The Terminology of Illicit Substances: Why We Avoid Using 'Illicit Drugs'

When discussing substance misuse, the terminology we use is crucial. The choice of words can impact patient confidentiality, service utilization, and even legal outcomes. For those working within the health sector, particularly in substance abuse clinics, the language used must be carefully considered. This article explores why we avoid using the term 'illicit drugs' and how officially recognized terms like 'substances' are essential.

Impact on Health Services

When running a National Health Service (NHS) substance abuse clinic, it is essential to focus on the health consequences of substance use rather than their legality. Using terms like 'illegal drugs' or simply 'drugs' can confuse patients and deter them from seeking the help they need. The alcohol example is particularly instructive, as it is legal to consume in the UK but is one of the most common substances associated with addiction.

Other legal substances can also be highly addictive. Activities like glue sniffing, which involve the inhalation of solvents, can lead to severe health issues, yet these substances are often not classified as 'drugs'. This further emphasizes the importance of avoiding the term 'drugs' as it can lead to misperceptions and underestimations of risk.

Service Confidentiality and Legal Concerns

Patients can be hesitant to contact services if they believe it will automatically involve the police. A personal experience running a campaign for a treatment center highlighted that even calling an ambulance does not mean that the police get involved. It is crucial to clarify such points to avoid misunderstandings and ensure patient confidentiality.

When working with law enforcement, legislators emphasize the term 'substance', which is broader than 'drug'. This is because certain laws aim to regulate substances that are not strictly classified as drugs. For instance, in the case of methamphetamine, none of the ingredients may be considered drugs in a legal sense, creating a gray area that can be potentially exploited by legal experts.

Legal and Scientific Context

Scientists do not use the term 'illicit drugs' as it does not align with their research. Lawyers and lawmakers use such terms, and media often report on their language. The focus on the legality of substances is more of a concern for lawmakers and regulatory bodies rather than for scientific investigation. The term 'substance' is preferred for its broader application, including items that might not be considered drugs under traditional definitions.

An example from Scotland illustrates the legal complexities. In England, if someone is caught selling something that is falsely claimed to be a drug, they can still be charged with drug dealing despite the product being fake. This highlights the importance of using precise terminology to cover all bases legally.

Conclusion: The use of terms like 'substances' instead of 'drugs' is much more than a matter of political correctness. It ensures that terminology aligns with the health sector's priorities, respects patient privacy, and avoids legal pitfalls. By using the right terminology, we can effectively communicate the risks and provide the necessary support to those in need.