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Psychoactive substance use in forensic psychiatry

E J Kermani¹, R Castaneda

¹Department of Psychiatry, New York University Medical Center, New York 10016, USA.

The American Journal of Drug and Alcohol Abuse

|February 1, 1996

Summary

Judicial discipline and behavioral science intersect regarding substance-related disorders. Legal systems view substance use as a choice, impacting criminal defenses and compulsory treatment decisions for public safety.

Area of Science:

Forensic Psychiatry
Legal Medicine
Behavioral Science

Background:

Substance-related disorders present complex challenges at the intersection of law and behavioral science.
Understanding the epidemiology of psychoactive drug use and its correlation with criminal behavior is crucial.

Purpose of the Study:

To explore the interface between judicial discipline and behavioral science in managing substance-related disorders.
To analyze landmark court decisions influencing psychiatric practice concerning addiction and crime.

Main Methods:

Review of the epidemiology of psychoactive substance use and crime.
Analysis of court decisions impacting the legal and psychiatric handling of substance abuse cases.

Main Results:

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The legal system often views substance use as a volitional act, limiting insanity defenses in intoxication-related crimes.
Compulsory treatment is permissible for individuals with substance use disorders posing a danger to themselves or others.
Legal frameworks address substance abuse as willful misconduct (punitive) or a disabling condition (rehabilitative), impacting employment and child welfare considerations.

Conclusions:

Psychiatry and law currently operate with distinct approaches to substance abuse issues.
There is a need for further research and innovative strategies to integrate legal and psychiatric perspectives.