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SSDP/Country guide

🇨🇭 Switzerland

Four-pillar model; heroin-assisted treatment.

EuropeNo chapter yetDetailed profile

Legal context

European countries vary widely, from decriminalisation and diversion models to criminal penalties, with growing debate on cannabis regulation and health-led responses.

Health response (HRI 2024)

Harm Reduction International (2024) reports at least one operational service in Switzerland: needle & syringe programmes, opioid agonist therapy, drug consumption rooms, safer smoking kits, stimulant prescription. Inside prisons: NSP and OAT. National policy documents include an explicit supportive reference to harm reduction.

Youth leadership

Youth participation often happens through civil-society coalitions, student movements, municipal consultations and European-level advocacy networks.

Four-pillar model; heroin-assisted treatment.

Drug policy briefing

What young people should know about drug policy in Switzerland

Decriminalisation

Cannabis fines; pilots underway

Small cannabis quantities carry an administrative fine rather than criminal charge; regulated adult-use pilots are running in several cities.

Evidence · Narcotics Act; Federal Office of Public Health pilots.

Harm Reduction

Four-pillar pioneer

Prevention, therapy, harm reduction and repression pillars are established policy; heroin-assisted treatment has operated since the 1990s.

Evidence · FOPH; EMCDDA.

Youth Participation

Consultative

Cantonal and federal consultations include youth and civil society representatives.

Evidence · FOPH stakeholder processes.

Treatment Systems

Universally insured

Treatment is covered by mandatory health insurance; OAT and HAT are widely accessible.

Evidence · FOPH.

Sources · Harm Reduction International, Global State of Harm Reduction 2024 · UNODC · WHO · EMCDDA/EUDA · national laws and civil-society monitoring. Last reviewed Harm Reduction International 2024.