ANCD Presentation - Indonesian

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    AUSTRALIAN NATIONAL

    COUNCIL ON DRUGS

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    ANCD Membership 2007-2010

    Chair: DR JOHN HERRON ANCD Chairperson

    Executive members: COMMISSIONER TONY NEGUS Australian Federal Police PROFESSOR MARGARET HAMILTON Former Chair, Multiple & Complex Needs Panel, VIC

    MR GARTH POPPLE Executive Director: We Help Ourselves, NSW

    A/PROF ROBERT ALI Director, Clinical Services: Drug & Alcohol Services Council, SA

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    ANCD Membership 2007-2010

    MR DAVID CROSBIE

    CEO, Mental Health Council of Australia, ACT MAGISTRATE JEFF LINDEN Magistrate, NSW

    PROFESSOR RICHARD MATTICK Director, National Drug & Alcohol Research Centre

    PROF TONI MAKKAI Dean, Arts and Social Sciences, Australian National University

    MR DAVID MCGRATHChair: Intergovernmental Committee on Drugs

    PROFESSOR IAN HICKIE Brain and Mind Institute

    MS SHEREE VERTIGANAustralian Secondary Principals Association

    MS TAMARA MACKEAN Centre for Aboriginal Medical and Dental Health, Uni of WA

    MS COURTNEY MORCOMBE Ernst & Young

    JOSEPHINE BAXTER Drug Free Australia

    A/PROF TED WILKES National Drug Research Institute, Curtin University

    DR DENNIS YOUNG

    Executive Director: Drug Arm, QLDAdvisors:

    Mr Simon Cotterell Department of Health & Ageing

    Supt Tony Biggin Victoria Police (Police Commissioners Committee Rep)

    Ms Donna Ah Chee - Central Australia Aboriginal Congress

    Mr Nick Heath - Hobart City Council

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    Advisory structure for the

    National Drug Strategy

    PRIME MINISTER

    AUSTRALIAN NATIONALCOUNCIL ON DRUGS

    ASIA PACIFIC DRUG

    ISSUES COMMITTEE

    MINISTERIAL COUNCIL ON DRUGSTRATEGY

    OF

    SUBSTANCE

    ANCD/IGCD JOINTEXECUTIVE

    NATIONAL INDIGENOUS DRUG

    AND ALCOHOL COMMITTEE

    INTERGOVERNMENTALCOMMITTEE ON DRUGS

    NATIONALEXPERT

    ADVISORYPANEL

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    www.ancd.org.au

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    Of Substance

    National Drug & Alcohol Magazine

    www.ofsubstance.org.au

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    Supply

    Reduction

    Demand

    Reduction

    Harm

    Reduction

    Australias

    National Drug StrategyHarm Minimisation

    Australias Response

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    Australian drug use trends

    National Drug Strategy Household Survey, 2007

    Drugs used in the past year, Australia, 1993-2007

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    Number of accidental deaths due to opioids among those

    aged 15 - 54 years (1988 2005) in Australia

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    Value of treatment purchase

    Rydell et al (1996)

    Program

    Focus

    Source

    country

    Interdiction

    Programs

    Domestic

    Enforcement

    Treatment

    Cost of reducingconsumption of drugsby 1% ($ million/year)

    783 366 246 34

    Cost relative totreatment

    23.0 10.8 7.3 1.0

    Provided by NDARC

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    HIV prevalence in injecting drug users

    World Health Organization Western Pacific Region

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    Return of NSP investment

    Total investments (2000-2009) = $243 million

    Estimated HIV cases prevented = 32,050

    Estimated HCV cases prevented = 96,667

    For every $1 invested in NSPs, $4 was saved in

    healthcare costs

    For every $1 invested in NSPs, $27 was saved

    in health care costs and lost productivity

    Commonwealth Department of Health and Ageing

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    PORTUGAL Case Study

    On July 1, 2001, a nationwide law in Portugal took effect that

    decriminalized all drugs, including cocaine and heroin. Under the

    new legal framework, all drugs were decriminalized, not

    legalized.

    Thus, drug possession for personal use and drug usage itself are

    still legally prohibited, but violations of those prohibitions are

    deemed to be exclusively administrative violations and are

    removed completely from the criminal realm. Drug trafficking

    continues to be prosecuted as a criminal offense.

    Ref: Cato Institute

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    Conclusion

    None of the fears of Portuguese decriminalization has come to fruition, whereasmany of the benefits predicted by drug policymakers have been realized.

    While drug addiction, usage, and associated pathologies continue to rise in many EUstates, those problems have been either contained or measurably improved withinPortugal since 2001.

    By removing the fear of prosecution and imprisonment for drug usage, Portugal has

    dramatically improved its ability to encourage drug addicts to avail themselves oftreatment. The resources that were previously devoted to prosecuting andimprisoning drug addicts are now available to provide treatment programs to addicts.

    Those developments, have dramatically improved drug related social ills, includingdrug-caused mortalities and drug-related disease transmission although it is noted

    that treatment is not voluntary.

    Drug policymakers in the Portuguese government are virtually unanimous in theirbelief that decriminalization has enabled a far more effective approach to managingPortugals addiction problems and other drug-related afflictions.

    Ref: Cato Institute

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    Australia Illicit Drug Diversion Initiative

    In Australia the number of people in prison has continued to rise.

    A significant proportion of prisoners have substance misuse and dependence

    problems that contributes to their criminal activity.

    The average annual cost for a prisoner ranges up to $80,000 per year

    The average annual cost for treatment in a residential rehabilitation centre is

    less than $30,000 per year,

    The average annual cost for non-residential treatment such as methadone

    and buprenorphine, counselling etc is even less

    In response to increasing international and national evidence on the benefits and

    effectiveness of treating offenders with drug use problems rather than imprisoning

    them in 1998 the Australian Government announced the National Illicit Drug

    Diversion Initiative as one of its major investments to address drug use

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    Police cautioningor apprehension

    Diversion

    (either court orcommunity based

    system)

    Drug education

    Treatment

    Non

    complianceAssessment

    Criminaljustice/court

    Partnerships between Law Enforcement, Health, Government & NGO

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    Diversion Initiative Details

    Participation in the Drug Diversion Initiative is not compulsory -offenders are given the option of appearing in court, or choosing toundergo assessment for the purposes of receiving treatment for theirdrug problem.

    If offenders choose to undergo assessment, the diversion processbecomes compulsory in order for them to expiate their offence. Thetreatment episode will not be more onerous than the equivalent courtobligations.

    The initiative is premised on drug users expiating their offence byengaging in treatment and rehabilitation as recommended by theirassessment. One effect of expiation is that often no criminal

    conviction is recorded for that particular offence.

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    Some Diversion Program Results

    The saving of 18,000 hours of police time, the saving of $400,000 in police costs

    and an estimated saving of $800,000 for local courts just from the CannabisCautioning Police Diversion Program in New South Wales. In just 3 years of

    operation;

    Participants in the NSW MERIT program (a court based diversion program)

    being far less likely to re-offend than those who did not complete the program;

    Conservative cost estimates of the NSW MERIT program suggested that more

    than twice the amount spent was saved;

    Queensland participants in the police illicit drug diversion program reporting

    increased employment and improved physical and mental health;

    Victorian Drug Court participants reporting full-time employment increasing

    from 11% to 25% after six months;

    South Australian Police Diversion participants reporting a 40% decline in drug

    related offending with similar declines being reported across the country.

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    Drug prevention strategies

    Drug prevention strategies: Drug prevention inthe family

    Drug prevention strategies: Drug prevention in

    the school setting

    Drug prevention strategies: Drug prevention inthe community

    http://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention

    http://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_family.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_family.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_school_.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_school_.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_communi.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_communi.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_preventionhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_preventionhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_communi.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_communi.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_school_.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_school_.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_family.htmlhttp://www.druginfo.adf.org.au/druginfo/fact_sheets/drug_prevention/drug_prevention_in_the_family.html
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    Barack Obama: Rolling Stone Interview

    "Anybody who sees the devastating impact of the drug trade in

    the inner cities, or the methamphetamine trade in ruralcommunities, knows that this is a huge problem. I believe inshifting the paradigm, shifting the model, so that we focus more

    on a public-health approach...

    The point is that if we're putting more money into education, intotreatment, into prevention and reducing the demand side, thenthe ways that we operate on the criminal side can shift. I would

    start with nonviolent, first-time drug offenders. The notion that weare imposing felonies on them or sending them to prison, where

    they are getting advanced degrees in criminality, instead ofthinking about ways like drug courts that can get them back on

    track in their lives it's expensive, it's counterproductive, and itdoesn't make sense.

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    Albert Einstein

    "Any intelligent fool can make things bigger, morecomplex, and more violent. It takes a touch ofgenius -- and a lot of courage -- to move in the

    opposite direction."

    Confucian Proverb

    Insanity is doing the same thing in the same way

    and expecting a different outcome

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    THANK YOU

    www.ancd.org.au

    http://www.ancd.org.au/http://www.ancd.org.au/