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"Somebody Is Gonna Be Hurt": Involuntary Drug Treatment in Mexico
Claudia Rafful1, María Elena Medina-Mora2, Patricia González-Zúñiga3
1Faculty of Psychology, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico.
Involuntary drug treatment is ineffective and often provided by non-professional programs. This study highlights the need to center the health, human rights, and security of people who inject drugs in global health policies.
Area of Science:
- Public Health
- Drug Policy
- Human Rights
Background:
- Involuntary drug treatment (IDT) is widely practiced despite evidence of its ineffectiveness in reducing drug use.
- Mexico faces a shortage of professional residential drug treatment facilities, leading to reliance on non-evidence-based programs for both voluntary and involuntary treatment.
- Federally funded police operations in Tijuana have resulted in the involuntary placement of people who inject drugs (PWID) into these centers.
Purpose of the Study:
- To investigate the experiences of people who inject drugs subjected to involuntary drug treatment in Tijuana.
- To inform drug policies by emphasizing the health, wellbeing, human rights, dignity, and security of PWID.
- To advocate for the integration of PWID support into universal healthcare systems.
Main Methods:
- Qualitative study exploring the lived experiences of PWID in Tijuana.
- Analysis of experiences within drug centers accessed via a federally funded police operation.
- Focus on health, human rights, dignity, and security outcomes.
Main Results:
- Involuntary drug treatment centers in Tijuana are often non-professional and non-evidence-based.
- PWID undergoing IDT face risks to their health, wellbeing, human rights, dignity, and security.
- Current practices fall short of international human rights standards for healthcare.
Conclusions:
- Involuntary drug treatment is an ineffective and potentially harmful approach to drug use.
- Drug policies must prioritize the health, human rights, and security of people who inject drugs.
- Integrating PWID into universal healthcare systems is crucial for effective and ethical drug treatment.
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