A/HRC/32/32
B.
Providing appropriate services to address adolescent substance use
99.
States should adopt appropriate measures to protect children from illicit drug use
and involvement in the illicit drug trade.82 However, this must be read in the context of the
protections afforded by the Convention on the Rights of the Child and other human rights
obligations.83 Almost all States have obligations under the three United Nations drug
control conventions, which must be read in conformity with concurrent human rights
obligations.84 The Framework Convention on Tobacco Control contains specific provisions
aimed at the protection of children and young people, and which complement the right to
health.
100. States should provide prevention, harm reduction and dependence treatment
services, without discrimination, and allocate a budget sufficient to the progressive
realization of the right to health. These are not competing or alternative strategies but
required components of a comprehensive approach to enable adolescents to seek the health
services and information they are entitled to receive. All such services should comply with
the availability, accessibility, acceptability and quality framework.
101. With regard to the prevention of substance use, children and young people should be
provided with accurate and objective information,85 which should be available in easy-tounderstand formats or Braille. Scare tactics and misinformation are known to be ineffective,
whereas building resilience and trust while focusing on those demonstrating risk-taking
behaviours has delivered promising results. The United Nations Office on Drugs and Crime
(UNODC) has produced guidance on drug prevention standards 86 to be used when
designing prevention policies and porgrammes.
102. Prevention cannot justify disproportionate infringements of adolescents’ rights,
including their rights to privacy, bodily integrity and education. States are encouraged to
continue to restrict and, when necessary, ban alcohol and tobacco advertising, which has
too often targeted young people.
103. Substance dependence treatment must be tailored to the specific needs of
adolescents. Adolescents must not lose their participation rights in any circumstance,
including because of their substance use or dependence. Adolescents have the right to be
heard when expressing opinions on their own health care and to give consent to treatment in
accordance with their evolving capacities.87 Confidential counselling and information must
be available without parental consent. All drug detention centres where adolescents are
arbitrarily detained and suffer extreme abuses must be closed.
104. There is an alarming lack of HIV-related harm reduction services designed for
adolescents who inject drugs, as well as multiple barriers to accessing such services,
including age restrictions in law, and absence of data on injecting drug use among children
and young people in most countries. 88 Technical guidelines on HIV prevention, treatment
82
83
84
85
86
87
88
Convention on the Rights of the Child, art. 33.
Damon Barrett and John Tobin, “Article 33: protection of children from narcotic drugs and
psychotropic substances”, in A Commentary to the United Nations Convention on the Rights of the
Child, John Tobin and Philip Alston, eds. (Oxford University Press, forthcoming).
See A/65/255, para. 13.
See CRC/C/GUY/CO/2-4, para. 50 (d); CRC/C/ALB/CO/2-4, para. 64 (b); CRC/C/ROM/CO/4,
para. 71; CRC/C/SWE/CO/4, para. 49 (a); and CRC/C/BGR/CO/2, para. 50.
https://www.unodc.org/unodc/en/prevention/prevention-standards.html.
Committee on the Rights of the Child general comment No. 15.
Harm Reduction International, Global State of Harm Reduction 2012 (2012), p. 140.
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