Drug Watch International
Position Statement

DRUG USER ACCOUNTABILITY

Drug users, like any other member of society, must be held accountable for their actions. Illicit drug use should bring swift and cost effective consequences which will benefit the user and society at large. Every segment of society must send the message that drug use and drug use behavior will not be tolerated. Drug user accountability must be a cornerstone of national and international drug policy.

Background: The International Experience

In Australia and New Zealand : Social Policy Advisors to the Australian and New Zealand Governments have pushed the Harm Reduction model exclusively.  More liberal laws exist in Australia than in New Zealand.  However, contrary to news media reports, most Australian states have not decriminalized marijuana. The National Organisation for the Reform of Marijuana Laws (NORML) is very active in both countries. The focus of their thrust seems to be the Universities.  In July 1995 the students of Auckland University voted against decriminalisation, which was quite a setback for NORML.  The editor of the student magazine, who described the student common room as a drug "supermarket," is now in hiding. His life has been threatened. 

Both New Zealand and Australia have seen dramatic increases in methadone and morphine maintenance programmes, free needles, condoms, with accent on behaviour modification, ie: teaching children and adolescents how to use drugs safely, "The Merseyside Model" and teaching alcoholics how to drink safely. The good news is that the New Zealand Health Minister issued a proclamation "Cannabis Causes Harm," which contradicts the present liberal philosophies.

In Canada: Illicit drug use began its climb in Canada in the 1960's and reached its peak in the mid 1970's.  Initially the response was almost entirely enforcement oriented.  However, it was soon recognized that prevention efforts would have to be increased. The most successful strategy consisted of three initiatives: enforcement, prevention and treatment. Using this formula, a downward trend of drug use among the student population was enjoyed until approximately 1992/1993, when the trend began to climb.  Analysis of this shift revealed the topic of substance abuse had dropped off the political agenda of all levels of government, and therefore few resources were dedicated to it.

Presently, in Canada, there exists an organized campaign to re-direct resources from strategies designed to eliminate inappropriate drug use to those strategies directed at the symptoms of drug use. These strategies come under the umbrella of "Harm Reduction" which is difficult to criticize given the converse position is to increase harm. A closer look at this concept allows us to realize there are two types of movements utilizing the term "Harm Reduction." The first is a genuine compassion for the addicted person which employs harm reduction strategies as part of a treatment program where the ultimate goal is to rid the person of drug dependency. The second type of "harm reduction" movement supports the liberalization of drug laws and or/legalization of the drugs themselves. This concept accepts a level of and actually promotes drug use.

In England: The Government's position is clearly against legalisation and for prevention, education and treatment.  Prime Minister John Major recently wrote, "Drugs are a menace to our society.  They can wreck the lives of individuals and their families.  They are a frequent cause of crime.  That is why we have toughened laws against drugs and why we have given the police and Customs the powers and the resources to enforce those laws effectively.  Those efforts are delivering results.  Strong enforcement action has gone hand in hand with measures to reduce demand. Since 1990, the Home Office Drugs Prevention Initiative has supported over 1,000 projects to help local communities tackle the drugs problem.  Drug education is part of the National Curriculum.  Health authorities spend over 25 million pounds a year on treatment and rehabilitation services for drug misusers."

Since the mid 1980s, the Government has pursued action to tackle drug misuse on five main fronts -- international cooperation, enforcement, deterrence, prevention and treatment. However, the numbers of young people experimenting with drugs, notified addicts and drug offenders have increased in recent years.

The Government proposes to introduce a new strategy for the period 1995-98, which while fully maintaining the emphasis on law enforcement and reducing supply, recognises the need for stronger action on reducing the demand for illegal drugs.  The new strategy will emphasize three areas: crime, young people, and public health. Vigorous law enforcement and a new emphasis on education and prevention will be the focus. The principal objective of treatment policies will be to assist drug misusers to achieve and maintain a drug free state.

In The Netherlands: In 1973 the Dutch National Board of Drug Prevention formed in response to a trend in Dutch governmental circles to trivialize the harm of Cannabis.  The policy of tolerance started officially with the amended Opium Law in 1976, mitigating the penal consequences of the possession of Cannabis products. 

A policy of increasing tolerance was started. There followed an enormous increase in the use of cannabis, especially among young people. From 1983 to 1992 cannabis use among pupils increased by 250%.  Coffeeshops, where Cannabis is sold openly, now number some 1500 to 2000.     

The situation in the Netherlands reveals, that by a tolerated possession of cannabis for private usage and the absence of judicial prosecution of their sale, the number of abusers will grow steadily.  Though the number of coffeeshops is still increasing and the population is becoming more and more critical, the Dutch government keeps telling the world that everybody should follow their beautiful example!  The "responsible use" of drugs does not exist.  Drugs destroy. And things that destroy must never be made legal.  If we allow drugs to be legalized, nothing will stem the progress of evil.

In Sweden: Sweden has a restrictive drug policy, but this has not always been the case. In the mid-1950s, the number of drug abusers in Sweden was estimated at 100.  A few years into the 1960s, the figure ran into thousands.  Police action alone could not stem the tide of drug abuse.  And a liberalisation of drug policy followed.  To limit the harmful effects of drugs to the user and to help reduce crime, in 1965 drugs were legally prescribed to addicts and treatment was offered. However, the addicts supplied their friends with free drugs and crime increased.  The project was curtailed in 1967.

In 1965, drug abuse developed into a major social problem, simultaneously with a rapid growth of juvenile cannabis abuse. There followed a series of restrictive drug policies and laws.  During the 1970s drug policy was intensely debated, and a permissive drug policy was again instituted.  In the mid-1970s, the advent of heroin among drug abusers resulted in a more restrictive drug policy.  From about 1980 onwards, drug use declined noticeably among young persons, and continues its decline today. 

Today, drug prevention measures have high priority within the police, the customs service, the public prosecution service, the prison and probation service, social services, schools and various leisure activities.   

Experimental use of cannabis and other drugs is very low in Sweden, and for many years drug use among young people has been very limited.  Our aim is a society in which drug abuse remains a socially unaccepted form of behaviour, a society in which drug abuse remains a marginal phenomenon.  The essential prerequisite of a successful drug policy is for people of all ages to dissociate themselves from drugs and drug abuse.

In Switzerland: Federal Law regulates the medical use of narcotic substances and prohibits all production, trafficking, possession and consumption of drugs for non-medical purposes.  Opium, heroine, hallucinogens and cannabis are explicitly banned for all purposes and may only be used for scientific research.  However, the pro legalization lobby is attempting to circumvent the law through a well-organized network and an intensive media strategy.

In 1985 needle exchange programs were initiated. In 1989, Needle Park opened in Zurich, allowing addicts free rein in a specified location under official surveillance.  About 300 syringes were distributed daily.  By September 1991 the number of syringes distributed in Needle Park had increased to 12,000 to 15,000 per day.  In 1992, squads of police were sent to close down the park. Dealers and addicts simply moved about a mile away to Letten, a deserted train station, where more than 1,000 addicts and dealers gathered daily and stupefied addicts lay slumped on a carpet of blood-spattered syringes, cotton swabs and refuse, while others bought and sold cocktails of drugs.

After a string of murders and violence, Zurich closed Letten Station in February 1995.  The experiment in "harm reduction" had grown into a grotesque sordid spectacle and public menace that bore no resemblance to the clinical, carefully supervised venture promised by those who led the campaign in its favor in 1988.

In 1987 a well-structured methadone program was liberalized.  There were 300 methadone addicts in the Canton of Zurich before 1987, and more than 2,000 in 1991, according to police. 

In 1991, the Federal Government decided to intensify its commitment in this field.  The Swiss Government pursues a four-pronged strategy to prevent the individually and socially damaging effects of drug misuse:

—Criminal prosecution of illicit production, trafficking, possession and consumption of all legally defined substances.

—Financially support to cantonal and private projects aimed at prevention.

Support to cantonal and private projects for a variety of treatment and reintegration programmes for drug addicts.  It has authorized and is supporting scientific studies of medically prescribed narcotics to destitute drug addicts.

—Support of "harm reduction" measures to enable the immediate survival of the drug addicts and also to prevent the spreading of HIV, such as needle distribution.

A National People's Referendum for a "Youth Without Drugs," has been sponsored by Jugend ohne Drogen in support of abstinence oriented drug policy in the Federal Constitution. In June, 1995 on the occasion of the United Nations Day Against Drug Abuse and Trafficking (June 26th) a Resolution was addressed to the Swiss Federal Government by VPM Verein Zur Forderung Der Psychologiscen Menschenkenntnis calling for abstinence oriented and restrictive drug policy.

In the United States : Throughout the 1970's, marijuana was decriminalized in 11 states; drug addicts were viewed as victims; and cocaine decriminalization was proposed.  The largest increase of youth using drugs in the history of the U.S. followed this permissive attitude. Crime and drug-related social problems threatened the health and well being of all citizens.

In the early 1980's the public and law enforcement applied pressure to hold drug users accountable for their illegal drug use and their role in facilitating the illegal drug trade.  And drug use was reduced by over 50%.

Drug legalization advocates initiated a sophisticated public relations campaign aimed at weakening the public's aversion towards illegal drug use. Drug user lobbyists and organizations and other drug apologists assailed user accountability measures as infringement of one's "personal right" to use drugs, exaggerated the cost of user accountability policies, and ignored the benefit of 12.6 million fewer drug users.

In the early 1990s, the drug issue began to lose national focus, and thus momentum.  Once again, anti-drug messages and social attitudes started to soften, the media and music began to re-glamorize drug use, and drug use among school children began to climb (teen marijuana use doubling over a three year span), after a 12-year decline.

Rationale:

Drug use is not a victimless crime. Drug users place non-drug-users at risk and cause considerable societal harm. Drug users harass and disrupt the public peace, commit crimes under the influence of drugs, cause accidents, and create unhealthy conditions.  They destroy families and take rights and freedom from law-abiding citizens.

Recreational drug users, as well as hard-core users, are the foundation of the international drug cartel trade and the source of funds for drug kingpins and terrorists. The drug trade exists solely because drug users keep it alive. Drug users who are not yet addicted are perhaps the most culpable for their drug use.

Holding drug users accountable early in their drug use pattern can prevent abuse and addiction problems. For those already addicted, swift and certain negative consequences for drug use can modify drug use behavior and lead to recovery through treatment or individual initiative.

Research clearly indicates that social norms and user accountability laws are key factors in preventing drug use and decreasing problem behavior.  In the justice system, user accountability need not rely on lengthy prison incarceration, but on a broad continuum of responses such as community service, asset forfeiture, tough mandatory fines, civil liabilities for all damages, drug abstinence enforced through frequent drug testing of offenders with immediate, progressive consequences, loss of federal and state benefits, loss of driving and other license privileges, automobile impoundment, and restitution payments.

In the workplace, programs must protect employers and non-drug using employees.   Workplaces should communicate clear rules and consequences.  In the community, schools, and homes clear anti-drug norms and values must be stated and applied.  Tough, but fair, user accountability sanctions should be enacted.

Drug user accountability should be a cornerstone of drug strategy. Directing policies, funding, and energies towards effectively reducing the demand for drugs is true compassion for the drug user and is in the best interest of society.

COPYRIGHT:  Permission  is granted to reproduce this article,
provided credit is given to Drug Watch International.

References:  Drug User Accountability
International Experience

A Restrictive Drug Policy: The Swedish Experience, Swedish National Institute of Public Health, Stockholm 1993-94.

"Dutch Citizens Unify Against Drugs," EURAD Newsletter, Vol 2 No 3 June 1995.

"Dutch Manifesto Against Drugs," European Cities Against Drugs Newsletter, Volume I  Nr 9 , 13 December 1994.

Federal Bureau of Investigation, "Crime in the United States 1960-1994," FBI, Washington, D.C., 1994. Reported in Bureau of Justice Statisitics, "Sourcebook of Criminal Justice Statistics 1993," The Hindelang Criminal Justice Research Center, State University of New York, Albany, New York, 1994.

Gold, Mark, M.D., The Good News About Drugs and Alcohol: Curbing, Treating, and Preventing Substance Abuse in the New Age of Biopsychiatry, Villard Books.  New York, 1991.

Grice, Trevor Esq., National Director Life Education Trust, Wellington, New  Zealand, August 1995.

Haller, Franziska M. PhD, M.A., VPM, Zurich, Switzerland, 1995.

Jaspers, William F., "Some Kids are Taught to Just Say Yes,"  New American, November 7, 1988.

Jenkins, Ben, Ex. Dir., Drug Awareness Strategies, Ontario, Canada, September 1995.

Johnston, Lloyd D., et al, National Survey results on Drug Use from Monitoring the Future Study, 1975-1993.

U.S. Department of Health and Human Services, National Institute on Drug Abuse, (NIDA) Washington, D.C., 1994.

National Drug Control Strategy, Office of National Drug Control Strategy, Washington, D.C., September 1989.

Pearman, Jill, Life Education Inc., London, England,  August 1995.

Peterson, Robert E., "The Success of Tough Drug Enforcement," PAE Report, Vestal, New York, 1995.

Peterson, Torgny, Ex. Dir., Hassela Nordic Network, Hassela, Sweden,  October 1995.

Roques, Wayne, DEA retired, Drug Prevention Specialist, South Florida, August 1995.

"Statistics on the Netherlands," K.F. Gunning, M.D., President Dutch National Committee on Drug Prevention, Rotterdam, Holland, February 20, 1995. 

Stoker, Peter, Positive Prevention Plus, Berkshire, England, October 1995.

"Swiss Drug Policy:  The Present Situation" Dr. Buchholz-Kaiser, Dr. Franziska Haller, PRIDE, Houston, TX April, 28, 1992.

"Tackling Drugs Together:"  A consultation document on a strategy for England 1995- 98. Presented to Parliament October 1994.  Introduction by Prime Minister John Major.

"The Swiss Strategy Against Illicit Drug Abuse" U. Ulrich-Vogtlin, Vice-director, Swiss Federal Office of Public Health, July 26, 1995.

Time to Focus on the User, U.S. Drug Enforcement Administration, July 1989.

User Accountability, Office of National Drug Control Policy, Bulletin No. 6, Washington, D.C., May 1992.

 (International User Accountability 1/96)

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