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Civil commitment experiences among opioid users.

Paul P Christopher1, Bradley Anderson2, Michael D Stein3

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|November 2, 2018
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Summary
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Civil commitment for opioid use targets high-risk individuals. Positive commitment experiences and medication treatment improve post-commitment abstinence rates for opioid use disorder.

Keywords:
CivilCommitmentCourtInvoluntaryOpioids

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Criminology

Background:

  • Civil commitment is an emerging strategy to address the opioid epidemic.
  • Limited data exists on individuals undergoing civil commitment for opioid use and their outcomes.
  • Understanding these individuals is crucial for effective intervention.

Purpose of the Study:

  • To compare characteristics of individuals with and without a history of civil commitment for opioid use.
  • To identify factors associated with post-commitment abstinence.

Main Methods:

  • Cross-sectional study surveying 292 individuals undergoing inpatient opioid detoxification.
  • Data collected on lifetime experiences with civil commitment for opioid use.

Main Results:

  • 26.7% of participants had experienced civil commitment.
  • Committed individuals showed higher rates of fentanyl/heroin use, injection drug use, overdoses, incarceration, and prior medication treatment.
  • Relapse occurred within 72 days for many, with 33.8% relapsing on release day.

Conclusions:

  • Individuals civilly committed for opioid use represent a high-risk population.
  • Positive commitment experiences and post-commitment medication treatment correlate with longer abstinence periods.