Home > A new approach to formulating and appraising drug policy: a multi-criterion decision analysis applied to alcohol and cannabis regulation.

Rogeberg, Ole and Bergsvik, Daniel and Phillips, Laurence D and Van Amsterdam, Jan and Eastwood, Niamh and Henderson, Graeme and Lynskey, Michael T and Measham, Fiona and Ponton, Rhys and Rolles, Steve and Schlag, Ann Katrin and Taylor, Polly and Nutt, David . (2018) A new approach to formulating and appraising drug policy: a multi-criterion decision analysis applied to alcohol and cannabis regulation. Elsevier. International Journal of Drug Policy, 56 12 p. DOI: https://doi.org/10.1016/j.drugpo.2018.01.019

URL: http://www.ijdp.org/article/S0955-3959(18)30026-4/...


Background: Drug policy, whether for legal or illegal substances, is a controversial field that encompasses many complex issues. Policies can have effects on a myriad of outcomes and stakeholders differ in the outcomes they consider and value, while relevant knowledge on policy effects is dispersed across multiple research disciplines making integrated judgements difficult.

 

Methods: Experts on drug harms, addiction, criminology and drug policy were invited to a decision conference to develop a multi-criterion decision analysis (MCDA) model for appraising alternative regulatory regimes. Participants collectively defined regulatory regimes and identified outcome criteria reflecting ethical and normative concerns. For cannabis and alcohol separately, participants evaluated each regulatory regime on each criterion and weighted the criteria to provide summary scores for comparing different regimes.

 

Results: Four generic regulatory regimes were defined: absolute prohibition, decriminalisation, state control and free market. Participants also identified 27 relevant criteria which were organised into seven thematically related clusters. State control was the preferred regime for both alcohol and cannabis. The ranking of the regimes was robust to variations in the criterion-specific weights.

 

Conclusion: The MCDA process allowed the participants to deconstruct complex drug policy issues into a set of simpler judgements that led to consensus about the results.

Item Type:Evidence resource
Drug Type:Alcohol, Alcohol or other drugs in general, Cannabis
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Date:2018
Pages:12 p.
Publisher:Elsevier
Volume:56
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Cannabis / Marijuana
B Substances > Alcohol
J Health care, prevention and rehabilitation > Health services, substance use research
MP-MR Policy, planning, economics, work and social services > Policy > Policy on substance use
MP-MR Policy, planning, economics, work and social services > Policy > Policy on substance use > Prohibition (Substance use public policy)
MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation
VA Geographic area > International aspects

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