannabis in public spaces known as “drug places” in Frankfurt, Germany. A particular focus is set to the relations of identity formation, relations to other dealers and law enforcement, taking into account the concept of “street capital” as social and cultural capital accumulated in the practice of drug dealing in public.\u0000\u0000\u0000Design/methodology/approach\u0000Nine biographically oriented qualitative interviews were conducted directly within the respective “drug places” in the inner city and the margins of the local open drug scene with exclusively male subjects. Interviews were conducted in German, audio-recorded and transcribed. Data was analysed with structured qualitative content analysis.\u0000\u0000\u0000Findings\u0000All respondents had some degree of migration background, ranging from German citizens up to refugees with illegal residence permit status. Social deprivation, socio-cultural conflicts with parents, combined with often early own drug use (mainly cannabis and cocaine) and stigma had contributed to a precarious existence. Experiences of criminalisation did not discourage the respondents from the continuation of their selling activity. Violence in these settings was likely but assessed in highly different ways depending on attitudes and experiences. The same is true for diverging experiences with police, however, the threat of being criminalised is always present.\u0000\u0000\u0000Originality/value\u0000As mostly independent and solitary dealers, this study researched a rarely investigated group. While these respondents have developed skills or street capital to survive in the respective setting, they are caught between unfavourable social conditions, social exclusion, violence, law enforcement and own drug use, leading to a desperate and fatalistic mindset. Somewhat paradoxically, this fatalism may be regarded as a result of keeping control over their own actions.\u0000","PeriodicalId":44780,"journal":{"name":"Drugs and Alcohol Today","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48602397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}