This mapping report looking at the alternatives to coercive sanctions for low level drug offences, forms part of one of the strategic priorities identified in the mid-term review of the National Drug Strategy established in 2017.

The recommendations made by the Citizens Assembly on Drugs Use (CADU), established by the Oireachtas in 2023, have also been key in shifting the state’s approach towards promoting alternatives to coercive sanction for drug use. Recommendation 17 of the CADU report specifically says ‘The State should introduce a comprehensive health-led response to possession of drugs for personal use’.1 Criminalisation of drug possession has shown to be ineffective in reducing drug use while concurrently causing harm to individuals and society and placing continual pressure on justice system resources. In Ireland, drug possession continues to make up a significant proportion of drug related crime, and the Rooney report highlights that “significant rates of offending behaviour amongst the sample were reportedly linked to both Drugs (48%) and Alcohol Misuse (53%)”.2

Alternatives to coercive sanctions on the other hand have shown promising evidence in their ability to reduce drug use and lower reoffending rates.3 As outlined in the European Commission study on ACS, despite the need for more robust evidence in the European context, “a study conducted in Austria, Germany, Italy, Switzerland and the UK found that quasi-compulsory treatment through the criminal justice system was effective in reducing crime” and “overall studies have found evidence that ACS can help reduce levels of substance use”.4 In order to identify local ACS across Ireland, we carried out a survey disseminated to relevant professionals in the sector and held follow-up remote in-depth interviews with several of them, to gain an understanding of specific existing initiatives as well as gaining insight into the appetite for different types of ACS across stakeholders. We found a total of nine relevant initiatives spanning across diverse types of ACS, including; The Garda Adult Caution Scheme, diversionary measures, The Dublin Drug Treatment Courts (DDTC), and drug treatment programmes with various criminal justice referral pathways into them. Some of these programmes have been operating for various lengths of time with the year they were established ranging from 2001 to 2023.