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Mandatory treatment for methamphetamine use in Australia
Mathew Coleman1, Kelly Ridley2, Michael Christmass3
1The Rural Clinical School of Western Australia, The University of Western Australia, 35 Stirling Terrace, Albany, Western Australia, 6330. mathew.coleman@rcswa.edu.au.
Substance Abuse Treatment, Prevention, and Policy
|April 10, 2021
Summary
Mandatory treatment for methamphetamine use shows limited effectiveness, particularly civil commitment programs. Coercive programs within the criminal justice system yield small, robust results, but ethical challenges remain.
Area of Science:
- Public Health
- Substance Use Disorders
- Criminal Justice
Background:
- Methamphetamine identified as a major problem substance in Australia in 2016.
- Mandatory treatment in Australia includes involuntary/civil commitment and criminal justice-linked coercive regimes.
- Focus on evidence for mandatory treatment for methamphetamine users.
Purpose of the Study:
- Review the evidence base for mandatory treatment regimes for individuals with methamphetamine use disorders.
- Evaluate the effectiveness and challenges of different mandatory treatment approaches.
Main Methods:
- Narrative review methodology employed.
- Comprehensive literature and citation search conducted.
- Analysis of 41 relevant papers from 502 initial search results.
Main Results:
- Limited evidence supports mandatory drug treatment regimes, especially civil commitment programs.
- Coercive treatment programs within the criminal justice system show small but robust positive outcomes.
- Evidence for these programs specifically for methamphetamine use disorders is less promising.
- Significant clinical and ethical challenges identified, including capacity, motivation, effectiveness, cost, and harms.
Conclusions:
- Balancing human rights with treatment effectiveness, safety, and accessibility is crucial for mandatory methamphetamine treatment.
- Legislators and clinicians must consider the complexities and potential harms of mandatory approaches.
Keywords:
AustraliaCivil commitmentCoercive treatmentInvoluntary treatmentMandatory treatmentMethamphetamineSubstance useMore Related Videos
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