TY - JOUR PY - 2021// TI - Civil commitment for opioid misuse: do short-term benefits outweigh long-term harms? JO - Journal of medical ethics A1 - Messinger, John C. A1 - Ikeda, Daniel J. A1 - Sarpatwari, Ameet SP - ePub EP - ePub VL - ePub IS - ePub N2 - In response to a sharp rise in opioid-involved overdose deaths in the USA, states have deployed increasingly aggressive strategies to limit the loss of life, including civil commitment-the forcible detention of individuals whose opioid use presents a clear and convincing danger to themselves or others. While civil commitment often succeeds in providing short-term protection from overdose, emerging evidence suggests that it may be associated with long-term harms, including heightened risk of severe withdrawal, relapse and opioid-involved mortality. To better assess and mitigate these harms, states should collect more robust data on long-term health outcomes, decriminalise proceedings and stays, provide access to medications for opioid use disorder and strengthen post-release coordination of community-based treatment.

Language: en

LA - en SN - 0306-6800 UR - http://dx.doi.org/10.1136/medethics-2020-107160 ID - ref1 ER -