The battle to tackle drug addiction is not lost

The debate about legalisation is a distraction.

It is impossible not to be moved by the plight of communities in Mexico and other drug-producing countries across the world. Crime and violence related to the supply of drugs are without a doubt causing extreme grief to citizens and governments. But reaching to decriminalise or legalise those drugs in the hope that it will overcome those communities’ deep-rooted problems offers them a false prospectus, and overlooks the nuanced picture of drug use and addiction which in this country at least, is in decline.

For many producer nations, drugs are one of a number of complex factors contributing to adverse conditions within their countries.  Legalisation would compound the devastating effects of drug use and the drugs trade, as former UN head of drugs and crime Antonio Maria Costa argues, especially if the structural issues that leave those states without the resources to tackle the causes and consequences of their drug problem are not addressed.

The legal framework in this country does not prevent those with drug problems from being treated humanely and effectively. Drug treatment is freely and quickly available via the NHS in England, and offers users the prospect of stability and recovery from the chaotic lives inherent in addiction. Over the last six years, 340,000 mainly heroin users have got help for their addiction, of whom around one third successfully completed their treatment, which compares favourably to the international evidence of recovery. Addicts are treated as patients in the health service, and if there are other crimes to account for, addiction treatment is offered for offenders in the community and in prison in line with NHS standards.

Drug use in this country is falling, particularly amongst young people. Heroin, crack and cannabis are being used by fewer people, and whilst there are more young people taking so-called legal highs and novel drugs, their numbers are nowhere near the levels we faced when setting up the nation’s treatment response primarily for heroin addicts more than a decade ago. At the same time, more people are recovering from drug addiction in England. There is no cause for complacency, in fact we are accelerating efforts to orientate drug treatment towards recovery, but it is worth pointing out that the trends on use, addiction and recovery are heading in the right direction.

Domestically and globally, the public discourse about drugs tends to exaggerate the power of the drug, and minimises the impact of social and economic circumstances. Compared to the 2.8million who use illegal drugs there are around 300,000 heroin or crack users in England, over half of whom are in treatment each year. Probably another 30,000 or so are in treatment for dependency on other drugs e.g. powder cocaine, cannabis and ecstasy. Those who become addicted tend to be seen by the media as the victims of hedonism, the random by-product of widespread recreational drug use. A steady trickle of millionaires’ children and celebrities fuel this myth, playing to the anxieties of middle class readers about their own children. Too often, those in the public eye think they understand drug addiction because of personal or family experiences which bear little relation to the multiple disadvantages experienced by most addicts.

In reality drug addiction is targeted. The 300,000 heroin and crack addicts are not a random sub set of England’s regular drug users. If they were, they would be as likely to live in Surrey as Salford, to have been to Westminster School as Wandsworth Prison, and their childhood would have been as likely to have been overseen by a live-in nanny as much as by Newham Borough Council.

Addiction, unlike use, is concentrated in our poorest communities, and within those communities it is the individuals with the least capital who are the most vulnerable to succumb and least able to extricate themselves. Compared to the rest of the population, heroin and crack addicts are male, working class, offenders, products of the care system, with poor educational records, little or no experience of employment, and a history of mental illness. Increasingly they are also in their forties with declining physical health. They will tend to struggle more than most to make sound personal decisions, which contributes to their other problems.

The reputation of heroin is such that few people will even try it. Of those who become addicted, the majority will recognise where they may be heading and stop. Amongst them will be people who are intelligent, resourceful and ambitious who will realise they are in “in over their heads”, pull themselves up sharp, and sort themselves out. Others will not necessarily have the innate resources to do this but will have family and friends to support them to achieve the same outcome. Key to this success will be the existence of an alternative life with the reality or realistic prospect of a job, a secure home, a stake in society and supportive relationships. The access to social, personal and economic capital not only enables individuals to overcome their immediate addiction, but to avoid relapse.

The government’s 2010 drug strategy recognises that treating addicts in isolation from efforts to address their employment, their housing status and the myriad other problems they face is unlikely to lead to long term recovery. According addiction primacy as a cause of poverty, criminality, worklessness, and child neglect denies the fact that it is as much a consequence of individual family and community breakdown as its genesis. Drug addiction exacerbates problems, and unless it is addressed will inhibit or even prevent progress in other aspects of people’s lives, but addressing it in isolation is not a silver bullet.

Drugs are not the unique barrier to normal social functioning for most addicted people. Drugs are not the unique barrier to a better, fairer and safer world in drug producing countries. The debate about legalisation is a distraction from facing and comprehensively addressing the social and economic factors that underpin drug use, addiction and the drugs trade.

Paul Hayes is the Chief Executive of the National Treatment Agency for Substance Misuse (NTA)

Opium poppy buds in an Afghan field. Photograph: Getty Images

Paul Hayes is the Chief Executive of the National Treatment Agency for Substance Misuse (NTA)

Police in Tahrir Square. Image: Getty.
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The murder of my friend Giulio Regeni is an attack on academic freedom

We are grieving – but above all, we are furious about the manner of his death.

The body of Giulio Regeni was discovered in a ditch in Cairo on February 2, showing evidence of torture, and a slow and horrific death. Giulio was studying for a PhD at the University of Cambridge, and was carrying out research on the formation of independent trade unions in post-Mubarak Egypt. There is little doubt that his work would have been extremely important in his field, and he had a career ahead of him as an important scholar of the region.

Giulio, originally from Fiumicello in north-east Italy, had a strong international background and outlook. As a teenager, he won a scholarship that allowed him to spend two formative years studying at the United World College in New Mexico. He was especially passionate about Egypt. Before beginning his doctoral research, he spent time in Cairo working for the United Nations Industrial Development Organisation (UNIDO). At the age of 28, he stood out with his big hopes and dreams, and he was committed to pursuing a career that would allow him to make an impact on the world, which is a poorer place for his passing.

Those of us who worked and spent time with him are grieving – but above all, we are furious about the manner of his death. While murder and torture are inherently of concern, Giulio’s case also has much broader implications for higher education in the UK and beyond.

Giuli Regeni. Image: provided by the author.

British universities have long fostered an outward-looking and international perspective. This has been evident in the consistent strength of area studies since the middle of the 20th century. The fact that academics from British universities have produced cutting-edge research on so many areas of the world is an important factor in the impact and esteem that the higher education system there enjoys.

In order to carry out this research, generations of scholars have carried out fieldwork in other countries, often with authoritarian political systems or social unrest that made them dangerous places in which to study. I carried out such research in Peru in the 1990s, working there while the country was ruled by the authoritarian government of Alberto Fujimori.

Alongside this research tradition, universities are becoming increasingly international in their outlook and make up. Large numbers of international students attend the classes, and their presence is crucial for making campuses more vibrant and diverse.

Giulio’s murder is a clear and direct challenge to this culture, and it demands a response. If our scholars – especially our social scientists – are to continue producing research with an international perspective, they will need to carry out international fieldwork. By its nature, this will sometimes involve work on challenging issues in volatile and unstable countries.

Universities clearly have a duty of care to their students and staff. This is generally exercised through ethics committees, whose work means that much greater care is taken than in the past to ensure that risks are managed appropriately. However, there is the danger that overly zealous risk management could affect researchers’ ability to carry out their work, making some important and high-impact research simply impossible.

Time for action

We cannot protect against all risks, but no scholar should face the risk of extrajudicial violence from the authorities. If universities are to remain internationally focused and outward-looking, we must exercise our duty of care towards our students and colleagues when they are working in other countries.

But there are limits to what academic institutions can do on their own. It is vital that governments raise cases such as Giulio’s, and push strongly for full investigations and for those responsible to be held to account.

The Italian and Egyptian authorities have announced a joint investigation into what happened to Giulio, but the British government also has a responsibility to make representations to this effect. That would send the message that any abuse by authorities of students and researchers from British universities will not be tolerated.

A petition will be circulated to this effect, and Giulio’s friends and colleagues will be campaigning on the issue in the days and weeks ahead.

Giulio Regeni’s murder is a direct challenge to the academic freedom that is a pillar of our higher education system. He is only one of many scholars who have been arbitrarily detained, and often abused, in Egypt. As a scholarly community and as a society, we have a duty to strike to protect them and their colleagues who study in dangerous places the world over.

 

Neil Pyper is an Associate Head of School at Coventry University

This article was originally published on The Conversation. Read the original article.