International Case Studies

🇵🇹 Portugal

Decriminalization since 2001

Since 2001, all drugs have been decriminalized in Portugal. According to EUDA reports: drug deaths are among the lowest in Europe, HIV infections among drug users have drastically decreased, more people in treatment, fewer incarcerations for drug offenses.

The Model:

  • Possession of small amounts is no longer a crime
  • Instead: Referral to "Dissuasion Commissions"
  • Focus on health, not punishment
  • Massive investments in treatment and prevention
Low
Drug Deaths (EU comparison)
↓↓
HIV Infections
↑↑
Treatments
Incarcerations

* Exact figures vary by source and measurement period. See EUDA reports for current data.

Sources: EUDA, Transform Drug Policy Foundation

🇨🇭 Switzerland

Heroin Program since 1994

The Swiss heroin dispensing program (since 1994) shows according to the Federal Office of Public Health: significant reduction in acquisitive crime, improved social integration, measurable health improvements. The program is evaluated as successful by the Swiss government.

The Model:

  • Heroin-Assisted Treatment (HAT) for severely addicted
  • Pharmaceutically pure heroin under medical supervision
  • Daily visits to specialized clinics
  • Integrated into comprehensive treatment program
↓↓
Acquisitive Crime
↑↑
Social Integration
↑↑
Health
Effective
Cost-Benefit

* Based on official evaluations by the Swiss Federal Office of Public Health.

Sources: Swiss Federal Office of Public Health

🇳🇱 Netherlands

Coffeeshops since 1976

Despite coffeeshops, cannabis use in the Netherlands is below the EU average. The model shows: tolerance doesn't automatically lead to higher use.

The Model:

  • "Gedoogbeleid" – Tolerance policy for cannabis
  • Licensed coffeeshops may sell up to 5g
  • Strict rules: No advertising, no minors, no hard drugs
  • Separation of cannabis and other drug markets
Similar
Use Rate vs. EU
Stable
Youth Use
~550
Coffeeshops (approx.)
48+
Years Experience

* Use rates according to EUDA vary by survey methodology.

Sources: EUDA Netherlands Report

Sweden

Repression instead of Regulation

Sweden currently pursues one of Europe's hardest repression courses against gang crime: More police, harsher penalties, faster deportations. Yet gang violence, drug crime, and recruitment of minors remain at high levels. The country shows what happens when repression is chosen over regulation.

The Current Strategy:

  • Harshest penalties, faster deportations of allegedly criminal foreigners
  • New laws against gang membership and "socially harmful behavior"
  • More police, surveillance, repression policy
  • Political narrative: Migration = Crime
High
Gang Violence
↑↑
Youth Recruitment
Mixed
Repression Effect
0
Regulation Approaches

What Sweden Shows:

Simply "cracking down harder" doesn't solve the underlying causes. As long as the drug market remains illegal, profit margins are high enough that every risk pays off. Gangs continue recruiting, violence shifts, the problem persists. Regulation addresses the structural causes: controlled substances, legal supply chains, deprivation of income sources for cartels. Sweden's path demonstrates: Without political vision for regulation, the mantra of "harder, faster, deport" always threatens – a policy that fights symptoms without curing the disease.

Sources: Tagesspiegel, Brottsförebyggande rådet (Brå)

🇨🇦 Canada

Cannabis Legalization since 2018

Canada was the first G7 country to fully legalize cannabis. The model shows how a regulated market can be built – with lessons for other countries.

The Model:

  • Federal legalization with provincial implementation
  • Licensed producers and retail outlets
  • Strict quality controls and packaging regulations
  • Age limit 18-19 (depending on province)
Growing
Legal Market
↑↑
Tax Revenue
↓↓
Black Market
↑↑
Jobs

* Based on Statistics Canada and Health Canada reports.

Sources: Health Canada, Statistics Canada

Evidence

What the literature shows

Based on BMG/ECaLe report 2023, CMAJ 2023, Lancet Public Health 2025, National Academies 2023.

Research scope

Bibliometric analyses count >10,000 cannabis studies and dozens of reviews on regulation, advertising, health, transport.

Use patterns

Adult use rises modestly, youth use remains broadly stable. Retail density, pricing and prevention are decisive.

Health & safety

ER visits increase with edibles/high potency products; traffic data are mixed. Governance (THC caps, testing) reduces risk.

Key Statistics

~87 Mio.

Europeans (15-64) have used illegal drugs at least once

~31 Mrd. €

Estimated annual revenue of the illegal drug market in the EU

6.166

Drug deaths in the EU in 2021

~4

Drug deaths per million population in Portugal (EU average: ~22)

Scientific Studies

Peer-reviewed research and official reports on drug policy

Johns Hopkins-Lancet Commission

Drug Policy and Public Health: Comprehensive analysis by leading scientists. Recommends regulated markets instead of prohibition.

View Study →

EUDA – European Drug Report

Annual report from the EU Drugs Agency with current data on all EU countries.

View Report →

Transform Drug Policy Foundation

Leading think tank for drug reform with extensive resources on regulation models and evidence.

View Publications →

Drug Policy Alliance

US organization with extensive research on reform successes in various states.

View Resources →

Download Materials

Fact sheets and infographics for your work

Further Resources

Expert networks and analysis for evidence-based drug policy.