BackgroundRecent deaths of young Australian music festival attendees from ‘party-drug’ overdoses have sparked debate about the effectiveness of drug policies. Australia is widely lauded for its harm minimisation approach to drugs, and yet, over the last 30 years, it can be argued its policies have been fragmented, sometimes inconsistent and contradictory. The present article examines the root of this inconsistency, using it as a foundation to advocate for drug policy reform. In keeping with the goals of the National Drug Strategy to promote policy innovation, there is an opportunity to learn from international studies which have shown promising findings in the reduction of party-drug use and its harms through application of pill testing.MethodThis paper evaluates Australia’s National Drug Strategy and pill testing through a lens of pragmatism, to determine whether there is space for testing practices in contemporary policy. Specifically, the paper analyses current drug policy literature and research studies, examining a range of key drug use indicators, social and political debate and research evidence.ResultsThe need for policy reform, attitudinal and cultural shifts and development of stronger cross-sectoral partnerships is highlighted, to ensure a rational and logical approach that genuinely tackles drug policy-making and strategy from a broad public health perspective.ConclusionsUsing a theoretical frame of pragmatism and drawing from national and international research evidence, this paper recommends the integration of pill testing into Australia’s harm minimisation strategy.
Debate about alcohol and other drugs (AODs), particularly those that are illicit and/or subject to abuse, is pervasive in the community, media and at policy-level alike. While AOD use is commonly linked to the hedonistic social spaces of urban youth, especially with drugs like crystal methamphetamine ('ice'), it is clear substance misuse is not merely a 'city problem'. Considerations of place and space, particularly the notion of what it means to be rural, are central to understanding the diverse landscape of AOD use. This paper examines key determinants that shape the experience of rural AOD (mis)use and its influence on crime and criminality. Broad application of Shaw and McKay's (1942) social disorganisation theory enables examination of rural AOD use and related crime in Australia through a lens of social organisation. Using this lens, the article employs a narrative review methodology to explore three key elements of the rural landscape: (i) accessibility of services; (ii) social and cultural pressures; and (iii) the structural and/or physical constraints of rural geography. Critical examination of these elements and associated narratives reveals the need for recognition of the human struggle linked to AOD use and related crimes as a dimension of both rural life and criminality. The article argues that the appropriate response to rural AOD use requires a paradigmatic shift from traditional law enforcement approaches to principles of harm reduction and public health. However, greater work is needed to produce evidencebased policy, address the causes of rural AOD use and provide meaningful support to this growing cohort of vulnerable members of the community.
It is widely recognized that we live in an increasingly unsafe society, but the study of security and crime prevention has lagged behind in its importance on the political agenda and has not matched the level of public concern. Th is exciting series aims to address these issues looking at topics such as crime control, policing, security, theft, workplace violence and crime, fear of crime, civil disorder, white collar crime and anti-social behaviour. International in perspective, providing critically and theoretically-informed work, and edited by a leading scholar in the fi eld, this series will advance new understandings of crime prevention and security management.
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