Forcing people into drug treatment is on the political agenda. Here’s what the evidence says

As the devastating drug crisis continues to claim thousands of lives each year, there is a growing push towards involuntary treatment for drug addiction as a potential solution. With more than 47,000 Canadians losing their lives to toxic opioids since 2016, the urgency of the situation is undeniable.

However, the effectiveness of involuntary treatment remains a topic of debate. A recent research review conducted by the Canadian Society of Addiction Medicine found inconclusive evidence on whether forcing people into treatment is effective. Of the 42 studies reviewed, only a few reported positive outcomes, mainly in terms of retention in treatment rather than long-term reduction in substance use.

Despite the lack of concrete evidence, there is a growing political interest in implementing involuntary treatment measures across Canada. From British Columbia to New Brunswick, various politicians have proposed this as a potential policy option. In Alberta, Premier Danielle Smith has even promised legislation to allow for forced treatment.

Critics of involuntary treatment argue that the focus should be on improving access to voluntary treatment programs. Dr. Katie Dorman, a family physician in Toronto, highlights the barriers that prevent individuals from accessing care, such as long wait times and restrictive criteria. In Ontario, the average wait time for residential treatment is 16 days for assessment and an additional 72 days for admission, compared to 20-37 days in Alberta.

Marshall Smith, former chief of staff to Premier Danielle Smith, believes that while voluntary treatment should be a priority, there is a place for involuntary care as well. Drawing from his own experience of overcoming addiction, Smith emphasizes the importance of providing individuals with the support they need to break free from the cycle of addiction.

In conclusion, the debate over involuntary treatment for drug addiction is complex and multifaceted. While some advocate for its implementation as a way to address the crisis, others believe that the focus should be on improving access to voluntary treatment options. As the discussion continues, it is clear that more research and evidence are needed to inform health policy decisions and ensure that the best possible outcomes are achieved for those struggling with addiction.