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Dáil Éireann díospóireacht -
Tuesday, 3 Dec 1968

Vol. 237 No. 10

Adjournment Debate. - Drug Addiction.

The matter of this Adjournment debate has received some consideration in the press in recent times and I have sought permission to raise it on the Adjournment so that at least the House may be given some opportunity of discussing this problem, the beginnings of which we have seen here in Dublin and elsewhere throughout the country.

There are two schools of thought in relation to the matter. There is one which says: "Avoid any discussion of the problem. It does not exist; therefore, let us not talk about it." There is another school of thought which says that the problem undoubtedly exists and it will not disappear by pretending it is not there and that by discussing it we may come to some correct answers and may be able to deal with it. I do not want to exaggerate or to minimise the extent of the problem. The Minister for Justice belongs to the first school of thought, namely, the "do not discuss it" one. As the House knows, he has criticised certain newspapers which considered the matter serious enough to publicise it and bring before the notice of the public the fact that the problem does exist.

The first school of thought says that we encourage the practice by talking about it. I do not see how one can come to that conclusion. In fact, I imagine that all the experience in other countries is that, before we can tackle the problem, we must discuss it so as to find out the extent of it. I would suggest to the Minister for Health that we must have a register of addicts in order to discover the extent to which the problem does exist in this country. I do not pretend to be in possession of all the facts in this area. I have discussed the matter with some unfortunate young people, who are, let us say patients, or involved in this tragic business, and to the best of my ability I have made my own investigation based on their experience, about the extent of the problem in Dublin.

So far as I know—and this is subject to all the limitations that individual investigation implies—there is not a large problem in the illegal traffic of drugs in Dublin, as far as my inquiries go. So far as I know, most of these drugs come in from London through friendships created over there and reach Dublin in that way. There is not a problem of drug peddlers making large fortunes out of illegal traffic in drugs but there are undoubtedly in Dublin people who are becoming—I think the expression is—hooked, or at least well on the way to becoming addicts. If there are children of Irish parents who happen to be falling into this tragic situation it behoves us to take action for them. Otherwise we may take the easy attitude, as we do with so many other social problems— let the British welfare state look after them. That has been the attitude to some of the problems in this country.

The Minister for Justice in his reply on 12th November——

I cannot see how the Deputy can bring in another Minister. The question are directed to the Minister for Health and to him alone.

To cut that short, although the preventive and remedial aspects of the matter are interlocked, the situation is that the Minister for Justice devolves all responsibility for dealing with the problem on the Minister for Health. While I can understand that the more important remedial measures belong to the sphere of the Minister for Health there is also need for consideration of the preventive side of the problem. I humbly suggest that a Minister who thinks the problem does not exist could not be expected to understand how grave the problem is, even if it is but beginning to be a social problem in Dublin. Someone has properly said that in other countries and societies people denied that the problem could attack them. They ignored the problem until it had reached large proportions when real emergency measures had to be taken at that stage. We may avoid that situation by exercising commonsense and taking steps now to deal with it.

Even the Minister for Justice admits that illegal traffic in drugs will increase. If that is his estimate of the position it behoves all of us to examine what measures we should take. The Minister for Health has set up a committee and I want to give the impression that I get from his reply on the matter. I asked the Minister whether his Department was giving any special consideration to the growing practice of drug-taking among young people and if he would outline any special steps he intends to take to make drugs less easily available. The kernel of his reply to that was:

As I indicated in reply to previous questions, I propose to make the unauthorised possession of certain drugs liable to abuse, a punishable offence and I hope to incorporate the necessary statutory provision in the legislation for the improvement of the Health Services which, as I have previously indicated, will be introduced in the present session.

I get the impression that the Minister for Health is prone to take—even he—a purely punitive attitude towards this problem. There are several schools of thought in that regard, as I have learned. We can regard drug addicts as delinquents or we let them fall into the category of patients, which is a description which I am inclined to adopt myself. I think a person who is falling into the practice of drug-taking is a person who must be regarded in much the same way as an alcoholic must be regarded, as suffering from a disease in that sense. It is not so long ago since we refused to recognise that alcoholism was, in fact, a disease or that citizens in the grip of alcoholism were seriously ill. It was said that this was part of our social pattern. It is not so long ago since people condemned to mental homes were regarded as pariahs of society and outside the pale of ordinary human life. It is not so long ago since tubercular patients were regarded as being the victims of some divine curse on them.

I think the kernel of our sincerity in approaching the problem of drug-taking, if we wish to tackle it seriously, must be the establishment in Dublin of a specialised clinic to deal with the problem. There are clinics in London and if we do nothing about it we can be sure that the young people who are caught up in this tragic business will gravitate to London and be dealt with there in some fashion. Any of us who consider that we have an obligation to our own citizens must believe that we should do something at home for them. The British authorities have done a great deal in at least looking into the situation and there have been several inter-departmental committees of the British House of Commons sitting on the problem. There was the Brain Committee in 1965. They brought in a report two years later and a great deal of their material could be considered to see what we could do here. But I believe we must have this specialised clinic in Dublin with all necessary medical expertise it would call for. So far as I am aware—and again I would say that my figures are subject to all the limitations of individual inquiries—I should imagine that in Dublin there is something in the region of 200 people who are victims of this particular habit. I say we have an obligation to do something for these young people and their families who must be tortured by the problem of having sons or daughters caught up in this desperate business.

One failing we have in this matter is that some of the people to whom I have talked took up this drug habit in London and the peculiar thing is that many of them had gone to London at a very early age. Some of those to whom I spoke emigrated at the age of 16. Therefore, this uncovers the real problem of young people leaving the country at a very early age and going into an alien environment. What we see happening in this area may be happening in other areas also. However, it would appear that these young people took up the habit on leaving this country for London at a very early age. I do not know what solution could be suggested but certainly this is one aspect of the problem.

In this connection, one of the young men to whom I spoke said that he had heard it mentioned in London—I wish to say that this is subject to limitation and caution; it is not a scientific figure but at least it was mentioned in the course of my inquiries and I see no danger in referring to it—that 25 per cent of the young people who were called addicts were, in fact, of Irish background. This figure may not be correct but, at any rate, it suggests that a large number of those people in London who are suffering from drug addiction are citizens of this country.

These are some of the facts that have come to my notice in the short time that I have been looking at the problem. The Minister says that he is setting up a work party to advise on this matter. This is a good thing but I should like to ask the Minister if the party will work within the existing system, which is one of neglect of this problem. It is necessary to know exactly who will be on this committee. It is important that there should be representatives of young people so that it will not become a group who do not understand this problem from the point of view of youth.

In Belfast, as we know, the authorities have contacted all youth organisations asking them for submissions and for any help that they can give to the official committee in that part of the country. Indeed, in Belfast, there is a much more honest and open approach to the problem than there has as yet been here in Dublin. We cannot say which city has the more serious problem but there is no doubt that the problem in Dublin is fast approaching a situation that is at least as serious as that obtaining in Belfast. This is not scaremongering. There has been an increase in the number of court cases dealing with this matter during the past few months.

One factor that will hamper any measures we take towards solving this problem will be the inadequacy of our probation service. Recently, we asked the responsible Minister what the extent of our probation service is in the country—and remember a probation service is a skilled probation service with people trained in sociology—and we were informed that there are seven full-time officials for Dublin and none for the rest of the country. Therefore, this work party that the Minister is asking to help him on this problem face a situation where the full-time probation service for the whole country amounts to seven men in Dublin; for the rest, we must depend on the voluntary organisations.

I would suggest that the first problem the Minister should look at is the dreadfully inadequate position of the probation service. Most of the workers in the clinics in London that I have read about work in very close unity and day to day contact with the probation service and, in fact, the job of a probation officer when dealing with one of these people is to befriend him and to ensure that the person is able to keep in contact with him.

We should get it out of our heads that punishment alone in the form of sentences will not solve the problem. We must have remedial measures. We must put a stop to whatever illegal traffic is going on. This traffic, to my knowledge, has not, as yet, reached commercial proportions. The emphasis should be on the remedial clinic aspect. Whatever is done from the point of view of prevention must call for a wider probation service than we have at present.

My only excuse for raising this matter here is that this habit is a destroyer of youth and many people in this House, regardless of political differences, will agree on the importance of our youth and anything that can ruin—"ruin" is not too strong a word—a young person's career and their whole grip on life must be effectively tackled. It cannot be treated as being something of no consequence or, to use the words of the Minister for Justice, "something that the newspapers got up". Such an attitude in dealing with a problem of this kind is not responsible. Those public representatives and members of the clergy who have highlighted this problem have, in my opinion, spoken from the most responsible motives.

If there is irresponsibility in this matter it is on the side of those who keep their mouths closed. I should hope that the Minister for Health means business and I hope that the setting up of this committee will lead to the establishment here in Dublin of a clinic of the type that I mentioned. This clinic would be the centrepiece of any meaningful campaign to eradicate this habit among our young people. The State has an obligation to help these people. We cannot take the easy way out and export the problem to Britain even if the problem did begin in London to where so many of our young emigrants go. The lives of these people will be ruined. I am pressing the Minister to take action in dealing with this problem.

Deputy M. O'Leary came down very strongly on his own side and on the side of the newspapers which have highlighted the problem which Deputy O'Leary has raised here this evening. The Deputy said he was guided by the highest motives. I hope this is so. Last week, when as a matter of courtesy I told Deputy O'Leary that I would not be here on Thursday evening to answer questions, he had them treated as written replies and then went to the Evening Herald with the substance of the replies, which would appear to suggest—whatever his interest in it—that he was determined to get the maximum publicity out of it.

How many years have you been appointed Minister for Health? You had two years in which to do something about this——

The Minister has ten minutes in which to reply.

I have ten minutes in which to reply to the long speech made by Deputy O'Leary during which he dealt, sometimes frivolously in my opinion, with what is a serious matter.

That is a good beginning.

He said that the reply I gave last week in regard to a working party and other replies would appear to suggest to him that I am taking a purely punitive attitude in regard to this problem. That, I assure the House, is absolutely not so. I think, first of all, it might be no harm if we were to try to get the situation into perspective. Figures available to us from the mental hospitals of the number of drug-addicts who have come to the hospitals for treatment are: in 1966 there were 59 patients admitted for drug-addiction and in 1967 this number had increased to 63. A breakdown of these figures shows that only 12 were in the age group of 22 years and under. The vast majority of those concerned were in the higher age group, 25 years and upwards. Some of those were people who by reason of their profession or occupation had ready access to drugs in any event. Therefore, from the point of view the figures, at any rate, the problem would appear to be rather less discouraging than one would have thought from recent publicity.

The figures do not give the full extent of the problem.

In addition, psychiatrists who have reported to us on this matter say that it is very difficult indeed to make an absolute statement on the size of the problem of drug abuse rather than drug addiction which is really more the problem about which Deputy O'Leary was talking this evening. One of the psychiatrists consulted said that opinions tended to be impressionistic. I am inclined to agree that that is so.

Before I leave the question of drug-addiction as such, in regard to the 12 younger people of 22 years of age and under, of those 12 ten were males and two females and six of them were on "hard" drugs. To me, the important distinction here is the one between drug-addiction and the social problem of a growing interest by young people in the use or abuse of drugs. It is because of the fear that this problem can become a serious one in this country that I propose to set up the working party, which I announced last week. I want to assure the House in regard to that working party that the chairman and most of the members of the party are people who are actively identified with youth. In reply to the specific question raised by Deputy O'Leary, they will have authority to report in regard to the matter of the establishment of a special centre or clinic in Dublin to deal with addicts. I shall come back to that in a moment.

Perhaps I should say, first of all, that it is necessary to bring in further legislation. The fact that that is so is not to be taken as meaning that my attitude, or the attitude of my Department, in regard to this matter is one of punishment. At present certified "soft" drugs, as they are called, are obtainable readily only by means of a doctor's prescription but the fact is that illegal possession when taken by others means is not an offence. This hampers the Garda in their handling of drug-addiction in Dublin and the proposed legislation will help them to deal more effectively with these cases. The heads of this legislation have been prepared and will be sent to Government Departments very soon.

Another matter I should like to mention is that we have the preparation of a document in hands now arising out of recent break-ins to dispensaries, and so on, and we will circularise all hospital bodies—chemists, wholesalers, retailers, hospitals and so on—asking them to safeguard the drugs in their possession in every way they can. In that way we will try to seal up a possible source of the illicit supply of these drugs. As the House knows, this is something which has actually happened in Dublin in recent months.

I have already mentioned the working party. The next thing I should like to mention is the special centre or clinic which Deputy O'Leary said it is essential to establish. I am inclined to agree with him and, indeed, inclined to go ahead with the establishment of the clinic as soon as possible without waiting for the working party to report on it.

Hear, hear.

In regard to the register, I am not convinced that a register of addicts would be of any advantage. If the time comes when I am so convinced, I can reconsider the situation. To me the problem is a social one. That is why I think a working party comprised of people who are social workers, tutors, doctors or students—there will be students on the party as well—is the best means to advise me and my Department as to what steps should be taken in the education of young people, in particular, in regard to the use and abuse of certain drugs.

Personally, I should like doctors to take note that some of these barbiturates may have an equally good therapeutic substitute which is not capable of being abused. What we aim to arrive at here is a stage where we are satisfied, on all the evidence available to us, there is no serious problem even in Dublin, and virtually no problem outside Dublin. The situation should not be allowed to reach the stage where there will be a serious social problem.

I believe the measures I have outlined, the legislative measures being only one of them—the working party, the establishment of a centre, and the other measures I have mentioned— will all make for a real attack on this problem without exaggerating its importance. This, I think, is something we should not allow happen. I think that excess publicity in Britain in recent years has contributed to the problem rather than take away from it. I want to try to avoid a situation where unnecessary publicity is given to the abuse rather than the use of these drugs, and I want to make sure that that does not arise. We will tackle the problem sensibly. In various youth organisations lectures will bring home to young people the evils that can flow from the abuse of certain drugs which in recent years from a therapeutic point of view have done great things in the field of psychiatry.

One final matter I think I should mention is that, as a preliminary to setting up a special centre here in Dublin, my Department will send certain officers to Britain to learn from their experience in the past few years on this problem. They have had vast experience of it, unfortunately, in recent years. We will do that so that our Departmental officials will be fully up to date with British experience and will be able to use it to prevent our having a similar experience here.

I imagine it may be asked why all the members of the working party will be from Dublin although they will be asked to report on the situation in the whole country. At the moment, the problem—such as it is—exists in Dublin and not significantly outside Dublin. Furthermore, any conclusions to which the working party may come will obviously be equally applicable in other cities and, indeed, in other areas generally.

There are drug-takers outside Dublin.

I agree, yes. I did not say there are not. But, outside Dublin—in the rural areas, in particular—it is insignificant and, in the other cities, so far as all the evidence available to the police and to us is concerned, it suggests that, as yet—and as we hope it will remain—it is a minor problem.

It is a growing danger. It is important that parents and teachers be made aware of it.

I have covered that aspect of it. I have no doubt that, if this matter is properly handled, and without hysteria, we can educate our young people and, in that way, enable them to escape the consequences of an exposure which is inevitable for all our children in the years ahead because of these recent developments.

The Dáil adjourned at 11.3 p.m. until 10.30 a.m. on Wednesday, 4th December, 1968.

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