scholarly journals Civil society involvement in harm reduction drug policy: reflections on the past, expectations for the future

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Aileen O’Gorman ◽  
Eberhard Schatz
Keyword(s):  
Civil Society ◽  
Harm Reduction ◽  
Lived Experience ◽  
Political Institutions ◽  
Drug Policy ◽  
Policy Development ◽  
Policy Decision ◽  
People Who Use Drugs ◽  
Annual Conference ◽  
Health Crisis

Abstract Background A range of civil society organisations (CSOs) such as drug user groups, non-governmental/third sector organisations and networks of existing organisations, seek to shape the development of drugs policy at national and international levels. However, their capacity to do so is shaped by the contexts in which they operate nationally and internationally. The aim of this paper is to explore the lived experience of civil society participation in these contexts, both from the perspective of CSOs engaged in harm reduction advocacy, and the institutions they engage with, in order to inform future policy development. Methods This paper is based on the presentations and discussions from a workshop on ‘Civil Society Involvement in Drug Policy hosted by the Correlation - European Harm Reduction Network at the International Society for the Study of Drugs Policy (ISSDP) annual conference in Paris, 2019. In the aftermath of the workshop, the authors analysed the papers and discussions and identified the key themes arising to inform CSI in developing future harm reduction policy and practice. Results Civil society involvement (CSI) in policy decision-making and implementation is acknowledged as an important benefit to representative democracy. Yet, the accounts of CSOs demonstrate the challenges they experience in seeking to shape the contested field of drug policy. Negotiating the complex workings of political institutions, often in adversarial and heavily bureaucratic environments, proved difficult. Nonetheless, an increase in structures which formalised and resourced CSI enabled more meaningful participation at different levels and at different stages of policy making. Conclusions Civil society spaces are colonised by a broad range of civil society actors lobbying from different ideological standpoints including those advocating for a ‘drug free world’ and those advocating for harm reduction. In these competitive arena, it may be difficult for harm reduction orientated CSOs to influence the policy process. However, the current COVID-19 public health crisis clearly demonstrates the benefits of partnership between CSOs and political institutions to address the harm reduction needs of people who use drugs. The lessons drawn from our workshop serve to inform all partners on this pathway.

scholarly journals Civil Society Involvement in Harm Reduction Drug Policy: Reflections on the Past, Expectations for the Future.

2020 ◽  
Author(s):  
Aileen O'Gorman ◽  
Eberhard Schatz
Keyword(s):  
Civil Society ◽  
Harm Reduction ◽  
Lived Experience ◽  
Political Institutions ◽  
Drug Policy ◽  
Policy Development ◽  
Policy Decision ◽  
People Who Use Drugs ◽  
Annual Conference ◽  
Health Crisis

Abstract Background: A range of civil society organisations (CSOs) such as drug user groups, non-governmental/third sector organisations and networks of existing organisations, seek to shape the development of drugs policy at national and international levels. However, their capacity to do so is shaped by the contexts in which they operate nationally and internationally. The aim of this paper is to explore the lived experience of civil society participation in these contexts, both from the perspective of CSOs engaged in harm reduction advocacy, and the institutions they engage with, in order to inform future policy development.Methods: This paper is based on the presentations and discussions from a workshop on ‘Civil Society Involvement in Drug Policy hosted by the Correlation – European Harm Reduction Network at the International Society for the Study of Drugs Policy (ISSDP) annual conference in Paris, 2019. In the aftermath of the workshop, the authors analysed the papers and discussions and identified the key themes arising to inform CSI in developing future harm reduction policy and practice.Results: Civil society involvement (CSI) in policy decision-making and implementation is acknowledged as an important benefit to representative democracy. Yet, the accounts of CSOs demonstrate the challenges they experience in seeking to shape the contested field of drug policy. Negotiating the complex workings of political institutions, often in adversarial and heavily bureaucratic environments, proved difficult. Nonetheless, an increase in structures which formalised and resourced CSI enabled more meaningful participation at different levels and at different stages of policy making. Conclusions: Civil society spaces are colonised by a broad range of civil society actors lobbying from different ideological standpoints including those advocating for a ‘drug free world’ and those advocating for harm reduction. In these competitive arena, it may be difficult for harm reduction orientated CSOs to influence the policy process. However, the current COVID-19 public health crisis clearly demonstrates the benefits of partnership between CSOs and political institutions to address the harm reduction needs of people who use drugs. The lessons drawn from our workshop serve to inform all partners on this pathway.

scholarly journals ‘The voice of the street’: Using peer led outreach with people who use drugs to inform the development of Ireland’s National Drug Strategy

2018 ◽  
Vol 19 (3) ◽  
pp. 7-16
Author(s):  
Brian Melaugh ◽  
Hannah Rodrigues
Keyword(s):  
Drug Policy ◽  
Policy Development ◽  
Recruitment Strategy ◽  
People Who Use Drugs ◽  
Published Data ◽  
Hidden Population ◽  
National Drug ◽  
Marginal Status ◽  
The Voice ◽  
Advocacy Organisation

 The purpose of this article is to share how an Irish drugs advocacy organisation, UISCE conducted a consultation with ‘People Who Use Drugs’ (PWUD) to inform the development of Ireland’s National Drugs Strategy: Reducing Harm Supporting Recovery. People who use drugs are considered a ‘hard to reach’ or ‘hidden’ population’ who, because of their marginal status, are often absent from research and drug policy. Indeed, there is a lack of published data on how to engage with PWUD to inform policy development. The paper aims to extend the literature by highlighting how UISCE, employing a ‘peer-led street outreach’ approach, included 51 PWUD in the consultation to inform the Irish national drug strategy. Central to the paper is a description of the steps taken to conduct the consultation with a review of the challenges and benefits of using a ‘street based recruitment’ strategy to engage with hard to reach people who use drugs.Keywords: hard to reach; people who use drugs; peer led; drug use; drug policy

scholarly journals New psychoactive substances in Eurasia: a qualitative study of people who use drugs and harm reduction services in six countries

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Eliza Kurcevič ◽  
Rick Lines
Keyword(s):  
Harm Reduction ◽  
Lived Experience ◽  
Service Providers ◽  
Synthetic Cannabinoids ◽  
New Psychoactive Substances ◽  
Prior History ◽  
People Who Use Drugs ◽  
Psychoactive Substances ◽  
Structured Interviews ◽  
Drug Policies

Abstract Background This study examines the use of new psychoactive substances (NPS) and the harm reduction response in six Eurasian countries: Belarus, Moldova, Serbia, Kazakhstan, Kyrgyzstan, and Georgia. The aim is to identify current patterns of NPS use and related harms in each country through recording the perspectives and lived experience of people who use drugs and people who provide harm reduction services in order to inform the harm reduction response. Methodology The study involved desk-based research and semi-structured interviews/focus groups with 124 people who use drugs and 55 health and harm reduction service providers across the six countries. Results People who use drugs in all countries were aware of NPS, primarily synthetic cathinones and synthetic cannabinoids. NPS users generally reflected two groups: those with no prior history of illicit drug use (typically younger people) and those who used NPS on an occasional or regular basis due to the lack of availability of their preferred drug (primarily opiates). In many cases, these respondents reported they would not use NPS if traditional opiates were available. Common factors for choosing NPS included cost and accessibility. Respondents in most countries described NPS markets that use the DarkNet and social media for communication, secretive methods of payment and hidden collection points. A recurring theme was the role of punitive drug policies in driving NPS use and related harms. Respondents in all countries agreed that current harm reduction services were important but needed to be enhanced and expanded in the context of NPS. Conclusions The study identified patterns and drivers of NPS use, risk behaviours and drug-related harms. It identified gaps in the current harm reduction response, particularly the needs of non-injectors and overdose response, as well as the harmful effects of punitive drug policies. These findings may inform and improve current harm reduction services to meet the needs of people who use NPS.

Beyond the Buzzword: A Concept Analysis of Harm Reduction

2019 ◽  
Vol 33 (4) ◽  
pp. 310-323 ◽  
Author(s):  
Dominique Denis-Lalonde ◽  
Candace Lind ◽  
Andrew Estefan
Keyword(s):  
Harm Reduction ◽  
Policy Development ◽  
Social Care ◽  
Concept Analysis ◽  
Public Health Approach ◽  
People Who Use Drugs ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Health And Social Care ◽  
Value Neutrality

Background and PurposeHarm reduction is a concept that is increasingly applied in health and social care, as well as law and policy development around the world. Despite being used in a variety of contexts for decades, there is no universal understanding of harm reduction, and this may interfere with its implementation in various settings. Using Rodgers' (1989) evolutionary approach to concept analysis, this article defines the key attributes of harm reduction, along with surrogate terms, relevant uses, antecedents, consequences, related concepts, a model case, and implications for practice.MethodsFollowing Rodgers' (1989) method, a literature sample from a variety of disciplines was selected using keywords. The review included 25 key publications of international origin, as well as several web-based resources, with a focus on illegal psychoactive drug use and healthcare outcomes.ResultsSeven key attributes of harm reduction were identified: a focus on harms, the participation of people who use drugs, the promotion of human rights, a public health approach, value neutrality and nonjudgment, practicality and pragmatism, and innovation and adaptability.Implications for PracticeThe harms associated with illegal drugs are a global health problem, and advocacy is needed to promote harm reduction policy at health provision, community, and government levels. Without a concerted understanding of harm reduction, the concept is at risk of being relegated to a buzzword that lacks meaning. This concept analysis provides health and social care providers with a point of reference for meaningful harm reduction initiatives and strategies within their practice.

scholarly journals Harm Reduction and Moral Desert in the Context of Drug Policy

2020 ◽  
Vol 28 (4) ◽  
pp. 362-371
Author(s):  
Lindsey Brooke Porter
Keyword(s):  
Drug Use ◽  
Harm Reduction ◽  
Drug Policy ◽  
Health And Safety ◽  
People Who Use Drugs ◽  
Moral Desert ◽  
Problematic Drug ◽  
To Come ◽  
State Of Affairs ◽  
The Right

AbstractThe target of my discussion is intuitions lay people have about justice in the context of drug policy—intuitions that take on a more or less moral-desert-based shape. I argue that even if we think desert is the right measure of how we ought to treat people, we ought still be in favour of Harm Reduction measures for people who use drugs. Harm Reduction measures are controversial with members of the public, and much of the opposition seems to come from something like an appeal to a desert conception of justice—the notion that a just state of affairs is one in which everybody gets what they deserve, no more, no less. A recent study, for example, found that ‘moral outrage’ predicts a preference for prevalence reduction (criminal sanction, etc.) over Harm Reduction. The thinking seems to be that, since drug use is wrong, letting people who use drugs suffer and/or die as a consequence of their use is just. Aiding their health and safety, while perhaps compassionate, is unjust. I argue that there is a bad desert fit between using drugs and suffering avoidable harm even if using drugs is morally wrong. Many of the possible harms of drug use are socially/policy driven, and much problematic drug use is context dependent, not cleanly attributable to the decisions of the person who uses drugs. This means that even if drug use is wrong, people who use drugs deserve Harm Reduction policies, at minimum.

scholarly journals ‘We Realised We Needed a New Approach’: Government and Law enforcement Perspectives on the Implementation and Future of the Drug Decriminalisation Policy in Vietnam

2020 ◽  
Author(s):  
Hai Thanh Luong ◽  
Luc Trong Hoang ◽  
Toan Quang Le ◽  
Tuan Anh Hoang ◽  
Mai Thanh Vu ◽  
...  
Keyword(s):  
Law Enforcement ◽  
Drug Use ◽  
Harm Reduction ◽  
Drug Policy ◽  
Drug Control ◽  
People Who Use Drugs ◽  
Community Based ◽  
Drug Law ◽  
Drug Law Enforcement ◽  
Law Enforcement Officials

Abstract Background In 2009, Vietnam officially decriminalized drug use through amendments to the criminal law. The amendments specifically outlined that drug use would be seen as an administrative sanction, but not a criminal offence. This legal transition has not been without its implementation challenges and police particularly are have struggled to balance their role between drug law enforcement and decriminalisation. Despite being a health-orientated drug policy amendment, in practice it has meant that police can send suspected drug users to compulsory treatment centres without judicial oversight and people who use drugs continue to face challenges in their interface with law enforcement which can negatively impact access to harm reduction and community-based treatment programs. This paper explores the perspectives of policy makers and law enforcement officials in Vietnam and provides some insights and considerations into how the amended law was implemented and how it could be made more effective in improving both health and safety for all people in Vietnam. Methods To understand government and policing perspective on amended changes to the Criminal Code in 2009 and its subsequent implementation, this mixed methods research combined content analysis of a number of core legislations in terms of drug control policies in Vietnam with perspectives and insights from 14 key informant interviews from people representing a range of relevant Vietnamese Government (n=10) and non-government agencies (n=4). Results While most interviewees recognised that decriminalizing drug use in Vietnam was designed as a a progressive and health-oriented drug policy, many participants acknowledged the ongoing disconnect between the health intent of the policy and the police-led oversight of its implementation in the community. Part of this disconnect was explained by the lack of training and clear protocol that would enhance the police in their ability to contribute to the health intent of the policy rather than continue to view drug use through a drug law enforcement only lens. A current pilot initiative by Hanoi’s People Committee to implement a model of assisted referral for people who use drugs to community-based health, social and legal support may provide an example of how to situate decriminalisation policy within a broader context of harm reduction interventions through the design and trial of clear protocols for how law enforcement agencies can actively engage and support the process of diversion into harm reduction and community-based treatment. Conclusions Since the inception of the amended law there has been very little review and analyses of its implementation progress and its challenges. This is the first study to review and assess the progress of decriminalizing drug use since the policy intervention in 2009 with a specific focus on the perceptions of the policy for Vietnam’s drug control in policing. It discusses insights and considerations from government, law enforcement officials and civil society organisations to develop a deeper understanding of how harm reduction interventions – including decriminalisation – can co-exist within a broader and entrenched drug control strategy in Vietnam.

scholarly journals Experience as Evidence: The Prospects for Biographical Narratives in Drug Policy

2020 ◽  
Vol 47 (3) ◽  
pp. 191-209
Author(s):  
kylie valentine ◽  
Asha Persson ◽  
Christy E. Newman ◽  
Myra Hamilton ◽  
Joanne Bryant ◽  
...  
Keyword(s):  
Drug Use ◽  
Lived Experience ◽  
Drug Policy ◽  
Child Protection ◽  
Well Being ◽  
People Who Use Drugs ◽  
Evidence Based ◽  
Risks And Benefits ◽  
Critical Scrutiny ◽  
Public Scrutiny

Programs and policies are increasingly framed by the logics of “evidence-based policy,” a term subject to critical scrutiny and change after it emerged as an explicit valuing of specific types of quantitative data as objective, and a devaluing of most types of qualitative data. The transfer of “evidence-based” approaches to drug policy was mobilized by a distrust of people who use drugs, and of people who work with them. This distrust remains important, but contemporary policy also mobilizes individual narratives and lived experience through the growing use of biographical stories. Contemporary drug policy, like other policy areas, is also increasingly constituted by changing forms of technology, through new types of data use and data linkage, and of digital and social media. In this article, we consider the current and likely future impacts of changes to policy. We examine two Australian policies: the Australian Priority Investment Approach to Welfare (Try, Test and Learn), and the child protection reform, Their Futures Matter. Both use the “investment approach” to calculate policy costs and aims, represent important developments in the policy figuring of populations, and affect the well-being of many people who use drugs. Based on analysis of these policies, and interviews with people who use drugs who participated in a qualitative study on blood-borne virus serodiscordance, we ask, what are the likely effects, risks, and benefits of these changes for people who use drugs and others subject to public scrutiny and distrust? We argue that as long as the stigmatization of drug use remains prevalent, it is unlikely that the potential for more sophisticated and just recognition of the complexity of drug use will find a place in the forms of information and knowledge recognized in policy as evidence.

scholarly journals Harm reduction drug policy in Israel: what has been accomplished and what still needs to be done?

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Hagit Bonny-Noach
Keyword(s):  
Harm Reduction ◽  
Sex Workers ◽  
Drug Policy ◽  
Maintenance Treatment ◽  
Structural Changes ◽  
People Who Inject Drugs ◽  
Methadone Maintenance ◽  
Traditional Approach ◽  
Health Clinic ◽  
People Who Use Drugs

Abstract The leading formal drug policy in Israel is the traditional approach of abstinence, probation, and punitive measures based on three main pillars: Enforcement, Treatment and Rehabilitation, and Prevention. However, under the treatment pillar, Israel has adopted a number of harm reduction services, focused mostly on people who use heroin and people who inject drugs. These include Methadone Maintenance Treatment, Buprenorphine Maintenance Treatment, and Needle and Syringe Exchange Programs. More specialized services are designated mostly for people who use drugs, who frequent the largest open drug scene in Tel-Aviv. These include a health clinic, an emergency apartment for female addict sex-workers, and a ‘First Step’ center. Even so, the harm reduction approach has remained controversial, stigmatized, and is considered a sub-category for total-abstinence treatment in Israel. This paper follows the evolution of harm reduction interventions in Israel among people who use drugs and sheds light on the lack of a comprehensive, well-planned, formal national harm reduction drug policy. Additionally, this article expresses concern over the uncertain future of Israel’s comprehensive and balanced drug treatment policies caused by the structural changes in abolishing the Israel Anti-Drug Authority, the statutory authority and central body in Israel that promoted and coordinated all national policies related to treatment and harm reduction. Conclusions Although it is a major challenge to translate worldwide evidence and research findings into action and social change, recommendations are offered to implement a comprehensive harm reduction drug policy led by a multidisciplinary group of policy-makers across all areas of drug policy. These focus on expanding and developing more services for Opioid Maintenance Therapy patients and people who inject drugs as well as a national effort to reduce high levels of stigma and discrimination against them, encompassing other common substances and focusing on populations such as adolescents and young adults that engage in other types of substance use such as cannabis, amphetamine-type stimulants, and hallucinogens.

The elimination of violence and terrorism in Iraq strategy

2019 ◽  
pp. 375
Author(s):  
Mona Ali Duaij ◽  
Ahlam Ahmed Issa
Keyword(s):  
Civil Society ◽  
Political Institutions ◽  
The State ◽  
Civil Society Organizations ◽  
State Institutions ◽  
Terrorist Organization ◽  
The Media ◽  
Causes Of Crime ◽  
Religious Aspect

All the Iraqi state institutions and civil society organizations should develop a deliberate systematic policy to eliminate terrorism contracted with all parts of the economic, social, civil and political institutions and important question how to eliminate Daash to a terrorist organization hostile and if he country to eliminate the causes of crime and punish criminals and not to justify any type of crime of any kind, because if we stayed in the curriculum of justifying legitimate crime will deepen our continued terrorism, but give it legitimacy formula must also dry up the sources of terrorism media and private channels and newspapers that have abused the Holy Prophet Muhammad (p) and all kinds of any of their source (a sheei or a Sunni or Christians or Sabians) as well as from the religious aspect is not only the media but a meeting there must be cooperation of both parts of the state facilities and most importantly limiting arms possession only state you can not eliminate terrorism and violence, and we see people carrying arms without the name of the state and remains somewhat carefree is sincerity honesty and patriotism the most important motivation for the elimination of violence and terrorism and cooperation between parts of the Iraqi people and not be driven by a regional or global international schemes want to kill nations and kill our bodies of Sunnis, sheei , Christians, Sabean and Yazidi and others.

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