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Prevalence of involuntary commitment for alcohol dependence
Susan Mindock1, Katherine Wright, Michael F Fleming
1Center for Addictive Disorders, University of Wisconsin Hospital and Clinics, USA.
Involuntary commitment for alcohol dependence is perceived as effective but varies by Wisconsin county. Physicians can consider this legal process to aid patients with alcoholism.
Area of Science:
- Public Health
- Legal Medicine
- Addiction Psychiatry
Background:
- Alcohol dependence is a chronic, relapsing illness with severe health consequences.
- Involuntary commitment is a legal mechanism used to compel treatment and abstinence.
- Understanding its utilization is crucial for public health strategies in Wisconsin.
Purpose of the Study:
- To determine the utilization of involuntary commitment for alcohol dependence across Wisconsin's 72 counties.
- To assess the perceived effectiveness of involuntary commitment as a treatment option.
Main Methods:
- A statewide mailed survey was conducted.
- The survey targeted county-level data on the use of involuntary commitment.
Main Results:
- 68% of Wisconsin counties responded to the survey.
- The mean number of involuntary commitments for alcohol dependence was 5 per county annually (range: 0-30).
- Family members (98%), friends (62%), physicians (49%), and counselors (26%) were primary petitioners; 53% found the process effective.
Conclusions:
- Involuntary commitment for alcohol dependence is viewed as helpful but its application differs across Wisconsin counties.
- Physicians may consider utilizing this legal intervention for patients with severe alcoholism.
- Further research into the varied utilization and effectiveness is warranted.
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