Search results

The purpose of this paper is to provide contextual information around the grass-roots activities which resulted in legislation allowing the opening of drug consumption rooms in Denmark. This background has not been included in, e.g. the annual Danish Focal Point reports to the EMCDDA.

An account by some of those involved on the grass-roots and political activities which resulted in the enabling changes in law and the provision of building-based drug consumption rooms in Denmark.

The actions described originated in a concern for the health and well-being of drug users. That grass-roots action can act as a catalyst for political changes in social policy to take account of the situations and needs of socially marginalised groups.

The paper describes the sequence of grass-roots actions from the point of view of those involved. It does not seek to represent the views of those opposed to the activists’ aims.

The use of international evidence to support policy and legal changes in one nation, Denmark, in order to improve conditions for drug users. The need for funding commitments to support and realise the legal and policy changes.

The success of long-term campaigning on behalf of a specific marginalised and socially excluded group of citizens and the countering of myths and stigma associated with this group.

This is a unique account told by those directly involved of the social and campaigning processes which led to a change in the law and a shifting of popular and political opinion and action.

This paper aims to explore how the Celtic Tiger economic boom and Great Recession influenced drug and alcohol use in one Irish city.

Semi-structured interviews were conducted with 48 people, living in Cork City, who had previously used drugs and/or alcohol problematically. All participants had engaged with services for their problematic use and had at least one year of abstinence at time of interview.

Some participants reported that their drug and/or alcohol consumption increased during the economic boom; others, who were already in (self-defined) active addiction, reported how full employment lessened some of the harms of their problematic use. For others, problematic use struck once the economy entered a downturn and, heavy drink and drug use became a means of soothing the strains of economic recession.

The paper provides two key contributions. Methodologically, it demonstrates how large-scale national quantitative data can mask local idiosyncratic tendencies, suggesting the need for mixed-method approaches for understanding drug market trends. The paper also provides insights into the impact of global and local economic conditions on drug and alcohol consumption in Ireland.

Consumer research and marketing rarely examine illegal forms of economic life despite the fact that market terminology is often (and increasingly) applied to describe the exchange relations in illicit markets like prostitution and drug consumption. Represents an attempt to use a consumer research perspective to explore the youth consumption of illicit recreational drugs. The findings show that the illicit structure of the market for recreational drugs has a direct effect on the consumer decision‐making process in terms of expectations, risk judgments and source credibility. The findings highlight the importance of social networks and implicit exchange relations in the market for recreation drugs. The paper concludes that there is value in a drawing on a consumer research approach to examine illicit marketing contexts.

Much progress has been made in public opinion regarding drug prohibition. The policy has been an utter failure, very expensive, and increasingly disliked by people around the world. As a result, several states have passed drug reform legislation that reduces penalties for the production, distribution, and consumption of previously prohibited substances such as narcotics and marijuana. Other states have placed more resources in drug treatment programs (demand reduction) instead of drug interdiction efforts (supply reduction). In North America, several states in the US and Canada have passed medical marijuana legislation to take advantage of the well-known medical benefits of marijuana (Piper, Matthew, Katherine, & Rebecca, 2003).

Given the increasing number of tourists exposed to commercially available cannabis, it is important to understand visitors' perceived constraints to cannabis consumption while travelling. This study aims to compare cannabis tourists' perceived constraints between first-time and repeat tourists to gain comprehensive understanding.

This study involved 32 conversational field interviews (5–10 min) with Chinese tourists who had smoked cannabis in coffee shops in Amsterdam to identify perceived constraints to engaging in cannabis tourism. The hierarchical constraint model (HCM) informed qualitative data coding using a deductive approach to compare first-time and repeat tourists. Content analysis was conducted manually.

Results showed that both tourist groups faced intrapersonal, interpersonal and structural perceived constraints to cannabis consumption. Differences in first-time and repeat cannabis tourists' perceived constraints were explained using the neutralization technique framework and psychological tactics, such as the defence of necessity, claims of entitlement, normal practice and claims of relative acceptability. In addition, social exchange theory was employed to explain why repeat cannabis tourists perceived fewer constraints than first-time tourists.

Although the current study did not intend to address the importance of cannabis tourism in places where cannabis is commercially available, findings offer empirical guidance for industry practitioners and policymakers regarding cannabis use education, prevention and policy in tourism contexts; related efforts can promote the sustainable development of this tourism market while protecting cannabis tourists' physical and psychological well-being.

This study makes important theoretical contributions regarding travel constraints in the unique context of cannabis tourism between first-time and repeat tourists. Findings will also enable academics, industry operators, policymakers and local residents of cannabis tourism destinations to better understand how these tourists decide whether to consume cannabis overseas. Differences in these perceived constraints between first-time and repeat tourists are discussed to highlight the dynamic nature of travel constraints.

The US Medicare Modernization Act of 2003 introduced optional prescription drug coverage, beginning in 2006, widely known as Medicare Part D. This paper uses up-to-date nationally representative survey data to investigate the impact of Part D not only on drug spending and consumption, but also on the composition of drug consumption. The paper aims to discuss these issues.

Specifically, the paper investigates whether Part D impacted the number of therapeutic classes for which drugs were prescribed, and also whether Part D lead to increased usage of drugs for specific medical conditions that typically receive drug-intensive therapies.

In addition to confirming findings from previous studies, this paper shows that Part D increased the number of therapeutic classes to which seniors receive drugs by approximately four classes. Part D also lead to increased usage of drugs used to treat upper respiratory disease, hypertension, and diabetes.

While mostly concurring with previous studies on the spending impacts of Part D, this paper is the first to shed light on other impacts of Part D, specifically with respect to its impact on therapeutic classes for which drugs are prescribed.

There are identified problems facing law enforcement in the correct approach to childhood drug and alcohol use at street level which can cause aggression, developmental, psychological problems and family conflict (Maher and Dixon, 1999). Childhood exposure to drugs and alcohol can encourage criminal activity, anti-social conduct and increased child-to-parent conflict (Brook et al., 1992; Reinherz et al., 2000; Coogan, 2011; McElhone, 2017).

The purpose of this study is to explore middle-childhood (11-15 years) experiences of drugs and alcohol through a survey to determine the earliest opportunity for the involvement of services based on the experiences of children.

The key findings are alcohol consumption in middle childhood is supported by parental alcohol provision; those in middle childhood are most likely to consume alcohol at home and drugs at street level (any place away from home including school, young clubs, open public space and parks); children in middle childhood use mainly cannabis to experience euphoria, minimize childhood problems and to fulfill acquisitive desire; and late childhood shows movement away from street-level drug use to drug use in private spaces with friends and increased levels of experiential or social drinking, within spaces shared by larger social groups.

The authors propose that a health-orientated early help model in middle childhood should be adopted, with support such as community- and school-based child and parental drug education; wider information sharing between schools, policing and health authorities at an early stage to support a contextual safeguarding approach; and recognition and recording practices around middle childhood which is an acute phase for children to become involved in drug and alcohol consumption.

Children’s drug use in middle childhood is often not recorded, and the problem can be associated with simple ill-parenting approaches. The authors believe that little was known about the spaces and occurrence of drug and alcohol use in middle childhood.

The study examines alcohol and drug related accidental dwelling fire injuries during 2006–2016 in Merseyside in England.

The study carries out an examination of alcohol and drug related fire injuries from 2006 to 2016 in Merseyside, including analysis of injuries by age group, gender, level of deprivation and housing type.

Deprivation was a significant factor in alcohol and drug related fire injuries over the period studied, with 70% of such injuries occurring in areas with the highest level of deprivation. Males appeared roughly twice as likely to be injured in an alcohol and drug related fire incident than females. The majority of those injured were in the age range 35–59.

There were limitations on the generalizability of the research findings to other fire and rescue services, as Merseyside has some of the highest levels of alcohol consumption and deprivation in UK.

An understanding of those vulnerable to alcohol and drug related fire risks can support more targeted fire prevention strategies and aid referrals to partner health agencies to help to reduce underlying alcohol and drug misuse issues.

The study provides a detailed analysis of the circumstances associated with alcohol and drug related fire injuries over a ten-year period covered by a UK fire and rescue service, in particular, in terms alcohol and drug related fire injury risk differences between different groups.

Ruth Runciman helped bring needle exchanges to the UK. Now she is chairing a working group to look at the possibility of bringing drug consumption rooms to this country. Here, in a frank interview, she tells Gary Hayes why drug consumption rooms may be the next step in the fight to reduce harm among drug users. We also find out just what she makes of the recent reclassification of cannabis, following the Runciman report which criticised the current drug laws.

States in the Middle East and North Africa (MENA) have historically leaned towards conservative, reactionary models of drugs policy. The combination of authoritarian forms of government, whether dynastic monarchies (Morocco, Jordan and Persian Gulf countries), semi-military republics (Syria, Egypt and Algeria) or religiously sanctioned republics (Iran), with the strong influence of Islamic law and norms, has signified that the region has enforced strict forms of drug prohibitions. For that matter, the region is home to cultural and social norms that are less permissive than in other regions of the world: for instance, with regard to premarital sex, homosexuality, clothing, alcoholic drinks and freedom of expression. This image of the MENA region is often overplayed by media commentators and Western scholars, especially in the field of drugs policy. The almost total absence of studies of drugs policy or drugs history in the MENA, excluding works in epidemiology, speaks well about the oblivion to which the region has been relegated over the last decades. The chapter provides first a background on the main questions regarding MENA drugs policy, looking at the historical developments in drug regulations and drug trends. Then, it discusses the current policies that operate across the region and, if pertinent, the prospects of policy development. When necessary, the argument refers to contextual elements that have influenced the direction in national and transitional drugs policy. Conscious of the fact that the MENA is as vast and diverse as a continent, I have opted to focus on three paradigmatic cases (Iran, Lebanon and Saudi Arabia), which provide an adequate geographical and thematic coverage of the MENA drugs policy. The three cases cover different aspects of today’s MENA drugs policy spectrum, from draconian repressive measures to progressive harm reduction programmes. Taken in their geographical dimension one can appreciate the variety and difference that exists within the MENA region, therefore supporting one of the key objectives of this chapter, which is to provide a nuanced analysis of drugs policy against the grain of homogenising and culturally reductive approaches.