Harm reduction and cannabis social clubs: Exploring their true potential.

AIM: Cannabis Social Clubs (CSCs) seek to offer a community-based drug-policy strategy to efficiently reduce the risks associated with cannabis usage. But the actual mechanisms in place to achieve harm reduction have not yet been studied in depth. The goal of our ongoing research is to better understand what kinds of harm reduction practices exist in CSCs and how widespread they are. METHOD: For our study we selected 15 CSCs, all members of the Catalonian Federation of Cannabis Associations (CatFac). An on-line survey was designed to collect data on the organizational aspects of each CSC and to focus on the presence or the absence of harm-reduction practices. RESULTS: The studied sample had some significant gaps in providing information on risk and harm reduction, in offering health support services for general members and also in applying lab-tests on the actual cannabis being used at the CSC. DISCUSSION: In order to accomplish their role as harm prevention agents, CSCs need to address these specific gaps. Receiving support from innovative drug policies could be a key factor to actualize their harm-reduction potentialities. CONCLUSION: Further research on the relationship between organizational and structural factors defining the Clubs and their harm reduction practices must be conducted to encourage brand new strategies that support risk reduction within the CSCs.

Regulating Cannabis Social Clubs: A comparative analysis of legal and self-regulatory practices in Spain, Belgium and Uruguay.

BACKGROUND: Cannabis Social Clubs (CSCs) are a model of non-profit production and distribution of cannabis among a closed circuit of adult cannabis users. CSCs are now operating in several countries around the world, albeit under very different legal regimes and in different socio-political contexts. AIM: In this paper we describe and compare the legal framework and the self-regulatory practices of Cannabis Social Clubs in three countries (Spain, Belgium, and Uruguay). The objective of our comparative analysis is to investigate how CSCs operate in each of these countries. To foster discussions about how one might regulate CSCs to promote public health objectives, we conclude this paper with a discussion on the balance between adequate governmental control and self-regulatory competences of CSCs. METHODS: The data used for this analysis stem from independently conducted local studies by the authors in their countries. Although the particular designs of the studies differ, the data in all three countries was collected through similar data collection methods: analysis of (legal and other documents), field visits to the clubs, interviews with staff members, media content analysis. FINDINGS: We identified a number of similarities and differences among the CSCs' practices in the three countries. Formal registration as non-profit association seems to be a common standard among CSCs. We found nevertheless great variation in terms of the size of these organisations. Generally, only adult nationals and/or residents are able to join the CSCs, upon the payment of a membership fee. While production seems to be guided by consumption estimates of the members (Spain and Belgium) or by the legal framework (Uruguay), the thresholds applied by the clubs vary significantly across countries. Quality control practices remain an issue in the three settings studied here. The CSCs have developed different arrangements with regards to the distribution of cannabis to their members. CONCLUSIONS: By uncovering the current practices of CSCs in three key settings, this paper contributes to the understanding of the model, which has to some extent been shaped by the self-regulatory efforts of those involved on the ground. We suggest that some of these self-regulatory practices could be accommodated in future regulation in this area, while other aspects of the functioning of the CSCs may require more formal regulation and monitoring. Decisions on this model should also take into account the local context where the clubs have emerged. Finally, the integration of medical supply within this model warrants further attention.