Civil commitment among patients with alcohol and drug abuse: Practical, conceptual, and ethical issues

James K. Rustad, Patricia Junquera, Luis Chaves, Spencer Eth

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVES: The authors sought to examine the conceptual and public policy underpinnings of involuntary treatment for individuals who engage in alcohol and/or substance abuse. METHODS: The authors reviewed the relevant scientific and legal literature with a focus on the state of Florida, and compared and contrasted civil commitment statutes for addiction patients with those for patients with severe mental illness. RESULTS: Aside from episodes of acute intoxication and withdrawal delirium, most individuals with addiction disorders are mentally competent. This finding raises serious ethical questions about the detention of individuals with substance abuse disorders against their will. CONCLUSIONS: Treatment for alcohol and drug abuse requires a concerted, multidisciplinary strategy to have a long-lasting impact on the disease process. Although structured and intensive aftercare may carry attendant expenses, it is ultimately more affordable than short-term incarceration and legal proceedings. One potential legal-based treatment alternative would be mandating outpatient involuntary commitment for individuals with severe addictive disorders.

Original languageEnglish
Pages (from-to)136-145
Number of pages10
JournalAddictive Disorders and their Treatment
Volume11
Issue number3
DOIs
StatePublished - Sep 1 2012

Fingerprint

Commitment of Mentally Ill
Ethics
Alcoholism
Substance-Related Disorders
Aftercare
Delirium
Public Policy
Therapeutics

Keywords

  • alcohol abuse
  • civil commitment
  • drug abuse
  • Florida
  • involuntary treatment
  • Marchman act

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Civil commitment among patients with alcohol and drug abuse : Practical, conceptual, and ethical issues. / Rustad, James K.; Junquera, Patricia; Chaves, Luis; Eth, Spencer.

In: Addictive Disorders and their Treatment, Vol. 11, No. 3, 01.09.2012, p. 136-145.

Research output: Contribution to journalArticle

@article{aa08b2bf1d1e4ce99f4d38171d19798c,
title = "Civil commitment among patients with alcohol and drug abuse: Practical, conceptual, and ethical issues",
abstract = "OBJECTIVES: The authors sought to examine the conceptual and public policy underpinnings of involuntary treatment for individuals who engage in alcohol and/or substance abuse. METHODS: The authors reviewed the relevant scientific and legal literature with a focus on the state of Florida, and compared and contrasted civil commitment statutes for addiction patients with those for patients with severe mental illness. RESULTS: Aside from episodes of acute intoxication and withdrawal delirium, most individuals with addiction disorders are mentally competent. This finding raises serious ethical questions about the detention of individuals with substance abuse disorders against their will. CONCLUSIONS: Treatment for alcohol and drug abuse requires a concerted, multidisciplinary strategy to have a long-lasting impact on the disease process. Although structured and intensive aftercare may carry attendant expenses, it is ultimately more affordable than short-term incarceration and legal proceedings. One potential legal-based treatment alternative would be mandating outpatient involuntary commitment for individuals with severe addictive disorders.",
keywords = "alcohol abuse, civil commitment, drug abuse, Florida, involuntary treatment, Marchman act",
author = "Rustad, {James K.} and Patricia Junquera and Luis Chaves and Spencer Eth",
year = "2012",
month = "9",
day = "1",
doi = "10.1097/ADT.0b013e318234298b",
language = "English",
volume = "11",
pages = "136--145",
journal = "Addictive Disorders and their Treatment",
issn = "1531-5754",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Civil commitment among patients with alcohol and drug abuse

T2 - Practical, conceptual, and ethical issues

AU - Rustad, James K.

AU - Junquera, Patricia

AU - Chaves, Luis

AU - Eth, Spencer

PY - 2012/9/1

Y1 - 2012/9/1

N2 - OBJECTIVES: The authors sought to examine the conceptual and public policy underpinnings of involuntary treatment for individuals who engage in alcohol and/or substance abuse. METHODS: The authors reviewed the relevant scientific and legal literature with a focus on the state of Florida, and compared and contrasted civil commitment statutes for addiction patients with those for patients with severe mental illness. RESULTS: Aside from episodes of acute intoxication and withdrawal delirium, most individuals with addiction disorders are mentally competent. This finding raises serious ethical questions about the detention of individuals with substance abuse disorders against their will. CONCLUSIONS: Treatment for alcohol and drug abuse requires a concerted, multidisciplinary strategy to have a long-lasting impact on the disease process. Although structured and intensive aftercare may carry attendant expenses, it is ultimately more affordable than short-term incarceration and legal proceedings. One potential legal-based treatment alternative would be mandating outpatient involuntary commitment for individuals with severe addictive disorders.

AB - OBJECTIVES: The authors sought to examine the conceptual and public policy underpinnings of involuntary treatment for individuals who engage in alcohol and/or substance abuse. METHODS: The authors reviewed the relevant scientific and legal literature with a focus on the state of Florida, and compared and contrasted civil commitment statutes for addiction patients with those for patients with severe mental illness. RESULTS: Aside from episodes of acute intoxication and withdrawal delirium, most individuals with addiction disorders are mentally competent. This finding raises serious ethical questions about the detention of individuals with substance abuse disorders against their will. CONCLUSIONS: Treatment for alcohol and drug abuse requires a concerted, multidisciplinary strategy to have a long-lasting impact on the disease process. Although structured and intensive aftercare may carry attendant expenses, it is ultimately more affordable than short-term incarceration and legal proceedings. One potential legal-based treatment alternative would be mandating outpatient involuntary commitment for individuals with severe addictive disorders.

KW - alcohol abuse

KW - civil commitment

KW - drug abuse

KW - Florida

KW - involuntary treatment

KW - Marchman act

UR - http://www.scopus.com/inward/record.url?scp=84865737220&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865737220&partnerID=8YFLogxK

U2 - 10.1097/ADT.0b013e318234298b

DO - 10.1097/ADT.0b013e318234298b

M3 - Article

AN - SCOPUS:84865737220

VL - 11

SP - 136

EP - 145

JO - Addictive Disorders and their Treatment

JF - Addictive Disorders and their Treatment

SN - 1531-5754

IS - 3

ER -