Substance Abuse & the Law Flashcards

1
Q

Why was there a need for drug use to be controlled

A

-Pre 1916 drug use was hardly controlled- coca cola contained cocaine.

-Drugs used by troops in the First World War started to grow concern

-Department stores, including Harrods, sold kits containing syringes, needles, and tubes of cocaine and heroin.
Promoted as a present for friends on the frontline – to make life in the trenches more bearable and alleviate the horrors of war.

1926- non-medical drug distribution and use was criminalised…..
But these drugs were available to ‘addicts’ through doctors

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2
Q

When was the misuse of drugs act introduced?

A

Pre 1926 -1961- ‘Rolleston Era’- understood as the golden era of drug use.

1961- UN Single Convention
on Narcotic Drugs- worlwide agreement of categorising ‘Narcotics’ - To become a member of the UN- you had to ban certain drugs.

1964- Drugs (Regulation of Misuse) Act

1971- Misuse of Drugs Act (from the US convention of psychotropic substances)

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3
Q

What did the MISUSE OF DRUGS ACT 1971 entail

A

The primary legislative framework for drug control in the UK

  • Controls drugs that are ‘dangerous or otherwise harmful’ and is routinely amended when drugs are added/reclassified
  • Three tiers of classification
  • Class A: E.g. Heroin, cocaine, LSD, MDMA
  • Class B: E.g. Cannabis, ketamine, oral amphetamines
  • Class C: E.g. Most benzodiazepines, tramadol, gabapentinoids
  • Used to assign penalties based on the associated harms
  • Drugs can be classed by name or structural features
    Useful for catching a wide range of substances….
    ….But can be difficult to interpret
  • E.g. December 2016s ‘third generation’ synthetic cannabinoid definitions
  • long definiitions that are difficult to interpret
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4
Q

How did prosecution occur based on the MISUSE OF DRUGS ACT 1971

A

-Summary: plead guilty
- indictment: plead not guilty and are found guilty

  1. Offence: Production, supply, possession with intent to supply

Summary:
class A: 12 months and/or fine
class B: 12 months and/or fine
Class C: 3 months and/or fine

Indictment:
class A: Life and/or fine
class B: 14 years and/or fine
Class C: 14 years and fine

  1. Offence: Possession

Summary:
class A: 12 months or fine
class B: 3 months and fine
class C: 3 Months and fine

Indictment:
class A: 7 years and fine
class B: 5 years and fine
class C: 2 years and fine

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5
Q

what do the ‘MISUSE OF DRUGS REGULATIONS’ aim to achieve? (Part of 1971, drugs of misuse act)

A

Allow for the legal supply and possession of controlled drugs for legitimate purposes

MISUSE OF DRUGS REGULATIONS- classification of drugs for their medicinal use

Schedule 1
* Most stringently controlled
* Have no medical use
* E.g. LSD, heroin, MDMA

Schedule 2 & 3
* Have medicinal use but deemed highly addictive
* An offence to be in possession of Sch. 2 & 3 compounds without a prescription
* Schedule 2 E.g. Methadone, morphine, cocaine
* Schedule 3 E.g. Buprenorphine, midazolam, tramadol

Schedule 4 * Prescription requirements do not apply
* Not subject to safe custody requirements
* E.g. Clobazam, steroids, Z-drugs.

Schedule 5 * Exempt from almost all requirements imposed on controlled drugs
* Preparations can contain higher scheduled drugs (e.g. morphine) but at sufficiently low
concentrations

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6
Q

For which drug was the scheduling changed in 2014

A

The scheduling of Tramadol was changed from schedule 4 to 3-

  • Motivated by the increasing
    number of deaths
    attributable to tramadol
  • Valid prescription required
  • Prescription not repeatable
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7
Q

why were Temporary Class drug orders introduced

A

In the mid 2010’s Temporary class drug orders were introduced because of increasing compounds which were classified as ‘legal highs’ -

because based on the act before, a specific structure and nameed drug was considered illegal.

To be assigned as Class A,
B or C substances, harms
evidence needs to be
gathered – this takes time

-Introduced in 2011 by
amending the MoDA
- TCDOs last up to 12 months ( this is a faster way of controlling drug if not all of the evidence is gathered.

Classed as ‘controlled’
under the MoDA with all
offences apart from
possession (although if found in possession can be seized)

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8
Q

what was the problem with TCDO’s and what act was introduced as a result:

A

To apply for a TCDO you
need to know what the
drug is and have some
evidence to its harms

Legal highs are a constantly evolving market

Thus, the ‘PSYCHOACTIVE SUBSTANCES ACT’ was introduced-
ADV- Automatically controls all
substances until they are
specifically exempt

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9
Q

How does the prosecution occur based for the 2016- Psychosubstances Act

A

Summary:
Possession- NOT OFFENCE

and/ custodial institution/ intent to supply/production/importation & exportation
– up to 12 months and/or fine

Indictment:
Possession- NOT OFFENCE
Possession, and/ custodial institution/ intent to supply/production/importation & exportation

2- 7 years and fine

PSA& TCDOS: Personal Possession in not punished

Possesion in custodial institution
PSA: YES
TCDOs: NO

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10
Q

What were the positive and negatives of the introduction of the Psychoactive substances Act

A

Positive effects:
1. Cost of the drugs increases (drug use becomes less prevalent)

  1. More headshops were shut
  2. Decrease in the incidence of its use amongst the population
  3. The no. prosecutions for production and manufacture increased

Negative effects:
1. Increased use in prisons as they are hard to detect

  1. Increased diversity of substances
  2. Increased trafficking of the substance ( you only need small amounts - you can dilute it- more potent and deadly
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11
Q

Describe the stats associated with the intro of the psychosubstances act

A

-With the introduction of the 2016 psychosubstances act, there was a decrease in the overall number of deaths but amongst the people that use drugs, the number of deaths increased.

-there was increased use of opioids and hallucinogens . But an increase in the use of synthetic cannabinoids, anxiolytics and stimulants.

amongst 15-24 and the introduction of the act reduced the number of cases amongst middle class (measured by cases reports in each deprivation decile)

  • arguably this act only benifeted a certain class and did not reduce
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12
Q

Nitrious oxide

A

-dilates blood vessels
-increased blood flow to the head
- is it psychoactive?

  • possession is not criminalised, intent to supply and manufacture is criminalised
  • examples of cases where it has been criminalised in the instance where prosecution occurred because the NO was not manfufacture to medically safe standard
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13
Q

How does China influenence drug use trends in the UK

A

when drugs were banned in china, a pattern followed whereby the drug dissapered from the UK market.

eg. Spike in fentanyl related deaths in China, Fentanyl was banned. Fentanyl related deaths dropped in UK as well as worldwide.

why? China has relies on the old uk system whereby a drug is banned if there is enough evidence to support this ban. So Chinese labs are synthesising these novel synthetic drugs that are misused.

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14
Q

Drug driving

A

Prior to 2015 there were lower than desired conviction rates for driving whilst impaired by
drugs
* 2012: 80% drug-driving conviction rate vs 96% for drink-driving
* Thought to be because prosecution had to prove:
* Driver was impaired
* Impairment was due to drugs (difficult to prove)
* Whilst for drink driving merely demonstrating the driver over the limit was sufficient: 35ml/100ml - breath, 80/100 ml blood.

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15
Q

What were improvement in laws for drug-driving

A

March 2015 tissue limits were introduced for:

8- medicinal drugs
8 illegal drugs

  • At any time, the police can make drivers do a field impairment assessment and a roadside
    substance test:
  • Alcohol
  • Cocaine
  • Cannabis
  • If you test positive for the above, or they suspect a different substance, you will be arrested
    and taken for a blood and urine test
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16
Q

What is the difference between decriminalisation and legalisation

A

Decriminalising is the softening of criminal penalties for doing
something
* Still technically illegal, but certain criteria must be met for prosecution

  • Legalisation is the complete removal of criminal penalties
  • Challenging if you are a UN member state (1961 Single Convention on
    Narcotic Drugs and the 1971 Convention on Psychotropic Substances)

In the Netherlands: Technically illegal (Opium Act 1919 and
1950), but no longer prosecuted (there are
criteria you need to meet)

In Portugal: Possession and delaing are technically illegal, but now dealt with as an administrative offence by the ‘Commission
for the Dissuasion of Drug Addiction’
* You will not face prison
* Dealing still prosecuted

17
Q

DECRIMINALISATION IN PORTUGAL

A

Portugal changed how drug use was dealt with due to their 2001 HIV crisis
* Commonly misconstrued that all drugs are legal – they are illegal, but personal
possession is an administrative offence rather than criminal (possession with intent to
distribute is still prosecuted)
* Seen as a health problem with those found in possession of illegal drugs managed by
the ‘Commission for the Dissuasion of Drug Addiction’
* Focus is on harm reduction, treatment, and rehabilitation

Portugal -30 deaths
UK - 3108 deaths
4 deaths per million 74 deaths per million

18
Q

what cases put lots of pressure on the UK in DECRIMINALISATION OF CANNABIS IN THE UK

A

Alfie Dingley: severe epileptic seizures every week, frequency and
quantity of IV steroids required likely eventually lethal, 2017 moved
to Netherlands and successfully treated (no seizure for 42 days)
with CBD oil containing THC, fought for years to obtain NHS
prescription and eventually given a licence.

  • Billy Caldwell: autistic with thousands of epileptic seizures a month,
    cannabis oil helped in Canada and local UK GP prescribed it, but
    faced charges of gross medical conduct as a result thus stopped.
    Mother attempted to import it, but it was confiscated. Hospitalised
    with status epilepticus and ventilated. Eventually permitted to have
    the medication, but it can only be administered in Belfast (requiring
    two four-hour round trips, twice a day
19
Q

DECRIMINALISATION OF CANNABIS IN THE UK

A

Cannabis Class B under the Misuse of Drugs Act 1971 (moved from Class C in 2009)
* 1st November 2018: Some cannabis-derived medicinal products
moved from Misuse of Drugs Regulations 2001 Schedule 1 to Schedule 2

But most remain unlicensed
(and just in case you were wondering: ‘The government has absolutely no plans to legalise cannabis. Recreational use of cannabis
will remain illegal and the penalties for unauthorised supply and possession will remain unchanged’ (UK Home Office, 2018).