Neither the “Devil’s Lettuce” nor a “Miracle Cure:” The Use of Medical Cannabis in the Care of Children and Youth

Title

Neither the “Devil’s Lettuce” nor a “Miracle Cure:” The Use of Medical Cannabis in the Care of Children and Youth

Creator

Gunning M; Rotenberg A; Anderson J; Balneaves LG; Brace T; Crooks B; Hall W; Kelly LE; Rassekh SR; Rieder M; Virani A; Ware MA; Zaslawski Z; Siden H; Illes J

Publisher

Neuroethics

Date

2022

Subject

Ethics; Medical cannabis; Pediatrics; Regulation; Strength-based research; Virtual workshop

Description

Lack of guidance and regulation for authorizing medical cannabis for conditions involving the health and neurodevelopment of children is ethically problematic as it promulgates access inequities, risk-benefit inconsistencies, and inadequate consent mechanisms. In two virtual sessions using participatory action research and consensus-building methods, we obtained perspectives of stakeholders on ethics and medical cannabis for children and youth. The sessions focused on the scientific and regulatory landscape of medical cannabis, surrogate decision-making and assent, and the social and political culture of medical cannabis. We found that evidence-gathering and data dissemination, pressures on clinical relationships, and the lack of integration of culturally diverse perspectives and Indigenous knowledges were key areas of concern. Participants emphasized the importance of utilizing adaptive study designs, highlighted the importance of trust-building between clinicians, patients and caregivers, and discussed barriers including historical and ongoing stigmatization of medical cannabis. We conclude that continued public consultation and strength-based research that integrate diverse perspectives are critical steps forward.

Rights

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Citation List Month

March 2022 List

Collection

Citation

Gunning M; Rotenberg A; Anderson J; Balneaves LG; Brace T; Crooks B; Hall W; Kelly LE; Rassekh SR; Rieder M; Virani A; Ware MA; Zaslawski Z; Siden H; Illes J, “Neither the “Devil’s Lettuce” nor a “Miracle Cure:” The Use of Medical Cannabis in the Care of Children and Youth,” Pediatric Palliative Care Library, accessed July 13, 2024, https://pedpalascnetlibrary.omeka.net/items/show/17817.