Coercive treatment is better studied and less contentious than involuntary treatment, most research demonstrating efficacy and cost benefits, including reduced substance use and criminality, improved health and employment (Miller and Flaherty, 2000).
Is coercive treatment effective?
If the targeted outcomes of coerced treatment involve stable recovery from addiction and the alleviation of burden to public health and safety, rather than social control or punishment, then effectiveness has arguably not been adequately demonstrated to date. The way forward
Is there evidence for the effectiveness of treatment under social controls?
In a recent review, Wild outlined a comprehensive criticism of the evidence base for the effectiveness of treatment under social controls and coercion, suggesting that the development of sound policies and treatment practices has been hampered by numerous limitations of the research conducted to date [1].
Does legal coercion improve treatment outcomes?
However, the divergence among these results—with five of the studies reporting a positive relationship between legal coercion and treatment outcomes, four reporting no difference, and two studies reporting a negative relationship—leads to a number of additional conclusions.
Can drug and Alcohol offenders be coerced into treatment?
Drug and alcohol offenders coerced into treatment: A review of modalities and suggestions for research on social model programs. Substance Use and Misuse. 2001;36:589–608. doi: 10.1081/JA-100103562.
What is a VTC court?
Why is coercion important in addiction?
What is the international legal framework for drug use?
What is family involvement in OBH?
What is a diversion evaluation?
What is procedural justice?
How does substance abuse affect parental rights?
See more
About this website
Is forced treatment effective?
There's no consensus among clinicians that mandatory treatment is an effective approach, and research suggests it's not particularly effective. A 2016 meta-analysis of nine studies in the International Journal of Drug Policy found no evidence of improved outcomes with compulsory treatment.
What is the success rate for treatment?
An estimated 43 percent of all people who go to drug rehab successfully complete their treatment programs, while another 16 percent are transferred to other rehab centers for additional treatment. Rehab success rates for those who complete drug and alcohol detoxification are a combined 68 percent.
What are 3 options for drug abuse treatment?
There are many options that have been successful in treating drug addiction, including:behavioral counseling.medication.medical devices and applications used to treat withdrawal symptoms or deliver skills training.evaluation and treatment for co-occurring mental health issues such as depression and anxiety.More items...•
Does Michigan have Casey's Law?
Casey's Law is currently in Kentucky and Ohio. We believe its needed in every State to help our loved ones. Charlotte Wethington wishes to get this passed at the federal level and she needs your help.
What makes a treatment effective?
3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.
What is the most effective treatment for addiction?
According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.
Is treatment for drug dependence effective?
According to research that tracks individuals in treatment over extended periods, most people who get into and remain in treatment stop using drugs, decrease their criminal activity, and improve their occupational, social, and psychological functioning.
What is a good treatment plan for substance abuse?
Planning Long-Term Care Attending regular 12-step meetings or support groups. Continuing therapy sessions with a counselor. Taking prescription medications, including medication-assisted treatment for opioid and alcohol use disorders.
What are the 6 types of drug dependence?
Within the above categories are six types of drug dependency: alcohol dependence, opioid dependence, hypnotics/sedative dependence, cannabis dependence, hallucinogen dependence, and cocaine abuse. Some authorities may recognize seven categories of drug dependence.
Is Casey's law in Florida?
THIS LAW IS ONLY APPLICABLE IN THE STATES OF KENTUCKY AND OHIO.
How does Casey's law work?
The Matthew Casey Wethington Act provides a means of intervening with someone who is unable to recognize his or her need for treatment due to their impairment. This law allows parents, relatives and/or friends to petition the court for treatment on behalf of the substance abuse-impaired person.
What states have Marchman Act?
States with and Without Mandatory Addiction Treatment LawsAlabama. Drugs and alcohol are excluded from the definition of mental illness in Alabama. ... Alaska. ... Arizona. ... Arkansas. ... California. ... Colorado. ... Connecticut. ... Delaware.More items...•
What is a VTC court?
Veterans’ treatment courts (VTCs) provide a veteran-centric diversion option to traditional court case processing. These courts have proliferated across the United States without much consideration about whether veterans want, or need, a specialty court. In this article, we investigate the underlying importance of a veteran identity in the decision to enroll in a VTC. Based on in-depth qualitative interviews with veterans, we identify four primary implications for practitioners. First, veterans are ashamed of their criminal justice involvement. Second, they are concerned about increased punitiveness by criminal justice actors, particularly law enforcement, because of their veteran status. Third, veterans perceive the VTC process to bestow upon them stigma and retaliation. Fourth, veterans resist VTC involvement for fear of dishonoring their branch of service. To expand enrollment, results demonstrate that practitioners should consider how veterans reconcile their veteran and offender identities when considering VTC enrollment.
Why is coercion important in addiction?
Of central importance is that our clinical experience and treatment outcome studies to date strongly suggest that coercion is fundamental to addiction treatment and favorable outcomes from therapeutic interventions. Often the alcoholic/drug abuser must be given an opportunity to feel, face, or experience the "consequences" of their alcohol and drug addiction before the denial of their illness can be penetrated and motivation for treatment to recover from addictive illness can be developed. Continued use of alcohol and drugs is an unhealthy and dangerous state for those who are addicted and for others who are affected by their addictive illnesses. Effective therapeutic interventions and long-term recovery are more likely to succeed if avoiding "alternative consequences" are contingent on continued compliance with addiction treatment by those who suffer from addictive illnesses.
What is the international legal framework for drug use?
The United Nations (UN) conventions present the international legal framework; they urge member states to provide treatment and rehabilitation but prohibit consumption and possession of scheduled drugs. This creates problems for providing treatment and harm reduction programs to patients who are not or not yet ready to stop illicit drug use. Other international documents, notably from the World Health Organization and the United Nations Office on Drugs and Crime, are strongly in favor of agonist substitution treatment and harm reduction measures. Within this framework, national legislation has much room for diverse preferences; the International Narcotic Control Board regularly comments the national practices, as well as the European Monitoring Centre for Drugs and Drug Addiction for the EU member states. An international trend gradually prefers therapeutic measures over criminal sanctions for drug users. The international ethical framework is set by the universal declaration and European convention on human rights, striking a balance between individual rights and societal interests. Less ambiguous guidance comes from medical ethics claiming the full range of patient’s rights for addicted persons.
What is family involvement in OBH?
This chapter highlights the role of the family in the treatment of youth who attend Outdoor Behavioral Healthcare (OBH) programs. Family involvement can take many forms across the stages of wilderness treatment that are highlighted in this chapter. For example, when an adolescent is in the expedition phase of treatment-specific letter writing assignments may be used to encourage dialog between the parents/guardians and child. During the phase of the program where parents/guardians participate alongside their child there may be family therapy sessions, family adventure activities, family sculptures , and family group sessions. In addition to reviewing some ways families can be involved, the role of the family therapist at home is discussed in relation to the OBH clinician and how they can work together collaboratively. To highlight how family involvement may look within an OBH program, a case study is provided and suggestions concerning the role of family are presented.
What is a diversion evaluation?
Diversion evaluations are a type of forensic mental health assessment (FMHA) conducted to assist the courts in making decisions regarding diversion eligibility. As a result, they should follow the general principles of FMHA and the American Academy of Psychiatry and Law Practice Guideline for Forensic Assessment. Diversion evaluations also require application of specific areas of knowledge and experience, as court-based diversion is a unique, therapeutically focused context that is purposefully non-adversarial. The diversion evaluator is a role that combines objective decision-making with clinical consultation. The purpose of this article is to apply generally accepted forensic report standards to diversion evaluations, with a particular focus on the unique issues of diversion-specific forensic evaluations.
What is procedural justice?
The procedural justice orientation suggests that offenders who view the mandate as legitimate and useful will be more likely to comply. In-depth interviews with probationers and parolees are analyzed to explore this issue. Overall, offenders held conflicting opinions about the mandate to attend treatment. Although offenders disliked being ordered to complete drug treatment, they understood the benefit of attending as a part of their reintegration and sobriety. Offenders felt their supervising officers were fair, but their role in drug treatment was to ensure program completion. This study adds to the literature by providing insight into offender perceptions of mandated treatment and the dimensions of the offender-officer relationship. Implications for procedural justice, future research, and policy are discussed.
How does substance abuse affect parental rights?
Parental substance abuse significantly increases the risk of child maltreatment and loss of custody. If parental capacity due to substance abuse cannot be rehabilitated within a limited time period and if the child cannot be safely returned to his/her home, the state, in various jurisdictions, is empowered to initiate termination of parental rights proceedings. Despite the connection between substance abuse and termination of parental rights, the research literature in this area is limited. Based on a sample of 212 rulings in favor of termination of parental rights by Israeli courts, the present study examines factors that differentiate substance-abusing from non-substance-abusing parents. The findings indicate that substance-abusing parents constitute a unique high-risk group among parents whose parental rights were terminated. This group is characterized by a higher cumulative risk that includes mental health issues with an emphasis on personality disorders and emotional problems, criminal records, child neglect and maternal single parenthood. All these factors, as well as the overall number of risk factors in a particular case, were found to predict substance-abusing parenthood. A discussion of the findings and their implications for social work practice with families involved in the child welfare system follows.
What is a VTC court?
Veterans’ treatment courts (VTCs) provide a veteran-centric diversion option to traditional court case processing. These courts have proliferated across the United States without much consideration about whether veterans want, or need, a specialty court. In this article, we investigate the underlying importance of a veteran identity in the decision to enroll in a VTC. Based on in-depth qualitative interviews with veterans, we identify four primary implications for practitioners. First, veterans are ashamed of their criminal justice involvement. Second, they are concerned about increased punitiveness by criminal justice actors, particularly law enforcement, because of their veteran status. Third, veterans perceive the VTC process to bestow upon them stigma and retaliation. Fourth, veterans resist VTC involvement for fear of dishonoring their branch of service. To expand enrollment, results demonstrate that practitioners should consider how veterans reconcile their veteran and offender identities when considering VTC enrollment.
Why is coercion important in addiction?
Of central importance is that our clinical experience and treatment outcome studies to date strongly suggest that coercion is fundamental to addiction treatment and favorable outcomes from therapeutic interventions. Often the alcoholic/drug abuser must be given an opportunity to feel, face, or experience the "consequences" of their alcohol and drug addiction before the denial of their illness can be penetrated and motivation for treatment to recover from addictive illness can be developed. Continued use of alcohol and drugs is an unhealthy and dangerous state for those who are addicted and for others who are affected by their addictive illnesses. Effective therapeutic interventions and long-term recovery are more likely to succeed if avoiding "alternative consequences" are contingent on continued compliance with addiction treatment by those who suffer from addictive illnesses.
What is the international legal framework for drug use?
The United Nations (UN) conventions present the international legal framework; they urge member states to provide treatment and rehabilitation but prohibit consumption and possession of scheduled drugs. This creates problems for providing treatment and harm reduction programs to patients who are not or not yet ready to stop illicit drug use. Other international documents, notably from the World Health Organization and the United Nations Office on Drugs and Crime, are strongly in favor of agonist substitution treatment and harm reduction measures. Within this framework, national legislation has much room for diverse preferences; the International Narcotic Control Board regularly comments the national practices, as well as the European Monitoring Centre for Drugs and Drug Addiction for the EU member states. An international trend gradually prefers therapeutic measures over criminal sanctions for drug users. The international ethical framework is set by the universal declaration and European convention on human rights, striking a balance between individual rights and societal interests. Less ambiguous guidance comes from medical ethics claiming the full range of patient’s rights for addicted persons.
What is family involvement in OBH?
This chapter highlights the role of the family in the treatment of youth who attend Outdoor Behavioral Healthcare (OBH) programs. Family involvement can take many forms across the stages of wilderness treatment that are highlighted in this chapter. For example, when an adolescent is in the expedition phase of treatment-specific letter writing assignments may be used to encourage dialog between the parents/guardians and child. During the phase of the program where parents/guardians participate alongside their child there may be family therapy sessions, family adventure activities, family sculptures , and family group sessions. In addition to reviewing some ways families can be involved, the role of the family therapist at home is discussed in relation to the OBH clinician and how they can work together collaboratively. To highlight how family involvement may look within an OBH program, a case study is provided and suggestions concerning the role of family are presented.
What is a diversion evaluation?
Diversion evaluations are a type of forensic mental health assessment (FMHA) conducted to assist the courts in making decisions regarding diversion eligibility. As a result, they should follow the general principles of FMHA and the American Academy of Psychiatry and Law Practice Guideline for Forensic Assessment. Diversion evaluations also require application of specific areas of knowledge and experience, as court-based diversion is a unique, therapeutically focused context that is purposefully non-adversarial. The diversion evaluator is a role that combines objective decision-making with clinical consultation. The purpose of this article is to apply generally accepted forensic report standards to diversion evaluations, with a particular focus on the unique issues of diversion-specific forensic evaluations.
What is procedural justice?
The procedural justice orientation suggests that offenders who view the mandate as legitimate and useful will be more likely to comply. In-depth interviews with probationers and parolees are analyzed to explore this issue. Overall, offenders held conflicting opinions about the mandate to attend treatment. Although offenders disliked being ordered to complete drug treatment, they understood the benefit of attending as a part of their reintegration and sobriety. Offenders felt their supervising officers were fair, but their role in drug treatment was to ensure program completion. This study adds to the literature by providing insight into offender perceptions of mandated treatment and the dimensions of the offender-officer relationship. Implications for procedural justice, future research, and policy are discussed.
How does substance abuse affect parental rights?
Parental substance abuse significantly increases the risk of child maltreatment and loss of custody. If parental capacity due to substance abuse cannot be rehabilitated within a limited time period and if the child cannot be safely returned to his/her home, the state, in various jurisdictions, is empowered to initiate termination of parental rights proceedings. Despite the connection between substance abuse and termination of parental rights, the research literature in this area is limited. Based on a sample of 212 rulings in favor of termination of parental rights by Israeli courts, the present study examines factors that differentiate substance-abusing from non-substance-abusing parents. The findings indicate that substance-abusing parents constitute a unique high-risk group among parents whose parental rights were terminated. This group is characterized by a higher cumulative risk that includes mental health issues with an emphasis on personality disorders and emotional problems, criminal records, child neglect and maternal single parenthood. All these factors, as well as the overall number of risk factors in a particular case, were found to predict substance-abusing parenthood. A discussion of the findings and their implications for social work practice with families involved in the child welfare system follows.