Physicians call for health-first approach to drug policy in new position statement

4 December 2024

The Royal Australasian College of Physicians is calling for drug policy that puts people’s health first in its latest position statement ahead of the NSW Drug Summit.

The position statement focuses on the need to have a comprehensive approach to drug policy that is evidence-based and includes education, harm prevention and reduction, and treatment.

RACP President Professor Jennifer Martin says that all levels of Government need to listen to evidence-based advice that will actually improve health outcomes, address inequity and reduce harm.

“Government needs to address drug use from all angles – there is no one silver bullet that will fix the issue because as physicians, we know that a health-focused approach requires a comprehensive understanding of interconnecting issues.

“To prevent harmful use and educate people on the harm of drugs, Government needs to ensure that there are well-funded and accessible social supports to address childhood trauma, which is often a precursor to drug use.

“Government must also invest in drug and alcohol treatment services, ensuring that services provided are accessible and effective.

“Each of these elements – education, treatment, prevention and harm reduction – are necessary for effective policy that keeps patients safe and respects their dignity.

“To reduce the harm from drugs, the Government must consider decriminalisation to keep people from interacting with the justice system, which we know has long-lasting adverse impacts for individuals and communities.

“Evidence shows that criminalisation of drug use for personal possession does not improve any outcomes – not for people who use drugs, their families, and the community.

“Criminalisation also comes at a cost to taxpayers, who bear the burden of financing the criminal justice costs associated with drug-related and non-violent offenses.

“Aboriginal and Torres Strait Islander people and Māori peoples are disproportionally affected by harmful and punitive drug policies.

“Governments must be committed to meaningful engagement with priority populations, to ensure care is culturally appropriate, trauma informed and led by Aboriginal and Torres Strait Islander people and Māori peoples.

“As physicians, the role stigma plays in drug policy is not lost on us – the narrative that blames drug use on ‘individual failings’ is harmful and perpetuates stigma that makes it more difficult for people to seek the help they need.

“The way Government responds to drug use can either improve or perpetuate harmful stigmas – Government needs to take this in account when making laws and policies.

“The RACP supports a patient-first, comprehensive approach as the most effective solution for addressing the complex issues of drug-related harm for individuals, their families and communities.

“Australians will see healthier and safer communities when drug policy is addressed using a health lens – not a criminal one,” says Professor Jennifer Martin.

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