My Journey: 7. Early Reflections on Addiction Treatment

In the early 2000s, I saw how different addiction treatment services operated in Wales. Here, I outline the approach adopted by the government-led addiction treatment system, which was heavily influenced by the 1998 UK Drug Strategy, and describe some of its shortcomings. I discuss what I saw at West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) in Swansea in relation to ideas related to self-healing and the therapeutic process. (2,962 words)


In the last six parts of My Journey I have described various community activities in which I was engaged, both at a local and national level, in the few years after I left the neuroscience field in the year 2000. In this chapter, I reflect on various aspects of these activities and on the environment in which I now worked.

1. Early Reflections on Addiction Treatment
‘Step by step that change is happening and Britain is becoming a better place to live in. But it could be so much better if we could break once and for all the vicious cycle of drugs and crime which wrecks lives and threatens communities.’ Prime Minister Tony Blair, 1998

What was happening in the addiction treatment field was heavily influenced by the UK government’s 1998 drugs strategy, Tackling Drugs to Build a Better Britain, which classed the drug problem as a criminal justice issue, rather than a health/social issue. The UK Government’s priority for drug treatment was to provide methadone, a long-lasting heroin substitute, to people who were addicted to heroin, believing that this would reduce the crime that they perceived was caused by heroin addicts. 

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My Journey: 9. Cracks in the UK Drug Strategy

Describes a piece of research I conducted relating to a 2003 article by Nick Davies for The Guardian newspaper in which he claimed that the UK Drug Strategy was failing as a result of government bureaucracy. I followed up this report by contacting  Drug Action Team (DAT) co-ordinators to see how prevalent the problems Nick identified were across the country. (2,896 words)


 ‘The government is so determined to control every aspect of the delivery of policy that the control itself becomes the object of the project, disrupting and obstructing, delaying and destroying.’ Nick Davies, The Guardian, 22 May 2003

On 22 May 2003, leading investigative journalist Nick Davies, the man who first revealed the News of the World phone hacking story six years later, had a long article, How Britain is Losing the Drug War, published in The Guardian newspaper.

In brief, Davies argued that the central government-produced bureaucracy surrounding Drug Action Teams (DATs), local multi-agency partnerships created to help government deliver and monitor elements of the UK drugs strategy, was at such a high level that the DATs were unable to do their work properly. This was resulting in a failure to provide adequate treatment for people with a substance use problem. He went on to say that the whole system might collapse and with it the UK drugs strategy.

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The Normalisation of Recreational Drug Use, Part 2

Continues to look at British youth culture and the role of drugs and alcohol among adolescents during the 1990s. (952 words)


Parker and colleagues described four distinct drug pathways that young people in their study had taken during their adolescence.

Abstainers held anti-drug attitudes, had never taken a drug, and never intended to. Former triers held fairly negative attitudes to drug use and whilst they had tried or used illicit drugs, they had no intention of doing so again.

Those in transition held fairly positive drug attitudes, most had tried drugs, and all felt they might use drugs in the future. Current users held pro-drug attitudes, used one or more drugs regularly, and expected their drug careers to continue into the future.

By reflecting on and reviewing their attitudes to drugs, young people could switch pathways. As young people in the study moved into adulthood, there was an increase in the proportion who became current users and a reduction in the number of abstainers. Young people in transition were more likely to use the ‘softer’ drugs such as cannabis, whereas current users had a larger drug repertoire, including amphetamines and ecstasy.

However, the researchers noted that:

‘Whilst current users have the most florid, risk-taking antecedents, including early smoking, drinking and sexual experiences, they do not have strong delinquent tendencies nor fit into any typology of abnormal development.’

‘… today’s young drug takers are of both sexes, come from all social and educational backgrounds and are in most other respects conventional.’

Parker and colleagues used in-depth interviews to build on the pathway analysis, by providing a perspective of the actual experiential journeys their drug triers and users took during adolescence.

The vast majority of the drug users had gotten their drugs via friends or friends of friends. Direct contact with professional dealers was rare. In terms of drug initiation, interviewees stressed personal curiosity and the support, sometimes encouragement, occasionally ‘pressure’, of friendship networks.

Most first time experiences were with cannabis and were benign. LSD and amphetamines and, in late adolescence, ecstasy, were occasionally more problematic.

The researchers argued that most young people were drug wise and they differentiated between the range of drugs readily available on the youth market in terms of their effects, both positive and negative. 

Nearly all of the sample rejected heroin and cocaine out of hand, as drugs with dreadful reputations because of their addictive potential and the world of dealers. Cannabis was viewed as a fairly safe drug, whilst amphetamines, LSD and ecstasy were more equivocally defined.

The decision to take a drug involved assessing the balance between risk and possible costs against personal enjoyment from taking a particular drug. The risk assessed were in terms of stigma and risk societycensure by parents, partners, friends, teachers, criminal justice system. Personal relationships and career opportunities might be damaged. However, whilst immediate health risks were assessed, long-term health risks were rarely assessed.

In their excellent book Illegal Leisure: The Normalization of Adolescent Recreational Drug Use [1], Parker and colleagues argued that the nature of the experience of growing up had changed in the world of the 1990s. Rapid social changes in so many aspects of everyday life had resulted in growing up ‘feeling’ far less secure and more uncertain for far longer than had happened prior to this time. ‘To grow up today is to grow up in a risk society.’

‘The unprecedented increase in recreational drug use is deeply embedded in these other and social processes since such drug use is both about risk taking but also about ‘time out’ to self-medicate the impact of the stresses and strains of both success and failure in ‘modern’ times.’

The researchers emphasised that the UK drug strategy, being embedded in a ‘war on drugs’ discourse, missed the point. It was based on many misconceptions about young people and drugs.

The first misconception was that young drug takers would become addicted to or disinhibited by their drugs, and become young offenders spiralling out of control into a life of crime and disorder. However, only a small minority of persistent offenders committed crimes and took drugs. Many of these young people also drank too much alcohol, grew up in care, were excluded from school, and needed psychiatric help. What was the cause of the crime? Many also committed crimes before having problems with drugs.

The vast majority of young people who took drugs did not follow this path. Also, there were few signs of dependency in the recreational scene of this study.

Another government misconception was that young people were pressured into taking drugs. However, participants in this study insisted that they made their own drugs decisions for which they took responsibility. The notion of peer pressure was a source of resentment to many young people when expounded by adults delivering drug education.

Parker and colleagues also argued that young people’s drug use had become entangled in the wider moral panic about, and blaming of youth, for society problems. They emphasised that continuing the ‘war on drugs’ and ignoring the reality of young people’s drug taking was resulting in a neglect in dealing with reducing the harms and risks of drug use.

They pointed out the need to:

  • accept that drug use occurs and treat the user as a citizen
  • try and help assure that street drugs are quality tested
  • help young people share information and experiences about drugs, in particular bad experiences
  • create a situation where young people trust the information (including scientific) on drugs provided by older people
  • create a situation where young people feel that they can come forward and talk about their drug problem without censure.

Endnote:

[1] Illegal Leisure: The Normalization of Adolescent Recreational Drug Use by Howard Parker, Judith Aldridge and Fiona Measham: Routledge, 1998.

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