Motivation to get rid of addiction. Compulsory treatment of drug addiction - law and practice
When relatives and close people fail to persuade a drug addict to undergo treatment, attempts to forcefully cure him will also not be successful. You can force a person to take medicine for viral disease, which will destroy the virus and the person will recover, but if he intends to get sick, he will find a way to get infected again.
Coercion, threats and similar methods that go against a person’s desires, even if they are unreasonable and wrong desires, will not bring any benefit.
Treatment, the effectiveness of which in the case of drug addicts is about 10%, works only if the person really wants to free himself from addiction. But even with the strong desire of a drug addict, treatment does not always help, and in the case of compulsory treatment, he will quickly return to his old ways as soon as he finds himself without supervision and control.
Compulsory treatment for drug addiction is a waste of time. It is better to spend a lot of effort and time to persuade a drug addict than to try to treat him using coercion.
Why is drug addiction not amenable to compulsory treatment?
A person strives to have pleasure, be happy and avoid physical and mental pain. This is natural, it is correct and reasonable. It is unnatural and unwise to simply use drugs to achieve pleasure and happiness. But at some point in use (perhaps for the first time, or perhaps after six months), narcotic substances became the only solution for a person, the only way to feel good. And when his condition worsened greatly, they became “vital” to get rid of serious mental and physical suffering. This is not a whim, no bad habit, not a whim or a whim - drugs at some point became everything for a person, and what will he say when you want to forcibly deprive him of this “saving remedy”? Yes, the addict will fight to the end to defend his position. In the end, he may give up, plunge into deep apathy, become indifferent and indifferent to everything, even his own fate and pain. This state is terrible, it is very close to death - absolute passivity, indifference and humility, lack of emotions and desires (although in appearance it may seem that the person has become better, he has become more accommodating, flexible, he may even smile, but this is a mask) . And we don’t think you want such a fate for your loved one. Only an active, caring, feeling person has a chance to get out and improve his life, his condition. And this can be achieved solely through communication with the goal of igniting or reviving own wish person to get rid of addiction, undergo treatment and rehabilitation.
Thus, coercion and other violent methods are the path towards death. Only by helping a person want to quit drugs and act in this direction can you truly help him.
Is it possible to treat alcohol and drug addiction without the knowledge of the patient?
Drug and alcohol addiction is not a physical illness, but a moral, emotional and spiritual degradation that is accompanied by a loss of self-respect, love for others, moral values and so on. No pills, including antidepressants, can cope with this, because they are essentially narcotic substances; taking them will lead to a change from one addiction to another. Drugs, including antidepressants, ultimately lead to degradation, pain and death.
Without the patient’s knowledge, it is impossible to restore his self-esteem, to teach him not to run away from reality, from life, from problems and difficulties, but to successfully cope with them. And so on. You can only cope with addiction with the help of a good rehabilitation program, but he himself must want to go through the program and be free.
How to force a drug addict to undergo treatment if he does not want to?
You cannot force a drug addict to undergo treatment, but you can persuade him. Confidential communication without shouting and reproaches, with love and understanding will help. Stories and examples of those who have recovered from addiction will help.
Our consultants know how to persuade a person to undergo rehabilitation. Among our employees and graduates there are those who themselves were trapped by drugs and alcohol and who can speak the same language with your loved one.
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We will help motivate a person so that he has a desire to get rid of addiction.
We will give recommendations on how to communicate with a drug addict.
Relatives of drug addicts who would like to help to a loved one using compulsory treatment for drug addiction, you should be aware that this is prohibited by law. Changes in the legislation of our country were made more than twenty years ago. Only in Soviet times was compulsory treatment of alcoholics and drug addicts carried out.
After Soviet Union collapsed, Russia adjusted laws in accordance with the European Convention on Human Rights. She does not allow violence against a person, even if it will suit a person for the benefit of. But, there are exceptional cases specified by law.
Reasons for compulsory drug addiction treatment
Forced treatment drug addiction in specialized clinics is carried out in the following cases:- The patient experiences a state of acute psychosis, helplessness, and dementia due to drug use.
- A person under the influence of drugs has committed a criminal offense.
- The patient presents real threat for the health and safety of others.
- In case of drug overdose, which threatens the patient's life.
Of course, loved ones of a drug addict do not want to wait for such critical situations to arise in order to cure him. Therefore, experts offer another option. Every opportunity should be used to influence the drug addict and convince him to make a decision to get rid of his addiction. For this you can use not only Right words, but also to simulate situations in which the patient will have a motive to give up drugs.
It can be considered that this drug addiction treatment is forced, since the motivation is created artificially. But such actions are not prohibited by law, and therefore it is worth taking advantage of this opportunity in the name of saving the patient.
Creating motivation to start treatment
Finding an approach to a drug addict and organizing voluntary treatment can be quite difficult. A person who considers the world of illusions more attractive than reality does not understand loved ones who are trying to persuade them to give up drugs. Required deep knowledge psychology of drug addicts, experience in communicating with them.To get started, you can call the hotline 24/7 line help for drug addicts. Specialist psychologists are on duty at the telephones and can provide assistance, give advice on communicating with the patient, and explain how to correctly convey information about the dangers of drug addiction.
Worth to visit professional psychologist in a specialized drug treatment clinic. Competent consultation will help you understand the addicted person, his fears, concerns, and reasons for inappropriate behavior. After this, it will be easier to find words that will become motivation to start treatment.
Now you can invite a psychologist to your home. A personal conversation between a specialist and a patient will certainly provide positive results. It would be good if this doctor would work with a drug-addicted patient while he was in the clinic. The trusting relationship that develops during home consultations eliminates the need for preliminary acquaintance and reduces the duration of the preparatory stage.
The complexity of treating adolescent drug addiction
Until the age of 18, parents are responsible for their children. But compulsory treatment for drug addiction is prohibited for them too. Doctors understand perfectly well how painful it is for fathers and mothers to see the gradual degradation of a child. But they can intervene without his consent only in the event of an overdose or severe complications of a health condition.It is usually difficult to persuade a teenager to seek treatment for addiction. Adult drug addicts often understand the harmfulness of this passion and feel guilty before loved ones. Therefore, it is enough for them to be in difficult situation, when the opportunity arises to feel the horror of loss. After this, drug addicts agree to treatment.
Teenagers do not consider drug use a disease. For them, this is an opportunity to escape from reality into a beautiful fantasy world. Parting with such temptations and the company of friends is not easy, which does not make it possible to make a difficult decision.
Plans to introduce legal compulsory drug treatment
In our country there is dangerous situation. The number of drug addicts is growing rapidly. Now this addiction is spreading not only among young people and teenagers; there are also children in the group of drug addicts. The Ministry of Health and deputy commissions in the Duma propose to introduce changes in legislation to legalize compulsory treatment of drug addiction. This would make it possible to stop the degradation of the country's working population, reduce the crime rate, and improve the demographic situation.They make it possible to cure drug addiction at any stage. In Soviet times, compulsory treatment was limited to isolating patients from society and replacing strong drugs with less dangerous analogues. This option turned out to be ineffective. If a law on compulsory treatment for drug addiction is adopted, effective methods will be used to return a person to normal life.
A drug addict in the family is scary. It is difficult for parents and loved ones living in the same apartment with the sufferer to see him every day and watch how the one they knew from birth is rapidly destroying his life. It hurts, it hurts a lot! And very scary. It's not safe to be around a drug addict because you don't know what to expect from him.
Is there compulsory treatment for drug addicts? Yes, and we will talk about this in more detail in the article.
Citing the law
On November 25, 2013, a law on compulsory treatment of drug addicts was adopted. It would seem that now those who do not have huge sums for private treatment will be helped to get rid of their addiction. No matter how it is.
The law on compulsory treatment of drug addicts came into force on May 1, 2014, but it has many shortcomings. It’s worth starting by comparing some facts.
Can't help everyone?
When adopting the law on compulsory treatment of drug addicts, the Russian authorities did not take into account one point. Only public hospitals can provide treatment services. How many beds are there for drug addicts, which are paid for from the country’s budget? About one and a half thousand. Against the eight million drug addicts officially registered in Russia. We emphasize that this is according to official data. How many are there that the state doesn’t know about? It turns out that we will cure one and a half thousand citizens, but what about the rest? The drafters of the law did not think about this.
Who is covered by the law?
Compulsory treatment of drug addicts is possible if the patient has a medical certificate of the disease. If a drug addict has never asked for help and his illness is not officially certified, you can’t count on help from the state.
What is compulsory treatment
Compulsory treatment of drug addicts is carried out by court decision. If a person poses a threat to people's lives, is dangerous to society or to himself, he may be sent for compulsory treatment. But for this you will need to collect a lot of pieces of paper and wait in line at the state center for the treatment and rehabilitation of drug addicts.
Is there any benefit from treatment?
Let's face it. Will there be any benefit if a drug addict is sent to a forced decision, and even through the court? Hardly. Those who have encountered drug addicts know how they react to the problem of getting rid of their disease. They do not understand that they are sick, they say that they can quit at any moment, they avoid all conversations about treatment or accept them aggressively.
Now imagine how a drug addict will react to the fact that he is sent forcibly for treatment? Moreover, you have to wait for your turn. At the very least, inappropriate behavior and uncontrolled aggression on the part of the patient are guaranteed.
Is there a way out?
We found out how to send a drug addict for compulsory treatment. First of all, a medical certificate is required stating that he is registered with a drug dispensary. Without it, there will be no medical examination, and the court will not even statement of claim will not be considered.
And what should the relatives of a drug addict do? Admit him to a psychiatric clinic to prove that he is insane, and then go to court with everyone necessary documents? It’s all so simple in words, but in reality, either drug addicts are not taken to the clinic or they “come out” from there feet first.
Therefore, try to do without coercion, convince the patient of the need for treatment.
What is an intervention?
Statistics on the treatment of drug addicts (shows per month), according to experts, demonstrate that after treatment and rehabilitation, 65% of them return to normal life. At least they no longer use anything related to drugs. 25% break down during the treatment stage, and 10% begin to “indulge” again.
But let's return to the answer to the question about intervention. The result is vicious circle: in order to get a court decision to compulsorily treat drug addicts, you need to go through nine circles of hell, and then wait for your turn in state center treatment. If a drug addict escapes from there, it will be almost impossible to return him there.
Let's start with the persuasion method. Intervention is convincing the addict that he needs to undergo treatment. Let's make a reservation right away - the service is provided by private centers.
How's it going?
Why tell a family that has no money about how doctors convince rich drug addicts to undergo treatment at their center. Let's talk about a method that a poor family can adopt.
So, the relatives and the psychologist hold a meeting. Relatives of a drug addict talk in detail about him: what he likes, what he doesn’t like, how he can behave, what hobbies he had before his illness, what is happening to him now - throughout the life of his sick relative.
The next day, the doctor comes to the drug addict’s home. Relatives are also here. Naturally, the patient accepts the doctor’s visit aggressively, but everyone is ready for this.
The doctor and relatives drink tea, talk, joke, laugh. They behave as if the drug addict is not nearby, although he is in the same room. You can talk about anything. The goal is to interest the drug addict and get him to see the doctor. Such conversations can last the whole day, this must be taken into account.
After the drug addict has made contact with the doctor, the specialist begins to convince him of the need for treatment. Not necessarily only positive words, sometimes threats are used (veiled, of course). It is important to convey to the patient that he cannot cope with the problem on his own. After the addict agrees to treatment, the doctor immediately takes him with him and takes him to the center.
On the one hand, this is psychological pressure and crime. But on the other hand, there is no other way out. Patients do not want to be treated voluntarily; they do not understand that they are sick.
Having collected everything necessary papers, relatives can influence their patient. Only without threats, very softly and unobtrusively. As soon as consent is received, the relatives file a claim in court.
Motivational crisis
It’s easy to give advice, but few people know what relatives of heavy drug addicts have to face. It’s one thing when knowledge about a problem is gleaned only from psychology textbooks; it’s quite another to have a chemical addiction that a drug addict is unable to overcome.
In addition to compulsory treatment of drug addicts and intervention, there is also a family motivational crisis. The path is long, psychologically difficult, but the attempt is worth it. What is the crisis motivation? The fact is that the family agrees to deprive the addict of any support, which includes moral, emotional and financial. This position is maintained until the sick relative agrees to voluntary treatment.
Cruel but effective method
This practical method is very cruel and mentally difficult, but it helps. True, only under one condition: the addict himself must want to overcome his addiction. It is advisable to use this method on initial stage addiction, when the illness has not yet developed into a habit.
A lot of alcohol is bought. Anyone who is a drug addict. Someone must be with him at home. The patient locks himself in an apartment without money and without a dose, there is only him, drink, food and the person looking after him. The worst thing is going through withdrawal. Alcohol is needed to make it easier for a drug addict. It is worth keeping in mind that during withdrawal a person becomes inadequate, he may scream, roll on the floor, or bend over. Some people's eyes glaze over, their breathing becomes heavy and ragged, and sweat appears on their forehead. If you manage to cope with this condition, the addict will be able to quit. If the observer sees that things are really bad, it is better to call an ambulance.
Conclusion
Now the reader knows what compulsory treatment of drug addicts is, how to admit a patient to a hospital, and how to help a relative suffering from a terrible disease in other ways.
A drug addict is a sick person, no matter what they say about addiction. The disease must be treated, not condemned for it.
A law signed by the President in October 2013 came into force, giving the courts the right to send drug addicts to compulsory treatment. For evading treatment, administrative liability is provided in the form of a fine or administrative arrest for 30 days.
Now a drug addict can be sent for compulsory treatment if the court does not sentence him to imprisonment. It can also be aimed at diagnostic examination, prevention and rehabilitation. It is the responsibility of the criminal-executive inspection to monitor its implementation. If a person against whom a decision on compulsory treatment is made does not obey the court, he may be fined up to 5 thousand rubles or sentenced to administrative arrest for 30 days. It has long been obvious that it is very difficult to force a drug addict to undergo treatment without coercion: even having sunk to the social “bottom” and with one foot in the grave, he often chooses a drug. Moreover, in the total mass of drug addicts, they are the majority.
According to the data Federal service According to drug control in Russia, the real number of drug users can reach eight million people. Every year, 130 thousand people in Russia die from causes directly or indirectly related to drug use.
According to experts, the adopted law simply will not work, despite its correct and sound content: the problem of a total shortage of rehabilitation services has not gone away, and the state is not taking any drastic actions aimed at eliminating it.
Today, the drug treatment service of health authorities operates 4 rehabilitation centers and 87 rehabilitation departments, the total capacity of which is 1,730 beds.
The program for comprehensive rehabilitation and resocialization of drug patients, developed by the Federal Drug Control Service, has been under approval for a year and a half, as a result of which it is being reduced in financial size. When it will be finally adopted and to what extent it is not known with certainty.
The majority of domestic narcologists are inclined to believe that methods of compulsory motivation are necessary and give positive results when used in a number of developed countries, in particular in the USA.
Creating an alternative between prison and treatment is a reasonable solution. To this day, there are strong misconceptions that prison “treats” drug addicts by isolating them from the opportunity to use. It has been reliably established that a person released from prison who had previously used drugs with high share likely to return to use in a short time.
Significantly limits practical use adopted law lack of a procedure for the participation of non-state institutions in its implementation. At the same time, it is obvious that public health resources are only sufficient for the experimental application of the law
The number of operating non-state rehabilitation organizations (commercial, non-profit, self- and mutual-help groups and communities) has not been precisely established, but in total it significantly exceeds the number of state drug treatment institutions. Considering that government agencies drug addiction healthcare can provide rehabilitation to only 0.3% of the officially registered (550 thousand people) and 0.09% of the “modest” estimated (1.7 million) number of drug addicts; public medicine is not able to satisfy the large demand of society for rehabilitation .
The result is a vicious circle, because of which drug addicts will suffer even more: the courts will send them to treatment nowhere, and then condemn them for not receiving treatment.
As a result, it is naive to expect that this law will become a panacea and will significantly change the situation. Therefore, one should not place too much hope on the law; to radically change the drug situation, it is necessary to change the lifestyle of young people. There is a decline in drug use in America primarily because younger generation today the priorities are completely different, it is becoming fashionable not to use drugs, to go in for sports, to develop one’s career and self-development, for which the state is creating the necessary conditions.