Iceland is beating teenage substance abuse Could B.C. follow suit?

Icelandic teenagers are saying no to drugs bygetting high on life.

For the last 20 years, the island countryhas seen a dramatic decrease inadolescentdrug and alcohol abuse after the federal government made a concerted effort to offer teens a more natural high.

"In other words, give them something better to do than dope," said Dr. Harvey Milkman, the psychologist behind Iceland's strategy.

The multifaceted approach includes state-sponsored recreational activities andafter-school programs meant to enhance family ties and community bonds. Milkman says the results have been exceptional. Since 1998, for example,the number of 15- to 16-year-olds that self-reported to have been drunk within the last 30 days dropped from 43 to 5 per cent.

In Canada, nearly 60 per cent of illicit drug users are between 15 and 24. Could Iceland'syouth-orientedapproach prove useful in fighting the deadly rise of fentanyl?

Decades of research

Milkman began his career at New York City'sBellevue Psychiatric Hospital in the early 70s.

"We were kind of in the eye of the storm there at the beginning of the so-called drug revolution. It became interesting to me: why do people choose different drugs?"

Milkman studied a wide array of drug users, asking various personality questions and testing their behavioural and neurological reaction to their drug of choice. In the end, he found that users weren't addicted to the drug itself. They were addicted to reducing stress, with each drug providing a particular form of relief that aligned with their personality.

But the relief afforded by drugs doesn't have to come from a pill or a pipe.

"It became known in the late 80s that the brain is a giant pharmaceutical factory that manufactures its own mind altering chemicals. So why not get people interested in natural highs?"

Project Self-Discovery

In 1992, Milkman and his team opened up theirlaboratory, Project Self-Discovery,in Denver after receiving a $1.2-million USresearch grant. Theprogramused art, music, dance, poetry, and nature activities to reduce stressin lieu of drugs and alcohol.

Milkman says once teens embraced these natural highs, their risk of drug use decreased dramatically.

At the same time, rates of teenage substance use were exceptionally high in Iceland. Nearly a quarter of 15- and 16-year-olds smoked daily, and binge drinking was the norm.

Following Milkman's success in Denver, the Icelandic government reached out to him to put his research into practice on a national scale.

The Icelandapproach

Over the last 20 years, Milkman's research has helped inform what's now known as the Icelandapproach.

"The whole country of Iceland kind of bought into that idea of creating opportunities for the kids to feel good without taking drugs."

The government offersvouchers that enable parents to freely enroll their children in sports. Government and corporate messaging highlight the importance of family ties, and teens abide bylate night curfews.

Milkman says the program is built around providing teens with strongrole models, anda positive outlet to express themselves.

He calls the approach a mindset, one that could be adopted anywhere, even in Vancouver, given willingness from government, parents, and teens.

"It has tonot be done in an autocratic or totalitarian way the community has to buy into it."

With files from CBC's On the Coast