Christopher Paul P, Anderson Bradley, Stein Michael D
Department of Psychiatry & Human Behavior, Warren Alpert Medical School, Brown University, United States of America.
General Medicine Unit, Butler Hospital, Providence, RI, United States of America.
J Subst Abuse Treat. 2020 Jun;113:107998. doi: 10.1016/j.jsat.2020.107998. Epub 2020 Mar 5.
Despite the growing use of civil commitment for drug use disorders, little is known about attitudes among individuals who might be subject to civil commitment. This study examined attitudes of persons with opioid use disorder toward civil commitment for drug misuse and for psychiatric illness. Consecutive persons entering a brief, inpatient opioid detoxification (n = 254) were surveyed regarding their attitudes about civil commitment for mental illness and for drug use, and responses were compared by commitment type and by individual history of being civilly committed for opioid misuse. Participants endorsed high support for civil commitment (both psychiatric and drug misuse-related) when used to address risk of harm to self, to others, and of criminal activity. Respondents were more likely to support civil commitment for psychiatric disorders than for drug misuse, expressing higher support for civil commitment in general, higher agreement with the criteria used to justify civil commitment, and greater perceived efficacy of commitment. Individuals previously committed for opioid misuse were less likely to support drug misuse-related commitment on the basis of its perceived efficacy. These results suggest individuals with opioid use disorder hold more favorable views toward civil commitment for mental health disorders than for drug misuse, and reinforce the need for more research on the procedures and outcomes related to civil commitment for drug misuse.
尽管因药物使用障碍而进行民事强制住院治疗的情况越来越普遍，但对于可能被实施民事强制住院治疗的个人的态度却知之甚少。本研究调查了患有阿片类药物使用障碍的人对因药物滥用和精神疾病而进行民事强制住院治疗的态度。对连续进入短期住院阿片类药物脱毒治疗的人员（n = 254）进行了调查，询问他们对因精神疾病和药物使用而进行民事强制住院治疗的态度，并按强制住院类型以及因阿片类药物滥用而被民事强制住院的个人病史对回答进行了比较。当用于解决对自己、他人的伤害风险以及犯罪活动风险时，参与者对民事强制住院治疗（包括与精神疾病和药物滥用相关的）表示高度支持。与药物滥用相比，受访者更倾向于支持针对精神疾病的民事强制住院治疗，总体上对民事强制住院治疗的支持度更高，对用于证明民事强制住院治疗合理性的标准的认同度更高，且认为强制住院治疗的效果更佳。曾因阿片类药物滥用而被强制住院的个人基于其感知到的效果，不太可能支持与药物滥用相关的强制住院治疗。这些结果表明，患有阿片类药物使用障碍的人对因精神健康障碍而进行的民事强制住院治疗的看法比对因药物滥用而进行的民事强制住院治疗更为积极，并强化了对与药物滥用相关的民事强制住院治疗的程序和结果进行更多研究的必要性。
