Perron Brian E, Bright Charlotte L
School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA.
Drug Alcohol Depend. 2008 Jan 1;92(1-3):123-31. doi: 10.1016/j.drugalcdep.2007.07.011. Epub 2007 Sep 14.
Legal coercion is frequently used to leverage substance abuse treatment upon persons who would otherwise not seek it voluntarily. Various methodological and conceptual problems of the existing research have prevented a clear understanding of its effectiveness. The influence of legal coercion on retention in substance abuse treatment was examined using a national survey of programs in the public sector of care and three different treatment modalities including short-term residential (N=756), long-term residential (N=757), and outpatient treatment (N=1181). Legal coercion was found to reduce the risk of dropout across all three treatment modalities. The greatest effect was among persons in short-term residential treatment. The smallest effect was observed in outpatient treatment. This study shows that legal coercion significantly reduces the risk of dropout in substance abuse treatment. However, the differential effects across treatment conditions must be carefully considered when using coercion to involve individuals in treatment.
法律强制手段经常被用于促使那些原本不会自愿寻求治疗的人接受药物滥用治疗。现有研究存在各种方法和概念上的问题，阻碍了对其有效性的清晰理解。通过对公共护理部门项目的全国性调查以及三种不同治疗方式（包括短期住院治疗（N = 756）、长期住院治疗（N = 757）和门诊治疗（N = 1181）），研究了法律强制手段对药物滥用治疗留存率的影响。研究发现，法律强制手段降低了所有三种治疗方式中的退出风险。在短期住院治疗的人群中效果最为显著。在门诊治疗中观察到的效果最小。这项研究表明，法律强制手段显著降低了药物滥用治疗中的退出风险。然而，在使用强制手段让个体接受治疗时，必须仔细考虑不同治疗条件下的差异效果。
