Pubdate: Sun, 11 Apr 1999 Source: Age, The (Australia) Copyright: 1999 David Syme & Co Ltd Contact: http://www.theage.com.au/ Author: Michael Carr-Gregg Note: Associate Professor Michael Carr-Gregg is head of the education and training unit at the Royal Children's Hospital's Centre for Adolescent Health. IT'S TIME TO GROW UP ABOUT KIDS AND DRUGS THE expulsion of nine students from an exclusive girls' school in Sydney, the Prime Minister's endorsement of the act, and some principals calling for random urine testing (often referred to as ``jar wars'') suggest it is time to rethink our ideas on how to effectively tackle the realities of teenage substance abuse. It is painfully obvious to many researchers, policy makers as well as the coal-face workers with young people in health, welfare and education that the ``war on drugs'' has been lost and that a different approach is needed. A proportion of the PM's extra $100 million announced at the Premiers' Conference is supposed to be spent on drug education, and those responsible for deciding how to spend this money would do well to reflect on the reasons for the ineffective results so far. Traditional school drug programs have been based on a series of untenable assumptions, namely that adolescents who dabble must be somehow lacking in knowledge, skills or self-esteem and that their experimentation is abnormal, even pathological. An alternative line of attack, components of which may be seen in the Victorian Government's three-year drug-education strategy, Turning the Tide, sees experimentation with drugs as normative behavior. This philosophy acknowledges that drug use in young people is often transient but nevertheless carries certain risks. It recognises that young people use for many reasons, and that if we cannot persuade the users to stop immediately, we can at least try to help them stay healthy until they do. Harm-minimisation drug education tries to educate young people ``about'' rather than ``against'' drugs. It is non-judgmental and respects the right of young people to make their own decisions. Someone needs to explain to the Prime Minister that no amount of drug testing, surveillance cameras, sniffer dogs or expulsions will ever achieve a drug-free school community. Drug use in young people is a complex phenomenon, the end of a journey that may have begun in a variety of places, including family discord, truancy or poverty. A strategic response must acknowledge this complexity and be multi-faceted, integrated, coordinated and sustained. It must be based on truth, not myth. The challenge that has eluded the National Advisory Committee on School Drug Education so far is to gain a national consensus on the role and to be honest about the limitations of school-based prevention programs. Part of this task will be to communicate what are the realistic expectations of drug education in schools, namely that it should focus on equipping young people with the skills, knowledge and strategies for living in a drug-using society. This includes a basic understanding of the pharmacology of drugs, their effects, their harms and how to avoid them. This much, drug education should be able to do. Although the assumption underlying this latest call for more education seems to be that the objective must be to eliminate drug use in schools, experience suggests that young people will continue to experiment with or use drugs. The answer lies in a recognition that there are three key agents of socialisation in the lives of young people: school, family and peers. If we can get all three to send a consistent harm-minimisation message about drugs, and at the same time work toward providing young Australians with environments in which they can grow up feeling safe, valued and listened to, then maybe we can reduce the harms. - --- MAP posted-by: Derek Rea