|
Harm minimisation
The Australian Drug Law Reform Foundation is committed to the
implementation of harm minimisation principles for all drug use, licit or illicit. The
harm minimisation strategy acknowledges that drug use occurs, and that it has been
occurring despite attempts by law enforcement agencies to reduce the supply of illegal
drugs. Harm minimisation recognises that drug use can impair the health and wellbeing of
users and seeks strategies to reduce that harm.
Two obvious and successful harm minimisation programs are needle
exchange programs and methadone programs. Another is the system of civil penalties for
possession and administration of personal quantities of cannabis.
Needle exchange programs
Needle exchange programs were initiated in response to the rapid
spread of HIV/AIDS in the 1980s. Although it met with great opposition at the time, it has
proved its effectiveness as Australia now has the lowest rates of HIV/AIDS infection among
injecting drug users in the Western world. In 1995, the rate of HIV infection among
injecting drug users in Australia was less than 5%. Elsewhere in the world, failure to
implement needle exchange has had serious public health consequences. 30% of injecting
users in the United States and 80% in Thailand are infected with HIV.
Needle Exchange programs have also provided information and referral services which also
reduce the harm associated with illicit drug use.
Methadone programs
Most states in Australia have methadone programs for dependent users
of heroin. Although these programs do not suit everyone and many program structures
require improvement, they have been instrumental in minimising the harm for dependent
heroin users.
As methadone is taken orally, it reduces the risks associated with syringe use. Attending
a methadone clinic rather than dealing with drug dealers on the streets also results in
less crime, less fear of detection by police and a point of referral for further treatment
if required. As the methadone lasts for 24 hours, those on the program can normalise their
lives as they do not have to spend all their time raising the funds for heroin or dealing
to procure it.
Methadone programs are not the solution for everybody. Some will not opt for this
treatment because of its intrusive and disciplinary nature, others because the drug has
unbearable side effects. But it has been a successful option for many.
Cannabis Expiation Notice System (CENS)
CENS has been implemented in South Australia and the ACT. It has
reduced the harm to those using cannabis by diverting them away from the courts and a
criminal record. By expiating the offence by paying a fine (like a traffic infringement
notice), young people do not suffer the harm that the legal system imposes such as a
criminal record, exposure to criminal behaviour in jails and the loss of employment
opportunities.
There are no single or easy solutions to the problem of illicit drugs. However, harm
minimisation principles have demonstrated some success, where prohibition has demonstrated
none. In fact, prohibition is a harm maximisation policy.
How does prohibition maximise the harm?
- Everyone pays for prohibition policies at the estimated cost of $2
billion a year with more drugs being available on our streets every day. This money is not
available for health and education. Police resources could be deployed to tackle real
crimes that have victims, eg. crimes of violence and child abuse.
- Drug prices increase when "successful" police raids create
short-term scarcity. We suffer rises in crime (break-ins, robberies) in response to the
need for drug users to raise funds for expensive drugs.
- Corruption is endemic within our police forces, and our legal and
prison systems.
- Business suffers a loss of productivity due to health problems,
incarceration and morbidity due to the use of adulterated drugs.
- There are enormous risks associated with the spread of HIV/AIDS,
Hepatitis C and B in our society through uncontrolled drug use. Our public health systems
will come under increasing strain in years to come as carriers of these diseases require
treatment.
- Civil liberties are eroded as police have intrusive powers to search
people and property when illicit drug trafficking is merely suspected.
- Individuals convicted on minor drug charges may be sent to jail
where:
- illicit drugs are readily available, but treatment isn't
- they may be sexually/physically abused in jail
- they end up with a criminal record which means that employment
prospects are severely reduced as are entry visas to many countries
- they have reduced chances of reintegration in society as a result of
a criminal record and jail experience.
|