Methamphetamine is of national concern (ACC 2014), but what does this statement mean to frontline police officers? In real terms it means that frontline police are required, on an increasingly frequent basis, to engage with methamphetamine users. This presents a number of challenges to police. First, methamphetamine intoxication and withdrawal can impede an individual’s ability to follow police directions. Second, use is associated with behavioural and psychological disturbances, including aggression, which can increase the risk of harm for the police and members of the community. Third, the user is at increased risk of serious physical harms when in custody due to the effects of intoxication or withdrawal. These risks may be exacerbated by physical exertion during interactions with police or due to use of restraint by police. Being armed with information about what methamphetamine is, the nature and extent of use of methamphetamine among Perth police detainees, and details of the Perth methamphetamine market can assist police to identify risks to themselves and others.
The Australian Institute of Criminology’s (AIC) Drug Use Monitoring in Australia (DUMA) program interviews police detainees at selected police stations and watch houses across Australia on a quarterly basis. The Perth watch house is one of the DUMA data collection sites. Detainees present at the Perth watch house during data collection are asked to complete an interviewer-assisted self-report survey on their use of alcohol and other drugs and their offending habits. Urine samples are also requested twice a year during data collections. Urine samples are subjected to urinalysis at an independent toxicology laboratory to detect the presence of a number of licit and illicit drugs, including methamphetamine. Participation in DUMA is voluntary and confidential. Since the program commenced in 1999, 52,859 detainees have been interviewed and 37,774 urine samples have been collected nationally. The data presented in this report was collected during Quarter 1 (January) and Quarter 2 (April) of 2015 at the Perth watch house.
In 2015, 1,111 police detainees were interviewed in Perth. They were, on average, 32 years of age. The majority of detainees interviewed were male (approximately 80%), which is representative of the gender composition of the overall Australian detainee population.
For more information about DUMA, or to access DUMA publications, please visit: http://aic.gov.au/about_aic/research_programs/nmp/duma.html
What is methamphetamine?
Methamphetamine is a derivative of amphetamine, differing only in the presence of an extra methyl group on the compound. Currently, methamphetamine is the most readily available form of amphetamine in Australia. Methamphetamine comes in various forms, with crystalline methamphetamine (also known as ice or crystal meth) being the most potent. In recent years, Australia has experienced a rise in the availability of ice. While debate still surrounds whether the number of methamphetamine users in the general population is increasing, it appears those who are using methamphetamine are using purer forms of the drug and are using methamphetamine more frequently (AIHW 2015). This is likely to increase the potential for the user, and those in contact with the user, to experience harms.
Methamphetamine is a stimulant, as is cocaine. It hastens the messages from the user’s brain to their body, resulting in feelings of alertness, confidence, energy and wakefulness (ADF 2014). However, unlike cocaine, which has a half-life (the amount of time it takes for half of the dose consumed to be eliminated from the user’s body) of one to three hours, the half-life of methamphetamine is eight to 13 hours (Barr et al. 2006). For police, this means they will be required to manage the effects of intoxication and withdrawal experienced by users in custody over a much longer period of time.
Methamphetamine use has been associated with anxiety, mood disturbances, paranoia, visual or auditory hallucinations, delusions and psychosis (McKetin et al. 2013). Psychosis is a state where the mind loses contact with reality. These symptoms, and intoxication itself, can result in the user having difficulties with communication and interpersonal interactions (Sommers & Baskin-Sommers 2006). It is through the intensification of emotions, heightened arousal or difficulties communicating that the increased risk of violence or aggression may occur (Sommers & Baskin-Sommers 2006). Methamphetamine use is also associated with physical harms to the user such as elevated blood pressure, increased pulse, raised temperature, cardiac arrhythmias and myocardial ischemia (Henry-Edwards et al. 2003).
Perth police detainees have described methamphetamine as causing users to ‘see crazy stuff’ and as ‘send[ing] people loopy’ (Quarter 3, 2014).
Methamphetamine use among Perth Police detainees
Trends in methamphetamine use
Since 2009, there has been a steady increase in methamphetamine use among Perth police detainees (see Figure 1). In 2015, 43 percent of Perth detainees tested positive to methamphetamine via urinalysis. This is the highest rate of use recorded for Perth since the DUMA program commenced in 1999. The rise in methamphetamine use does not reflect an overall rise in drug use, as the proportions of Perth detainees testing positive to other drugs (such as cocaine, cannabis or heroin) have remained relatively stable or decreased throughout this period.
Figure 1. Perth detainees who tested positive to methamphetamine, 1999–2015 (%) [see attached PDF for graph]
Forms of methamphetamine
Ice (48%) or white rock (47%) were the most common forms of methamphetamine Perth police detainees reported consuming on their last occasion of use (see Figure 2). A small proportion of users reported having consumed a powder (3%) or liquid (1%) form of methamphetamine. Two percent of detainees reported using some other form of methamphetamine; descriptions included coloured rock and shard forms.
Figure 2. Perth detainees, by form of methamphetamine consumed on last occasion of use, 2015 (%) [see attached PDF for graph]
Health harms and methamphetamine
Almost a quarter of Perth police detainees (26%) who had used methamphetamine reported having overdosed, ‘over-amped’, or burnt out in the last 12 months. This suggests that approximately one in four users reported consuming a dangerous amount of methamphetamine or consuming methamphetamine over prolonged periods of time.
The Perth methamphetamine market
Availability of methamphetamine
In 2015 Perth police detainees rated the availability of methamphetamine, on average, at nine on a 10-point scale (where 1 is extremely hard to get and 10 is readily available or overabundant). A detainee described this high level of availability: ‘Compared to methamphetamine, all other drugs are hardly available’ (Quarter 4, 2014). Another detainee explained that ‘every house either sells it or is using methamphetamine’ (Quarter 1, 2015).
Based on police detainee reports, it appears this high level of availability is being maintained over time. In 2015, only 10 percent of methamphetamine using detainees reported availability had decreased in the three months prior to being interviewed by the DUMA program, with the majority (58%) reporting availability had not changed. The remaining 25 percent reported availability had increased.
Quality of methamphetamine
On average, detainees in Perth rated the quality of methamphetamine at seven out of 10 (where 1 is extremely poor/impure quality and 10 is excellent purity). In 2015, approximately one in four detainees (26%) reported the quality of methamphetamine in Perth had decreased in the three months prior to interview. Detainees made comments such as ‘quality has declined’ (Quarter 2, 2014) and that methamphetamine ‘is now [poor] quality’ (Quarter 1, 2015). However, the majority of detainees (43%) reported quality had been stable in the three months prior to interview. A small minority (18%) reported quality had improved.
Price of methamphetamine
Detainees were also asked whether the price of methamphetamine had changed recently. Almost half of the detainees interviewed (49%) reported the price of methamphetamine had stayed the same recently. This was followed by 20 percent of detainees who stated it had become more expensive, 16 percent who stated the price had decreased, and five percent who stated the price fluctuated.
One detainee who reported the price had decreased stated: ‘[You’re] now able to obtain more [methamphetamine] for $50. A point is still $100…[It] has not gone back down, but you can buy more for $50 than use[d] to be possible, quantity wise’ (Quarter 2, 2015). This comment may explain the variation in reports of price fluctuations among some Perth police detainees; fluctuations in price may be dependent on the quantity being purchased. Alternatively, one detainee interviewed in June 2015 explained the decrease in the price of methamphetamine was due to the number of dealers selling ice having increased. In support of this explanation, 57 percent of police detainees reported the number of sellers in the market had increased in the three months prior to being interviewed by the DUMA program. As more and more sellers enter the market, prices can be forced down due to competition, or to enforcement swamping—a phenomenon where the risk of arrest is reduced when the number of sellers increases, as police have more targets to pursue (Caulkins & Reuter 2006; Moore et al. 2005). Another factor that can influence price is the quantity of methamphetamine.
Minimising risks during interactions with methamphetamine users
In 2015, almost half of all police detainees (43%) at the Perth watch house who provided urine samples to the DUMA program tested positive to methamphetamine. This means that frontline police and watch house auxiliary staff are likely to be in regular contact with methamphetamine users. Identifying risks and implementing harm-minimisation strategies can reduce the potential risk of harm for the police, the auxiliary staff and the user.
As a Perth police detainee interviewed in 2015 summed it up: ‘[Methamphetamine] is destroying lives’ (Quarter 1, 2015). Users of methamphetamine are at increased risk of contracting bloodborne diseases such as HIV and hepatitis C from sharing needles and risky sexual behaviours (Kaye & Darke 2000). Approximately 60 percent of methamphetamine users interviewed at the Perth watch house in 2015 reported having injected methamphetamine in the last 12 months. Therefore, police in contact with methamphetamine users are at increased risk of exposure to bloodborne diseases, and need to take appropriate precautions to minimise this risk.
The National Drug Strategy guidelines for police services suggest a number of strategies to reduce risks associated with psychological and physical side effects of use. These include:
- seeking medical assessment for persons identified as intoxicated with a psychostimulant substance, such as methamphetamine;
- using minimal physical restraint to avoid increasing the user’s body temperature, which can lead to severe medical complications;
- continuous calm and clear communication with the user, which may assist in de-escalating situations, and avoiding hostile language which may prompt or exacerbate aggression;
- formalised accurate assessments of the user when they are in custody to ensure any signs of psychostimulant toxicity are not overlooked; and
- continued observation for six to eight hours while the user is in custody to ensure that if deterioration takes place, this is responded to immediately.
The AIC would like to extend our gratitude to Western Australia Police. Without their continued support the DUMA program would not be possible. In particular, we would like to thank the police and auxiliary staff who facilitate access to detainees.
All URLs correct at September 2015
- Australian Crime Commission 2014. Illicit Drug Data Report 2013–14. Canberra: ACC. https://crimecommission.gov.au/publications/intelligence-products/illicit-drug-data-report/illicit-drug-data-report-2013-14
- Australian Drug Foundation 2014. Ice Facts. Drug info, facts and resources about alcohol and drugs. North Melbourne: ADF. http://www.druginfo.adf.org.au/drug-facts/ice
- Australian Institute of Health and Welfare 2015. Trends in methylamphetamine availability, use and treatment, 2003–04 to 2013–14. Drug treatment series no. 26. Cat. no. HSE 165. Canberra: AIHW. http://www.aihw.gov.au/publication-detail/?id=60129552818
- Barr AM et al. 2006. The need for speed: An update on methamphetamine addiction. Journal of Psychiatry and Neuroscience 31(5): 301–313
- Caulkins JP & Reuter P 2006. Illicit drug markets and economic irregularities. Socio-Economic Planning Sciences 40(1): 1–14
- Henry-Edwards S, Humeniuk R, Ali R, Monteiro M, Poznyak V 2003. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Guidelines for use in primary care. Draft version 1.1 for Field Testing. Geneva: World Health Organisation. http://www.who.int/substance_abuse/activities/assist/en/
- Jenner L, Baker A, Whyte I & Carr V 2004. Psychostimulants—Management of acute behavioural disturbances. Guidelines for police services. Canberra: Australian Government Department of Health and Ageing. http://www.nationaldrugstrategy.gov.au/internet/drugstrategy/publishing.nsf/Content/psychostimulant-police
- Kaye S & Darke S 2000. A comparison of the harms associated with the injection of heroin and amphetamines. Drug and Alcohol Dependence 58(1-2): 189–195
- McKetin R, Lubman DI, Baker AL, Dawe S & Ali RL 2013. Dose-related psychotic symptoms in chronic methamphetamine users: Evidence from a longitudinal study. JAMA Psychiatry 70(3): 318–324
- Moore TJ et al. 2005. Heroin markets in Australia: Current understandings and future possibilities. DPMP Monograph series Monograph no. 09. Victoria: Turning Point Alcohol and Drug Centre. http://dpmp.unsw.edu.au/resource/9-heroin-markets-australia-current-understandings-and-future-possibilities
- Sommers I & Baskin-Sommers A 2006. Methamphetamine use and violence amongst young adults. Journal of Criminal Justice 34(6): 661–674