Cannabis use policy may impact military service for young men in Western Uusimaa

A single incident of cannabis use will not automatically disqualify a young man from military service, though ongoing usage may lead to exclusion, according to a military doctor in Western Uusimaa. Recent reports indicate that mental health issues and substance abuse are among the leading reasons for exemptions from the army. Defense forces statistics show a rising trend in these problems over the years, with over half of those exempted due to issues related to mental health, substance use, or behavior—approximately 3,100 young men last year alone.

Doctor Tom Österholm, who has been serving as a recruitment physician in Espoo for the past decade, has observed a growing prevalence of these issues. He noted that while the military generally maintains a strict stance on drug use, occasional experimentation with cannabis has become common among youth. As long as there is no evidence of persistent use, a historical incident is typically not a barrier to enlistment, provided the individual assures they will abstain in the future.

Prior to their enlistment interview, all conscription-aged men undergo a health examination where their medical history and substance use are assessed. Based on these evaluations, doctors recommend a service eligibility classification. Should a classification other than A be assigned, the individual is referred to a recruitment physician who can confirm or adjust the designation.

While self-disclosure regarding regular drug use during the initial recruitment may lead to a deferral, the process is not as straightforward. Young individuals often receive encouragement to cease substance use before re-evaluation when they come back for recruitment.

The guidelines governing medical evaluations are somewhat outdated, having last been updated in 2012. Plans are in place for a revision by 2026 to better address emerging issues, such as the rise in ADHD diagnoses.