What’s Old Is New Again in Addiction Treatment The Expansion of Involuntary Commitment in the United States

• Published in: Health and human rights Vol. 27; no. 1; pp. 13 - 18
• Main Authors: MESSINGER, JOHN C., BELETSKY, LEO
• Format: Journal Article
• Language: English
• Published: United States President and Fellows of Harvard College 01.06.2025; Harvard School of Public Health; Harvard University Press; Harvard FXB Center for Health and Human Rights
• Subjects: Addictions; Coercion; Commitment; Evidence-based medicine; Human rights; Human services; Institutionalization; Involuntary; PERSPECTIVE; Policy making; Resource allocation; Shortages; Substance abuse treatment; United States > US
• ISSN: 1079-0969; 2150-4113; 2150-4113

The expansion of involuntary commitment for addiction treatment in the US has gained traction, particularly following the appointment of Robert F. Kennedy Jr. as Secretary of Health and Human Services. This trend, which echoes a troubling history of institutionalization, has seen over 25 states enhance their involuntary commitment laws between 2015 and 2018. Despite the legal framework, implementation remains limited due to funding shortages and human rights concerns. A recent report from MA highlights the risks associated with involuntary treatment, revealing that individuals subjected to such measures face a significantly higher risk of nonfatal overdose and mortality post-release. The findings underscore the urgent need for a reevaluation of this approach, advocating for a shift towards evidence-based voluntary treatment options. As the overdose crisis continues to escalate, policymakers must prioritize resource allocation to effective voluntary interventions rather than relying on coercive measures that may exacerbate harm. Ensuring access to comprehensive care and community-based follow-up is essential to mitigate the risks associated with involuntary commitment and improve outcomes for individuals struggling with addiction.