Wednesday, 28 January 2026

DSM Foundation responds to the updated review of ketamine use and harms from the government’s Advisory Council on the Misuse of Drugs

Recent significant rises in the use of ketamine by young people, and in the harms it can cause, especially regarding bladder damage, dependence, and drug-related deaths, have led to increasing concerns for drug education charity the DSM Foundation.

In their student surveys, ketamine is consistently perceived as the most prevalent substance being used by 15-18 year olds, after alcohol, nicotine and cannabis, overtaking others such as cocaine and MDMA, and this has been part of a bigger picture of concern, with cries for help from parents, teachers and healthcare professionals from across the entire country.

Given this context, the DSM Foundation welcomes the publication of this updated review from the ACMD, commissioned by the government more than a decade after its previous review in 2013. 

This detailed, comprehensive, wide-ranging report on the current context in relation to ketamine provides valuable insights into what the specific issues are, and what the ACMD considers needs doing to address these – which is a lot. 

Although much of the attention surrounding the report will inevitably focus on the recommendation relating to its legal classification, we know that there’s so much more that needs to be done to reduce harm to young people, and this is reflected in the long list of recommendations detailed in the report.

Of course it's the recommendations relating to prevention, education, training, and harm reduction that are of most interest to a drug education charity like the DSM Foundation, because they know how essential this is as part of any response to drug-related harm – and they're already working very hard to enable young people to manage risks specific to ketamine, as part of the broader information, skills and strategies their work always integrates.

The charity has developed specialist content which covers the effects and risks of ketamine, identifying early signs of bladder damage and of possible dependence, as well as decision-making skills and strategies contextualised to ketamine, harm reduction and support seeking. Ketamine-focused workshops have been delivered by the DSM Foundation team in schools from the northeast of Scotland to the southwest of England, and information for young people and parents and caregivers can be found on the website. A free ketamine resource pack for schools will be made available shortly to download from the website, which will include a short staff briefing and resources for teachers to use with students in drug education lessons.

Fiona Spargo-Mabbs OBE, founder and director of the DSM Foundation told That's Health: “As we’ve seen the prevalence of ketamine rising, and the numbers of young people coming to harm growing - and in ways quite unique to this particular substance - we’ve been so concerned to do all we can to work with young people to keep themselves safe.

"We’re all about supporting young people to make safer choices about drugs, but we know how many factors can mitigate against that for young people, and how important effective education is. We very much hope the government responds positively to the strong recommendations the ACMD has made in relation to education, and that a better understanding of what’s already available will lead to the development of more evidence-informed resources and programmes that will support young people, and the important adults in their lives, to reduce risk and harm, and to find support that really helps them should they ever find they need it.”

https://www.dsmfoundation.org.uk

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