Drug use in Europe has been expanding over the past three decades. More people experiment with illicit drugs and more people become regular users, with all the problems this entails for already strained national health systems.
There are thus suggestions, at the European level, that drug policies have failed to contain a widespread problem.
Sweden is a notable exception.
- Drug use levels among students are lower than in the early 1970s.
- Life-time prevalence and regular illicit drug use among students are considerably lower than in the rest of Europe.
- Life-time prevalence and regular illicit drug use among the general population are considerably lower than in the rest of Europe.
- Drug abuse is ever decreasing in Sweden contrary to the European trend.
Towards a drug-free society: Cornerstones of Sweden’s successful illicit drug policy
The Swedish vision
Swedish illicit drug control policy is guided by the vision and the ultimate goal of achieving a drug-free society and the unequivocal re-jection of illicit drugs, their trafficking and abuse.
Swedish drug control policy is guided by solidarity with disadvantaged and vulnerable members of society.
People are entitled to a life of dignity and a society, which safe-guards health, prosperity, security and safety of the individual, family and community. Therefore the vision is that of a society free from illicit drugs.
Overriding task
The overriding task of Swedish drug policy is to prevent abuse.
Preventive measures shall strengthen the determination and ability of the individual to refrain from illicit drugs.
The Swedish context
In Sweden, society relies on four contextual factors for successful illicit drug policy:
- Distribution of prosperity:
Income inequalities, which often go hand-in-hand with criminal activities including illicit drug trafficking, are low.
International surveys show that the Swedish population is particularly health-conscious, therefore less prone to large-scale illicit drug use and inclined to lifestyle choices that promote health and well-being.
Unemployment is below the European average. This reduces the risks of substance abuse.
- Political commitment and political will:
There is widespread consensus across political parties, civil society, labour unions and the business sector on Sweden’s political commitment to a society free from illicit drugs.
Political leaders continuously express that political will to prevent and reduce harm caused by illicit drugs remains very strong from both the Parliament and the Government.
Some Cornerstones
The Swedish ANDT (Alcohol, Narcotics, Doping, Tobacco) Strategy, covering the years 2011 to 2015, was adopted by the Swedish Parliament in 2011. It stipulates five cornerstones:
- Restriction, not repression:
The Swedish approach to illicit drug policy has been restrictive but not repressive. The prison population rate (prisoners per 100.000 inhabitants) is 74, which is well below the median rate for western and southern Europe – which lies at 95.
The rate for The Netherlands is 100, a big discrepancy compared to Sweden, showing the effectiveness of the restriction not repression approach.
Children, young people and parents are particularly prioritised target groups. The Government allocated almost SEK 260 million a year for 2008, 2009 and 2010 for work against alcohol and other drugs.
- The best interest of the child
Protecting children against the harmful effects of alcohol, narcotic drugs, doping and tobacco, complex the Swedish government to the following targets:
- Fewer children born with harmful or disabling conditions caused by exposure to alcohol, illicit drugs, doping substances or tobacco.
- Appropriate support for children in families where abuse, mental illness or mental disability is present.
- Better knowledge of alcohol and tobacco marketing practices via digital media, and of the effect of digital marketing on consumption.
- Gradually reducing the number of children and young people who initiate the use of tobacco, illicit drugs or doping substances or begin drinking alcohol early.
- Reduced initiation of illicit drugs and doping abuse.
- Development of methods for deterring children and young people from starting to use tobacco products.
- Wider use of available, effective means of postponing alcohol debuts and reducing alcohol consumption.
- Emphasis on health promotion in schools.
- Greater participation by parents, non-governmental organisations and the business community in preventive work.
Up to 20% (ca. 400.000) of all children grow up in families with at least one parent with substance use problems
Interventions are offered to children living in families where one or both parents are addicted to either alcohol or narcotics in Swedish municipalities in different settings, often in cooperation with NGOs.
- Approx. 65% of the municipalities offer some group-based activities for these children.
- About 80% of municipalities reported interventions for families with addicted parents.
- 65% reported interventions for families where violence occurs.
- 55% reported interventions for families with parents with mental disorders .
A third cornerstone is the work with young people’s attitudes.
The Swedish Council for Information on Alcohol and Other Drugs (CAN) annually conducts national studies of the alcohol and drug habits of school children. The approach in Sweden today is that it is vital and necessary to convince every generation and keep the momentum going.
- National, representative surveys among school pupils of 9th grade are conducted annually since 1971 – one of the longest on-going surveys in the world.
- 2013 findings: historic lows in alcohol and tobacco use and stable level of illicit drug use
A fourth cornerstone is the systematic work with family support.
Increasing numbers of municipalities across Sweden report activities for parents in drug prevention work.
- In 2009: The Swedish government set up a national strategy for developing parental support. The aim of the strategy is to encourage local collaboration on support and assistance to parents in their parenting.
- Community Parent Education (COPE) is one of several prevention methods focused on parents, and the method was applied in about a third of the municipalities in 2011.
What civil society does
Civil society contribution to prevention and reduction of harm caused by narcotic drugs is an essential factor in the Swedish model. The IOGT-NTO movement in Sweden is one of the leading civil society actors to help prevent substance use in children and youth and to contribute to the work for prevention and reduction of harm caused by alcohol and other drugs.
Junis, our Swedish Member Organization working for child rights through alcohol prevention:
- Annual report mapping country-wide munici- pal support for children from families at risk:
- 91% of respondants report support activities for children from at-risk families
- 9% of municipalities do not offer any sup- port at all
- only 1.9% of children are reached by the support they need and have a right to
IOGT-NTO:
- Running of treatment center (Dagöholm) for treatment and rehabilitation
- Several Social Enterprises for former addicts to foster rehabilitation and reintegration
- Mutual help groups across the country
- Annual White Christmas (“Vit Jul”) campaign with the entire IOGT-NTO movement
NSF, the IOGT-NTO movement’s scout organization:
- Year-round, country-wide social inclusion activities for children and youth at risk
- Special non-formal education material: Safe Meetings
UNF, the Swedish Youth Temperance Association:
- Year-round, country-wide social inclusion activities for children and youth at risk
- Mutual help groups for youth
- A Better Leisure Life – campaign for more drug free environments for youth