Initiation and continuation : social context and behavioural aspects of ecstasy use

Drug law enforcement does not have the deterrent effects on the use of ecstasy that are intended by international anti-drugs agreements or national legislation. In addition, prevention programs generally fail to reduce substance use. With regard to drug use, Dutch policy can be characterised as harm reduction oriented. The findings presented in this thesis support a harm reduction approach. Drug education targeted at party drug users should translate sound scientific findings into easy to grasp harm reduction strategies. A holistic educational approach covering life style, substance use, friends and behavioural aspects (such as sleep and nutrition) may yield the best results in promoting safer ecstasy use. Since ecstasy users are generally poly drug users, focus on drug interactions is necessary. Furthermore, a positive tone of voice and respect for a dance/ecstasy life-style are vital. As substance use behaviour and knowledge travel through friend networks in a dynamic way, social networks and peer education are cornerstones in the educational process.