Sunday, 25 April 2010

It's unclear which of Clegg and Cameron most supports drug policy reform.

The Telegraph has uncovered Nick Clegg's past support for drug policy reform http://bit.ly/bxJNC2, but has it uncovered David Cameron's http://bit.ly/c8a9ee

The party leaders are both very sensible on the issue of course... at least they were before they had an election to fight.

I suppose the Telegraph was intending to put Clegg on the back foot with this. He should express no regret. Rather he should ask why David Cameron expressed similar opinions in the past and has chosen to retreat back to the supposedly populist standard political position.

Only the liberal democrats are willing to consider evidence on drugs policy. Gordon Brown has stated clearly that considering evidence is not something he is interested in (http://bit.ly/8UfYgK). And the conservatives remain committed to fanciful notions of enforcement-led intervention and abstinence-based Drug Rehabilitation Orders.

The Telegraph may also kick themselves when they realise they have timed their article (I presume unintentionally) to coincide with a dramatisation of the lives of the five young women murdered by Steven Wright in Ipswich in 2006.

Five Daughters will start tonight at 9pm on BBC1 and its relevance to drug policy is highlighted by executive producer Susan Hogg's words on BBC Breakfast earlier in the week explaining why she wanted to make the film:

"Paula Clennell (one of the murder victims) gave an interview where she talked about having to go out on the streets because she needed the money and I suddenly realised that this was about drugs and not about these girls being on the street. Up until that point everyone had talked about them being prostitutes... there was nothing to do with who they were and I really felt I wanted to explore the victims and who these young women were and particularly because i knew it was about drug addiction and that was really really important."

A TV writer who has seen it already has confirmed to me that the film could have a really big impact on people's prejudices about drug abuse and street prostitution. The Telegraph has handily highlighted Nick Clegg's support for heroin to be made available under medical supervision. I hope many voters will recognise that the best way to ensure more daughters do not end up addicted to heroin and funding their habit through street prostitution is to implement that very policy.

Wednesday, 21 April 2010

Ken Clarke's remarks are an open goal to ambitious Lib Dems.

Lets presume for a minute that Ken Clarke is right to say that a hung parliament would be a potential economic disaster. Lets say he's right that the country needs a party with a clear majority running the country. Which party is now positioned to provide that strong majority? Labour can be ruled out. The conservatives following the Liberal Democrat poll surge are realistically not going to become the consensus choice for change. They weren't even high enough in the polls to achieve a majority before people realised this was a three-party race.

From this analysis of some YouGov polling http://www.today.yougov.co.uk/commentaries/peter-kellner/could-lib-dems-win-outright it seems quite clear that the Lib Dems can achieve a strong majority if the 49% of people who would vote for them if they thought they could win actually began to believe they could win. Only 21% of those polled would be dismayed at a Lib Dem majority. If either of the other parties are introduced into a potential outcome dismay in the outcome soars, with the least dismal being a labour-liberal coalition at 39% dismayed.

The only party that can achieve a strong majority government now is the Lib Dems. Ken Clarke says a majority is needed for us to avoid economic meltdown...

Also, how would the markets respond to George Osborne loose in the treasury relative to Vince Cable taking his seat at the money table? Vince has set out in some detail his plans for reducing the deficit and been honest about tough times ahead. George has plucked a £6bn tax cut out of thin air at the last minute in a desperate attempt to win votes.

I'm presuming of course that George is the Conservative choice to be chancellor, but given the rolling out of Ken to deliver the horrific IMF news, maybe there's been a change of plan...

Tuesday, 13 April 2010

The need for a Project "Project Prevention" Prevention

There have been a couple of articles in the Herald newspaper recently on the "Project Prevention" charity, most recently this morning under the headline "Social workers urged to refer addicts for sterilisation." http://www.heraldscotland.com/life-style/real-lives/social-workers-urged-to-refer-addicts-for-sterilisation-1.1020204

Barbara Harris, the Founder of the project - which hopes to pay addicts £200 each to go through a sterilisation procedure - appears to be motivated by a genuine concern for the wellbeing of children born with the same addiction as their mother and/or subjected to neglect and other abuse over the course of their childhood.

On the face of it sterilisation would achieve some positive outcomes: Fewer babies born with serious addictions and needing considerable hospital treatment, and fewer babies born into households where the parents' primary motivation is drug-seeking rather than their child's welfare. Many people will find the proposal morally abhorrent. But is this a morally dubious proposal that might just be an answer to some of our society's problems? Could projects such as these produce knock-on effects similar to those highlighted in the book "Freakonomics" following the legalisation of abortion in the US? The economist responsible for the research found that the considerable drop in crime in the US in the early 1990s could be almost entirely explained by the nationwide legalisation of abortion following the Roe vs. Wade Supreme Court ruling in 1973. The implication was that lower numbers of unwanted children being born led to lower numbers of people being brought up in an environment that fostered criminality. Could sterilising addicts not only prevent child suffering, but prevent the future crime that these damaged children might commit?

What then are the objections to this plan that could have such potential benefits? We could liken the procedure to the selling of a kidney in that you would be reducing your fitness for the benefit of others and for financial gain. But with Project Prevention's proposals the "client" might not only be motivated by poverty, but also by the physical pain of withdrawal. Were the procedure to be offered without financial incentive, judgement might still be clouded by the feelings of worthlessness and general low self-esteem that so often occur alongside addiction problems. For these reasons I am not confident that addicts are in a position to make a rational decision on their future suitability or desire to become a parent. This has both moral and legal implications, with it being unclear whether it is possible for informed consent to be given for a sterilisation procedure in the circumstances in which Project Prevention seeks to operate.

The word "eugenics" has been used to describe Project Prevention, but as a man who studied evolution with great interest at undergrad level, I am uncomfortable with this description. The term implies that drug addiction is a genetic trait which can be eliminated from the gene pool. While it is true that there may be a genetic predisposition to addiction and risk-taking behaviours, drug addiction is far more environmental in nature. Perhaps we could invent the term "euenvics" to describe the prevention of reproduction of individuals who would likely provide a poor environment for their children and thus risk those children becoming a greater burden to society than the average child.

Unlike genetic traits, drug addiction is something which need not be permanent. With the right intervention in addicts' lives, it is very possible for them to end their drug use and to become capable of parenting that need not lead to their child's suffering and/or criminality. The thought of sterilising addicts strikes me as jumping straight to plan Z following the failure of plan A.

I would suggest we should try to find a morally, economically and politically viable plan B instead. I believe this should be a plan that recognises that addicts should be able to seek treatment without fear of criminalisation or the removal of their children into care. For there to be positive outcomes for mother and child, the mother needs to feel she can trust the police, social services and health services to be doing everything they can to help her:
a) stabilise her lifestyle without the need to commit acquisitive crime, prostitute herself or deal in drugs to fund her addiction.
b) (if she wishes to have a family) come off drugs in a controlled fashion whilst using contraception that she is comfortable with.
c) raise the child in an environment conducive to a happy, healthy life.

I believe passionately that such conditions are more likely to come about if drug use is decriminalised and addicts have the option of stabilising on prescribed heroin.

To instead pay these women to be sterilised is to reinforce their feelings of worthlessness and low self-esteem and to demonstrate we have given up hope that they can turn their lives around. Sterilisation also deprives these women of a great life-changing event and the responsibility to stay clean not only for their own benefit, but for the benefit of a child that they love dearly and that would be utterly reliant upon their care.

We should be seeking to minimise the number of babies born to addicted mothers. An addicted baby goes through excruciating pain and requires considerable medical attention as they go through withdrawal. But the most humane way to achieve this is to treat addicts as just another patient group with a treatable medical condition. If we fail to assist women to cease drug use, then we need to recognise that addicts can hold down jobs and raise families just as well as the rest of us if they know when and where to get their next fix and they don't have to pay massively inflated prices for an illegal supply.

A facebook group has been started to resist "Project Prevention" in the UK.

http://www.facebook.com/home.php#!/pages/No-to-eugenics-in-the-UK-Keep-Project-Prevention-Out-of-the-Country/100654733311568?ref=ts

And if you agree with me that we need to try a Plan B then why not join Liberal Democrats for Drug Policy Reform at http://act.libdems.org.uk/group/liberaldemocratsfordrugpolicyreform

Friday, 9 April 2010

If the Lib Dems want power we can't let the Tories win.

So the wash-up has been concluded and has left the AV referendum proposals washed-up on the rocky shore of Conservative self-interest. Gordon Brown has since come out with re-affirmed plans to hold an AV referendum early in the next parliament though. It is absolutely imperative that we emerge from this election with the possibility of these plans being put into action. If the conservatives get a majority, electoral reform will not be on the agenda and there's a real risk that Labour will not be so keen for reform next time around when they look to capitalise on the failures of Cameron and co.

It is quite possible that this election will be the best possibility for meaningful electoral reform in a generation, so all Lib Dems should be doing our utmost to ensure it happens. What should this mean on the ground? Sadly it means abandoning our principles in the Labour/Tory marginals and voting with our brains and not our hearts. A vote for the Liberal Democrats where we have no chance of winning and where the race could be tight IS a wasted vote that risks consigning our party to a fringe role for many years to come. A tactical vote for the Labour party in such seats increases the possibility of a hung parliament, gives the AV referendum proposal a real chance of becoming reality, and gives the Lib Dems a genuine chance at meaningful power at the next election. The end of tactical voting could give the Lib Dems a majority at Westminster within a couple of years if we cooperate to achieve the AV reforms and then stand well back as the Labour government fails to get to grips with the deficit to the population's satisfaction.

We also need to get the message out to genuine supporters of fringe parties that they should be supporting the Lib Dems in every seat we have any chance of winning. For The Greens, UKIP, and even the BNP the wise vote is for the party that has a commitment to proportional representation. Of course I have no expectation that many BNP supporters will be able to cast a "wise vote" but one has to try.

So Nick. Please ease off on Labour a little and please come up with better ammunition against the Tories than your not-very-credible VAT bombshell. We need to use our brains in this election so that the population can vote (for us) with their conscience in the future.

Friday, 2 April 2010

The greatest misuse of mephedrone: Using it as bath salts.

It certainly appears that the ACMD's terms of reference below have been overlooked in the hasty manner in which mephedrone's prohibition has come about.

The terms of reference of the Advisory Council are set out in section 1 of the Misuse of Drugs Act 1971(the Act) and are as follows:

It shall be the duty of the Advisory Council to keep under review the situation in the United Kingdom with respect to drugs which are being or appear to them likely to be misused and of which the misuse is having or appears to them capable of having harmful effects sufficient to constitute a social problem, and to give to any one or more of the Ministers, where either Council consider it expedient to do so or they are consulted by the Minister or Ministers in question, advice on measures (whether or not involving alteration of the law) which in the opinion of the Council ought to be taken for preventing the misuse of such drugs or dealing with social problems connected with their misuse, and in particular on measures which in the opinion of the Council, ought to be taken.

It is quite clear that the "misuse" (definition: noun: wrong or improper use; misapplication.) of mephedrone is promoted by both it's current legal status and its soon-to-be prohibited status. The ACMD set out quite clearly in their report (though whose report is it really if the members of the committee didn't see the final draft?) that mephedrone is manufactured purely for human consumption as a stimulating intoxicant. Using mephedrone as plant food or as bath salts is clearly to "misuse" mephedrone. Of greater concern of course is the fact that no advice can currently be given by vendors on the drug's safe consumption. It is clear therefore that current regulations prohibiting its sale for human consumption promote its continued misuse.

Consider now the situation after the drug's prohibition. Optimal use of mephedrone could surely be best described as the use of mephedrone which gives the user the most pleasurable experience with the minimum of unwanted side effects. Passing the manufacture, distribution and sale of mephedrone into the hands of criminals will lead to inconsistent purity and a lack of standardised, good-quality advice on safe consumption and optimal recovery. Surely it is clear then that prohibition promotes continued misuse of mephedrone?

What measures could reduce the "misuse" of mephedrone? Sale from licensed pharmacists with age restrictions; full education on health, social, and economic consequences of use before users are licensed to purchase the drug; and education programmes which encourage abstinence but yet at all times try to ensure young people are as safe as they can be no matter what choice they make.

That is the recommendation which would best satisfy the ACMD's terms of reference. If the terms of reference had been rewritten as "to quickly suggest incorporation of any emerging psychoactive drug into the existing classification scheme alongside drugs of similar effect" then the ACMD would have done well this week. This has not happened and the ACMD has failed miserably.

Not only has it failed on the action to be taken on mephedrone, but it has also identified the next potential legal drug of abuse in naphyrone or "NRG-1" as it is more commonly known. They may as well have distributed a press release stating:
"NRG-1 has potential to be the next big thing in legal highs. We know very little about it so it will remain legal for the time being. Anyone wishing to make a lot of money fast would be wise to buy lots of NRG-1 and sell it on for considerable profit."

It is utterly irresponsible to identify this drug in their report before they have detailed an appropriate response to the conveyor belt of legal highs that are passing into commmon usage in the UK. I can only hope that a "Class D" recommendation happens before we have a massively damaging public health emergency on our hands.

For more on Class D:

http://www.guardian.co.uk/commentisfree/2010/mar/17/mephedrone-class-d-solution-criminalise

“What are the alternatives? One approach would be a new class in the Misuse of Drugs Act – the class D model, adopted in New Zealand to deal with BZP. This is a holding category where drugs can be put before they are well understood: sales are limited to over-18s; the product is quality-controlled so users know what they are getting, at doses limited as far as possible to safe levels; and it comes with health education messages. Society can limit sales and collect data on use.

Manufacturers and shops that disobey these regulations are punished, and the young are protected, but not criminalised. Last summer the Advisory Council on the Misuse of Drugs, when under my chairmanship, suggested this approach in response to the growing use of spice and BZP. It was rejected, they were both made class C, and possibly as a consequence young people began to turn to mephedrone.”

Tuesday, 30 March 2010

Small credit where it's due on mephedrone, but should we not have a public inquiry

Okay, let's be clear. I am not a fan of the government's drug policy. I believe Gordon Brown's refusal to consider other regulatory approaches endangers this nation's health, our security, our economy and any ambitions he might have for a better society.

But I do think that some of my drug policy reform colleagues have misjudged both public opinion and the interests of public safety on the mephedrone issue. I have no reason to assume that Alan Johnson has done anything but follow the advice given to him by Les Iversen, the current chair of the ACMD. Teenagers have been taking mephedrone in alarming numbers. Whether this is due to misplaced confidence in the drug's safety due to its legality, or whether they were excited about the prospect of doing something they knew to be bad with no risk of punishment, it was essential for the government to intervene to restrict access and take action that they hope will cause these teenagers to return to drug-free lives.

And the government has got many aspects of the action right. The action to ensure destruction of any detected mephedrone imports is a strong signal that importation is now no longer viable. While traders may object on the grounds that it was legal when they ordered it, I am in no doubt that their contentment with their requirement to sell the drug without any health advice to buyers of any age could in no way be regarded as ethical. Had they been able to provide health and consumption advice and been able to do all they could to ensure their customers' safety then their trade could very well have been considered ethical. But the lack of such safety advice meant the dealers were ethically no better than the illegal dealers dealing similar illegal drugs. I would be delighted to see the expression on the faces of the dealers trying to stockpile as much mephedrone as possible before its prohibition when they learn of the destruction of their newly priceless shipment.

The government has also taken the right action (once prohibition was the decision) in banning all cathinones. Just banning mephedrone would quickly have resulted in the market shifting to any of a large number of other cathinones with a myriad of unknown effects to investigate and for society to deal with. I am unsure where drugs like butylone and the cathinone-containing plant "khat" are left by this action, but the blanket ban on cathinones seems like a wise decision at this stage.

Having said all this, I have great concern about the role the ACMD has played in this decision. The ACMD made the extremely sensible "Class D" recommendation when it was asked for advice on BZP and Spice. A "D" class would have allowed legal, regulated sale of the drug to over 18s and with the best advice available on safe use while the effects of the drug were investigated thoroughly. The recommendation was rejected for BZP and Spice. Was it offered as a solution to the mephedrone situation? If it was not then I would assert that the ACMD has lost its spine and can no longer be relied upon to stick to its guns on these important issues in the interests of public safety. To not offer the "Class D" solution is to pass responsibility for mephedrone from unregulated legal dealers to unregulated illegal dealers. Any teenager who still fancies getting hold of the mephedrone they have developed a taste for, will now have to find an illegal dealer. That dealer might just have a financial interest in introducing them to heroin or crack.

This entire episode which may become known as "the mephedrone bubble" should be seen as a disastrous warning on the failings of the Labour party's "head-in-the-sand" approach to drugs policy. All the illegal drugs consumed in this country are being consumed in an environment of government-mandated ignorance. Any new legal highs which emerge will - like mephedrone - again have to be consumed from bags marked "not for human consumption". It is time the politicians and the media in this country grew up and realised that it is ignorance and lack of regulation that makes drugs dangerous. We need to take this opportunity to learn from the mephedrone bubble and look again at what can be done to safeguard our population from the harms of drugs.

Surely it would be appropriate to call for a broad-ranging public inquiry into the drug policy disaster that is "the mephedrone bubble".

Cable's mental health commitments say a lot about us as a party.

Watching the "Ask the Chancellors" debate on channel 4 last night I once again heard Vince Cable commit to increased spending on mental health services:
"If we save money on NHS admin it should first go to neglected areas like mental health."

Mental health is not a fashionable area of service provision but I have heard Vince work this commitment into interviews on television before and I have to say it fills me with pride every time it happens.

Mental health services are not something that will come up in focus groups. Nor are they something that focus will be drawn to by the lobbying efforts of wealthy charities. There is still a considerable stigma attached to mental illness which restricts the public's ability to speak out about the failings of our current system. It is to Vince Cable and Norman Lamb's enormous credit that they have stated their first-hand family experience of mental illness. I only wish more people could find the courage to do the same.

My own first-hand experience of mental illness started as I was finishing school and going to university while living at home with my family in Glasgow. My brother had entered the same university the year before to study Scottish history and politics, was in his first real relationship, and was training several times a week for his career as an international volleyball player. He always tended towards over-analysing things, but this analysis started to make less and less sense. At first I put the fact I couldn't understand him anymore down to the fact that he was doing arts and I was going to do sciences like my parents, but I eventually received a lecture in my 1st year Psychology course that suggested something else might be going on.

After some further reading, and on a family holiday that was basically an escape from my brother's increasingly erratic behaviour, I suggested to my parents that my brother might be schizophrenic as we walked down a quiet country lane. None of us really knew what it meant at that time. But we had an extremely difficult time of it learning what it meant over the next few years as we struggled to get my brother treatment against a GP who thought my brother "seemed fine", and then struggled to keep ourselves mentally healthy through visits to the psychiatric ward, depressing periods in which my brother's body (not his soul) was released back into the family home, and then frightening periods in which it was quite clear that the family home was not the best place for him to be.

It was during this traumatic time that I first became politically active, joining up with a group of mothers of schizophrenics who regularly attended the cross party groups on mental illness at the Scottish Parliament. I had taken from my experience a determination that what had happened to me should happen to as few further people as was possible.

I thought at the time and still think now that teenagers should not have to rely on lectures they receive in university courses for their education on mental health. Early intervention is vital in minimising mental illnesses' effects on families and improving outcomes for the patient. The best way to facilitate early intervention in mental illness is to ensure that the population has the means to identify early warning signs, and for primary care services to be sufficiently trained in mental health issues for them to be able to act appropriately when concerns are raised. It is time for the British stiff upper lip to be allowed the luxury of movement and for comprehensive mental health and relationships education to be rolled out across all schools. If a politician's job is not to safeguard the happiness of the citizens then what exactly is it they are supposed to be doing?

There are millions of voters out there who will have been similarly pleased to hear a politician announce further investment in mental health services. I hope it continues to be something which appears in our pre-election message, though perhaps with further commitments to mental health education alongside the much-needed health service investment. Identifying policies that speak to the silent majority who do not shout and stamp their feet about issues seems to me to be a very sensible way of approaching a general election campaign. Long may it continue.