By European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) to Correlation – European Harm Reduction Network (C-EHRN)

Drug consumption rooms (DCRs) are fixed or mobile spaces in which people who use drugs are provided with sterile drug use equipment and can use illicit drugs under the supervision of trained staff. They exist in several European countries, Australia, Canada, Mexico and the USA, and are usually located in areas where there is an open drug scene and injecting in public places is common. Their primary goal is to reduce morbidity and mortality by providing a safer environment for drug use and training clients in safer forms of drug use. Other explicit objectives may be providing a conduit to other care services and reducing public nuisance. A main aim of this report is to inform discussions on DCRs by examining the available evidence, as well as reviewing the various models being adopted and their characteristics. Two operational models are typically used in Europe: (1) integrated DCRs, operating within low-threshold facilities, where the supervision of drug use is just one of several services offered; and (2) specialised DCRs, which provide a narrower range of services directly related to supervised consumption. Services typically available within DCRs include: provision of a supervised environment for drug use; clean drug use equipment, including sterile syringes; and rapid interventions if overdose occurs. In addition, DCRs may offer counselling services; primary medical care; training for clients in safer forms of drug use, overdose awareness and the use of naloxone; and referral to social, healthcare and treatment services. Access to consumption facilities may be restricted to registered service users, and often certain conditions have to be met, for example minimum age and local residency. Typically, drugs used in these facilities must be obtained prior to entry. Drug dealing and drug sharing are not allowed within the facilities (staff may be required to call in the police if necessary), and staff can advise but do not directly assist clients in administering their drugs. As frontline, low-threshold services, drug consumption rooms are often among the first places where insights can be gained into new drug use patterns, and, thus, they also can have a role to play in the early identification of new and emerging trends among high-risk populations using their services. The operation and functioning of DCRs has adapted to changes in the profiles and needs of their target groups, and to new patterns of use, as well as to new types of drugs emerging on the market. DCRs may also therefore be well placed to identify and inform strategies to mitigate harms related to developments in the illicit drug market that present new health challenges.

Luxembourg: Publications Office of the European Union, 2023. 52p.

United States. Drug Enforcement Administration

From the document: "The 2024 NDTA [National Drug Threat Assessment] highlights the dangerous shift from plant-based drugs to synthetic drugs. This shift has resulted in the most dangerous and deadly drug crisis the United States has ever faced. These synthetic drugs, such as fentanyl and methamphetamine, are responsible for nearly all of the fatal drug poisonings in our nation. The Sinaloa and Jalisco Cartels are at the heart of this crisis. These two Cartels are global criminal enterprises that have developed global supply chain networks. They rely on chemical companies and pill press companies in China to supply the precursor chemicals and pill presses needed to manufacture the drugs. They operate clandestine labs in Mexico where they manufacture these drugs, and then utilize their vast distribution networks to transport the drugs into the United States. They rely on associates in the United States to distribute the drugs at a retail level on the streets and on social media. Finally, the Cartels utilize Chinese Money Laundering Organizations to move their profits from the United States back to Mexico. Drug trafficking organizations based in Mexico and South America are increasingly utilizing China based underground banking systems as their primary money laundering mechanism. In response to these threats, the DEA [Drug Enforcement Administration] has acted urgently to target the criminal networks responsible for the influx of synthetic drugs into the United States."

United States. Drug Enforcement Administration. 2024. 57p

By Marke Geisy da Silva Dantas, Luciano Menezes Bezerra Sampaio, Thadeu Gasparetto

Background: The violent behavior of football fans is constantly associated with their drinking habits. Aiming to reduce its impact, policy makers often ban the sales and consumption of alcohol beverages during matches. Nonetheless, there are few papers that empirically analyzed such relationship, and our paper aims to shed light on this question. Methods: Out dataset comprises 4,560 matches from the first and second tiers of the Brazilian League, where 245 exhibited at least one antisocial behavior from fans. Ordered logistic regressions are used as method. Results: Our empirical findings evidence that the sales of alcoholic drinks do increase the likelihood of severe antisocial behavior. We also observed a higher likelihood of violent cases when the home club loses its match as well as during crowded matches. Conclusions: We conclude that the change in the alcohol police in Brazil did show a significant association with the likelihood of antisocial behavior among football fans. However, since the magnitude of such effect is small, further research is needed to examine the potential benefits of this policy changes

International Journal of Drug Policy, Volume 123, January 2024, 10427

By Tobias Kammersgaard

Background: In 2018 the Norwegian government appointed a committee to prepare the implementation of a drug decriminalization reform. The overall goal of the committee was to propose a model where responsibility for society’s response to the use and possession of illegal drugs for personal use would be transferred from the justice sector to the health service, under the catchphrase ‘from punishment to help’. While the proposal ultimately did not get the necessary backing in parliament, the proposed reform still constitutes a very comprehensive and recent proposal for reforming national drug policy and it provides an ideal case for studying contemporary discourses on ‘drug decriminalization’. Methods: The analysis of this reform proposal is guided by the post-structuralist “What’s the Problem Represented to be” (WPR) approach, which is used for investigating the problem representation(s) in the proposal, as well as the rationalities, practices and deep-seated assumptions underpinning these. In doing this, the paper explores how the strategy represents both changes and continuities in discourses around illicit drugs and the people who use them. Results: Based on the WPR approach, two problem representations in the proposal are identified: the ‘problem of illicit drug use’ and the ‘problem of criminalization’. However, the ‘problem of illicit drug use’ is argued to be the authoritative representation that takes precedence over the other. In that regard, the paper points to how the proposed shift from the justice sector to the health sector would only be partial, given that the role of the police and drug law enforcement would be retained in the reform. Furthermore, the paper points to how illicit drug use continued to be fundamentally pathologized in the proposed reform. Conclusion: The paper concludes with a discussion about the overall ambition of shifting from a crime-centered to a health-centered approach to people who use drugs and some reflections on the potential of an additional rights-based approach is provided.

International Journal of Drug Policy. Volume 113, March 2023, 103963.

Edited by Henrik Tham. The drug policies of the Nordic countries have been relatively strict. Since this seems to contradict the internationally recognized liberal criminal policy in general, analyses have been devoted to try to understand this gap. Why doesn’t the “Scandinavian exceptionalism” apply to the drug policies? The new question in relation to drug policy is, however, if and how the Nordic countries will adapt to a situation when several countries all over the world are questioning ‘the war on drugs’ and orienting themselves in the direction of decriminalization and legalization.

Stockholm: SWE: Stockholm University Press., 2021. 324p.

By Scott Jacques.

“My first trip to Amsterdam was for a couple of days in the autumn of 2003. A second-year student at the University of Georgia, I was studying abroad at Oxford, just a few hours by air from Amsterdam. Years before, I had learned how to smoke marijuana and enjoy its effects, probably too much so. For stoners like my former self, visiting Amsterdam’s coffeeshops is a recreational pilgrimage. There a smoker can purchase cannabis and get high without fear of legal trouble, despite it being an illegal activity. This was a welcome change from the accustomed stress of acquiring weed in the United States.

UCL press. (2019) 186p.