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Drug and Alcohol Addictions, Sexual Exploitation and Poverty

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Action on Poverty in the UK

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Abstract

This chapter outlines how drug and alcohol addictions can lead to crime victimisation, crime offending, debt and poverty. This chapter explores the interface between addictions, sexual exploitation and poverty, with a focus on the harms experienced by being addicted to alcohol and drugs. A gendered lens is applied to appreciate the additional challenges and inequalities faced by women with addictions. Whilst this chapter does not focus on county lines, it does consider how the most vulnerable in society are targets for county-lines and stigmatised through current and historic drugs policy. We advocate for a holistic and trauma informed approach to addressing addictions in the UK and that policy be revisited to be more gender informed.

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References

  • Abbott, M. W. (2020). Gambling and gambling related harm: Recent World Health Organization initiatives. Public Health, 184, 56–59.

    Article  Google Scholar 

  • Addison, M. (2023). Framing stigma as an avoidable social harm that widens inequality. The Sociological Review, 71(2), 296–314.

    Google Scholar 

  • Addison, M., Stockdale, K., McGovern, W., McKinnon, I., Crowe, L., Hogan, L., & Kaner, E. (2017). Exploring intersection between Novel Psychoactive Substances (NPS) and other substance use in a police custody suit setting in the North East of England. Drugs, Education, Prevention and Policy, 25(4), 313–319.

    Article  Google Scholar 

  • Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination and the health of illicit drug users. Drug and Alcohol Dependence, 88(2–3), 188–196. https://doi.org/10.1016/j.drugalcdep.2006.10.014

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). American Psychiatric Publishing.

    Book  Google Scholar 

  • Andersson, C., Wincup, E., Best, D., & Irving, J. (2021). Gender and recovery pathways in the UK. Drugs: Education Prevention and Policy, 28(5), 454–464. https://doi.org/10.1080/09687637.2020.1852180

    Article  Google Scholar 

  • Barry, A.-M., & Yuill, C. (2012). Understanding the sociology of health (3rd ed). Sage.

    Google Scholar 

  • Becker, H. S. (1963). Outsiders: Studies in the sociology of deviance. Free Press.

    Google Scholar 

  • Berridge, K. C. (2022). Is addiction a brain disease? In Evaluating the brain disease model of addiction (pp. 74–86). https://doi.org/10.4324/9781003032762-8

  • Best, D. (2019). Pathways to recovery and desistance: The role of social contagion of hope. Policy Press.

    Book  Google Scholar 

  • Birtel, M. D., Wood, L., & Kempa, N. J. (2017). Stigma and social support in substance abuse: Implications for mental health and well-being. Psychiatry Research, 252, 1–8. https://doi.org/10.1016/j.psychres.2017.01.097

  • Black, C. (2020) Independent report: Review of drugs: summary. Home Office. https://www.gov.uk/government/publications/review-of-drugs-phase-one-report/review-of-drugs-summary. Accessed 15 April 2023.

  • Boreham, M., Marlow, S., & Gilchrist, G. (2019). That warm feeling that [alcohol] gave me what I interpreted to be love would feel like’ Lived experience of excessive alcohol use and care proceedings by mothers in the family justice system in the UK. Addictive Behaviours, 92, 186–193.

    Article  Google Scholar 

  • Carlen, P. (1988). Women, Crime and Poverty. Open University Press.

    Google Scholar 

  • Christie, E. (2017). Better care for people with co-occurring mental health and alcohol/drug use conditions a guide for commissioners and service providers. Public Health England Gov UK. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/625809/Co-occurring_mental_health_and_alcohol_drug_use_conditions.pdf. Accessed 29 April 2023.

  • Clark, T. W. (2022). Causal responsibility for addiction. Addictive Behaviours, 130, 107292–10729. https://doi.org/10.1016/j.addbeh.2022.107292

  • Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three approaches to understanding and classifying mental disorder: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest, 18(2), 72–145.

    Article  Google Scholar 

  • Connor, J. (2017). Alcohol consumption as a cause of cancer. Addiction (Abingdon, England), 112(2), 222–228. https://doi.org/10.1111/add.13477

  • Crisp, A. H., Gelder, M. G., Rix, S., Meltzer, H. I., & Rowlands, O. J. (2000). Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177(1), 4–7. https://doi.org/10.1192/bjp.177.1.4

  • De Vocht, F., Heron, J., Campbell, R., Egan, M., Mooney, D., Angus, C., Brennan, A., & Hickman, M. (2017). Testing the impact of local alcohol licencing policies on reported crime rates in England. Journal of Epidemiology Community Health, 71, 137–145.

    Article  Google Scholar 

  • Department of Health. (2002). Mental health policy implementation guide: Dual diagnosis. A good practice guide. https://webarchive.nationalarchives.gov.uk/ukgwa/+/www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandguidance/dh_4009058

  • Department of Health. (2008). Refocusing the care programme approach: Policy and positive practice guidance. https://proceduresonline.com/trixcms/media/1116/refocusing-the-care-programme-approach.pdf

  • Department of Health and Ministry of Justice. (2009). A guide for the management of dual diagnosis for prisons. https://lx.iriss.org.uk/sites/default/files/resources/DualDiagnosisPrisons.pdf

  • Everitt, B. J., & Robbins, T. W. (2016). Drug addiction: Updating actions to habits to compulsions ten years on. Annual Review of Psychology, 67(1), 23–50. https://doi.org/10.1146/annurev-psych-122414-033457

  • Gilmore, I., & Sheron, N. (2007). Reducing the harms of alcohol in the UK. BMJ, 335(7633), 1271–1272. https://doi.org/10.1136/bmj.39426.523715.80

  • Groenkjaer, M., de Crespigny, C., Liu, D., Moss, J., Cairney, I., Lee, D., Procter, N., & Galletly, C. (2017). “The chicken or the egg”: Barriers and facilitators to collaborative care for people with comorbidity in a metropolitan region of South Australia. Issues in Mental Health Nursing, 38(1), 18–24. https://doi.org/10.1080/01612840.2016.1233596

    Article  Google Scholar 

  • Grover, C. (2008). Crime and inequality. Willian Publishing.

    Google Scholar 

  • Gould, A. (2001). Drugs and drug misuse. In M. May, R. Page, & E. Brunsdon (Eds.). Understanding social problems: Issues in social policy (pp. 16–30). Blackwell Publishers.

    Google Scholar 

  • Hartwell, S. (2004). Triple stigma: Persons with mental illness and substance abuse problems in the criminal justice system. Criminal Justice Policy Review, 15(1), 84–99. https://doi.org/10.1177/0887403403255064

  • Havard, T. E., Densley, J. A., Whittaker, A., & Wills, J. (2021). Street gangs and coercive control: The gendered exploitation of young women and girls in county lines. Criminology & Criminal Justice, 23(3). https://doi.org/10.1177/17488958211051513

  • Hayhurst, K. P., Pierce, M., Hickman, M., Seddon, T., Dunne, G., Keane, J., & Millar, T. (2017). Pathways through opiate use and offending: A systematic review. International Journal of Drug Policy, 39, 1–13.

    Google Scholar 

  • Heidensohn, F. M. (1991). Women as perpetrators and victims of crime: A sociological perspective. The British Journal of Psychiatry. Cambridge University Press, 158(S10), 50–54. https://doi.org/10.1192/S000712500029199X

    Article  Google Scholar 

  • Hill, D., Penson, B., & Charura, D. (2016). Working with dual diagnosis: A psychosocial perspective. Palgrave Macmillan.

    Book  Google Scholar 

  • HM Government. (2010). Drug strategy 2010 reducing demand, restricting supply, building recovery: Supporting people to live a drug free life. ISBN 978-1-84987-388-8. https://www.gov.uk/government/publications/drug-strategy-2010

  • HM Government. (2021). From harm to hope; a 10-year drugs plan to cut crime and save lives. Available at: https://www.gov.uk/government/publications/from-harm-to-hope-a-10-year-drugs-plan-to-cut-crime-and-save-lives. Accessed 1 January 2023.

  • Holland, A., Stevens, A., Harris, M., Lewer, D., Sumnall, H., Stewart, D., Gilvarry, E., Wiseman, A., Howkins, J., McManus, J., Shorter, G. W., Nicholls, J., Scott, J., Thomas, K., Reid, L., Day, E., Horsley, J., Measham, F., Rae, M., … Hickman, M. (2022). Analysis of the UK Government’s 10-year drugs strategy—A resource for practitioners and policymakers. Journal of Public Health, fdac114. https://doi.org/10.1093/pubmed/fdac114

  • Jeal, N., MacLeod, J., Salisbury, C., & Turner, K. (2017). Identifying possible reasons why female street sex workers have poor drug treatment outcomes: A qualitative study. BMJ Open, 7(3), e013018.

    Google Scholar 

  • Jeal, N., & Salisbury, C. (2004). A health needs assessment of street-based prostitutes: Cross-sectional survey. Journal of Public Health, 26(2), 147–151.

    Article  Google Scholar 

  • Lamb, H., & Weinberger, L. (1998). Persons with severe mental illness in jails and prisons: A review. Journal of Clinical Forensic Medicine, 5(4), 213–213. https://doi.org/10.1016/S1353-1131(98)90139-0

  • Lewis, M. (2022). Brain change in addiction: Disease or learning? In Evaluating the brain disease model of addiction (pp. 196–202). https://doi.org/10.4324/9781003032762-22

  • Licensing Act. (2003). Available at: http://www.legislation.gov.uk/ukpga/2003/17/contents/enacted. Accessed 12 April 2018. Archived at: http://www.webcitation.org/6ycRvITu8on. 12 April 2018.

  • Lightowlers, C., Pina-Sánchez, J., & McLaughlin, F. (2023). The role of deprivation and alcohol availability in shaping trends in violent crime. European Journal of Criminology, 20(2), 738–757. https://doi.org/10.1177/14773708211036081

  • McCormack, F., & Fedorowicz, S. (2023). Women, homelessness and multiple disadvantage in Stoke-on-Trent: The need for safe places in the context of wider health and social inequalities. Local Economy. Special Issue: - Post Conference Special Issue. ‘Action on Poverty and Hardship in the Potteries’

    Google Scholar 

  • McGuire, J., Evans, E., & Kane, E. (2021). Policing the night-time economy: A systematic review of evidence-based practice. In J. McGuire, E. Evans & E. Kane (Eds.). Evidence-based policing and community crime prevention. Advances in preventing and treating violence and aggression (pp. 27–60). Springer. https://doi.org/10.1007/978-3-030-76363-3_2

  • Ness, O., Borg, M., & Davidson, L. (2014). Facilitators and barriers in dual recovery: A literature review of first-person perspectives. Advances in Dual Diagnosis, 7(3), 107–117. https://doi.org/10.1108/ADD-02-2014-0007

  • Nicholls, J. (2015). Public health and alcohol licensing in the UK: Challenges, opportunities, and implications for policy and practice. Contemporary Drug Problems, 42(2), 87–105. https://doi.org/10.1177/0091450915579875

  • Office for National Statistics. (2020). Drug misuse in England and Wales: Year ending March 2020. Available online: https://www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/articles/drugmisuseinenglandandwales/yearendingmarch2020. Accessed 25 March 2023.

  • Olver, K., & Cockbain, E. (2021) ‘Professionals’ views on responding to county lines—Related criminal exploitation in the West Midlands, UK. Child Abuse Review (Chichester, England: 1992), 30(4), 347–362. https://doi.org/10.1002/car.2704

  • Page, S. (2021). Sentencers’ understanding and treatment of problem gamblers: The report of the Commission on Crime and Problem Gambling. Howard League for Penal Reform. ISBN 978-1-911114-59-8.

    Google Scholar 

  • Page, S., & Temple-Malt, E. (2018). World Café: A participatory research tool for the criminologist engaged in seeking world views for transformation. In British Society of Criminology Conference Papers Vol. 18 (pp. 5–19). http://www.britsoccrim.org/wp-content/uploads/2018/12/WorldCafe-Page-Temple-Malt.pdf

  • Parker, H., & Newcombe, R. (1987). Heroin use and acquisitive crime in an english community. The British Journal of Sociology, 38(3), 331–350. https://doi.org/10.2307/590692

  • Pemberton, S., Pantazis, C., & Hillyard, P. (2017). Poverty and social harm: Challenging discourses of risk, resilience and choice. Poverty and social exclusion in the UK: Volume 2 - The dimensions of disadvantage (1st ed.). Polity Press.

    Google Scholar 

  • Petticrew, M., Douglas, N., D’Souza, P., Shi, Y. M., Durand, M. A., Knai, C., Eastmure, E. N., & Mays, N. (2018). Community Alcohol Partnerships with the alcohol industry: What is their purpose and are they effective in reducing alcohol harms? Journal of Public Health, 40(1), 16–31. https://doi.org/10.1093/pubmed/fdw139

    Article  Google Scholar 

  • Pinderup, P. (2018a). Challenges in working with patients with dual diagnosis. Advances in Dual Diagnosis, 11(2), 60–75. https://doi.org/10.1108/ADD-11-2017-0021

  • Pinderup, P. (2018b). Improving the knowledge, attitudes, and practices of mental health professionals regarding dual diagnosis treatment–A mixed methods study of an intervention. Issues in Mental Health Nursing, 39(4), 292–303. https://doi.org/10.1080/01612840.2017.1398791

  • Potter, L. C., Horwood, J., & Feder, G. (2022). Access to healthcare for street sex workers in the UK: Perspectives and best practice guidance from a national cross-sectional survey of frontline workers. BMC Health Service Research, 22, 178. https://doi.org/10.1186/s12913-022-07581-7

    Article  Google Scholar 

  • Quigg, Z., Hughes, K., Butler, N., Ford, K., Canning, I., & Bellis, M. (2018). Drink less enjoy more: Effects of a multi-component intervention on improving adherence to, and knowledge of, alcohol legislation in a UK nightlife setting. Addiction (Abingdon, England), 113(8), 1420–1429. https://doi.org/10.1111/add.14223

  • Rae, M., Howkins, J., & Holland, A. (2022). Escalating drug related deaths in the UK. BMJ (Online), 378, o2005. https://doi.org/10.1136/bmj.o2005

  • Richards, S. C., & Jones, R. S. (1997). Perpetual Incarceration Machine: Structural Impediments to Postprison Success. Journal of Contemporary Criminal Justice, 13(1), 4–22. https://doi.org/10.1177/1043986297013001002

  • Ryan, J. P., Marsh, J. C., Testa, M. F., & Louderman, R. (2006). Integrating substance abuse treatment and child welfare services: Findings from the illinois alcohol and other drug abuse waiver demonstration. Social Work Research, 30(2), 95–107. https://doi.org/10.1093/swr/30.2.95

    Article  Google Scholar 

  • Seddon, T. (2006). Drugs, crime and social exclusion: Social context and social theory in British drugs-crime research. British Journal of Criminology, 46, 680–703.

    Google Scholar 

  • Seddon, T., Ralph, R., & Williams, L. (2008). Risk, security and the ‘criminalization’ of British drug policy. British Journal of Criminology, 48, 118–834.

    Google Scholar 

  • Slattery, R. M. (2022). (158) Alcohol withdrawal and implicated deaths during the early COVID-19 pandemic: Case report and international literature review. Journal of the Academy of Consultation-Liaison Psychiatry, 63, S190–S190. https://doi.org/10.1016/j.jaclp.2022.10.160

  • Stevens, A. (2010). Drugs Crime and Public Health. Routledge.

    Book  Google Scholar 

  • Soyka, M. (2015). Alcohol-related disorders. In International encyclopedia of the social & behavioral sciences (pp. 507–512). https://doi.org/10.1016/b978-0-08-097086-8.27003-7

  • Sumnall, H. R., Atkinson, A., Montgomery, C., Maynard, O., & Nicholls, J. (2023). Effects of media representations of drug related deaths on public stigma and support for harm reduction. The International Journal of Drug Policy, 111, 103909–103909. https://doi.org/10.1016/j.drugpo.2022.103909

  • The Home Office. (2007). The Corston report. Available at: https://webarchive.nationalarchives.gov.uk/ukgwa/20130128112038/http://www.justice.gov.uk/publications/docs/corston-report-march-2007.pdf. Accessed 1 January 2023.

    Google Scholar 

  • Wacquant, L. (2008). Urban Outcasts: A Comparitive Sociology of Advanced Marginality. Polity Press.

    Google Scholar 

  • Walklate, S. (2001). Gender, Crime and Criminal Justice. Willian Publishing.

    Google Scholar 

  • Whittaker, A., Martin, F., Olsen, A., & Wincup, E. (2020). Governing parental drug use in the UK: What’s hidden in “hidden harm?”’, Contemporary Drug Problems, 47(3), 170–187. https://doi.org/10.1177/0091450920941267

  • Wincup, E. L. (2016). Gender, recovery and contemporary drug policy. Drugs and Alcohol Today, 16(1), 39–48.

    Article  Google Scholar 

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Page, S., Bratt, S., Oldfield, S. (2023). Drug and Alcohol Addictions, Sexual Exploitation and Poverty. In: Page, S., Coates, M., Tipping, J., Frangos, J., Goldstraw, K. (eds) Action on Poverty in the UK . Sustainable Development Goals Series. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-37182-0_14

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