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Area of Science:

  • Legal Studies
  • Public Health
  • Psychology

Background:

  • Civil commitment (CC) is a court-based legal intervention for severe opioid use.
  • Limited research exists on the CC hearing process from the perspective of individuals with opioid use disorder.
  • Gender differences in opioid use and legal system experiences are documented but not explored in CC perceptions.

Purpose of the Study:

  • To examine the civil commitment hearing process for individuals with opioid use from their perspective.
  • To investigate potential gender differences in the perceptions of the civil commitment process.

Main Methods:

  • 121 individuals with opioid use were interviewed upon arrival at a CC facility in Massachusetts.
  • Interviews focused on their experiences during the civil commitment hearing process.
  • Participants' demographic information and perceptions of the process were collected.

Main Results:

  • The court intake process averaged over 5 hours, with less than 15 minutes spent with legal counsel before hearings.
  • Most CC hearings lasted under 15 minutes.
  • Men reported longer waits for transfer and withdrawal management; women reported worse judicial interactions and lower satisfaction.

Conclusions:

  • Few significant gender differences were observed in the overall CC experience.
  • Participants reported lengthy court processes and low perceived procedural justice.
  • Findings highlight areas for improving the fairness and efficiency of civil commitment for opioid use.