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Compared to cannabis, the public debate around the legal regulation of stimulants has been restrained in most parts of the world. Cannabis has tended to dominate public debate; as the most used illegal drug, one that is very easy to produce and procure, and also one associated with lower risks relative to most other drugs, it has, unsurprisingly, been at the forefront of reform efforts around the world. The more dangerous and threatening a drug is perceived to be, the harder it becomes to make the case for regulation, even if - as Transform has long argued - greater risks are precisely the reason why regulation is needed, not a reason to maintain prohibitions that only increase them further. The exception to this pattern is when legal drug supply moves within the medical sphere, namely the prescription of substitute drugs as part of a harm reduction approach for people with drug dependencies. Here we can already witness wide public acceptance of the legal supply of some of the most historically feared and demonised drugs, including methamphetamine and injectable heroin. While legal cannabis and prescribed heroin could hardly be more different - what they have in common in the public debate is familiarity. People have seen that the cannabis coffee shops in the Netherlands, and cannabis stores in Canada for example, look very similar to bars and off licences. And they are familiar with prescribing and supervised-use of risky drugs in pharmacies and clinics. These supply models are known, understood - and correspondingly less threatening and easier to discuss and advocate for. But for the significant number of drugs that sit somewhere in the middle of the risk spectrum, particularly stimulants used in social settings, there are few reference points for how legal regulation would work. They are drugs perceived as much more risky than cannabis, but are also associated with hedonism and indulgence - so cannot be shoehorned into a medical supply model for people with drug dependencies who naturally engender a far greater degree of public sympathy. Even as we now have a growing consensus that the war on drugs has been a disastrous generational failure - the debate will struggle to move further without a clear vision of what comes after prohibition. So the idea was to present and familiarise people with models of responsible regulation of stimulant products, vendors, outlets, availability and marketing. Models that people could understand, find credible and buy into. But you can only achieve so much in print…. The idea behind the installation part of their much bigger Poppi drugsmuseum project was to move beyond just asking if we should regulate MDMA, but how we should do it - by presenting 3 different retail MDMA models to the public and gauging their reactions. The first model resembles an over-the-top candy store, with a rainbow of wall-mounted pill dispensers, in-your-face visual promos, and your pill in this case just a breath mint delivered via a gumball-type dispenser once you have filled in a short iPad questionnaire. As with the candy store model - a short iPad questionnaire gives you a coin which you can then use in a dispensing machine an adapted nightclub condom dispenser with 3 different pill options of varying potency. When you pull out the draw the sound system beats drop and you are illuminated with a light show. Rather than the vulgar marketing of the candy store, it adopts the more minimalist clinical feel of a pharmacy - the only decor being shelves of the product itself in unbranded pharmaceutical packaging and even this would likely not feature in a real-world model which would, if anything, be even more plain and functional. Acquiring the MDMA requires filling out a more detailed iPad questionnaire - each question introduced with a short video from a health professional - that serves to educate about risks and harm reduction, and also ascertain personal information including weight, potential health vulnerabilities, and experience of use. This information is then used to provide a bespoke label with dosage information and a personalised barcode on the packaging that is dispensed as the questionnaire is finalised. In the future this interaction would replace the iPad with a licensed vendor, trained to offer tailored support and harm reduction information to each customer. The whole experience is fascinating and immediately engaging for the public, politicians and media alike, regardless of whether they had any personal interest in using MDMA. From the opening day, it was clear that the candy store and nightclub models, while eye-catching and Instagram-worthy, primarily serve to demonstrate the risks of poor regulation, with people inevitably gravitating towards the obviously more sensible pharmacy model. It is an important message; drugs are not conventional consumer goods and retail regulation needs to reflect and manage the unique risks they present. Conventional commercial retailing is entirely inappropriate for a model that seeks to achieve functional availability without active promotion, guided by public health and harm reduction principles, rather than maximisation of sales and profits. It would be great to see something similar to this groundbreaking installation in the UK, and elsewhere, but it makes perfect sense that it should be launched in the Netherlands. They have had the cannabis coffee shop for decades, helping to normalise the idea of legally regulated drug availability beyond alcohol and tobacco. They also have a long history of progressive harm reduction with, for example, long-established and state-funded drug checking services, similar to those provided by The Loop but operating within a much more pragmatic and supportive political and institutional framework. Compared to the UK, MDMA-related deaths in the Netherlands are very low, and at festivals and events, vanishingly rare; highlighting again how the legal and policy environment is a key factor in shaping drug-related risks. But the Netherlands also has unique issues relating to MDMA that have driven the debate on regulation forward. A significant proportion of global illegal MDMA production is thought to take place in the Netherlands and has been associated with destructive organised crime activity, including high-profile dumping of toxic waste from MDMA production in waterways and national parks. These factors have led one of the parties in the Government coalition , D66, to adopt MDMA regulation as part of its drug policy platform. D66 notably also hold the positions of deputy prime minister and minister of health. Interestingly, D66 are the majority party in the Amsterdam municipal government, which does have an MDMA regulation platform, although is unable to take it forward without the authorisation of the central government. Recent academic work exploring optimised MDMA regulation models , and a report advocating MDMA regulation from influential centre-right think tank DenkWerk, have only pushed the debate further into the mainstream. The timely arrival of the Mainline MDMA shop - makes a breakthrough in stimulant regulation more likely - informing the already vibrant debate and bringing the day when a real MDMA shop will open using the pharmacy model closer still. Get more details on the Poppi drugs-museum page. This website uses cookies to ensure you get the best experience on our website. Learn more. Accept Decline. MDMA shopfront, Utrecht city center The idea behind the installation part of their much bigger Poppi drugsmuseum project was to move beyond just asking if we should regulate MDMA, but how we should do it - by presenting 3 different retail MDMA models to the public and gauging their reactions. Commercialised Retail Model The first model resembles an over-the-top candy store, with a rainbow of wall-mounted pill dispensers, in-your-face visual promos, and your pill in this case just a breath mint delivered via a gumball-type dispenser once you have filled in a short iPad questionnaire. Pharmacy-Style Retail Model The whole experience is fascinating and immediately engaging for the public, politicians and media alike, regardless of whether they had any personal interest in using MDMA. Model of pharmacy-style MDMA packaging It would be great to see something similar to this groundbreaking installation in the UK, and elsewhere, but it makes perfect sense that it should be launched in the Netherlands. Latest Articles. Transform announces new trustees 3rd October Our vision for regulated cannabis in the UK 15th August What about the kids? Regulating adult-only cannabis access 6th August

Drugs: monitoring, research and prevention

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Drug use, the health and social consequences of drug use, and drug markets are constantly changing. We track these changes closely through various monitoring systems and research programs. This work contributes to the prevention of drug use and the reduction of drug-related problems by developing, implementing and evaluating national drug policies, preventing and sharing knowledge and expertise with healthcare professionals and the general public. In addition, we offer governments and policymakers the data they need to develop informed drug strategies. It provides a current picture of the drug situation in the Netherlands to policymakers at the national and municipal levels, as well as to researchers and professionals in addiction care. The National Drug Monitor gives an overview of policy developments, drug use in adults and school-aged children, addiction treatment demand, drug markets, and crime. Since the Dutch Ministry of Health enabled the testing of illicit drugs for drug users to prevent serious health hazards associated with unexpected dangerous substances. DIMS is a national network of testing facilities that furthermore aims at gaining an insight into the market of controlled substances. Which pathways lead to substance use among young adults? And what are the consequences? The study aims to produce a pan-European understanding of issues like the unprecedented number of new psychoactive substances, the doubling of ecstasy pills potency and the rise in drug related health incidents. The knowledge gathered can then be used for better policy decisions for nightlife licensing, drug control and harm reduction. New psychoactive substances NPS can relatively easy be found and bought online. We use an automated crawling tool to research which NPS are being discussed on selected fora. As we know little about the risks and effects of NPS, the automated fora monitoring provides valuable information on the popularity of new psychoactive substances. Want to know more? Get in touch with the lead researcher Daan van der Gouwe. The CADAP program focuses on supporting local governments in developing drug policies that are based on a scientific approach and focused on health and human rights. The Trimbos Institute has been involved since The Trimbos Institute is leading the component on drug policy, assisting governments and other relevant stakeholders in Central Asia with the review of old and drafting of new National Drugs Strategies, Action Plans and drug legislation and with identifying and reaching consensus on drug policy needs and priorities. The Healthy School Prevention Program is a school-based national prevention program for elementary and middle school students about alcohol, drugs, and tobacco use. In conjunction with educators, municipalities, and families, the Health School Prevention Program staff assists in the development of school policies on alcohol, drug use, and smoking, educating students, identifying and helping students with substance abuse problems, and working with parents and families. Like to know more? Get in touch with project-leader Simone Onrust. The Harm Reduction Network aims to gather, interpret and spread knowledge and the systematic monitoring of the availability of harm reduction intervention in The Netherlands. The focus lies with interventions for people who problematically use heroin and base cocaine. The network also initiates network meetings, webinars and congresses, and supports addiction care in the area of harm reduction in a broad sense. The Trimbos Institute supports research and programs about drug use and vulnerable populations. For more information, please contact John-Peter Kools. Drugs: monitoring, research and prevention. Get in touch. Profiel en contact. Go to nationaledrugmonitor. Drug Information and Monitoring System Since the Dutch Ministry of Health enabled the testing of illicit drugs for drug users to prevent serious health hazards associated with unexpected dangerous substances. Alama Nightlife Study Which pathways lead to substance use among young adults? Healthy Schools program The Healthy School Prevention Program is a school-based national prevention program for elementary and middle school students about alcohol, drugs, and tobacco use. Harm Reduction Network The Harm Reduction Network aims to gather, interpret and spread knowledge and the systematic monitoring of the availability of harm reduction intervention in The Netherlands. Vulnerable groups programs The Trimbos Institute supports research and programs about drug use and vulnerable populations. This support includes: Supporting youth care professionals Develop educational materials Develop interventions for children of parents with psychological or addiction problems Provide research and consultancy on addiction, psychological problems, and homelessness For more information, please contact John-Peter Kools. Filter opties. Neem contact op. Het Trimbos-instituut is een onafhankelijk, wetenschappelijk kennisinstituut voor mentale gezondheid, alcohol, tabak en drugs. We doen onderzoek, verspreiden en implementeren onze kennis, zodat mensen aan hun eigen mentale gezondheid kunnen werken en bij kunnen dragen aan die van anderen. Volg ons.

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