Involuntary Civil Commitment for Substance Use Disorder: Legal Precedents and Ethical Considerations for Social Workers

Walton, Matthew T.; Hall, Martin T.

doi:10.1080/19371918.2017.1327388

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…The surge in fatal opioid overdoses has led to community-based advocacy for mandatory treatment. In 2004, the mother of Mathew Casey Wethington was able to lobby for a CC SUD law in her home state of Kentucky after losing her son who died from a heroin overdose (22,23). The opioid epidemic has led to shifting viewpoints of CC SUD laws and communities are advocating for change.…”

Section: Discussionmentioning

confidence: 99%

The impact of civil commitment laws for substance use disorder on opioid overdose deaths

Cochran,

Chindavong,

Edelenbos

et al. 2024

Front. Psychiatry

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ObjectiveOur study analyzed the impact of civil commitment (CC) laws for substance use disorder (SUD) on opioid overdose death rates (OODR) in the U.S. from 2010–21.MethodsWe used a retrospective study design using the CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) dataset to analyze overdose death rates from any opioid during 2010–21 using ICD-10 codes. We used t-tests and two-way ANOVA to compare the OODR between the U.S. states with the law as compared to those without by using GraphPad Prism 10.0.ResultsWe found no significant difference in the annual mean age-adjusted OODR from 2010–21 between U.S. states with and without CC SUD laws. During the pre-COVID era (2010–19), the presence or absence of CC SUD law had no difference in age-adjusted OODR. However, in the post-COVID era (2020–21), there was a significant increase in OODR in states with a CC SUD law compared to states without the law (p = 0.032). We also found that OODR increased at a faster rate post-COVID among both the states with CC SUD laws (p < 0.001) and the states without the law (p = 0.019).ConclusionWe found higher age-adjusted OODR in states with a CC SUD law which could be due to the laws being enacted in response to the opioid crisis or physicians’ opposition to or unawareness of the law’s existence leading to underutilization. Recent enactment of CC SUD law(s), a lack of a central database for recording relapse rates, and disparities in opioid overdose rate reductions uncovers multiple variables potentially influencing OODR. Thus, further investigation is needed to analyze the factors influencing OODRs and long-term effects of the CC SUD laws.

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Section: Discussionmentioning

confidence: 99%

The impact of civil commitment laws for substance use disorder on opioid overdose deaths

Cochran,

Chindavong,

Edelenbos

et al. 2024

Front. Psychiatry

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“…Le débat persistant dont ces soins font l'objet pourrait être l'héritage de l'évolution nosographique de l'addiction, passant de « l'ivrognerie » (58) à un trouble mental décrit dans les classifications internationales (1,3). Il ne semble pas se limiter ni au champ médical ni à la France, en attestent les différentes positions adoptées par les textes de loi étrangers (59, 60) et les commentaires s'attardant davantage sur les aspects législatifs et politiques du sujet que sur les aspects diagnostiques et thérapeutiques (16,21,61,62).…”

Section: Iv2 Discussion Des Résultatsunclassified

“…Elles précisent que les soins libres restent la norme et que les soins sans consentement doivent être réservés à des situations spécifiques. Plusieurs auteurs se sont intéressés à la possibilité de recourir aux soins sans consentement dans le cadre d'une addiction (16)(17)(18)(19)(20)(21). Pour certains auteurs la contrainte n'est d'aucune utilité (22), du fait de la nécessité d'une motivation préalable du patient aux soins, sans laquelle la prise en charge serait vouée à l'échec, voire contre-productive en raison de l'impossibilité ultérieure d'établir une alliance thérapeutique à la suite de la contrainte (9,10,22).…”

Section: Introductionunclassified

Les soins sans consentements peuvent-ils s’appliquer en cas d’addiction dans le contexte français ? Une analyse critique des données

2020

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“…Previous studies have described the ethical dilemmas of providing involuntary treatment [ 23 , 24 , 25 ]. For example, clinicians may find referring individuals to involuntary care difficult because of the conflict between paternalism and promoting self‐determination [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Beliefs and attitudes of drug and alcohol clinicians when considering referral of Aboriginal clients to involuntary drug and alcohol treatment: A qualitative study

Lee

Bullen

Zheng

et al. 2022

Drug and Alcohol Review

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Introduction Involuntary drug and alcohol treatment occurs in many countries and its role is often controversial. This can be a particular concern in relation to First Nations or other culturally distinct populations. This study explores beliefs and attitudes of drug and alcohol clinicians when considering referral of Aboriginal Australians to involuntary drug and alcohol treatment in New South Wales (NSW), Australia. Methods The Involuntary Drug and Alcohol Treatment program (IDAT) is legislated by the NSW Drug and Alcohol Treatment Act 2007. There are two IDAT units—in urban (Sydney, four beds) and regional NSW (Orange, eight beds). NSW Health drug and alcohol clinicians who had referred clients to IDAT between 2016 and 2018 were invited to participate in a semi‐structured 1:1 interview. Eleven clinicians (n = 2, male) from six local health districts (urban through to remote) agreed to participate. A descriptive qualitative analysis of responses was conducted. Results Two key themes summarised the beliefs and attitudes that clinicians reported influencing them when considering referral of Aboriginal Australians to involuntary drug and alcohol treatment in NSW: (i) dilemma between saving someone's life and being culturally safe; and (ii) need for holistic wrap‐around care. Discussion and Conclusions Almost all clinicians were worried that being in IDAT would further erode their Aboriginal client's autonomy and be retraumatising. Strategies are needed to support the involvement of Aboriginal‐specific services in IDAT processes and ensure local support options for clients on discharge. Future research should examine the effectiveness, acceptability and feasibility of involuntary drug and alcohol treatment programs.

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Involuntary Civil Commitment for Substance Use Disorder: Legal Precedents and Ethical Considerations for Social Workers

Cited by 6 publications

References 33 publications

The impact of civil commitment laws for substance use disorder on opioid overdose deaths

The impact of civil commitment laws for substance use disorder on opioid overdose deaths

Les soins sans consentements peuvent-ils s’appliquer en cas d’addiction dans le contexte français ? Une analyse critique des données

Beliefs and attitudes of drug and alcohol clinicians when considering referral of Aboriginal clients to involuntary drug and alcohol treatment: A qualitative study

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