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Cannabis Social Clubs (CSCs) constitute a noncommercial model for the supply of cannabis among registered, adults users, which is present in several countries--including in Belgium. This analysis provides a first descriptive examination of a sample of Belgian CSC members' patterns of use and supply, as well as their sociodemographic features. According to a new voluntary survey of 190 Belgian CSC members, more than three quarters are male, Belgian, and more than half work full- or part-time. About 44% of respondents have completed university studies. Securing cannabis was the primary reason to adhere to a CSC, and most are (near-)daily users. Our results revealed that the CSC was the sole supplier for most respondents of cannabisproducing CSCs, who obtained almost exclusively (dried) herbal cannabis. The presence of (self-declared) medical users in our sample is noteworthy. This analysis advances our knowledge of the segment of the market served by this noncommercial model. [ABSTRACT FROM AUTHOR]

Community-Based Participatory Research (CBPR) is an effective strategy to promote action research regarding health and substance use issues. The London-based Centre for Ethnicity and Health's CBPR model was replicated in Belgium to study substance use and service utilisation in Bulgarian, Slovakian and Turkish communities in the city of Ghent. This article focuses on the implementation of the CBPR model, challenges and adaptions linked to the Belgian context. In this paper, we describe the study design and actors involved, namely (1) community organisations, (2) the community advisory board and (3) community researchers. Furthermore, we focus on the challenges and pitfalls of the CBPR method and its implications, including (1) community collaboration, (2) co-ethnic researchers, (3) characteristics of the respondents and (4) empowerment of the respective communities. We conclude by discussing potential pathways for future CBPR in the field of substance use and service utilisation among migrants and ethnic minorities. [ABSTRACT FROM AUTHOR]

Background Since the 1990s, a shift from the importation of foreign cannabis to domestic cultivation has taken place in Belgium, as it has in many other countries. This shift has prompted Belgian policy-making bodies to prioritize the repression of cannabis cultivation. Against this background, the article aims to systematically map and assess for the first time ever the harms associated with cannabis cultivation, covering the whole spectrum of growers. Methods This study is based on a web survey primarily targeting small-scale growers ( N = 1293) and on three interconnected sets of qualitative data on large-scale growers and traffickers (34 closed criminal proceedings, interviews with 32 criminal justice experts, and with 17 large-scale cannabis growers and three traffickers). The study relied on Greenfield and Paoli's (2013) harm assessment framework to identify the harms associated with cannabis cultivation and to assess the incidence, severity and causes of such harms. Results Cannabis cultivation has become endemic in Belgium. Despite that, it generates, for Belgium, limited harms of medium-low or medium priority. Large-scale growers tend to produce more harms than the small-scale ones. Virtually all the harms associated with cannabis cultivation are the result of the current criminalizing policies. Conclusions Given the spread of cannabis cultivation and Belgium's position in Europe, reducing the supply of cannabis does not appear to be a realistic policy objective. Given the limited harms generated, there is scarce scientific justification to prioritize cannabis cultivation in Belgian law enforcement strategies. As most harms are generated by large-scale growers, it is this category of cultivator, if any, which should be the focus of law enforcement repression. Given the policy origin of most harms, policy-makers should seek to develop policies likely to reduce such harms. At the same time, further research is needed to comparatively assess the harms associated with cannabis cultivation (and trafficking) with those arising from use. [ABSTRACT FROM AUTHOR]

Background Cannabis Social Clubs (CSCs) are private organizations or clubs of users that produce cannabis for non-profit distribution to adult members to meet their personal needs without having to turn to the black market. CSCs can be found in many countries, but the term often covers very different empirical realities. Inspired by the Spanish CSCs and similarly taking advantage of a grey area in the Belgian cannabis legislation, Belgian cannabis activists set up the first Belgian CSC in 2006, and there are now at least 5 Belgian CSCs. The paper's main objective is to analyse the (internal) strengths and weaknesses and the (external) opportunities and threats of the model, as it exists today. Methods The paper draws on a review of international literature and qualitative data on the Belgian cannabis social clubs. Field visits and interviews were conducted with each club. We analysed membership application forms, cultivation protocols and contracts with growers, cannabis ownership certificates of members, information leaflets, the clubs’ websites, and all media articles and documentaries on the clubs in the Belgian media. Results The paper describes the membership criteria and house rules, the members’ profile, the organization and protocols for cannabis production, the distribution of cannabis through ‘exchange fairs’, the administrative features of the clubs and their contacts with other CSCs and with local authorities, the drug sector and the media. Belgian CSCs seem not profit-driven, and operate as a system in which cannabis is not too easily available. The clubs have fairly direct control over the quality and the potency of the cannabis they distribute. The model offers important potential opportunities, in terms of economic advantages and monitoring consumption patterns. The main threats to Belgian CSCs consist of attempts to criminalize the model, the emergence of profit-driven clubs and systemic violence from criminal entrepreneurs. Weaknesses of the model relate to the unstable or transient nature of the clubs, the transparency of their operational procedures, the superficiality of their quality control strategies, and the risk of morphing into marketing enterprises. Conclusions The CSC model could be a safe and feasible option for policymakers to move a meaningful distance along the spectrum towards legally regulated cannabis markets without crossing over to full commercial availability. Governmental regulation could convert weaknesses and threats to the model into strengths and opportunities to ensure best practice. If authorities refrain from action, the model might dilute and evolve in a similar way as the Spanish CSCs did recently, with the establishment of large, commercial clubs. [ABSTRACT FROM AUTHOR]

Aims: This study describes the amounts and effects of drug use in bar and club sex work, and the use of healthcare for the drug-related needs of sex workers (SW). Methods: A cross-sectional study was carried out in Belgium. In a quantitative component, 120 bar and club SW were interviewed face-to-face by means of a semi-structured questionnaire. In a qualitative component, 25 SW were interviewed face-to-face and 5 focus group discussions with key actors professionally involved with the study's subject were conducted. Findings: Many bar and club SW drink frequently alcohol and engage in heavy drinking. Illegal drugs such as cannabis, cocaine and benzodiazepines are also frequently used. The drug use often involves poly or combined drug use. More than one-third experienced a certain degree of dependence on a product and many experienced effects from drug use on their sex work. The study shows that SW have difficulties accessing drug-related healthcare. Conclusions: SW use often legal and illegal drugs. The prevalence and influence of drug use among bar and club SW illustrates the need for drug and sex work related healthcare. Distribution of more information about the risks of drug use, the possible negative effects, and the available drug-related healthcare is needed. [ABSTRACT FROM AUTHOR]

Aims: 'Evidence-based policy' proposes that policy makers should be informed by scientists, so that policy will reflect accurate factual knowledge rather than political biases. Unfortunately, the science-policy nexus is much more complicated, especially in a heavily politicized domain. This article aims to understand the complex relationship between policy and science in the drug field in a more meaningful manner. Methods: Using the Belgian drug policy debate (1996-2003) as a case study, we critically explore the role of (scientific) knowledge in this debate. The methodology consists of a discourse analysis of submissions, hearings and parliamentary/government reports. Findings: An examination of how scientific knowledge was used in policy documents has demonstrated rather strong utilization. However, utilization was often subordinate to the complexity of the policy-making process involving not only scientific knowledge but also interests, electoral ambitions, etc. Likewise, scientific knowledge was also shaped and distorted by conflicting values and interests. Conclusion: Consistent with the models of knowledge utilization, scientific knowledge has been just one element in the policy making process characterized above all by competing values and interests. The principle of 'evidence-based' policy clearly faces significant challenges and therefore becomes a delicate balancing act between ideal and reality. [ABSTRACT FROM AUTHOR]

Research on cannabis cultivation has identified several factors associated with a grower's likelihood of detection by law enforcement. However, these studies are difficult to compare, as they drew from different data sources and methods, and have focused on only one geographical location. This article revisits the issue of detection using a large sample of cannabis cultivators recruited in three countries: Belgium ( n = 659), Denmark ( n = 560) and Finland ( n = 1296). Respondents were recruited in the context of a self-reported online survey conducted successively in each country between 2006 and 2008. Multivariate analyses suggest several country-specific similarities and differences. Importantly, the Finnish growers reported being arrested significantly more often than Belgians or Danes. The probability that Finnish growers would be arrested increased with time spent on growing, the size of the cultivation site and when respondents did not work alone. In Denmark, the risks increased with the size of the cultivation-related network, but decreased when respondents started growing later in life. In Belgium, no cultivation-related characteristics were associated with detection. The results indicate that the risks of apprehension for cannabis cultivation are typically country-specific. These findings are discussed in the context of country-specific policies in regards to cannabis. [ABSTRACT FROM AUTHOR]

The shift to (inter)regional production, trade, and domestic cultivation has become an irreversible international trend. Until now, the focus of most empirical work has been on large-scale, commercially-oriented and professionally-organized segments of the cannabis industry, often based on police data and on the perspective of law enforcement agencies. This article presents some significant findings from a large-scale study on a less visible and less studied segment of the market, i.e. small-scale cultivators, based on an anonymous web survey among 659 cannabis cultivators. The article discusses the patterns of cultivation, some technical aspects of growing operations, (dis)advantages of cannabis cultivation, and perceived quality and strength of homegrown cannabis. The author argues that small-scale or amateur home growers constitute a significant segment of the cannabis market, both in a quantitative and in a qualitative perspective, and points to important differences between this sample obtained online and those obtained through traditional methods in other studies. [ABSTRACT FROM AUTHOR]

Introduction and Aims. Qualitative data on local drug scenes in Belgium are scarce. As information on them remains limited to the official registration systems, the needs of a number of drug users are not taken into account. From a social scientific and policy point of view, there is a need for information on the experiences and the patterns of drug use. In this study, we have developed and tested a drugs and alcohol monitor for the city of Antwerp. Design and Methods. The Antwerp Drugs and Alcohol Monitor (ADAM) combines three qualitative methods: (i) in-depth interviews with 39 key informants; (ii) ethnographic fieldwork by four community fieldworkers; and (iii) ethnographic fieldwork by the researcher. This methodology is based on an analysis of national and international literature on drug-monitoring systems. Results. This paper presents an overview of the results of a pilot study in the city of Antwerp. The ADAM produces a detailed picture of the local drug issues (nature and extent of use, drug markets, quality of life, etc.) and thus offers the understanding that is required for a well-founded local drug policy. Discussion and Conclusions. Provided that repeated measurements are made, a local drug monitor can inform policymakers, treatment experts, etc. on developments and phenomena concerning drug use. However, the ADAM is a qualitative drug-monitoring system, and it must be emphasised that a combined monitor is more efficient. Indeed, a combination of qualitative and quantitative methods enhances the reliability of the results.[Tieberghien J, Decorte T. Antwerp Drugs and Alcohol Monitor: A Belgian local drug scene in the picture. Drug Alcohol Rev 2009] [ABSTRACT FROM AUTHOR]

The use of any drug involves both values and rules of conduct (social sanctions) and patterns of behavior (social rituals). Based on an ethnographic study (1996–1999) among 111 cocaine users from the metropolitan area of Antwerp (Belgium), the self-regulatory mechanisms surrounding the methods of controlling the quality of a drug are described. Users’ perceptions of reliable and unreliable sources of cocaine, quality and adulteration of cocaine and quality control techniques are confronted with objective information. It is argued that these informal control mechanisms may be crucial factors in the controlled use of any intoxicant, but myths are an important ingredient of the observed rituals, which indicates that knowledge about certain drugs and the best ways to use them in a safe way is still underdeveloped. Users are left to their own folk-experimental devices for testing tools or techniques, and many aspects of the natural processes of social learning are generally not based on objective information. Future harm reduction interventions should therefore also stimulate the development and dissemination of effective informal control mechanisms among illicit drug users.Copyright © 2001 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

The shift to (inter)regional production, trade and domestic cultivation has become an irreversible international trend. Until now, the focus of most empirical work has been on large-scale, commercially oriented and professionally organized segments of the cannabis industry, often based on police data and on the perspective of law enforcement agencies. This paper offers a review of recent Dutch-language research that focuses on cannabis cultivation. Empirical studies were identified through literature searches using relevant search terms and Web of Science, Elin, Social Science Research Network and Elsevier ScienceDirect. The paper presents the main findings of Dutch and Belgian empirical work on the factors that stimulated the import substitution process on the cannabis market, aspects related to quality and potency issues, typologies of cannabis growers, and (unintended) effects of pursued policies. In the light of this (selective) review the author offers some commentary and analysis concerning the claims made by different stakeholders, and concludes with some reflections on future research and on policy implications. The author outlines the importance of small-scale, independent or ideologically oriented cannabis cultivation as an under-researched market segment. The author also makes a case for greater toleration of small-scale cannabis cultivation, to secure the least worst of cannabis markets., (Copyright (c) 2010 Elsevier B.V. All rights reserved.)