Addressing the rapid escalation in consumption of new psychoactive substances among young people around the world, we have produced a report outlining what the main government responses to this new phenomenon have been, why current approaches at dealing with increased consumption of new synthetic psychoactive substances has failed, what barriers currently exist to improving the harm reduction interventions for young people who use these drugs and our recommendations for better policies.
In the context of a fast changing and well documented market in legal highs, the case of khat (Catha edulis) provides an interesting anomaly. It is first of all a plant-based substance that undergoes minimal transformation or processing in the journey from farm to market. Secondly, khat has been consumed for hundreds if not thousands of years in the highlands of Eastern Africa and Southern Arabia. In European countries, khat use was first observed during the 1980s, but has only attracted wider attention in recent years.