The increasingly obvious failure of the "tough-guy" approach that we have adopted to cope with the national drug problem is discussed. The public continues to strongly support such authoritarian management of the problem, largely because it has been led to see the drug problem as a crisis, and partly because tough-guy management promises a quick fix. The reality has been that a thriving black market in drugs, run by entrepreneurs, has made the problem worse in every respect: disrespect for the law, disruption of communities (particularly in the inner city), continued appeal of illegal drugs, and prisons bulging with inmates. A "tough-minded" alternative policy involving controlled legalization, social disapproval, and effective education is proposed, but this policy must overcome the popular perception that this would be a "nice-guy," or do-nothing approach to managing the problem.
Drug And Alcohol Advisory Group – Key Recommendations: ●● Increase parents' and carers' knowledge and skills about drug and alcohol education and prevention enabling them to better inform and protect their children; ●● Improve the quality of drug and alcohol education by making PSHE a statutory subject – to enable schools and colleges to promote well-being effectively, and to improve the quality of training for PSHE teachers; and ●● Improve identification and support for young people vulnerable to drug misuse in schools, colleges and non-formal settings.
Peyote has marked the boundary between the Indian and the West since it was outlawed by the Spanish Inquisition in 1620. For nearly four centuries, ecclesiastical, legal, scientific, and scholarly authorities have worked to police that boundary and ensure that while indigenous subjects might consume peyote, non-indigenes could not. It is a boundary repeatedly remade, in part because generations of non-indigenes have refused to stay on their side of the line. Moving back and forth across the US-Mexican border, this work explores how battles over who might enjoy the right to consume peyote have unfolded in both countries in the two centuries since Mexican independence. It focuses particularly how these conflicts have contributed to the racially exclusionary system that characterizes modern drug regimes
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Although recent research has shown that drug abuse treatment reduces drug use and criminal activity in some clients, the impact of treatment on clients' post‐treatment labor market behavior is relatively unknown. This study uses data from a longitudinal survey to analyze annual legal and illegal earnings for 2,420 drug abusers. The analysis focuses on two different time intervals—one year before entering a drug abuse treatment program and one year after leaving the same program. It describes client characteristics, labor market variables, and treatment history, and estimates the effects of length of time in treatment on post‐treatment earnings. The regression analysis shows that length of time in treatment had a positive (negative) and statistically significant impact on real legal (illegal) earnings following treatment for methadone and residential clients, but the magnitude was small; accounting for possible selection bias had little effect on the results. Although residential clients experienced the largest relative changes in earnings outcomes, simply comparing the direct cost of residential treatment with the benefits from improved legal earnings and lower illegal earnings suggests that additional residential treatment is not cost‐beneficial.
Magalie Paillet-Loilier,1 Alexandre Cesbron,1 Reynald Le Boisselier,2 Joanna Bourgine,1 Danièle Debruyne1,2 1Toxicology and Pharmacology Laboratory, 2Centre d'Evaluation et d'Information sur la Pharmacodépendance – Addictovigilance (CEIP-A), Department of Pharmacology, University Hospital Centre, Caen, France Abstract: Substituted cathinones are synthetic analogs of cathinone that can be considered as derivatives of phenethylamines with a beta-keto group on the side chain. They appeared in the recreational drug market in the mid-2000s and now represent a large class of new popular drugs of abuse. Initially considered as legal highs, their legal status is variable by country and is rapidly changing, with government institutions encouraging their control. Some cathinones (such as diethylpropion or pyrovalerone) have been used in a medical setting and bupropion is actually indicated for smoking cessation. Substituted cathinones are widely available from internet websites, retail shops, and street dealers. They can be sold under chemical, evocative or generic names, making their identification difficult. Fortunately, analytical methods have been developed in recent years to solve this problem. Available as powders, substituted cathinones are self-administered by snorting, oral injestion, or intravenous injection. They act as central nervous system stimulants by causing the release of catecholamines (dopamine, noradrenaline, and serotonin) and blocking their reuptake in the central and peripheral nervous system. They may also decrease dopamine and serotonin transporter function as nonselective substrates or potent blockers and may inhibit monoamine oxidase effects. Nevertheless, considerable differences have been found in the potencies of the different substituted cathinones in vitro. Desired effects reported by users include increased energy, empathy, and improved libido. Cardiovascular (tachycardia, hypertension) and psychiatric/neurological signs/symptoms (agitation, seizures, paranoia, and hallucinations) are the most common adverse effects reported. Severe toxicity signs compatible with excessive serotonin activity, such as hyperthermia, metabolic acidosis, and prolonged rhabdomyolysis, have also been observed. Reinforcing potential observed in animals predicts a high potential for addiction and abuse in users. In case of overdose, no specific antidote exists and no curative treatment has been approved by health authorities. Therefore, management of acute toxic effects is mainly extrapolated from experience with cocaine/amphetamines. Keywords: substituted cathinones, chemistry, analysis, pharmacology, toxicology, dependence, medical care
peer-reviewed ; The affected adult family member has increasingly received attention in drug research, policy and practice fields; however, this development has received limited critical and theoretical examination with respect to the presuppositions underpinning its rationale. Using a Foucauldian theoretical perspective, this article traces how families have been problematised in the treatment and rehabilitation domains of Irish drug policy and considers the political implications. A poststructuralist method, Bacchi's (2009) "What's the Problem Represented to Be?" approach, is applied to the analysis of eight drug policy documents published in Ireland between 1971 and 2009. Families are constructed as contributing to both the problem and solution of adolescent drug use. They are imagined as a key resource in treatment of adult drug use but as needing support in this role; and, as such they are constructed as service users in their own right. Families are governed through responsibilisation. The behavioural policy solutions are individualising and preclude alternative solutions that address political, socio-economic and gender inequalities that shape the experiences of affected families. The findings may be used as a starting point for critical reflection on the assumptions and privileged forms of knowledge and expertise that are shaping policy and practices relating to affected families.