Pubdate: Thu, 05 Apr 2007 Source: Martlet (CN BC Edu) Copyright: 2007 Martlet Publishing Society Contact: http://www.martlet.ca/ Details: http://www.mapinc.org/media/3140 Author: Gemma Karstens-Smith Bookmark: http://www.mapinc.org/hr.htm (Harm Reduction) REPORT WARNS AGAINST USING DRUGS Adolescent substance abuse is the topic of a recent paper co-authored by Tim Stockwell, director of the Centre for Addictions Research of British Columbia at UVic. Released in the medical journal The Lancet on March 27, the paper highlights the most plausible solutions to substance abuse. "We tried to develop a guide for policy-makers," said Stockwell. "If you're going to throw a billion dollars at the drug problem, where should you invest?" Called "Interventions to Reduce Harm Associated with Adolescent Substance Use," Stockwell's paper is the fourth instalment in a series of six papers on adolescent health in The Lancet. Stockwell said it is a "short version" of some other projects, including a book and a 500-page report that he has worked on with co-authors. According to the paper, "overdoses of alcohol and other drugs compete with road crashes as the leading causes of death in young people." Stockwell said alcohol is the largest concern and is the cause of 86 per cent of substance-related deaths in developed nations. The paper says that although there has been a general decrease in adolescents using drugs, they are starting to use at earlier ages. "I'm sure in some form [the problem] has been around forever," said Stockwell. "What's changing is the bewildering variety of drugs that are available." The environment surrounding adolescents using drugs, he said, has become increasingly dangerous in recent years, and the uncertainty of doses, lack of quality control and mixing of substances taken together create a game of "Russian roulette." Although demographics change what drugs kids are exposed to, Stockwell said that all demographics are affected by the problem and there are many different reasons why kids are turning to drugs, including curiosity, rebellion and the fact that they know people who are doing drugs without any obvious negative repercussions. "Kids who don't have so many good things going for them are more vulnerable emotionally," said Stockwell. The paper cites regulatory interventions as the best solution to the adolescents and drugs problem. Regulatory interventions deal with the supply of drugs, including price controls, laws surrounding drugs and even ignition interlocks for people convicted of drunk driving. Other solutions outlined and critiqued by the paper include interventions that aim to nurture "healthy development" from birth through adolescence, treatment of existing drug problems and attempts to prevent problems by "targeting risky contexts or patterns of use." Stockwell explained that the media also has a role to play in solving the problem, saying that a code of conduct should be adopted where details of drug usage are not reported so as to prevent copycat cases. He thinks the media should put out harm reduction messages aimed at informing adolescents about how to keep safe. "It can all be framed on how to take care of your friends or even your acquaintances," he said. "We need harm reduction strategies before we can even start thinking about regulations, law enforcement, taxation and the rest." - --- MAP posted-by: Derek