engleski

Coerced addiction treatment: How, when and whom?

From the psychiatric point of view the aim and purpose of coer-cive treatment of addicts imply the creation of positive therapeutic pressurewhich could induce mobilization of all available motivational mechanismsfocused on improving general health and on correction of inappropriate so-cial behavior. An increasing number of individuals have been referred totreatment protocol under legal coercion from the criminal justice system re-lated to family law act, whereat optimaltherapeutic results can be seen in al-coholics with conditional sentence along with coercive treatment within se-curity measure. Adherence and acceptance of the treatment protocol issignificantly higher in coerced population of addicts, emphasizing longerretention, better treatment attendance and reduction in criminal activity anddrug use, compared to the voluntarily referred patients. Considering a sig-nificant number of coerced patients in treatment, one would expect to find asubstantial body of structured researches addressing the relationship be-tween the coercion and outcomes in comparison with addicts who enteredtreatment voluntarily, but this is not the case. Available data on drug addictsshowed the efficiency of the treatment itself when completed and that evenbrief exposure to treatment protocol can result in fewer drug consumptionand lower criminal activity. In this paper, we tried to explore the facts men-tioned and the role of coercive treatment as well as the most frequent pa-rameters of coercive treatment efficacysuch as retention, abstinence dura-tion and treatment attendance.

addiction, treatment alcohol

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