IS COERCED TREATMENT FOR SUBSTANCE ABUSERS THE RIGHT APPROACH?
A recent study that has garnered a lot of attention is the finding by two Princeton economists, one a Nobel prize winner, that there is what has been termed an “epidemic” of substance abuse by middle-aged white Americans. In fact, the study found that for white Americans aged 45 to 54 with no college education, the increase in deaths attributed to substance abuse, which includes alcohol, heroin and prescription opioids increased at an extraordinary rate from 1999 to 2014. The debate swirls around the causes of this increase but of more pressing concern is how to abate this phenomenon.
Enter Massachusetts Governor Charlie Baker. In that state, 1,200 people died from drug overdoses in 2014. Addressing what has been termed a “brutal opioid epidemic” in his state, Governor Baker has proposed legislation that would give hospitals authority to force treatment on drug addicts who are a danger to themselves or others. The legislation, if signed into law, would be similar to Massachusetts statute that permits the commitment of mentally ill individuals, often against their will. The proposed legislation would give hospitals the power to hold addicts for three days, against their will, in order to evaluate them. If the hospital determines that a longer commitment is needed, the proposed law would allow the hospital to seek legal permission to hold the addict for a longer commitment. The law would apply not only to drug addicts but to those addicted to alcohol as well. Massachusetts already has a law that allows families, police officers, and doctors to seek 90-day civil commitments for addicts who pose a serious risk to themselves or others, but this new law would up the ante for what is called “coerced treatment” by shifting the focus and authority to the hospitals.