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This study uses autoethnography to examine the impact of the Misuse of Drugs Act 1971 on policing and public health in the UK. Bridging the gap between scholarly discourse and practical law enforcement insights, this paper aims to highlight the cognitive dissonance experienced by frontline officers when using policing methods that conflict with evidence-based practices and personal values. It critiques routine police procedures, highlighting the ineffectiveness of criminal sanctions in reducing drug offences and the resultant damage to community trust and police legitimacy.

Using autoethnography and critical reflection that combines personal narrative and ethnographic observation, this paper presents a practitioner's perspective on the challenges of enforcing low-level drug offences. It integrates the author's experiences as a neighbourhood police officer in Camden Town, London, with theoretical analysis to highlight the practical realities of drug law enforcement at the intersection of law enforcement and public health.

This research reveals contradictions between current drug law enforcement strategies and public health objectives, and the consequences for law enforcement. It highlights the risks of limiting police discretion and preventing their ability to respond appropriately to complex needs. The paper emphasises the need for public health and trauma-informed policing strategies to mitigate the adverse effects on vulnerable and disadvantaged communities.

Improved public health outcomes: prioritising treatment and support over punishment. Adoption of trauma-informed practices: reducing marginalisation, stigma and improved experiences of police interaction. Improved trust and legitimacy: when the public perceive policing as fair and aligned with community values, it strengthens procedural justice and police legitimacy. Enhanced officer well-being: an improved working environment and experience, through more meaningful, impactful work and improved interactions and relationships with the public. Policy change: policymakers should recognise the discretionary role of police when developing drug policy and acknowledge the risks associated with enforcement approaches that conflict with community needs and broader policing objectives.

Offering a novel critique of prohibitionist drug policies within the British context, this paper advocates for a cultural shift towards public health and trauma-informed approaches in UK policing. It emphasises the importance of recognising police officers' discretionary role as “citizen-agents” and the integration law enforcement approaches with harm reduction initiatives for enhanced procedural justice and police legitimacy.