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Drug Addiction Rehab
As a result of global concern over the effectiveness of placing alcohol
and narcotic-abusing offenders into jail, mandatory Drug Addiction Rehab
therapy has become a concept of renewed interest in all developed
countries. The groups which encourage mandated therapy point to social
cost, public health, harm reduction arguments and the ever present high
risk of recidivism to support their cases. They have some measure of
research to back up their position as some studies suggest that treatment,
instead of incarceration, may represent a rehabilitative modality to
reduce the personal and societal damage associated with substance abuse,
and poses a very cost effective option to society.
The majority of scholarship on the topic determines that coercion can be
linked directly from the inferred referral source. This concept
corresponds to the organizational, institutional or administrative
definition of the word. Within this perspective coerced patients have
sources of referral such as their families, the courts, various social and
medical agencies etc., while non-coerced patients are in a situation
whereby they effectively place themselves into the condition that they
find themselves in. Almost all of the medical and clinical studies
examining the effectiveness of Drug Addiction Rehab therapy which is borne
from an external force of coercion, have taken to heart this
administrative definition of therapeutic coercion.
These studies seem to indicate that the source of referral does not show
any accurate or particular correspondence with the perceptions of the
patient that Drug Addiction Rehab therapy is a coercive force and that
they are, at least at the present time, forced to submit. Furthermore,
these situations demonstrate a pair of important limitations of the
medical and clinical studies which can currently be located in the
literature. First of all, research attempting to determine the prevalence
of therapeutic coercion by calculating the number of patients referred
from the various and varied sources have likely concluded with inaccurate
estimates, since no guarantees exist that all court referrals are aware
that Drug Addiction Rehab therapy administered in this specific manner is
seen to the patient as a coercive imposition.
Research into the effectiveness of coerced substance abuse therapy seems
to have been critically compromised, due to the fact that the majority of
this research compared outcomes among patients grouped according to the
source of referral and do not directly quantify patients’ perceptions of
coercion. It is therefore likely that coercion has not to date ever been
adequately assessed. If the research based on the effectiveness of coerced
Drug Addiction Rehab therapy has thus been thoroughly invalidated then it
would follow that any statements or conclusions made about the propriety
of coerced therapy may not be resting on a solid theoretical or factual
foundation at all.
There is a level of evidence of the success rate of mandated therapy
within a civil commitment for opiate abusers as well as for remedial
programs to treat alcoholics who engage in driving while intoxicated.
Unfortunately it seems as if the research which was specifically directed
to provide conclusive evidence of the efficacy of mandated Drug Addiction
Rehab therapy is rather inconclusive. Therefore, it would be fundamentally
flawed to conclude that patients who are mandated by the law to undergo
therapy are in any way any more or any less suitable for therapy than
other patients.
While the research to support client therapy fitting is still inconclusive
at the present time, it is feasible that certain populations or subgroups
may derive some element of success from particular attention due to their
unique characteristics, or due to the fact that general programming cannot
properly meet their needs. For quite some time, Drug Addiction Rehab
therapy programming has been developed for various particular populations
based on a comprehension of shared characteristics that are believed to
have impact in attracting, motivating and maintaining patients in Drug
Addiction Rehab therapy. There is as of this current time, little if any
proper medical research to demonstrate that patients from particular
populations experience better therapy outcomes as a direct result of
therapeutic interventions which have been specially and particularly
designed.
There is very little research that demonstrates significant effect from
Drug Addiction Rehab therapy based on either structural or functional
characteristics, although particular provisions for therapy or for various
other adjunctive services are often made for females, youths, senior
citizens, patients diagnosed with HIV-AIDS and those with various
psychological problems. The administrations proposed for these groups have
the overall effect of increasing their chances for access to assistance
through some level of creating a larger sense of awareness and access to
avenues of assistance such as mutual aid and self help groups as well as
self-instructional literature, greater involvement of overall social and
community services in locating and supporting patients with substance
abuse problems, as well as providing a sequence of specialized services to
these groups through a varied offering of specific and particular Drug
Addiction Rehab outreach efforts. Effective patient management is
specifically significant to ensure that the complete set of requirements
and preferences of patients are allowed for.
There are various processes which can be utilized with a degree of
measurable and quantifiable success in the administration of addiction
therapeutic services for various substances. The efficacy of any of these
particular processes, strategies, implementations and programs is at
question, however, if the patient is forced to submit to these therapeutic
situations while being forcefully coerced into doing so. There is
virtually no data to support the expectation that coercion can lead to a
successful Drug Addiction Rehab scenario, thus it would behoove the
various authorities to reconsider their stand on forcing patients into
these addiction therapeutic programs against their will.
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