Examining social contexts of use and user beliefs and motivations is vital to understanding how 'risk' behaviours are experienced so that this, in turn, informs harm reduction strategies. This paper examines the ways in which use of steroids is socially situated and the implications of this for policy and practice.

As with other illicit drugs, such as heroin or cocaine, illicit steroids and other performance and image enhancing drugs (PIED) have for some time been assumed to involve an inherent degree of danger and risk. This is due to the unknown and potentially dangerous substances present in them; fakes and counterfeits are of particular concern. Many of these 'risks' are unknown and unproven. In addition, a tendency to abstract these risks by reference to forensic data tends to negate the specific risks related to local PIED markets, and this in turn has led to much being missed regarding the broader nature of those markets and how buyers and suppliers interact and are situated within them. This article reports on research that sought to explore each of these issues in one mid-sized city in South West England. A snapshot image is provided of what the steroids and other image or performance enhancing drugs market 'looked like' in this particular city in 2013: how it operated; how different users sought out and purchased their PIED; the beliefs they held about the PIED they sourced; and the methods they employed to feel confident in the authenticity of their purchases. A forensic analysis was undertaken of a sample of user-sourced PIED as a complementary approach. The results showed almost all of these drugs to be poor-quality fakes and/or counterfeits. The level of risk cannot be 'read off' from forensic findings, and poor-quality fakes/counterfeits cannot simply be considered an attempt to defraud. Users believed they had received genuine PIED that were efficacious, and employed a range of basic approaches to try to ensure genuine purchases. Many, if not most, transactions at the 'street' level were akin to 'social supply' rather than commercial in nature.

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This chapter investigates changes that have taken place in the recent past in relation to interventions with adult offenders in England and Wales, particularly in the context of the application of risk technologies and the increasingly managerial and market-driven set of arrangements. This review draws on criminological frameworks which examine such neo-liberal penal reforms, where social problems have been reframed as crime problems and where the application of the political policy of austerity has brought about the fragmentation and reduction of local services. Quantitative and qualitative data from a 2-year ESRC-funded research project are presented to illustrate and analyse the situations regarding ‘low-level’ offenders, whose cases were heard in a Community Justice Court in a large city in England. Detailed examination of this data reveals a complex picture of offending patterns, social issues and the pre-existing involvement of a wide range of statutory and third-sector agencies, even for many deemed ‘low-risk’ offenders. In many of these cases pathways out of crime seemed elusive, with rehabilitative interventions being framed in terms of penal narratives which emphasised individual responsibility and which denied wider structural problems. This critique raises concerns about the implications and consequences of these issues, particularly in relation to the widescale changes that were brought about by the Transforming Rehabilitation agenda. It argues that for constructive and effective interventions to take place in the field of community sanctions, including the therapeutic justice approach explored here, social justice and a more holistic approach to rehabilitation need to be (re)placed as central pillars of the criminal justice system.

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