If the Caribbean poses a significant drugs problem for the UK and US, in the islands themselves ganja, crack cocaine and the policy responses to them have triggered a veritable social disaster. This book brings together new research, insightful policy analysis and practical experience of on-the-ground interventions.The origins of the huge problem are seen to lie in part with the impact of neoliberal economic policies undermining traditional sources of employment and exports, like bananas and sugar. The islands, in part under external US pressure, have adopted a region-wide policy of criminalization. This is the first book to examine the experiences of Caribbean countries since they adopted a coordinated approach to the drugs problem. There are valuable lessons to be learned at both policy and practical levels for other countries, and in particular those like the UK and US with large Caribbean populations.