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July 2021

Effectiveness of coerced addiction treatment (Alternative consequences) - A review of the clinical research

Author(s): Flaherty, J. A.

Journal/Book: J Subst Abuse Treat. 2000; 18: the Boulevard Langford Lane, Kidlington, Oxford Ox5 1GB, England. Pergamon-Elsevier Science Ltd. 9-16.

Abstract: Of central importance is that our clinical experience and treatment outcome studies to date strongly suggest that coercion is fundamental to addiction treatment and favorable outcomes from therapeutic interventions. Often the alcoholic/drug abuser must be given an opportunity to feel face, or experience the ''consequences'' of their alcohol and drug addiction before the denial of their illness can be penetrated and motivation for treatment to recover from addictive illness can be developed. Continued use of alcohol and drugs is an unhealthy and dangerous state for those who are addicted and for others who are affected by their addictive illnesses. Effective therapeutic interventions and long-term recovery are more likely to succeed if avoiding ''alternative consequences'' are contingent on continued compliance with addiction treatment by those who suffer from addictive illnesses.

Note: Article Miller NS, Michigan State Univ, Dept Psychiat, A227 E Fee Hall, E Lansing,MI 48824 USA

Keyword(s): addiction; coercion; mandate; outcome; treatment; ALCOHOL; ABUSE; COCAINE


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