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UK: Does anything prevent drug use?

Ryan Dilley

The BBC

Thursday 23 May 2002

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In a week that a "shocking" school video showing the fatal effects of
heroin is released, the government has been urged to redraw the battle
lines in its war on drugs. But can anything be done to prevent drug use?

The tragic story of Rachel Whitear - a 21-year-old university drop-out who
succumbed to a heroin overdose alone in a bedsit two years ago - is the
latest weapon in the government's fight to kerb drugs misuse.

A 22-minute video, Rachel's Story, has been distributed to schools across
England in the hope that its cautionary tale about a "beautiful and
brilliant" girl felled by a Class A drug will warn its viewers away from
substance abuse.

It has been damned by some drugs experts as misguided shock tactics, but
praised as powerful and effective by some of the teachers who have watched
it with their classes.

Yet some in the classroom complain that the impact of educational tools
such as the video are being undermined by those in Parliament and the
police calling for a reassessment of the war on drugs.

"What is confusing for our students is that there is a fad going in one
direction then in another," says Alice Hudson, head teacher of Twyford High
School.

"Many have said that the police don't care about soft drugs any longer.
That's not helpful."

But can high-profile initiatives such as Rachel's Story - even if coupled
with a hard legal line on drug use - really dissuade potential users?

Protecting Young People, a 1998 government report, admitted that gathering
evidence on the effectiveness of prevention projects was difficult.

"Almost all evaluations of programmes have been inconclusive in terms of
perceived results in reducing or preventing drug use."

In the three years following this report, some £57m has been pledged to
bolster school and community prevention schemes - including projects to
gauge the effectiveness of preventative action.

Keen to experiment

However, many drugs charities - and even the government - are resigned to
the fact that often the anti-drugs message can may only delay a young
person's first experience.

"The impact of drug education on drug using behaviour is limited. Drug
education is unlikely to prevent young people from ever experimenting with
drugs," says a Drugscope spokesman.

This argument has consigned the "Just Say No" tactics of the 1980s to the
dustbin of drugs prevention history. Nancy Reagan's famous plea to American
teens - echoed in the UK by the cast of the BBC children's series Grange
Hill - may even have been counterproductive.

"The kids aren't saying no," says Julie Holland, a New York psychiatrist
and author of Ecstasy: The Complete Guide. "Saying that a drug is dangerous
or forbidden is simply not enough when dealing with curious,
novelty-seeking adolescents who often see themselves as invulnerable."

In the UK, a report compiled for the Home Office found that young
abstainers were content with drugs prevention message, while those who had
already tried substances "were critical" of the tactic.

Keep 'em busy

But employing a combination of prevention techniques with the school-age
young people - the group most at risk of substance abuse - can pay
dividends even if would-be users are only temporarily dissuaded.

"To delay the onset of first use reduces the risk of progressing from
experimental to problematic drug use," says the Protecting Young People
report.

This can be achieved most simply by offering young people activities to
fill time when they might otherwise be taking drugs.

While a distinction needs to be drawn between so-called universal
prevention (projects aimed at all young people, such as Rachel's Story) and
selective prevention (targeting those in specific high-risk environments or
with certain problems), some techniques can benefit even those young people
keen to experiment with drugs.

Self-esteem and life skills exercises, such as role playing, are intended
to give children the confidence to withstand the peer pressure to take drugs.

But, as the government has pointed out, "programmes which teach life skills
may also help pupils to develop a range of coping strategies which can be
used in a variety of other situations such as sexual behaviour and bullying."

 

 

 

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