a tale of two drug policies: portugal and sweden alex stevens, phd professor in criminal justice
TRANSCRIPT
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A tale of two drug policies:Portugal and Sweden
Alex Stevens, PhDProfessor in Criminal Justice
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Content
• Key features of Portuguese and Swedish drug policies
• Narratives of success (and failure)
• Portugal: Trends since decriminalisation
• Sweden Trends in drug use and harms
• Need for broader analysis
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Key features of Portuguese policy
• Decriminalisation of personal possession of all illicit drugs since 2001.
But also:
• Referral to CDTs.
• Continued prosecution of dealers and traffickers.
• Expansion of treatment and harm reduction.
• Introduction of guaranteed minimum income.
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Portugal: Narrative of success (e.g. Greenwald 2009)
• Drug use declined.
• Reduction in drug deaths.
• Lower prevalence of drug use in Portugal than other EU countries.
• [Little emphasis placed on treatment expansion, or lifetime drug use in adults.]
• Policy a ‘resounding success’.
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Portugal: Narrative of failure (e.g. Pinto Coelho 2010)
• Drug use went up.
• Drug deaths went up.
• Drug related homicides went up.
• Portugal has highest rate of HIV in injecting drug users in the EU.
• Policy a ‘disastrous failure’
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Evidence: drug use by young people
Evidence and policy
Figure 1: Lifetime prevalence of cannabis amongst Portuguese school students, by year and survey
0
5
10
15
20
25
30
1998 2002 2006 1995 1999 2003 2007 2003 2007 2003 2007 2003 2007 2003 2007 2003 2007 2003 2007 2001 2006 2001 2006
Prev
alen
ce o
f use
I NMEECTADHBSC/ OMS ESPAD
7-9th grade 10-12th grade13 yrs 17 yrs14 yrs 15 yrs 16 yrs 18 yrs16 yrs6, 8 & 10th grades
Source: Feijão (2008, 2009); Feijão and Lavado (2003, 2004); Hibell et al. (2007); Matos et al. (2000, 2003, 2008). N.B. Only HSBC/OMS and ESPAD data were collected pre and post reform.
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Evidence: drug related deathsFigure 4: Drug related deaths in Portugal between 2000 and 2008 using INML definition (positive post-mortem toxicological test for drugs) and INE definition (determination by physician according to ICD criteria)
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50
60
70
80
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2000 2001 2002 2003 2004 2005 2006 2007 2008
Dru
g-i
nduce
d death
s (
INE)
Dru
g-r
ela
ted d
eath
s (
INM
L)
Year
Drug-related deaths - INML Drug induced deaths - INE
Source: Institute da Droga e da Toxicodependência (2009, 2010).
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Evidence: Homicides
Source: Eurostat
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Evidence: HIV
Source: Hughes and Stevens 2010
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Sweden: key features of drug policy
• Aim for a ‘drug free society’.
• Restrictive approach to drugs: Use of drugs criminalised (police testing) High rate of conviction of arrestees for drug
possession. Use of compulsory treatment.
• But relatively low maximum prison sentences: 10 years for first offence (even large scale trafficking)
• Limited availability of harm reduction services.
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Sweden: Narratives of success?
• UNODC 2007: ‘Countries get the drug problem they deserve’ Sweden has low prevalence of drug use, due to
rigorous policy against drugs since the 1970s.
• Counter-argument (Cohen, Olsson) UNODC conclusions not supported by
evidence. Recent data shows worrying increase in drug
related deaths and HIV in IDU.
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Sweden: historical drug use trends
Source: UNODC 2007 (citing Olsson 1994)
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Sweden: drug related deaths
Source: EMCDDA 2011
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Sweden: IDUs testing positive for HIV
Source: EMCDDA 2011
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Broader analysis: welfare and youth drug use
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Conclusions:
• Decriminalisation in Portugal did not lead to an explosion in drug use.
• Restrictive policies in Sweden did not cause the reduction in drug use.
• Treatment and harm reduction services are associated with reductions in deaths and HIV incidence.
• Broader policies of welfare and imprisonment are associated with drug policy outcomes.
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More information
• Publications: Hughes, C., & Stevens, A. (2012) A resounding
success or a disastrous failure: Re-examining the interpretation of evidence on the Portuguese decriminalisation of illicit drugs, Drug and Alcohol Review, 31(1) 101—113.
Stevens, A. (2011), Drugs Crime and Public Health: The Political Economy of Drug Policy. Abingdon: Routledge
Hughes, C., & Stevens, A. (2010). What can we learn from the Portuguese decriminalisation of illicit drugs? British Journal of Criminology, 50(6), 999-1022
• Email: [email protected]
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Conclusion on Portugal
Source: Hughes and Stevens, 2012
“Considered analysis of the two most divergent accounts reveals that the Portuguese reform warrants neither the praise nor the condemnation of being a ‘resounding success’ or a ‘disastrous failure’, and that these divergent policy conclusions were derived from selective use of the evidence base that belie the nuanced, albeit largely positive, implications from this reform.”
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Evidence: drug useFigure 2: Prevalence of lifetime, recent (last 12 month) and current (last month) use of any illicit drug in Portugal amongst individuals aged 15-64, 2001 and 2007
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2
4
6
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14
15-64 15-64 15-64
Pre
vale
nce o
f use
2001 2007
Lifetime use Recent use Current use
Source: Balsa et al. (2001; 2007).
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Evidence: prison population
Source: Council of Europe Annual Penal Statistics
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Broader analysis: prison and problematic use