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Insights from California on Involuntary Commitment for Substance Use
Stephen L Weiner1, Berneen Bal2, Matthew E Hirschtritt2
1Dr. Weiner is a fellow in forensic psychiatry at UC Davis, Davis, CA. Dr. Bal is a third-year psychiatry resident and Dr. Hirschtritt is Assistant Program Director for Research, Kaiser Permanente Oakland Adult Psychiatry Residency Training Program, Oakland, CA. Dr. Hirschtritt is an adjunct investigator, Kaiser Permanente Northern California Division of Research, Oakland, CA. Dr. Barnard is an Assistant Professor of Sociology, New York University, New York, NY. Stephen.Leo.Weiner@gmail.com.
Involuntary commitment (IC) for substance use disorders (SUDs) is controversial and lacks data. Further study of existing laws and community-based treatments is needed.
Area of Science:
- Public Health
- Addiction Medicine
- Legal Medicine
Background:
- Involuntary commitment (IC) for substance use disorders (SUDs) is a contentious and under-researched area.
- California's Lanterman-Petris-Short Act provides a specific example of IC for chronic alcoholism-related grave disability.
Purpose of the Study:
- To highlight the lack of data on the usage and effectiveness of existing IC legislation for SUDs.
- To advocate for increased research into IC practices and the expansion of community-based treatment models.
Main Methods:
- This article reviews existing legislation and discusses the need for further empirical study.
- It examines the current landscape of IC for SUDs, particularly in California.
Main Results:
- Data on the utilization and efficacy of IC for SUDs, specifically under California's laws, are notably absent.
- There is an ongoing legislative trend to expand IC for SUDs nationally.
Conclusions:
- There is a critical need for more research into the application and outcomes of involuntary commitment for substance use disorders.
- Expanding community-based treatment alternatives should be prioritized alongside evaluating current IC laws.
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