
@article{ref1,
title="Scandalous decisions: explaining shifts in UK medicinal cannabis policy",
journal="Addiction",
year="2021",
author="Hamilton, Ian and Wincup, Emma and Monaghan, Mark",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND AND AIMS: Opening up access to scheduled drugs such as cannabis in the United Kingdom rarely happens, yet on 1 November 2018 the United Kingdom changed the  law to allow cannabis-derived products to be prescribed for medicinal purposes,  albeit in tightly controlled circumstances. This followed substantial media interest  in the cases of two children with epilepsy. This article focuses upon the role of  scandal in bringing about legislative change. <br><br>METHODS: We used political science and  social policy theories (punctuated equilibrium theory and scandal theory) to guide a  qualitative content analysis of media articles published in 2018 in UK national  newspapers. We focused in particular on the 6-month period prior to the policy  change. <br><br>RESULTS: The concentrated attention by the media given to the suffering of  children with epilepsy appears to have prompted the rapid change in policy by the UK  government. A variety of strategies were used to develop a highly emotive response  to garner support for reform. Media stories emphasized the injustice of two  extremely sick children being unable to access the medicine they apparently needed  to enable them to have a 'normal' childhood. Three groups of 'claim-makers' were  identified as important in influencing public opinion: families, high-profile  individuals and campaigning groups. <br><br>CONCLUSIONS: The case of medicinal cannabis in  the United Kingdom suggests that policy reform can occur when a scandal is  successfully manufactured. We must be cautious, however, about over-emphasizing the  role of scandal as a driver of policy change in this context: only a limited set of  circumstances will permit a prescription for cannabis-based medicine to be issued in  the United Kingdom.<p /> <p>Language: en</p>",
language="en",
issn="0965-2140",
doi="10.1111/add.15350",
url="http://dx.doi.org/10.1111/add.15350"
}