Cannabis Policy, Harm Reduction, and Meaningful Decriminalization

Abstract

Abstract Cannabis policy is evolving around the world. This chapter presents a model of meaningful cannabis decriminalization that creates the conditions under which a legalized regulated model is more likely to succeed. We begin by highlighting three efforts to regulate illicit drugs. These include legalization, criminalization, and depenalization. Next, we link these efforts to our previous efforts to consider distinct cannabis regulatory models and explore categories of cannabis policy-based harm. Finally, we argue that adopting a harm reduction approach requires reckoning with concepts like tolerance and aversion. While expanding tolerance is a noble goal, it first requires regulating aversion. Our model of meaningful decriminalization de-emphasizes public safety models and recalibrates public health models to avoid expanding social control in the name of cannabis policy reform.