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Current Issues
Illicit Drugs in Australia:
Use, Harm and Policy Responses
E-Brief: Online Only issued 17 May 2004
Kate Burton, Analysis and
Policy
Social Policy Section
Introduction
Illicit drugs attract a high level of political and social interest
in Australia. While this means
there is an abundance of information on the subject — in print and online
— it also makes it difficult to find reliable information quickly on
particular aspects of the illicit drug issue. This e-brief is intended
as a navigational tool for accessing reliable and, for the most part,
objective and up-to-date data and analysis on the subject of illicit
drugs.
The e-brief is divided into the following sections:
What are illicit drugs? A guide to websites that define and
describe specific illicit drugs and their effects, as reported by users
and from medical and psychological perspectives.
Patterns of use. Links to sites that attempt to quantify patterns
of illicit drug use, in Australia
and overseas.
Drug-related costs and harms. Links to research which attempts
to quantify the costs borne by governments and the communityas a result
of illicit drug use, as well as to studies of morbidity and mortality
associated with illicit drug use.
Australian legislative and policy framework. A guide to relevant
Commonwealth legislation and statements on the Commonwealth’s illicit
drug strategy.
Evaluations of policy approaches and drug programs. Links to
Australian and overseas critiques of different policy approaches to
illicit drugs, and to evaluations of programs designed to reduce or
remove illicit drug use or the harms associated with it.
Global drug production and trafficking. Sites that provide information
about where illicit drugs are produced, trafficking routes and methods
and destination countries.
The international drug control framework.. Links to international
bodies that address illicit drugs, the international conventions and
background material on the development of international drug control.
Drug policies of other countries. Links to the national drug
strategy pages of several countries.
Other links. Provides links to other Australian and overseas
documents and sources of information on illicit drugs.
What are illicit drugs?
Laws concerning the possession, supply and manufacture of illicit drugs
are largely the remit of States and Territories. But the Commonwealth
also has an important legal role as a consequence of its powers over
imports and exports and by virtue of international treaty obligations.
As a consequence illicit drugs are defined slightly differently in each
jurisdiction.
The Commonwealth Narcotic
Drugs Act 1967 implements, in Australia,
the Single Convention on Narcotic Drugs 1961. The Narcotic Drugs Act
defines 'drug' by reference to the Convention, which is reproduced in
the First Schedule to the Act.
State and Territory legislation also lists the drugs and substances
prohibited in each jurisdiction. Click on the state or territory to
find links to the relevant acts:
New South Wales
Victoria
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Australian Capital
Territory
The remainder of this section contains links to information about specific
illicit drugs — what they are what they do. Each link was selected because
it provides accurate and reliable information on one or more of the
following:
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chemical properties of specific drugs
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the social context in which specific drugs are often
taken and the effects described by users
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the potential harms associated with each drug.
The Australian Drug Foundation
website has a comprehensive set of links to a wide range of specific illicit drugs.
The Australian Crime Commission produces annually the Australian
Illicit Drug Report. It contains information about, amongst
other things, widely-used drugs in Australia
and their effects.
Fact
Sheets by the University of New South Wales’ National Drug and Alcohol
Research Centre (NDARC). NDARC is funded by the Commonwealth Government
as part of the National Drug Strategy.
A Parliamentary Library publication, Illicit Drugs, their Use and
the Law in Australia,
contains a useful section
on several illicit drugs, how they are used and their effects. See also
the paper’s Glossary.
ABC Online contains a series of pages on heroin. This page
explains the chemistry behind heroin’s effects and what users xperience
after taking the drug.
The UN’s Scientific Section has published a monograph called Terminology and
Information on Drugs. It contains useful information on the
chemical properties and manufacturing process of various illicit drugs.
Patterns of use
Australia
A number of agencies conduct regular surveys of drug use in Australia.
Some are geared exclusively to illicit drug consumption while others
present illicit drug use data in the context of overall drug use (most
often, tobacco, nicotine and alcohol). The latter studies are useful
for gaining a perspective on the scale of illicit drug use in relation
to use and abuse of licit substances. The significance of these kinds
of comparisons is evident in the section below, “Drug-related harms”,
which contains links to studies which compare the economic and social
costs of licit and illicit drug mis/use.
The Australian Institute of Health and Welfare (AIHW) conducts and
publishes the National Drug Strategy Household Survey. It explores the
opinions and perceptions of Australians aged 14 years and over on a
variety of drug-related issues, including personal approval of drug
use, the impact of drugs on the general community and on mortality,
and their perceptions of health risk from alcohol and tobacco consumption.
The latest is the National
Drug Strategy Household Survey 2001.
The AIHW also publishes Statistics
on Drug Use in Australia (this link is to the 2002 publication).
It includes data on patterns of drug use (including trends and attitudes
to use), international comparisons, drugs and health, special population
groups, crime and law enforcement, polydrug use and drug avoidance and
moderation.
The National Illicit Drug
Reporting System (IDRS) is conducted each year in every state and
territory by participating research institutions throughout the country.
The survey is co-ordinated and the results published by the National
Drug and Alcohol Research Centre (NDARC). A document which explains
the development and achievements of the IDRS is available through the
NDARC website here.
A summary of findings of the 2002 IDRS are here
while those of previous years can be accessed via NDARC’s monographs
page. NDARC’s quarterly Bulletins
provide a detailed discussion of different aspects of the IDRS results.
NDARC’s Technical Reports series also includes data on drug
use by State and Territory (these are towards the bottom of the
web page).
The Alcohol and Other Drugs Council of Australia website contains links
to statistics
on alcohol and other drug use in Australia.
Drug Use Monitoring
in Australia (DUMA) is a project which seeks to measure drug use
among those people who have been recently apprehended by police. Data
from DUMA is used to examine issues such as the relationship between
drugs and property and violent crime, monitor patterns of drug use across
time, and help assess the need for drug treatment amongst the offender
population. The DUMA program is a partnership between the Australian
Institute of Criminology (AIC), State Police Services and local researchers.
Overseas
US
The United Nations publishes an annual survey of trends in illicit
drug production and use called Global Illicit
Drug Trends. The latest is 2003. See also its Ecstasy
and Amphetamines Global Survey 2003.
The International Narcotics Control Board (INCB) publishes an annual
report which includes trends in drug use around the world.
The US Department of Health and Human Service publishes an annual National
Survey on Drug Use and Health (the latest is 2002).
The US National Institute on Drug Abuse publishes the results of annual
surveys on Trends in Drug Use
and Related Factors amongst young people in the US.
The National Drug Intelligence Centre in the US
publishes an annual National
Drug Threat Assessment (the latest is 2004). The document examines
consumption trends for major drugs in the US.
Europe
The European Centre for Monitoring
Drugs and Drug Addiction publishes an Annual Report, The State of the Drugs
Problem in the European Union and Norway, which contains information
about drug use trends in those countries. It also contains links to
national
reports for the individual countries.
UK
The Home Office in the UK
publishes findings from the British Crime Survey which includes
statistics on the prevalence of drug use
(this link is to the 2002-03 report). Other relevant Home Office publications
include:
Canada
Canadian profile 1999
provides the latest published statistical tables and analyses for
consumption patterns, mortality and morbidity trends, economic impact,
crime, and the law related to the use of alcohol, tobacco and other
drugs in Canada. Findings from
an updated Canadian alcohol
and other drugs survey will be reported in 2004.
New Zealand
This link
will take you to the New Zealand Health Information Service publication,
New Zealand Drug
Statistics 2001.
Drug-related costs and harms
It is not possible to quantify the exact cost of illicit drug use to
the Australian community. Some components can be measured directly,
such as government expenditure through the National Illicit Drug Strategy,
but many of the social costs borne by the community, such as the extra
cost of welfare, health and law and order services, can only be estimated.
In addition, a number of costs associated with illicit drug use are
not quantifiable, such as pain and suffering resulting from a reduced
quality of life. Nevertheless a number of studies attempt to quantify
some of the costs of drug use, including social costs. Many also examine
how these costs compare with the costs of licit drug use in the community.
In contrast to assessing the costs of drug use, drug-related harms
are slightly easier to quantify — at least in terms of physical harms
such as overdose deaths and drug-related hospital separations — and
this is reflected in the range of data and studies regularly published
on the subject.
The Australian Institute of Health and Welfare (AIHW) publishes a number
of reports that deal with different aspects of illicit drug-related
harms. See:
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This chapter
of The Burden of Disease and Injury in Australia (2000, using
data collected in 1998) presents data on the burden of disease relating
to 10 major risk factors, one of which is use of illicit drugs.
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In 2003 the Victorian Premier’s Drug Prevention Council published Estimating the Cost
of Heroin use in Victoria.
The National Drug and Alcohol Research Centre (NDARC) also publishes
a range of studies on drug-related harms. Clicking on the following
titles will take you to the executive summary for each report:
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The possession of small quantities of cannabis
and cultivation of defined numbers of plants has been decriminalised
in a number of Australian jurisdictions: South Australia, Western
Australia, the Northern territory and the ACT. In these jurisdictions,
expiation/infringement notices can be issued by the police when a
person is found in possession of a small amount of cannabis or growing
a defined number of plants. Payment of the expiation or infringement
notice fine means that the person avoids going to court and the possibility
of a criminal conviction.
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Diversionary programs operate under the Illicit
Drug Diversion Initiative, which is part of the Australian Government's
national approach to early intervention and prevention of illicit
drug use. Under the national framework to tackle illicit drug use
agreed by all Australian States and Territories, police and courts
have the formal power to divert drug users to education, assessment
or treatment. The primary objective of the Drug Diversion program
is to increase incentives for drug users to identify and treat their
illicit drug use early. See the Australian Institute o f Criminology’s
publication, Australian
Approaches to Drug-Crime Diversion (2004), for a description
of the five main types of diversionary programs operating in Australian
jurisdictions.
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Drug Courts are specialist courts that deal with
offenders who are dependent on drugs. They have been trialled in the
United Kingdom, Canada
and several Australian jurisdictions, though the Drug Court
of New South Wales (NSW) is the first Drug Court to be trialled
and evaluated in Australia.
As a result of the evaluations
it was decided to continue the pilot program.
Commonwealth policy framework
The National
Illicit Drug Strategy “Tough on drugs” was launched in November
1997 by the Prime Minister, Mr Howard, as part of the National Drug Strategy (NDS)
which has been in existence in one form or another since 1985 (it was
re-named in 1993 having been known as the National Campaign Against
Drug Abuse). The Strategy is based on a harm minimisation approach which
refers to policies and programs aimed at reducing drug-related harm.
This approach recognises the need to seek a balance between supply reduction,
demand reduction and harm reduction strategies.
Supply reduction measures aim at intercepting illicit drugs at borders
and within Australia, and are
implemented by the Commonwealth law enforcement agencies. The Australian
Federal Police maintains a webpage with information about its drug operations as
well as drug awareness generally.
Demand reduction measures cover the following five priority areas:
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Treatment of users of illicit drugs, including identification
of best practice.
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Prevention of illicit drug use.
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Training and skills development for front line workers
who come into contact with drug users or at risk groups.
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Monitoring and evaluation, including data collection.
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Research.
Harm reduction includes a range of targeted strategies designed to
reduce drug-related harm for particular individuals and communities.
It aims to reduce the harmful consequences of drugs when consumption
cannot be further reduced. Examples of harm reduction activities are
methadone treatment and needle syringe programs.
Commonwealth programs aimed at demand and harm reduction can be found
by scrolling down this page.
Australia’s drug control and
demand reduction also has an international dimension. The global, regional
and bilateral aspects of this are discussed in the Department of Foreign
Affairs’ Australia’s International
Drug Strategy.
A description of Australia’s policy response
to illicit drugs from 1985 to the present can be found on the Australian
Institute of Criminology website. Another good account of the development
of Australian illicit drug laws is in a Parliamentary Library publication
titled Illicit Drugs,
their Use and the Law in Australia.
Alternatives approaches and evaluations
Australia
Australian evaluations of approaches to
dealing with illicit drugs — including prevention and treatment options
—historically have focused more on opioids than on other illicit drugs.
The reasons include the strong demand for treatment for opioid dependency,
the fact that opioid dependence is a risk factor for premature death
from overdose and infectious disease, public spending on this type of
treatment, and continuing debate about the legitimacy, effectiveness
and safety of maintenance treatment.
Over the last few years, though, there has been recognition of the
need for more evaluations, particularly at the national level, of prevention
programs, treatment options and enforcement alternatives for a range
of illicit drugs.
In 2001 the National Health and Medical Research Council (NHMRC) published
a commissioned report called The Role of Families in
the Development, Identification, Prevention and Treatment of Illicit
Drug Problems, which looks at risk and protective factors for
youth drug abuse. Another commissioned report, review of the Current State of
Research on Illicit Drugs in Australia, was published by the NHMRC
in 1998.
The Druginfo Clearinghouse website, an Australian Drug Foundation initiative,
has links to Prevention Research
Evaluation Reports, which include evaluations of a range of drug
prevention programs.
The National Drug and Alcohol Research Centre co-ordinated the Australian
Treatment Outcomes Study, the first large-scale longitudinal study of
treatment outcomes for heroin dependence conducted in Australia.
In 2003 it published Three
month outcomes for the treatment of heroin dependence: Findings from
the Australian Treatment Outcome Study (ATOS).
The Sydney Medically Supervised
Injecting Centre published its Final report on
the evaluation of the Medically Supervised Injecting Centre in
2003.
The Commonwealth-funded Community Partnerships
Initiative aims to encourage quality practice in community
action to prevent illicit drug use, address it where it occurs and to
build on existing activity occurring across Australia.
See the Final
Report of the Evaluation of the Community Partnerships Initiative,
released in 2002.
A 2002 report Return
on investment in Needle and Syringe Programs is an evaluation of
economic effectiveness (or financial return on investment) of needle
and syringe programs (NSPs) in Australia.
The study updates and expands an earlier study which investigated the
effectiveness and cost effectiveness of needle and syringe programs
in relation to HIV/AIDS.
A good description of various heroin treatment options can be found
on the ABC Online website here.
A related page discusses law and order
options for dealing with heroin dependency, including the use of
drug courts.
In 2002 the NSW Bureau of Crime Statistics and Research released its
evaluation of the NSW drug court trial. The full report is here.
The NSW Drug
Court aims to help drug-dependent offenders overcome both their
drug dependence and criminal offending. A series of evaluations — the
latest published in 2002 — are available online here.
In 2001 the Australian National Council
on Drugs published Evidence
Supporting Treatment: the effectiveness of interventions for illicit
drug use. It summarises research information drawn from major
reviews of the effectiveness of clinical interventions for illicit drugs.
In 1998, funding was provided to undertake the National
Evaluation of Pharmacotherapies for Opioid Dependence (NEPOD) project
— a comparative evaluation of the outcomes of a range of trials of opioid
detoxification and maintenance treatments conducted by various States
and Territories. The NEPOD project was completed in 2001.
The Alcohol and Other Drugs Council of Australia, Australia’s
peak body for the alcohol and other drugs sector, has published fact
sheets on treatment options
for alcohol and other drug problems and the role of prevention in minimising
harms associated with drug use. It also published a paper called Best
Practice in the Diversion of Alcohol and Other Drug Offenders in
1996.
In 1999 the Parliamentary Library published research by Paul
Mackey into alternative
treatments for heroin addiction. The paper’s focus is on the status
of Australian trials at the time the paper was published, and so does
not necessarily include outcomes. But it is a useful guide to the range
of treatments
available for heroin addiction which had been trialled in Australian
states and territories up to 1999.
An evaluation of the National Drug Strategy — National Drug
Strategy: Mapping the Future — was conducted in 1997.
International
The National Drug Research Institute, Curtin University of Technology
and the World Health Organisation published in 2002 Prevention of Psychoactive
Substance Use: A Selected review of What Works in the Area of Prevention.
The International Harm Reduction Association is primarily an education
and advocacy organisation which aims to encourage the adoption of evidence
based and cost effective prevention and treatment strategies. Its website
has links to discussion papers on harm reduction, including the relationship
of harm reduction to law enforcement and approaches to treatment using
a harm reduction approach.
Forward Thinking on
Drugs was commissioned to bring together the evidence base on
drug control measures at the global and national levels for delegates
ahead of an April 2003 review of United Nations progress in combating
the global drug problem.
The evidence-based reviews covered three main areas:
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Global production and trafficking
The Australian Crime Commission produces an annual report called the
Australian
Illicit Drug Report. It includes information about the origins
of particular drugs and the ways they enter Australia,
as well as statistical data on arrests and drug seizures, drug purity
and drug prices.
The National Drug and Alcohol Research Centre has published Global
and Australian heroin markets (2003).
The United Nations
Office on Drugs and Crime (UNODC) website contains a wealth of information
on illicit drugs, including on production and trafficking. Its Global
Illicit Drug Trends series consists of annual reports and the
latest, 2003, can be accessed here. UNODC also provides
information on its Illicit
Crop Monitoring Program, which monitors opium and coca production.
The Central Intelligence Agency’s web-based World Factbook
provides information on the illicit drug production, transit and destination
status of individual countries.
The National Drug Intelligence Centre in the US
publishes an annual National
Drug Threat Assessment (the latest is 2004). The document examines
for major drugs their demand, availability, production and transport.
The Interpol website also discusses
developments in illicit drug production and trafficking. Click on the
links to pages on cannabis, cocaine, heroin
and synthetic drugs for drug-specific information.

The International drug control framework
Over the last 80 years, a worldwide system for control of drugs of
abuse has developed gradually through the adoption of a series of international
treaties. The important multilateral conventions currently in force,
and to which Australia is a
party, are:
For a thorough overview of their background and the negotiations about
the conventions, see The
History and Development of the Leading International Drug Control Conventions,
a paper prepared for the Canadian Special Senate Committee on Illegal
Drugs.
The United Nations Office on Drugs and Crime has also compiled
a library of international
drug control-related resolutions and decisions adopted by the UN General
Assembly, its Economic and Social Council and the Commission on Narcotic
Drugs.
The International
Narcotics Control Board (INCB) is the independent
and quasi-judicial control organ for the implementation of the United
Nations drug conventions, established in 1968 by the Single Convention
on Narcotic Drugs of 1961. It had predecessors under the former drug
conventions since the time of the League of Nations.
There has been some discussion in recent years of whether the international
drug control system, as expressed through the UN conventions, is keeping
pace with developments in drug control in individual countries — particularly
moves away from ‘zero tolerance’ towards harm minimisation approaches.
The Transnational
Institute hosts a “Drugs and democracy” website which has useful
links to internet resources on issues surrounding global drug control
— see especially the “Links” by scrolling down the index on the left
side of the page.

Drug policies of other countries
The National Drug Policy website for New Zealand
is here.
The US Office of National Drug Control Policy website contains The
President’s National Drug Control Strategy (2004).
The UK Home Office oversees that country’s National Drug Strategy.
The European Legal Database on
Drugs contains links to the drug policies of specific EU countries,
as well as policy briefings
on the latest developments and trends in the drug field.
Health Canada is the focal
point for Canada’s
Drug Strategy.
The Australian Institute of Criminology provides a brief description
of and links to references relating to the drug policies of several
other countries.

Other relevant links
Australia
The Australian National Council on Drugs website has links to a number of organisations
and sites that deal with drug-related issues.
The NSW Bureau of Crime Statistics and Research produces reports on
a range of drug
and law enforcement issues.
The Australian Drug Foundation
is an independent non-profit organisation which aims to prevent and
reduce problems associated with alcohol and other drugs. It supports
the Druginfo Clearinghouse, whose website features links to online alcohol and drug libraries
and databases in Australia
and overseas.
The Australian Institute of Health and Welfare is the national agency
for health and welfare statistics and information. This
link is to its list of publications on alcohol and other drugs.
The Australian Institute of Criminology website has a comprehensive
section on alcohol and
illicit drugs in Australia. It contains research conducted by the
Institute as well as links and references to other published material.
The National Drug Research
Institute, based at Curtin University in Western Australia, contains
publications and links to other drugs databases.
The health pages at ABC Online features a site on heroin,
which includes links to a range of heroin-relates issues including law
enforcement, the heroin trade and discussion about prohibition versus
harm minimisation.
An information document on the Current State of Research on Illicit
Drugs in Australia (1999) is
available on the National Health and Medical Research Council (NHMRC)
website here.
The National Drug Strategy commissions and publishes monographs on a
range of drug-related issues.
Overseas
The Drug Policy
Research Centre, within RAND Corporation, promotes a strong research
base to the development of drug policy. Its website contains up-to-date
research on a range of drug issues, much of which is online but includes
comprehensive references to articles in peer-reviewed journals.
The Virtual Clearinghouse on Alcohol,
Tobacco and Other Drugs provides policy and practice information
published on sites across the web. It was created and is maintained
by partner organisations in Europe, the Americas,
Australia, Asia and Africa.
World Health Organization’s Drug and Narcotic
Control page has links to descriptions of activities, reports, news
and events, as well as contacts and cooperating partners in the various
WHO programmes and offices working on this topic. Also shown are links
to related web sites and topics.
United Nations International Drug
Control Programme
European Monitoring Centre for Drugs and Drug Addiction
provides information on different aspects of illicit drugs in Europe.
DrugScope in the UK
is an independent centre that aims to inform policy development and
reduce drug-related risk.
The Drug War Chronicle is an on-line
drug policy newsletter focused on the consequences of prohibition. It
is a useful source for keeping track of drug-related developments in
the US and internationally.
The Senlis Council was established in 2002
to provide a forum for high-level policy discussion of global drug policy.
Its website contains up to date information and analysis of changes
to drug laws around the world as well as other drug-related issues.
For copyright reasons some linked items are only
available to Members of Parliament.

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