Does UK drug policy require reform? Engaging drug takers into the debate

Lead Research Organisation: Manchester Metropolitan University
Department Name: Sociology

Abstract

Drug policy reform is high on the global political agenda. Since the turn of the 21st century, several countries have shifted from prohibition policy. Academics, policy-makers, practitioners, and non-government organisations (NGOs) are discussing (and advocating for) drug policy reform in the UK focussing on the usefulness and relevance of the Misuse of Drugs (MDA) Act 1971 and the Psychoactive Substances Act (PSA) 2016. Yet the voices of drug takers are largely absent from such debate and there is now increasing acknowledgement that contribution from drug takers is required to improve both the policy legitimacy and outcomes (UKDPC, 2012; Lancaster et al., 2014; Lancaster et al, 2015). The proposed research builds on two research projects conducted by the PI that interviewed 60 drug takers. Interviewees from both projects were asked for their opinions on drug policy and the law. Most drug takers were unable to distinguish between different policy approaches and were unclear about the definitions of, 'legalisation', 'regulation' and 'decriminalisation. For example, most were aware that Portugal decriminalised drugs in 2001, but they needed further clarification about what this meant in practice. This research aims to actively involve various drug takers into the drug policy debate by educating them about alternative policy approaches and engaging them in workshop discussions. More investigation is required to understand drug takers' views on policy (specifically on the current prohibitionist framework and alternative models, such as decriminalisation, medicalisation and regulation), how these opinions are formulated and what components of drug policy are important to drug takers. Through the inclusion and analysis of drug takers' experiences and opinions, a drug policy action plan will be formulated. This is necessary to make policy debates more inclusive and facilitate a space to better connect policy to those that it affects.

The project has 3 dualistic aims that both empower stigmatised groups (drug takers), whilst improving debates about drug policy reform

1: Improve debates about drug policy reform by involving drug takers' experiences and opinions
2: Create a drug action plan using the 'discursive democracy' approach with a range of drug takers
3: Share the findings of the research to key stakeholders to facilitate future interactions about drug policy development

These will be achieved through 5 practical objectives:
Ob1: Capture the level of drug-takers' knowledge and opinions of law and policy and establish how these opinions have been formulated by undertaking a baseline survey.
Ob2: Develop an educational video to outline different policy approaches to improve drug takers' knowledge and understanding.
Ob3: Co-ordinate workshops using 'discursive democracy' to generate qualitative data revealing drug-taker's opinions of current and alternative policy and actively encourage their participation in debate.
Ob4: Use the findings of the survey and workshops to formulate a comprehensive and informed drug policy action plan.
Ob5: Disseminate the drug policy action plan through academic conferences and peer-reviewed articles, and through relevant drug policy NGOs who engage and interact with policy-makers.

The potential applications and benefits are to:

1. Broaden the debates about UK drug policy reform to include a wide range of people who are directly affected by drug law and policy.

2. Help inform, educate and empower the public about political issues, in this instance drug policy.

3. Contribute to broader debates about the opportunities and potential for drug policy reform both nationally and globally.

4. Provide NGOs with academic research that can be used for evidence and lobbying to policy makers and government.

5. The video explaining current and alternative drug policy approaches could be used to educate the general public.

Planned Impact

This project is specifically intended to provide research findings and evidence with a view to informing and improving the UK's drug policy and legislation. As such, it has potential for impact on a number of key beneficiary groups:
Policy makers: Policy makers will gain from a wider evidence base and a greater understanding of how the law and policy effects drug users and the public and what their perceptions are about opportunities for reform. This will open up new and possibly challenging areas for debate, which incorporate a broader range of opinions, more contemporary perspectives and evidence linked to genuine user experiences. Policy makers will be engaged with via a stakeholder event and the production of the Drug Policy Action Plan containing specific recommendations.
NGOs: NGOs such as the Beckley Foundation, Release and Volteface are discussing (and advocating for) drug policy reform in the UK focussing on the usefulness and relevance of the Misuse of Drugs Act (MDA) 1971 and the Psychoactive Substances Act (PSA) 2016. NGOs and lobbyists will gain a greater understanding of drug takers' opinions and experiences and will be able to use this information to lobby government and the media. NGOs will also be able to use the educational video outlining various drug policy models within their organisations. By disseminating our findings to NGOs, the research can facilitate dialogue for future interactions between drug takers and policy.
Drug users: Through integrating drug taker participation into drug policy debates, those directly affected by policy will have the opportunity to have their opinions and experiences taken into consideration. Drug takers will be empowered by further education about different policy approaches and have a greater understanding about their own views about opportunities for reform. Providing drug takers with a platform to have their voices heard will help to reduce stigma and discrimination. There is currently no UK research that is engaging drug takers into policy debate and therefore this research will be instrumental in demonstrating the usefulness, as well as the challenges, of their inclusion.
Public engagement: Promotion of broader public engagement into drug policy debates will further educate and involve citizens into policy and politics. The educational video and the discursive democracy workshops could be used by various groups and organisations to gain a better understanding of views about drug policy. The discursive democracy approach could also be used to improve the connection between academia and the public more generally. It could be used in a variety of policy debates, such as prison policy reform or Britain's place in the European Union.
We have developed five 'Impact Objectives':
IO1: Promote and facilitate drug taker participation into drug policy debates in order to engage with those directly affected by policy.
IO2: Provide drug takers with information on current laws and alternative policy models for their education and to ascertain what their perspectives on these policies are.
IO3: Stimulate broader public engagement in drug policy debates to further educate and widen the range of citizens' input to policy decisions.
IO4: Contribute to the work of NGOs active in the drug policy field through collaboration and the provision of new evidence.
IO5: Provide policy makers with the currently unavailable evidence required to strengthen drug policy legitimacy and outcomes.
IO6: Develop and share a set of recommendations and actions in the form of a Drug Policy Action Plan.
 
Description Our first article has been accepted for publication in the, International Journal of Drug Policy (IF: 5:009).
Background
Drug Policy Voices is a UK-based project designed to integrate the voices and experiences of people who use drugs (PWUD) into debates about drug policy reform. An online survey was conducted in 2020 to understand opinions connected to drug use and drug policy. We used a blended values approach combining Moral Foundations Theory (Haidt and Joseph, 2004; Haidt and Graham, 2007) and MacCoun and Reuter's (2001) four philosophical positions that underpin the drug policy. This paper asks, what values do people who use drugs hold surrounding drug use and drug policy, and what factors predict these values?
Methods
We used online-purposive sampling and achieved 1217 survey responses, which captured sociodemographic characteristics, patterns of drug use, sourcing and supply of drugs used within the last 12 months, experiences of criminal justice sanctions in connection to drugs, and experiences of alcohol or other drug treatment. In addition, we devised 37 attitudinal questions about drug use and drug policy, which included both progressive and prohibitionist value positions.
Results
The exploratory factor analysis revealed a six-factor solution that identified important value positions for this respondent group, which are personal autonomy, paternalism 1; paternalism 2; legal injustice 1; legal injustice 2; and neoliberal governance. Age, gender, religious beliefs, political views, identifying as a recreational drug taker, using drugs recently, and having experience working or studying in the substance use/drug policy field are predictors of these value positions.
Conclusion
The Drug Policy Voices survey has identified collective values and ideology connected to lived experience that illustrate a clear goal conflict with prohibitionist ideology. PWUD have valuable contributions to make to the policy reform debate, but we must acknowledge that opinions are not formed through drug-related experiences alone. The findings of this research highlight the importance of emphasising the person who uses drugs within participatory approaches.

Keywords: Lived experience, people who use drugs, drug policy reform, values, online survey.
Exploitation Route The findings have assisted with Mat Southwell (EuroNPUD) engagement with policy makers.
Co-I (Dr Melissa Bone) has organised a Criminal Law Network event on 28th April. This includes confirmed speakers: Niamh Eastwood (Director of Release); Professor Alex Stevens, Rudi Forsten QC, Lyndon Harris as well as a range of other academics working within the Drug Policy field. The event will focus on:
• core work on sentencing guidance (including updates on drug trafficking, female drug mules, the legal disparity between possession, supply and "social supply", county lines and the practice of cuckooing)
• the proportionality of sentences in relation to the purported harms of possession and supply offences especially (this will be particularly timely in view of the punitive approach taken in the government's recent drugs strategy 2021)
• issues around medical use and sentencing (particularly in relation to the medical use/cultivation of cannabis sourced illicitly)
• issues around police cautions, police stop and search practices (including racial disparities)
• the impact of criminalisation in practice - leading to a discussion on diversion or decriminalisation
We are working with students, Drugs and Me on developing work on drugs education and advice
We will work with treatment groups such as Change, Grow Live on findings around treatment and health.
Sectors Communities and Social Services/Policy,Government, Democracy and Justice

URL https://www.drugpolicyvoices.co.uk/
 
Description I hosted, created, and ran a 10-episode podcast series to help promote the project and encourage participation in the research. Each podcast focused on a different topic and engaged activists, academics, and professionals into these debates. The podcasts were also used to enhance public knowledge and understanding about the lived experience of drug use and drug policy. We have had 3286 separate downloads of this podcast. The episodes are used for teaching in several universities. In addition, many of the project participants were engaged through the podcast. In total, we engaged 119 participants in the research during the pandemic, which demonstrates the impact of our podcasts and social media campaigns at a time when qualitative data collection was extremely challenging. A link to the findings of the projects first article (Askew et al. 2022) featured in a VICE magazine https://www.vice.com/en/article/epxjbp/cocaine-convictions-uk The Drug Policy Voices findings form part of report being collated by the Criminal Law Reform Now Network (CLRNN). This CLRNN report is led by Dr Melissa Bone, Associate Professor at Leicester Law School (Co-I on the project). The network is comprised of leading UK drug policy scholars, legal representatives, drug policy reform charities and policy experts. The network is creating a joint report to suggest changes in sentencing policy and guidelines, as well as suggestions for policy change. I presented project findings in April 2022 at the first network meeting. The report will be written over the next 18 months. The ten-episode podcast series on the following topics. 1. Debating the term 'drug' - Dr Stuart Taylor (formally LJMU, now OU) 2. Identifying as a drug taker - Mat Southwell (EuroNPud) 3. Pleasure and drug use - Dr Giulia Zampini (Greenwich university), Dr Fay Dennis (Goldsmiths) 4. Drug Supply networks - Dr Mike Salinas (MMU) 5. The research launch (Rebecca Askew and Melissa Bone) 6. Criminal Justice, Drug Policy and the Law (Jesse Bernard, Y-Stop and Laura Garius, Release) 7. Human Rights and Drug Policy reform (Charlotte Walsh and Melissa Bone - University of Leicester) 8. Drug policy, treatment and recovery (Oliver Standing , Collective Voice; Chris Lee Public Health specialists Lancashire City council, chair of English substance use commissioner group, April Wareham - Working with Everyone (user groups). 9. Drugs education, harm reduction and safer Use - Drugs and Me. 10. The Global Drug Survey - celebrating ten years - Professor Adam Winstock (Director of GDS), Dr Monica Barratt (RMIT, Australia, Dr Jason Ferris, University of Queensland, Dr Emma Davies, Oxford Brookes, Dr Larissa Mair and Alex Aldridge, Royal College London) These podcasts were designed to improve knowledge, encourage participation in the research and amplify the voices of people who use drugs in the policy debate. I gave a talk to 'For the Many', which is a Labour party online discussion about the project. Mat Southwell from EuroNPUD has used the findings in discussions about engaging people in policy discussion. The Co-I, Melissa Bone and I were interviewed for the People and dancefloors podcast. The second season of the podcast in underway.
First Year Of Impact 2021
Sector Communities and Social Services/Policy,Government, Democracy and Justice
Impact Types Cultural,Societal,Policy & public services

 
Description Advancing knowledge and participation in global drug policy
Amount £50,000 (GBP)
Funding ID F-2021-030 
Organisation The Leverhulme Trust 
Sector Charity/Non Profit
Country United Kingdom
Start 05/2022 
End 07/2023
 
Description Dr Fay Dennis 
Organisation Imperial College London
Country United Kingdom 
Sector Academic/University 
PI Contribution We invited Dr Dennis to be a guest on our third podcast, which spoke about pleasure. This was based on her PhD work that looked at injecting bodies and pleasure.
Collaborator Contribution Dr Dennis has been interviewed as a guest for the third podcast, which will launch on 12th March.
Impact The third podcast will launch on 12th March 21.
Start Year 2021
 
Description Dr Stuart Taylor 
Organisation Liverpool John Moores University
Country United Kingdom 
Sector Academic/University 
PI Contribution I invited Dr Stuart Taylor to be a guest on our first podcast. Dr Taylor attended a presentation that I did providing preliminary findings of the survey and asked a question around terminology. he was therefore the ideal first guest to discuss the term 'drug' and kick off our podcast series.
Collaborator Contribution Guest on our first podcast that launched on 12th January 2021. This has 208 listens to date.
Impact Podcast episode 1, which can be found on our website or podcast provider - for example apple or spotify.
Start Year 2020
 
Description Global Drug Survey 
Organisation Global Drug Survey (GDS)
Country United Kingdom 
Sector Private 
PI Contribution Rebecca Askew hosted a podcast episode to talk about drug policy questions within the Global Drug Survey and ten years of the survey.
Collaborator Contribution The core GDS team were interviewed to talk about GDS and its impact on policy and harm reduction.
Impact A podcast episode and a series of questions (devised by Rebecca Askew and Judith Aldridge) on drug policy. This develops understanding from the Drug Policy Voices survey. The GDS s annual survey is translated into several different languages. The data collection period ran from Dec-Feb 2021. There were over 50k responses recorded.
Start Year 2021
 
Description People and Dancefloors 
Organisation Greenwich University
Country Pakistan 
Sector Academic/University 
PI Contribution We have had a number of meetings and chats with Dr Giulia Zampini and will be on their podcast in the future.
Collaborator Contribution Dr Giulia Zampini is a guest on our third podcast, which looks at Pleasure and Drug use.
Impact This podcast has been recorded and will launch on 12th March.
Start Year 2020
 
Description Creation of website, email and twitter handle for Drug Policy Voices 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact In December 2019 we branded our project as 'Drug Policy Voices', we set up a website (www.drugpolicyvoices.co.uk) a dedicated email (www.drugpolicyvoices@mmu.ac.uk) and a mailing list from the website. We also set up a twitter account @DrugPolicyVoic1. This was to promote the project to a wider audience and connect with the public in preparation for our survey launch. We have 264 followers to this account on twitter. We have a mailing list of 50 people. We have had contact from drug treatment services nationally who have supported our research and asked to be involved.

In December 2020, we had a redesign of our website to include logo and branding. This was done by graphic designer ADuffy design. We have recruited her to design our Instagram posts (x 3 per week) that promote our podcast and research. We now have 223 followers on Instagram (since we launched it mid December 2020). Our twitter now has 585 followers, which has nearly doubled from the year before. Our website visits have increased over 100% since the new website has launched. We have had 1.9k views since 20th December 2020 and 895 unique visits. Our mailing list has doubled and our followers are growing by the day. The podcast launch days initiate visitors to our website.
Year(s) Of Engagement Activity 2019
URL http://www.drugpolicyvoices.co.uk
 
Description Engaging with drug policy NGOs and Members of Parliament 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Third sector organisations
Results and Impact We spent September to January engaging with Drug Policy NGOs and MPs who are working in the All Parliamentary Group for Drug Policy Reform. The NGOs are: Release, Transform Drugs Policy Foundation, DrugScience and Volteface. In addition, we spoke with Amanda Clayson from Voicebox (a Manchester charity giving a voice to people with lived experience). This has involved email correspondence, feedback on the first pilot of the survey and phone calls with the NGOs, all of whom are supportive of the project and have promoted the survey via email lists and social media. This has connected our research with non-academic organisations and ensured that we have feedback from those working within the field and engaging with the general public on these issues. Release are committed to human rights based policy reform and gave use feedback on the criminal sanction questions and how these could relate to moral values surrounding drugs. Transform campaign for legal regulation, Drug Science are a new organisation who support the medical research in the area of drug policy reform, Volteface have links to media and politicians (particular current MPs) and have been working in the field of cannabis policy and helped bring the Billy Cauldwell case to media attention.

The research team also met with MP Jeff Smith (Withington, Labour) and the office of MP Crispin Blunt (Reigate, Conservative). This has connected our research to government officials working for the All Parliamentary Group for Drug Policy Reform. These MPs have been supportive of our work. MP Jeff Smith wrote about our survey in his blog. Both MPs promoted our research through social media.
Year(s) Of Engagement Activity 2019
 
Description Episode 9 Drugs education, harm reduction and safer use. 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact I spoke to Drugs and Me and Neurosight about advice, guidance and harm reduction information about drugs.
Year(s) Of Engagement Activity 2021
URL https://www.drugpolicyvoices.co.uk/our-podcast
 
Description Podcast episode 6 - Criminal Justice Drug Policy and the Law 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact I interviewed Dr Laura Garius from Release and Jesse Bernard from YStop. We discussed stop and search laws and the racial disparity in drug related convictions.
Year(s) Of Engagement Activity 2021
URL https://www.drugpolicyvoices.co.uk/our-podcast
 
Description Podcast series 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact We launched a podcast series on January 12th 2021, whihc included 10 episodes, these replaced the 'educational video' set out in the objectives. The aim is to inform and educate about hot topics connected to substance use and drug policy, and amplify the voices of a range of people with personal experience of using drugs. This podcast replaces the video that we intended to make with drug policy reform organisations. The podcast allows the project to discuss topics and encourage participation in the research. We have had 2536 separate listens to the series and they are being used in teaching and learning in HE (LJMU, MMU, Uni of Bristol, University of Manchester). These podcasts improved our reach for research participants (126 people contributed to our qualitive fieldwork)
Year(s) Of Engagement Activity 2021
URL https://www.drugpolicyvoices.co.uk/our-podcast