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Journal Cover Drugs and Alcohol Today
  Journal Prestige (SJR): 0.241
  Citation Impact (citeScore): 4
  Number of Followers: 131  
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1745-9265 - ISSN (Online) 2042-8359
   Published by Emerald Homepage  [341 journals]
  • Characteristics of cannabis cultivation in New Zealand and Israel
    • Pages: 90 - 98
      Abstract: Drugs and Alcohol Today, Volume 18, Issue 2, Page 90-98, June 2018.
      Purpose The purpose of this paper is to explore the characteristics of small-scale cannabis cultivation in New Zealand and Israel. Design/methodology/approach An online survey of predominantly small-scale cannabis cultivators had previously been conducted in 11 countries in 2012/2013. The same core online survey was subsequently conducted in New Zealand and Israel in 2016/2017, and comparisons made with the original 11 countries. Findings Only around one third of the New Zealand and Israeli cannabis growers had sold cannabis, and the majority of these did so only to cover the costs of cultivation. The median number of cannabis plants cultivated per crop by the New Zealand and Israeli growers was five and two, respectively. The leading reasons provided for growing cannabis by both the New Zealand and Israeli growers were to provide cannabis for personal use and to share with others. A higher proportion of New Zealand than Israeli growers reported growing cannabis for medicinal reasons. A total of 16 per cent of the New Zealand and 17 per cent of Israeli growers had come into contact with the police due to their cannabis cultivation. The findings suggest small-scale cannabis cultivation in New Zealand and Israel is largely a means of “social supply” of cannabis, and this is consistent with the findings from the original 11 countries. The higher incidence of growing cannabis for medicinal purposes in New Zealand may reflect the limited official access to medical cannabis. Significant minorities of small-scale cannabis growers in both countries had contact with police, putting them at risk of the negative consequences of a criminal conviction. Originality/value To date, the research into cannabis cultivation has largely consisted of studies of individual countries. However, given the global popularity of cannabis use, and the recent spread of cannabis cultivation to countries that traditionally have not produced cannabis, via utilisation of indoor growing techniques, there is now a strong case for international comparative research. Following the success of the surveys in the original 11 countries, New Zealand and Israeli members of the Global Cannabis Cultivation Research Consortium international collaboration chose to undertake surveys in their own countries in 2016/2017.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-29T10:38:41Z
      DOI: 10.1108/DAT-03-2018-0010
       
  • Demands, identities and repertoire of protest: an analysis of the Mexican
           cannabis movement
    • Pages: 108 - 116
      Abstract: Drugs and Alcohol Today, Volume 18, Issue 2, Page 108-116, June 2018.
      Purpose In this paper, the author analyzed the repertoire of protest that cannabis activists employ in marches and mass demonstrations. The purpose of this paper is to understand the relationship between key demands and identities surrounding cannabis movement and the repertoire of protest they normally use. Design/methodology/approach The work was designed as a qualitative case study to build a deep understanding and detailed description of the cannabis movement’s dynamics and an analysis of its repertoire of protest. Data collection was carried out in two fieldwork periods in 2016 and 2017. This phase mainly consisted of ethnographic work and semi-structured interviews. An exploratory study was also carried out in May 2016. Information was mainly collected through interviews that delved into various issues regarding the movement’s internal composition and dynamics. As such, the author conducted 23 interviews with participants in marches and mass demonstrations, as well as with current non-governmental organization members. The compiled information was analyzed according to the “documentary method.” Findings Although the Global Marijuana March brings together users, activists, civil society organizations and politicians, the Mexican cannabis movement has non-articulated demands, it lacks a strong common identity and limited resources for mobilization. These features find an echo in a poor repertoire of protest. Originality/value This is the first scholarly and systematic analysis of the Mexican cannabis movement in the academic literature. Further, there is a systematic analysis of the cannabis movement repertoire of protest and how cannabis activists are able to translate their demands and identities into banners, chants, performances, masks and costumes, performances, pamphleteering, and demonstrations.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-29T10:34:17Z
      DOI: 10.1108/DAT-12-2017-0064
       
  • The role of spirituality in alcohol abstinence self-efficacy amongst
           alcoholics anonymous members
    • Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose Previous research indicates that Alcoholics Anonymous (AA) can play an effective role in alcohol use disorder recovery (Kelly, Stout, Magill, Tonigan and Pagano, 2011). Acceptance of a “Higher Power” and experiencing a “spiritual awakening” are essential components of AA recovery programme (Alcoholics Anonymous World Service, 2014). The purpose of this paper is to identify if there are high associations in levels of spirituality and alcohol abstinence self-efficacy (AASE) measures amongst AA members. Design/methodology/approach Self-reported measures were collected from members of AA of their spiritual and religious beliefs and their everyday experiences of alcohol abstinence. Demographic information of participant’s ethnical background, age and length of AA membership was also obtained. Findings The analysis revealed high levels of spirituality amongst participants with a mean of 70.14 (2dp). There was no difference in participant high or low spiritual beliefs and their attitude towards alcohol abstinence. The frequency measures of spiritual activities showed that 73.7 per cent of participants engage in private spiritual or religious activities more than once a week. Originality/value Overall the study supports previously conduced researches in the field of spirituality and AASE amongst AA members when considering other variables associated with sustained sobriety. The implications of the results of this study are discussed and suggestions have been made for further investigation.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-06-11T10:59:08Z
      DOI: 10.1108/DAT-09-2017-0049
       
  • The impact of employment on perceived recovery from opiate dependence
    • Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose Less than 15 per cent of people starting opiate substitution treatment (OST) in England are employed, but few gain employment during treatment. Increasingly punitive approaches have been tried to encourage individuals with substance dependence into employment in the hope of facilitating recovery. It is not clear which factors are associated with the successful maintenance of employment whilst receiving OST, and whether this group can be said to be “in recovery”. The paper aims to discuss these issues. Design/methodology/approach A cross-sectional study of the OST population in one English region was conducted between January and April 2017. Measures of physical health, employment patterns, drug use, mental health, recovery capital, and dependence severity were administered to 55 employed and 55 unemployed clients. Findings Those in employment had higher levels of “recovery capital”, better physical and mental health, fewer drug problems, and less severe dependence, despite reporting heroin use at a similar level. Three variables were significantly associated with employment: longest period of employment (OR=1.01, p=0.003); number of chronic medical conditions (OR=0.44, p=0.011); and number of days of psychological problems in the last month (OR=0.95, p=0.031). Practical implications These results suggest that abstinence may not be required in order to maintain stable employment when OST is in place. Different treatment strategies are required for clients receiving OST already in employment compared with those who are unemployed. Originality/value This is the first UK study to the author’s knowledge to focus on people receiving OST who are also in employment.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-18T09:28:45Z
      DOI: 10.1108/DAT-12-2017-0062
       
  • Quality of life and better than well: a mixed method study of long-term
           (post five years) recovery and recovery capital
    • Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to compare quality of life scores in a long-term recovery population group (post five years) with a general population group and to explore how any differences might be explained by recovering individuals themselves in a small number of follow up qualitative interviews. Design/methodology/approach A sequential explanatory mixed method design combining quantitative quality of life measure (WHOQOL-BREF, 1996) and six subsequent semi-structured individual interviews. The quality of life measure compared long-term recovery scores (post five years) with the general population group. The subsequent qualitative semi-structured interviews explored what the participants themselves said about their recovery. Findings The quantitative data provide evidence of a significant difference in quality of life (WHOQoL-BREF) in two domains. The long-term recovery group (five or more years into recovery) scored higher in both the environment and psychological domains than the general population group. Of the long-term recovery group, 17 people who still accessed mutual aid scored higher in all four domains than those 23 people who did not. The interviews provide evidence of the this difference as result of growth in psychological elements of recovery, such as developing perspective, improvement in self-esteem, spirituality, as well as contributing as part of wider social involvement. Research limitations/implications This study provides support for the quality of life measure as useful in recovery research. The empirical data support the concept of recovery involving improvements in many areas of life and potentially beyond the norm, termed “better than well” (Best and Lubman, 2012; Valentine, 2011; Hibbert and Best, 2011). Limitations: snowballing method of recruitment, and undertaken by public health practitioner. Some suggestions of women and those who attend mutual aid having higher quality of life but sample too small. Practical implications Use QoL measure more in recovery research. Public health practitioners and policy makers need to work with partners and agencies to ensure that there is much more work, not just treatment focused, addressing the wider social and environmental context to support individuals recovering from alcohol and drugs over the longer term. Originality/value One of small number of studies using with participants who have experienced long-term (post five years) recovery, also use of quality of life measure (WHOQOL-BREF, 1996) with this population.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-04T11:38:19Z
      DOI: 10.1108/DAT-11-2017-0059
       
  • Poems and pancakes for alcohol harm reduction
    • Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose Programmes to promote alcohol awareness and harm reduction in the general population often take an atomised approach, encouraging individual drinkers to understand their unit intake and adjust it accordingly. Although many public health practitioners harbour doubts about the value of this approach, few clear alternatives have emerged. The purpose of this paper is to provide such an alternative. Design/methodology/approach Alcohol Concern’s Communities Together project was rooted in the idea that drinking patterns can only be understood in their social context. It was an attempt to take seriously Harold Holder’s injunction to “cease to focus narrowly on the individual and begin to adopt broader community perspectives on alcohol problems”. The project applied Asset-Based Community Development methods, handing a large degree of control over to the participants, drawing on their own talents and enthusiasms, and recognising their autonomy and their authority as experts in their own lives. Findings The project outputs have been described as “community development with an alcohol twist”. They included a range of activities and events that created inclusive and non-judgemental spaces for people to think about alcohol and draw their own conclusions. It was also a lesson in humility for those of us who like to consider ourselves as the experts in public health: we had to learn that we did not have all the answers to questions about other people’s lives. Practical implications The project indicates that community development may be a valid alternative to more traditional and more didactic approaches to alcohol harm reduction. Originality/value The project may provide an innovative and flexible model that could be applied in various communities in order to address alcohol misuse in an engaging and undogmatic fashion that helps people take more control of their own lives.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-04-26T08:04:15Z
      DOI: 10.1108/DAT-07-2017-0032
       
  • Introduction: cultivation, medication, activism and cannabis policy
    • First page: 73
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to introduce the special issue on Illicit Cannabis Cultivation in a Time of Policy Change. Design/methodology/approach The paper reviews some of the different adaptations made by cannabis growers in countries where cannabis has not been legalised. Findings Cannabis growers are adjusting to different legal settings by focusing on home production. Participation in cultivation is a crime, but can also be activism: an effort to change the law. Medical use of cannabis is a particularly important driver here. Having to break the law to alleviate symptoms and treat illnesses provides both a greater sense of urgency and a level of sympathy not usually granted to illicit drug users. Practical implications Grass-roots advocacy may drive policy change. Originality/value This is an original assessment of current state of knowledge on cannabis cultivation in countries where cannabis cultivation remains restricted.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-04T08:54:59Z
      DOI: 10.1108/DAT-03-2018-0014
       
  • The Belgian Cannabis Social Club landscape
    • First page: 80
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to map the presence of the Cannabis Social Club (CSC) model in Belgium since its emergence in the country and to analyze the inter-organizational relations among CSCs and between the CSCs and other supportive actors engaged in the wider cannabis movement. Design/methodology/approach This analysis draws on qualitative interviews (n=42) with directors of seven currently active and one former Belgian CSC(s), as well as with organizations or individuals reportedly collaborating with the Belgian CSCs. That data are complemented by fieldwork observations and a review of CSC internal documents. Findings Despite an uninterrupted presence in the country over the last decade, CSC presence in Belgium remains rather volatile and vulnerable to external control pressure. The CSC landscape is a somewhat segmented field as cooperation among CSCs remains limited. At the same time, the support base for the movement is diverse, encompassing different types of secondary organizations ranging from national and international advocacy groups, to cannabis industry entrepreneurs and other consultants. Originality/value This paper contributes to the yet limited body of knowledge on CSCs, by providing a first comprehensive overview of the presence of CSCs in one of the key settings associated with the model, by shedding light into the interplay between CSCs, and between other organizations supportive of the cannabis movement.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-04-24T08:16:51Z
      DOI: 10.1108/DAT-09-2017-0051
       
  • Policy analysis and implications of establishing the Caribbean Cannabis
           Economy (CCE): lessons from Jamaica
    • First page: 99
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to explore the effects of legislative amendments to the Dangerous Drugs Act in 2015 and the establishment of a Cannabis Licensing Authority (CLA) in Jamaica as the first Caribbean country to decriminalize cannabis and attempt to establish a medical cannabis industry. The research also attempts to understand the perception of key industry players and interest groups to the existing regulatory framework in Jamaica. Design/methodology/approach The research reviews local and global trends, the developments in cannabis legislation and conducts questionnaires as well as semi-structured interviews to get feedback from key industry stakeholders and interest groups. Findings The findings suggest that there is a lack of confidence in the CLA in Jamaica, who are faced with the task of balancing the emerging medical cannabis industry and formalizing the existing illegal cannabis trade. There appears to be inconsistencies and lack of coordination between the associated ministries, departments and agencies. The CLA in Jamaica has established two separate cannabis models that appear to be incoherent in their approach to policy. On the one hand they are regulating cultivation, processing and supply, and on the other hand, the law remains unclear about the purchase or consumption of cannabis and its by-products. Practical implications Countries must learn from Jamaica’s experience if they wish to effectively establish a medical cannabis industry and legitimize existing illegal cannabis economic activities. These countries must ensure they tailor fit the approach of their CLAs to minimize any negative perception from industry players. Laws established to facilitate linkages from the cultivation to processing to packaging to transportation to retail must also include clear laws surrounding the purchase and consumption of cannabis. Jamaica has a far way to go and must continue to learn from other countries and states, for example, Holland, Spain and Uruguay, while at the same time learning from itself. Originality/value This paper is novel as it addresses the transition of the legislative process in Jamaica. It also serves as lesson for other countries that seek to engage in the development of their cannabis industries.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-04-26T07:57:35Z
      DOI: 10.1108/DAT-09-2017-0052
       
  • The German medical cannabis law of 2017
    • First page: 117
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to give a review on the developments leading to the 2017 law on the medical use of cannabis and cannabinoids in Germany, and to present the major advances arising from this law for the supply of patients with cannabis-based drugs and its major limitations. Design/methodology/approach This paper used an Analysis of the major political statements and documents as well as court decisions of the past 20 years, which can be regarded as the major steps of this development. Findings Since 1998, when dronabinol/THC was made available in Germany on prescription there have been continuous improvements of the access to cannabis-based medicines. The law of 2017, which made cannabis flowers available to patients on a doctor’s prescription and forced health insurers to pay for a treatment under certain circumstances was a major step. However, many patients, who profit from a treatment with cannabis still do not get access. Originality/value The German law on the medical use of cannabis and cannabinoids of 2017 is unique in its kind in the world. Compared to the legal framework in other countries it has several disadvantages, for example with regard to the high prices of cannabis flowers (€20-€25 per gram), and several advantages, for example with regard to the role of health insurers.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-23T07:41:13Z
      DOI: 10.1108/DAT-03-2018-0012
       
  • The war on some consumers of some drugs
    • First page: 123
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose As a prominent Cannabis Activist in the UK, the purpose of this paper is to articulate some thoughts on where activists should go next, to challenge stigmatising drug laws. Design/methodology/approach A personal narrative is interweaved with a drug policy discussion and views on how activists can best promote reform. Findings Activists ought to fight moral injustice by breaking unjust laws if necessary. This paper demonstrates how activists can develop regulatory models from the bottom up via cannabis clubs and the importance of talking to and educating the media. Originality/value The author has been researching the benefits of medicinal cannabis since 2001 and assists terminal cancer sufferers around the world. The author is also an accomplished Public Speaker on cannabis and wishes to use this platform to share experience and thoughts with fellow activists.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-08T08:01:45Z
      DOI: 10.1108/DAT-03-2018-0015
       
  • Being the change: charting Greg de Hoedt’s cannabis journey
    • First page: 126
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to document a leading UK cannabis activist’s efforts to bring about policy change and to convey his human story as a medical consumer. The paper contends that it is not enough to present evidence-based policies to effect change in drug policy, it is also vital to tell human stories, which people can relate to, in order to develop narratives which speak to people’s values. Design/methodology/approach An in depth, unstructured interview was conducted between Dr Melissa Bone and Cannabis Activist, Greg de Hoedt in December 2017. The interview was recorded, transcribed and formed the basis of the paper, which was co-edited and co-created by both authors. Findings The paper charts Greg’s journey from being a cannabis consumer – to being diagnosed with Crohn’s – to being a cannabis activist. The paper interweaves a drug policy discussion with a personal narrative. It connects unique insights into Greg’s life with the broader forces and institutions which influence cannabis policy at a local, national and international level. Originality/value Incorporating Greg’s personal narrative within an academic platform integrates his experiential knowledge into the “expert” evidence base. Alongside the potential of personal narratives to facilitate the production of knowledge, Greg’s emotive story could help to shape the public’s perception of cannabis, which could subsequently influence policy.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-02T01:15:31Z
      DOI: 10.1108/DAT-01-2018-0001
       
  • My 28-year journey with cannabis: from terminal disease to
           post-pharmaceutical healing
    • First page: 137
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to convey the experience of medical cannabis users and growers in the UK. Design/methodology/approach Biography and personal ethnograpy. Findings Medical cannabis users are forced into cultivating their own medicine. Research limitations/implications Single case study. Practical implications There is an urgent need for policy change to enable medical cannabis users to access their medication easily and affordably. Social implications A rising number of people are denied their constitutional right to health by a misguided policy. Originality/value This study fills a major gap in the literature on medical cannabis growers.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-14T02:25:44Z
      DOI: 10.1108/DAT-08-2017-0042
       
  • Tales of the Frenchfry: on Cannabis and uphill battles
    • First page: 147
      Abstract: Drugs and Alcohol Today, Ahead of Print.
      Purpose The purpose of this paper is to disclose the author’s personal experiences regarding the war on drugs, specifically detailing cannabis encounters. Design/methodology/approach This work is autobiographical, with notes of science-based fact. Findings Cannabis could be the gateway to the end of the war on drugs. Social implications The hope for this publication is to explain the some of the types of hardship faced that has led millions of people to seek alternative therapies, and cannabis, in particular. The author’s hope is that by sharing the author’s personal story, people will rally behind the cause of cannabis legalisation and legitimisation; resources are included at the bottom of the document. Originality/value It is the author’s story, so hopefully it is original.
      Citation: Drugs and Alcohol Today
      PubDate: 2018-05-16T10:23:27Z
      DOI: 10.1108/DAT-02-2018-0005
       
 
 
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