Creating a Diversion

Since the beginning of September, under Ireland’s new Health Referral Scheme, an adult found by Gardaí (the Irish police) in possession of drugs for personal use for the first time may be referred to the Health Service Executive (HSE) rather than prosecuted.

This is not decriminalisation, however. Possession of controlled drugs for personal use remains a criminal offence under section 3 of the Misuse of Drugs Act 1977. So what’s changed, and what hasn’t?

Ireland’s 2017–2025 national drugs strategy committed the government to a health-led approach. A working group set up under it reported in 2019, with diversion to health services one of the recommended options – people found in possession would be referred to the HSE for a screening and brief intervention known as SAOR (support, ask and assess, offer assistance, refer).

The government decided to implement a health diversion approach and, separately in December 2020, the Gardaí’s adult caution scheme was extended to possession of cannabis. Between December 2020 and February 2024, 5,139 people were cautioned for cannabis possession, while 17,125 were charged or summonsed.

Diversion

Diversion refers to non-punitive mechanisms that redirect individuals away from the criminal justice system and towards health or social interventions, such as assessment, counselling. treatment or social reintegration.

CITIZENS’ ASSEMBLY

Meanwhile, the debate moved on. In 2023, a Citizens’ Assembly on Drugs Use brought together 99 members of the public, randomly selected to reflect the population, with its report published in January 2024.

The assembly rejected the status quo, with just 13 per cent voting to keep the current legal approach to possession. Recommendation 17 called for a ‘comprehensive health-led response to possession of drugs for personal use’. Under that model, possession would remain illegal, but people would be offered, first and foremost, extensive opportunities to engage voluntarily with health services.

A Garda would refer the person directly to an SAOR brief intervention. Depending on how it was legislated, the approach could minimise, or potentially completely remove, the possibility of a criminal conviction and prison sentence for simple possession.

The assembly pointed to Portugal and Austria, and set out questions for the Oireachtas (Irish parliament) to consider in balancing three objectives – health diversion, dissuasion and decriminalisation. One such question was how many times a person should be diverted.

A citizens’ assembly advises, however – it does not legislate. Its report went to a cross-party Joint Committee on Drugs Use, made up of TDs and senators, members of the Dáil and Seanad – Ireland’s lower and upper houses.

That committee’s interim report, in October 2024, called for the decriminalisation of the person for possession of all substances for personal use, and recommended the repeal of section 3, the possession offence.

It warned that mandatory health referrals risk perpetuating stigma and would likely draw limited resources away from those who need them most. No one found in possession, it said, should be criminalised for not availing of a supportive intervention.

DEPENALISATION

A general election followed and that committee lapsed. A new Joint Committee on Drugs Use was formed under the current government with its final report, published this summer, reaching the same conclusion. Recommendation 126 calls for the repeal of section 3 ‘in order to fully decriminalise the possession of drugs for personal use’. 

The committee also addressed diversion directly – pending reform of section 3, it said any health diversion scheme should be voluntary, reflect the principles of depenalisation, impose no arbitrary limit on the number of referrals a person may receive, and be independently evaluated. It warned that HSE staffing levels were likely to be insufficient to meet demand.

So two committees, formed under two different governments, have reached the same conclusion. But like the citizens’ assembly, they can only recommend. Policy is set by government, through the national drugs strategy. That new National drugs strategy 2026–2030 was launched last month, and the Joint Committee’s final report had asked that it commit to diversion, dissuasion and decriminalisation.

It does not commit to decriminalisation – instead, the government presents the Health Referral Scheme as its response to the assembly’s call for a health-led approach to possession.

Depenalisation

Depenalisation means removing or ceasing to apply criminal penalties for low-level, personal possession and involves keeping the law in place but choosing not to enforce criminal punishments, or removing the penalty altogether, even though the behaviour technically remains prohibited in law.

THE ROAD TO THE HEALTH REFERRAL SCHEME, 2015-2030

2015 An Oireachtas justice committee visits Portugal and recommends that possession of small amounts of drugs for personal use could be dealt with by a civil or administrative response, rather than through the criminal courts.

2017 In July, the then taoiseach (prime minister), Leo Varadkar, launches the national drugs strategy, Reducing harm, supporting recovery 2017-2025, at Dublin Castle. It commits to a health-led approach and to a working group on alternatives for possession.

2019 The working group reports and the government decides to implement a health diversion approach.

2020 In December, the Garda adult caution scheme is extended to possession of cannabis.

2021 Mid-term review of the 2017 strategy.

2023 From April to October, the Citizens’ Assembly on Drugs Use meets over six weekends and hears from 130 speakers.

2024 In January, the assembly publishes 36 recommendations. The health-led option on cannabis beats legalisation and regulation by a single vote on the final count, 39 to 38. In October, the Joint Committee on Drugs Use publishes its interim report, calling for decriminalisation. The committee lapses with the general election.

2025 Independent evaluation of the 2017 strategy. The successor strategy is due by the end of the year. After the new committee’s chair asks that it not be finalised before the committee reports, the minister agrees to take account of its recommendations.

2026 In February, a draft national drugs strategy is published for public consultation. On 24 June, the new Joint Committee on Drugs Use publishes its final report; Recommendation 126 calls for the repeal of section 3 of the Misuse of Drugs Act 1977. On 1 September, the Health Referral Scheme begins as a pilot. On 13 October, the National Drugs Strategy 2026-2030 is launched, with a first two-year action plan of 33 actions.

2030 The National Drugs Strategy 2026-2030 will conclude.

APPROVED PILOT

The police describe it as a pilot, approved by the director of public prosecutions under section 10 of the Policing, Security and Community Safety Act 2024. It applies to offences committed on or after 1 September 2026. Formally a separate scheme, it is closely modelled on the adult caution scheme, but extends to all drugs and offers a referral to the HSE in place of a caution. Garda policy says a second offence may be dealt with by an adult caution, but only for cannabis. For any other drug, a second offence can still lead to prosecution. The new national drugs strategy commits to reviewing whether other drugs should be included.

A person who accepts the referral is told how to self-refer, and must contact the HSE themselves to arrange an SAOR brief intervention. The case is then closed without prosecution; a person who declines faces prosecution or, for cannabis, possibly an adult caution.

QUESTIONS RAISED

So what questions remain? It’s too early to judge the scheme, but its design raises questions the pilot will need to answer. Four stand out.

The first is reach. The scheme applies only to a first possession offence, and a referral is offered only once. The assembly envisaged extensive opportunities to engage; the committee’s final report argued against arbitrary limits. Anyone found in possession a second time is outside the scheme, whatever their current health needs. Will the scheme reach those experiencing the greatest harm?

The second is admitting the offence – no admission, no referral. The adult caution for cannabis has the same requirement and, as noted above, has been used far less often than charges. The government says there’s no sanction if a person doesn’t attend the intervention. Garda policy says the referral will not count as a previous conviction or appear on vetting, but may be made known to a court in later proceedings if the judge asks. Will people understand this when deciding whether to admit possession, and will the evaluation examine whether admission is a barrier?

The third is discretion. Under the 2019 government decision, referral on a first occasion was to be mandatory. In February 2026, a Garda assistant commissioner told the Oireachtas committee that referral would be automatic for anyone who admitted possession and wished to take part. Garda policy now leaves the decision to a superintendent, applying a public interest test. Will it be applied consistently?

The fourth is access. The person must arrange the intervention, and the HSE says it can be delivered in person or online – however, online needs a phone or internet access, and in person means travelling. Both can present barriers, and in both cases the person has to make contact themselves and follow through. The joint committee warned that HSE staffing was likely to be insufficient; it is understood that nine full-time staff deliver the intervention nationally. Will people be able to access the screening and brief intervention, and how quickly?

People listen to panelists at The Citizens’ Assembly on Drugs Use at Dublin Castle in 2023. Panelists met over six weekends, from April to October, and heard from 130 speakers. Niall Carson/ Alamy.

In June 2026 the Oireachtas Joint Committee on Drugs Use published its final report in which Members recommend the repeal of section 3 of the Misuse of Drugs Act 1977 in order to fully decriminalise the possession of drugs for personal use.

Committee Cathaoirleach Deputy Gary Gannon said: ‘The Committee has concluded that the personal possession of drugs for one’s own use should cease to be treated as a criminal matter and should instead be met with a health-led approach.

‘This is not a marginal adjustment. It is a recognition that criminalising people for their own drug use has not reduced harm, and that a different approach is both possible and overdue.’

BROAD CRITERIA

To be offered a referral, a person must: 

  • be over 18 be facing a first-time drug offence
  • admit possession of what they believe to be a controlled drug
  • be willing to take part
  • be someone for whom Gardaí believe prosecution is not in the public interest.

The decision rests with a superintendent, or an inspector acting in that capacity. Previous convictions for other, non-drug offences do not automatically exclude someone, but a recent one – or more than one – points to unsuitability. 

Reasons for not offering the scheme must be recorded. Gardaí and members of the defence forces are excluded.

The Health Research Board will monitor the pilot through its first year, and it will then be independently evaluated. This echoes the 2019 Working Group, which recommended that any new approach have data collection, evaluation and scope for modification. The Oireachtas committee has asked that schemes like this be judged on a broad definition of success, including health, housing and engagement with services, not referral numbers alone.

The government says it has accepted the citizens’ assembly recommendation for a comprehensive health-led response to possession. But accepting a recommendation is not the same as implementing it. The Health Referral Scheme is not the model the people on the Citizens’ Assembly described, nor the decriminalisation the politicians on the two committees recommended. Whether it is fit for purpose, time will tell.

Progressify

Tony Duffin leads Progressify, an independent social policy and public health consultancy, is an adjunct teaching fellow at Trinity College Dublin, and co-hosts Dealing with drugs, a Hot Press podcast. 

He was independent chair of Strategic Implementation Group 5 (Alternatives to Coercive Sanctions) under Ireland’s National Drugs Strategy until it concluded its work at the end of 2024

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