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Article
Publication date: 9 March 2012

Caroline Chatwin

In a recent article in the pages of this journal, the author outlined the hypothesis that, although there have been recent evolutions in European governance effected by the Lisbon…

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Abstract

Purpose

In a recent article in the pages of this journal, the author outlined the hypothesis that, although there have been recent evolutions in European governance effected by the Lisbon treaty, these changes have not brought about any convergence in the national drug policies of European member states. The original article focused on developments in the national drug policies of key member states and based the assessment on their maintenance of key, and significantly different, national policy aims. Standring, in this edition, has offered a critique of that article suggesting that the author has been overly pessimistic in her understanding of the nature of drug policy integration at the European level and that soft integration tools have allowed a high degree of policy convergence in this controversial area. This paper aims to strengthen and confirm the author's position by examining the tools of European drug policy integration.

Design/methodology/approach

Key policy strategies (for example, the European Drug Strategy and Action Plans, European level anti‐drug trafficking frameworks and recent implementations on newly developed psychoactive substances at the European level) are examined here for indications of success or otherwise in the harmonisation (or convergence) of European national drug policies.

Findings

Ultimately, even under these new terms of reference, the paper finds that attempts to either harmonise or converge European national drug policies have done little more than scratch the surface.

Originality/value

The paper suggests that neither the top‐down regulation, here described, nor the soft convergence that Standring envisages are desirable for European drug policy making where they are implemented with the aim of making national drug policies more similar.

Article
Publication date: 7 September 2012

Pien Metaal

This article aims to give some background information about the debate around drug policies in Latin America and to provide a view on a possible future direction of the developing…

226

Abstract

Purpose

This article aims to give some background information about the debate around drug policies in Latin America and to provide a view on a possible future direction of the developing debate.

Design/methodology/approach

Recently increasing signs coming from the highest political level indicate that current strategies are perceived as failed, and incentives for a debate on alternatives to prohibition should be discussed. The article reflects on the origin and conditions in which this debate is taking place, and the ideas, options and projection into the political institutions that are designed for that purpose. The article describes the process using existing and new materials and insights produced by scholars and participants in the Latin American drug policy debate.

Findings

The article finds that the impetus given to the drug policy reform debate has now reached a level, that it can no longer be avoided to talk openly at the highest political level, about alternatives to current drug policy strategies, based mainly on prohibition.

Originality/value

The article connects recent drug policy debates into a historical perspective, and helps to underscore the need for these reforms, as a solution for the problems faced by Latin American countries, such as increased levels of violence related to the drugs market.

Details

Drugs and Alcohol Today, vol. 12 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 9 March 2012

Adam Standring

A response to Chatwin's article (2010), which argues that European harmonisation of illicit drug policies remains far from realisation, this paper seeks to recommend developing a…

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Abstract

Purpose

A response to Chatwin's article (2010), which argues that European harmonisation of illicit drug policies remains far from realisation, this paper seeks to recommend developing a more specific conceptualisation of European integration in the area of illicit drugs and argues that harmonisation was not a realistic aim of the European Union (EU).

Design/methodology/approach

This is a review paper which seeks to advocate the application of a more rigid analytical framework in drug policy analysis that takes into account the “soft” methods of governance used by the EU. The paper also uses secondary data sources to emphasise the argument.

Findings

Domestic convergence has been observed across a number of policy areas.

Research limitations/implications

The nature and level of convergence remains contested and more data are needed to clarify any trends. Future research would be necessary to demonstrate that convergence occurs as a result of EU action rather than other factors.

Originality/value

There remains little in the way of research on the processes of European integration and their specific impact on drug policy at the European and domestic level. This paper will be of value to scholars in the field of European integration who are seeking to expand their research into a new policy sector, as well as researchers in the drug field who are looking for a more formal analytical framework.

Details

Drugs and Alcohol Today, vol. 12 no. 1
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 1 June 2008

Vibeke Frank

In the course of the 2000s Denmark has experienced a shift in drug policy in general and of cannabis policy in particular. Danish drug policy used to be known as liberal, but is…

Abstract

In the course of the 2000s Denmark has experienced a shift in drug policy in general and of cannabis policy in particular. Danish drug policy used to be known as liberal, but is now saturated with ‘zero‐tolerance’ and ‘tough on crimes’ rhetoric. What happened, and what have the consequences been? This article describes recent changes, focusing on the closing of Pusher Street in Christiania, Copenhagen, one of northern Europe's largest open cannabis markets. This most spectacular outcome can also be seen as a conquered symbol of a former liberal ‐ and for many too lenient ‐ drug policy.

Details

Drugs and Alcohol Today, vol. 8 no. 2
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 18 October 2010

Caroline Chatwin

In Britain, the last two decades have seen a considerable increase in focus on service users' involvement in the provision of services that directly affect them, particularly…

Abstract

In Britain, the last two decades have seen a considerable increase in focus on service users' involvement in the provision of services that directly affect them, particularly where service users originate from a hard to reach population such as drug users. While the National Treatment Agency and drug and alcohol action teams often extol the virtues of the involvement of drug users in their service provision, participation of this type does not come without problems of its own. Experience of drug user involvement in service provision is much more established in Europe and this article seeks to utilise European examples in illustrating the potential pitfalls of such a strategy. Case studies are examined from three countries: the Netherlands, where drug policy is relatively liberal and drug user groups have been established since the 1970s; Denmark, where drug policy is fairly well balanced between repression and tolerance and drug user groups have been established since the 1990s; and Sweden, where drug policy is relatively repressive and drug user groups are only just emerging. Salient points from these case studies are then used to form the discussion, relating European experiences to the situation in Britain.

Details

Safer Communities, vol. 9 no. 4
Type: Research Article
ISSN: 1757-8043

Keywords

Article
Publication date: 7 December 2015

Bagga Bjerge, Karen Duke and Vibeke Asmussen Frank

The purpose of this paper is to examine the shifting roles of medical professionals as stakeholders in opioid substitution treatment (OST) policies and practices in Denmark and…

Abstract

Purpose

The purpose of this paper is to examine the shifting roles of medical professionals as stakeholders in opioid substitution treatment (OST) policies and practices in Denmark and the UK within the past 15 years.

Design/methodology/approach

The paper is based on literature reviews, documentary analyses and key informant interviews with a range of stakeholders involved in OST and policy in Denmark and UK. The study is part of the EU-funded project: Addictions and Lifestyles in Contemporary Europe: Reframing Addictions Project.

Findings

Denmark and the UK are amongst those few European countries that have long traditions and elaborate systems for providing OST to heroin users. The UK has a history of dominance of medical professionals in drugs treatment, although this has been recently challenged by the recovery movement. In Denmark, a social problem approach has historically dominated the field, but a recent trend towards medicalisation can be traced. As in all kinds of policy changes, multiple factors are at play when shifts occur. We examine how both countries’ developments around drugs treatment policy and practice relate to broader societal, economic and political changes, how such divergent developments emerge and how medical professionals as stakeholders enhanced their roles as experts in the field through a variety of tactics, including the production and use of “evidence”, which became a key tool to promote specific stakeholder’s perspectives in these processes.

Originality/value

The paper contributes to current policy and practice debates by providing comparative analyses of drug policies and examination of stakeholder influences on policy processes.

Details

Drugs and Alcohol Today, vol. 15 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 14 July 2023

Smart E. Otu, Macpherson Uchenna Nnam, Mary Juachi Eteng, Ijeoma Mercy Amugo and Babatunde Michel Idowu

The purpose of this study is to examine the politics, political economy, and fallout of hawkish regulatory policy on prescription drugs in Nigeria. Hawkish regulatory policy on…

Abstract

Purpose

The purpose of this study is to examine the politics, political economy, and fallout of hawkish regulatory policy on prescription drugs in Nigeria. Hawkish regulatory policy on prescription drug in Nigeria, such as opioid analgesics, is a very complex and multifaceted one, which usually involves the interplay of many factors and parties.

Design/methodology/approach

Policy manuals, official government gazettes (legislations, regulations, Acts and decrees), academic literature and a direct ethnographic observation of events surrounding the regulation of prescription drugs were reviewed and engaged.

Findings

The results revealed that Nigerian and global political economy and politics interface to define the direction of the new restrictive opioid policy, with resultant friction between prohibition and consumption. The reviews showed that the overarching “get-tough” and “repressive” policy are not necessarily founded on empirical evidence of an increase in prescription drug sales or use, but more as a product of the interplay of both internal and external politics and the prevailing socioeconomic order.

Practical implications

Instead of borrowing extensively from or being influenced by repressive Western drug laws and perspectives, Nigerian policymakers on prescription opioids should take control of the process by drawing up a home-grown policy that is less intrusive and punitive in nature for better outcomes. A mental sea change is required to understand the intrigues of Western power in Nigeria’s politics and political economy to avoid the continuous symptomatic failure of drug policy.

Originality/value

The politics and economic influence of the United Nations, USA and Western powers, as well as the axiom of moral panic of prescription drugs scares within the Nigerian environment, are particularly significant in the making of the emerging hawkish policy on prescription drugs in Nigeria.

Details

Drugs, Habits and Social Policy, vol. 24 no. 4
Type: Research Article
ISSN: 2752-6739

Keywords

Article
Publication date: 30 November 2012

Peter Cohen

The author aims to use the example of the Rototom Sunsplash Festival (a large European annual reggae festival held in Italy) to discuss his personal views on drug policy at such…

211

Abstract

Purpose

The author aims to use the example of the Rototom Sunsplash Festival (a large European annual reggae festival held in Italy) to discuss his personal views on drug policy at such events and in general.

Design/methodology/approach

The author presents his views of drug policy, comparing these with Voodoo religion.

Findings

The views of different cultures and countries towards drugs and drug policies are discussed.

Originality/value

This paper presents the author's strong views on the “drug war” and drug policies.

Details

Drugs and Alcohol Today, vol. 12 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 5 June 2017

David R. Bewley-Taylor

The purpose of this paper is to examine the extent to which the dominant metrics currently used to measure the success of the UN based global drug prohibition regime are in many…

Abstract

Purpose

The purpose of this paper is to examine the extent to which the dominant metrics currently used to measure the success of the UN based global drug prohibition regime are in many ways inadequate and consequently contribute to systemic inertia. Within this context, it seeks to explore the potential of explicitly linking drug policy to the recently launched sustainable development agenda (SDA) and the associated sustainable development goals (SDGs) to initiate a change in approach.

Design/methodology/approach

Framing the topic in terms of international relations (IR) and regime analysis, prominent examples of where current metrics are imprecise (the relationship between production and seizures), misconceived (drug use) and missing (a range of drug and drug policy related harms) are explored. Attention is then given to an examination of international development as a model for measuring drug control outcomes, including a discussion of the SDGs in general and the intersection between drug policy interventions and several goals in particular.

Findings

While aware of the complexity of the issue area, the paper finds that there are considerable shortcomings in the way international drug policy outcomes are currently assessed. Although methodological problems are likely to persist, linking drug policy with the SDGs and their associated metrics offers the potential to help to shift the focus of international policy in a manner that would benefit not only UN system-wide coherence on the issue, but also assist in the achievement of the regime’s own overarching goal; to safeguard the “health and welfare” of humankind.

Practical implications

With the next high-level review of international drug policy due to take place in 2019, the paper offers policy makers with a way to begin to refocus drug policy metrics, and subsequently review outcomes, in line with the UN system-wide SDA.

Originality/value

As an emerging domain of inquiry, the paper not only explores a hitherto largely unexplored – yet increasingly important – facet of UN level policy evaluation, formulation and implementation, but also helps to fill a gap in the IR literature on regime dynamics.

Article
Publication date: 31 May 2019

Ria Christine Siagian, Besral Besral, Anhari Achadi and Dumilah Ayuningtyas

The World Health Organization has pointed out that the majority of developing countries currently rely on imported drugs, in spite of the fact that there is potential for them to…

Abstract

Purpose

The World Health Organization has pointed out that the majority of developing countries currently rely on imported drugs, in spite of the fact that there is potential for them to produce their own drugs. The purpose of this paper is to present a framework as an innovation policy model that can strategically predict the outcome of drug development investment in developing countries.

Design/methodology/approach

In order to explore a model relevant to the policy-making process, the literature was systematically reviewed with a focus on the impact of policy changes on drug development in developing countries.

Findings

An innovation policy model consists of the relational influences of contextual variables of pharma capabilities, innovation incentives and political factors affecting drug development in developing countries, derived from a dissenting policy-making perspective. This was built to test two hypotheses of a positive relationship between the above variables; and a perspectives gap between the pharmaceutical companies and the policymakers. These hypotheses address issues related to the lack of drug development in developing countries.

Research limitations/implications

This paper presents a conceptual framework for the evaluation and provides examples of its use, but it is currently at a relatively early stage of research. Further work is currently underway and will later be presented to the same journal.

Social implications

Domestic drug development in developing countries needs to be feasible in order to ensure drug security. This predictive policy model provides a comprehensive approach to health policy reforms to examine innovation strategies.

Originality/value

This model includes measures to explore whether pharma capabilities, innovation incentives and/or political factors have an effect on domestic drug development in developing countries. It bridges the policy implementation’s operational process between pharmaceutical companies and policymakers.

Details

International Journal of Health Governance, vol. 24 no. 2
Type: Research Article
ISSN: 2059-4631

Keywords

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