Many of us know little about the problem of drug addiction and how widespread it is until we experience it ourselves. There is a fairly consistent belief that only weak-willed and spineless people start using drugs. But there is a misconception and those who think so are greatly mistaken, because drug addiction is a very serious and difficult disease, which is very difficult to treat, since it is necessary to get rid of not only physical dependence on drugs, but also psychological dependence, which is much more dangerous. A person who uses narcotic drugs is a patient who needs immediate emergency drug treatment.

It is important that the drug addict and the people around him understand that, regardless of the circumstances, treatment must be carried out, since this disease does not go away on its own, but, on the contrary, progresses more and more every day, week, month, which ultimately becomes the cause of sad events. Relatives of drug addicts, tired of the endless number of persuasion and requests to quit the addiction, begin to look for ways to forcefully treat the disease. But, alas, in in this case Russian legislative law is on the side of the patient and prohibits any treatment against the will and without the consent of the person.

Law for compulsory treatment of drug addicts and substance abusers

The main state law of the Russian Federation is the Constitution, which clearly states that any citizen of our country has the right to independently make decisions about where and how to live, for this reason the law on compulsory treatment of drug addicts, even if it were adopted, will contradict the Constitution. At the legislative level, Article 228 of the Criminal Code of the Russian Federation strictly prohibits the production and distribution of narcotic substances, however, if a person takes these drugs, it is impossible to force them to undergo treatment without voluntary consent, since the law prohibits this. But what to do in this case, because all those who are closely faced with this misfortune understand perfectly well the need for the healing process. Also, not a single drug treatment center will take on the responsibility of treating a patient without first obtaining his consent. Only with the consent of the drug addict is it possible to begin treatment, because success largely depends on his motivation, desire and determination.

But there is still a legislative possibility of compulsory treatment of drug addicts in cases where they have committed illegal actions. If at the time of committing a crime, a person was under the influence of narcotic substances, and this provoked him to unjustified cruelty and insanity, he may be sent for compulsory treatment by decision of the judicial authorities. In case of refusal of such a measure to get rid of drug addiction, in most cases the actual serving of time in a correctional institution is assigned.

Treatment of drug addicts for drug addiction

It’s not a very simple process; it’s extremely rare that drug addicts themselves come to an understanding of the need to quit and seek help and support from medical centers. In most cases, the initiators of the need for therapeutic measures are relatives and friends, only thanks to their perseverance and perseverance this becomes possible. Again, many do not want publicity about their problems with drugs, and in every way they try to keep it a secret, which is why they avoid contacting doctors, but in this situation there is a way out - this is drug addiction treatment anonymously. In this case, all therapeutic actions are carried out in compliance with strict measures of concealment of information about the patient, which guarantees the avoidance of publicity in the future.

The most important thing is that if one of your loved ones shows signs of drug addiction, do not delay this process and immediately begin taking measures to treat it. Do not try to self-medicate; the most correct thing is to seek help from professionals who will help cope with the problem and try to set the person up so that the period of remission is as long as possible.

Not every addict is able to realize the scale of the problem and refuse easy way abstract from problems. When high, all troubles fade into the background. “So is it worth bees fighting against honey?” - the drug addict thinks.

In this situation, his relatives try to make a wise decision for the patient.

Is it possible to treat a drug addict forcibly?

Forced treatment drug addiction is possible only by court decision. The main basis for compulsory treatment is the proven threat that the addict may pose to others. But even in the case of a positive court decision, compulsory treatment is not a panacea. Having “served” his allotted time in the clinic and undergone detoxification, the unrepentant addict will return to his old ways at the first opportunity. Narcologists are convinced: it is possible only on a voluntary basis.

Forced treatment at the request of relatives is not only ineffective, but also illegal and can be considered a criminal offense. Hoping that people in white coats will come, tie up the patient and take him to the center, and then return him healthy and ready for better life, it is forbidden.

Drug addiction is a chronic disease, and no course of medication, no “secret” treatment can lead to the desired result. The atmosphere of a drug treatment clinic does not motivate you to strive for a better life.

Since a patient who verbally agrees to treatment is able to leave a public clinic whenever he wants, optimal solution The problem is placing the patient in a private rehabilitation center. Before the detoxification course, the patient signs an agreement, which confirms the voluntariness of his intentions.

Private clinics are closed institutions with an established regime, where the possibility of drug transfer by “friends” is completely excluded.

Crisis motivation of drug addicts - how to convince them to get treatment?

Crisis motivation, or, as it is also called, “intervention” is the most effective method forcing a drug addict to undergo treatment. In this case, the addict makes the decision about treatment himself, albeit under the pressure of external circumstances. The main goal of the intervention is to make the patient feel discomfort from his illness.

Crisis motivation involves the use of a whole range of manipulative measures and techniques, primarily aimed at eliminating codependency of the drug addict and his loved ones. This method is widely used by doctors - the intervention has become a routine service in private drug treatment clinics.

Before starting the motivating program, the specialist instructs the patient’s relatives about new rules of behavior, the observance of which will make the drug addict think. The goal of the doctor and the patient’s family is to make him understand that drugs that bring euphoria and oblivion also lead to serious negative consequences for the addict himself.

Such a procedure at home can last several hours until, with the help of psychotherapeutic suggestion, the patient realizes the problem and agrees to take at least the first step towards solving it.

And if a drug addict is often able to abstract himself from the harm caused to loved ones, “under the pressure” of the responsibility that has fallen on him, he is unable to resist the idea of ​​treatment.

Forced to independently decide their financial, labor and social problems, the patient finally makes a sound decision. A drug addict exists as long as he is indulged.

We remind you that home treatment for drug addiction is impossible - it is a complex mental illness, the treatment of which must be carried out by a qualified specialist. That's why the main task relatives and close friends of the drug addict - to ensure his prompt delivery to a rehabilitation center for voluntary treatment.

Drug addiction is a serious chronic disease that must be treated with medication and psychotherapy. Legislators face a difficult task: the decision on compulsory treatment of drug addiction must be made by the court. The procedure itself must guarantee the protection of the interests of the drug addict.

Amendments to the Laws of the Russian Federation on the referral of drug-dependent citizens for compulsory treatment

On May 24 of this year, the debate and discussion about compulsory treatment of drug addiction by court order finally ended. Everything is enshrined in law. Legal basis Article 55 (Part 3) of the Constitution may serve for such treatment Russian Federation. This provision is not inconsistent with Article 29, Part 2 of the Declaration of Human Rights.

According to the Federal Drug Control Service, 8 million drug addicts are officially registered in our country. Every year from drug use various types about 135 thousand die Russian citizens. In addition to the Law, the Federal Drug Control Service proposed its program for the rehabilitation of drug addicts. As part of this program, from state budget the amount necessary for the rehabilitation of 150 thousand patients who use drugs constantly or periodically will be allocated annually.

The court may make a decision on compulsory treatment in relation to the following persons:

- drug addicts who understand what is happening to them, but refuse to undergo the necessary treatment;

- drug addicts who have broken the law;

- those convicted of crimes.

The court will prescribe treatment even if the main sentence for the crime committed is suspended. Control over the execution of the court decision on compulsory treatment and rehabilitation will be exercised by the criminal executive authorities.

Where and how will compulsory drug addiction treatment be carried out? The state is proposing a program to open rehabilitation centers throughout Russia. This applies not only to private, but also to municipal specialized medical institutions. The main goal is that every drug addict can anonymously apply at any time, be examined and undergo a course of treatment and rehabilitation.

Currently, according to official data, there are about five rehabilitation centers, 110 drug treatment clinics, and about 90 rehabilitation departments in Russia. It is planned to build 200 more such centers in each region.

In addition, a proposal has been made to issue certificates for compulsory treatment of drug addiction in non-state rehabilitation centers. This project is already active in northern regions from January of this year. Local departments social protection transfer 35,000 rubles to the center’s account for the treatment and rehabilitation of adults registered at a psychoneurological dispensary.

Unfortunately, no one has yet definitively calculated how much the implementation of the new Law will cost the budget. It should be borne in mind that the majority of patients taking drugs categorically refuse any treatment. It is with this motivation that specialists in rehabilitation centers need to work. Treatment will give good result only if the addict realizes the fact of his addiction and begins to help doctors.

And one last thing. What are the consequences of refusing or evading compulsory treatment or diagnosis?

If drug addicts leave on their own medical institution, will not visit him at all or will stop following all the recommendations and instructions of the doctor, if such violations are recorded 2 times or more, then such persons are subject to either arrest for 30 days or a fine in the amount of 4,000 to 5,000 rubles.

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Drugs are a problem large quantity of people. And, unfortunately, the percentage of drug addicts is growing every year. Moreover, the statistics show.

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Compulsory drug treatment

The Healthy Generation Center provides compulsory treatment for drug addiction at the request of the patient’s relatives or friends. Drug addiction is a serious disease that is difficult to get rid of on your own. Ordinary persuasion from loved ones does not bring results. In such cases, the only way out of the current situation is compulsory drug addiction treatment.

• High professionalism of doctors;
• Use of modern drugs;
• Mandatory stage of rehabilitation and resocialization;
• Sensitive and respectful attitude towards patients.

Psychotherapy or how to send a drug addict to compulsory treatment?

Compulsory treatment of drug addicts is a common practice that is used in many clinics around the world. Intervention for drug addicts in almost all cases is initiated by relatives or close friends of the patient. Intervention for drug addicts requires make one call or visit the clinic in person.

Intervention for drug addicts begins with the center’s specialists coming to the patient’s home on the appointed day. At this time, relatives or close people who initiated this process should be at home. As a rule, the intervention of drug addicts is accompanied by a decisive refusal of the patient to communicate with his family. In this case, dialogue is formed with the help of a narcologist and relatives.

It is not so important how to send an addict to mandatory therapy as how to involve him in a positive conversation. At a certain point, the patient stops ignoring the doctor and enters into an argument with him. This is a turning point in all therapy. The process of convincing someone to take the path of healing can take up to several hours. Patients at this time express anger, doubt and denial. However, gradually the person realizes his illness and recognizes the need for rehabilitation.

Legality of compulsory treatment of drug addicts

The law on compulsory treatment of drug addicts came into force in 2014. The Law on Compulsory Treatment of Drug Addicts gives courts the power to send drug addicts to rehabilitation. Compulsory treatment of drug addicts by court order is successfully carried out in many Russian clinics.

Violation of the law on compulsory treatment of drug addicts is punishable by a fine or administrative arrest. The decision to refer for therapy is made in relation to those citizens who remain in a state of drug intoxication. Without a court decision, this action is considered illegal, except in the following cases:

• Inability to express one’s will due to an insane and helpless state;
• There is a threat to life without immediate medical intervention;
• Inappropriate behavior threatens a person’s life and those around him.

Intervention for drug addicts in Moscow

The Healthy Generation Center carries out intervention for drug addicts in Moscow at the request of friends and relatives. Drug addiction intervention involves convincing the patient of the need for therapy. An experienced psychotherapist finds a way to convey the correctness of the healing path.

Intervention for drug addicts has proven highly effective on many patients who initially categorically refused to undergo rehabilitation. Intervention by drug addicts helps the patient’s loved ones gain hope for the patient’s return to normal life.

Drug addiction is a very serious chronic pathology that certainly requires urgent psychotherapeutic and drug therapy. However, people who are addicted to drugs are very rarely able to adequately assess the current situation and understand the harmful effects drugs have on the body.

Drug addicts, due to the constant impact of psychotropic substances on the psyche, are simply unable to take independent decision about undergoing treatment. They deny the existence of the problem in every possible way and ignore the arguments of loved ones who believe that the only thing the right way out in such a situation there will be compulsory treatment for drug addiction.

In Russia, compulsory treatment for drug addiction is carried out in a specialized institution and can only be carried out by a court decision, which is very difficult to obtain. In addition, in such institutions, the patient is treated somewhat biasedly and even condemned. And, as you know, the most positive result of appropriate therapy can be obtained only if there is complete trust between the patient and his attending physician. Our specialized clinic employs highly professional doctors who:

• conduct conversations with drug addicts;
• help convince him of the need for therapy;
• can provide urgent assistance to a drug addict.

In our clinic they work experienced specialists who provide complex therapy and help convince citizens who are captive to drug addiction to undergo the required rehabilitation and begin normal healthy life. We have the latest modern medical supplies, thanks to which there is an opportunity in the most as soon as possible remove the toxic substance from the body and significantly improve the health of patients. Our experienced psychologists and narcologists do not force anyone to undergo a course of therapy, but only motivate and convince them of the need for a course of rehabilitation. In addition, we help people overcome alcoholism and other types of addiction.

In the city of Moscow, compulsory treatment for drug addiction is carried out by court order, the prices for which are distinguished by their affordability, however, this does not always bring the required result and does not guarantee complete relief from existing addiction. The most positive and lasting results can only be achieved by establishing a trusting relationship between the doctor and the patient.

This is exactly what the employees of our drug treatment center do, who gently and unobtrusively offer to take a rehabilitation course. Our clinic has the latest and unique methods of working with addicted people. As a result of long and painstaking work, there will be:

• the drug addict will have a strong motivation to get rid of drugs forever;
• he will be able to clearly outline for himself the prospects for a normal life;
• Even the strongest physical dependence will disappear.

We create our own for each person who suffers from drug addiction. individual program carrying out therapy. At the same time very important has a clear and coordinated work of psychologists, narcologists and relatives of the patient himself. The specialists of our drug treatment center will help you develop special program interaction of a sick person with his family. This will help speed up recovery and eliminate possible relapses.

Relatives who want to send a drug addict for compulsory treatment should know that this is prohibited by law, however, there are cases when a person under the influence of drugs commits a criminal or administrative offense. In this case, a person may be sent for therapy without his consent, and this is clearly stated in the Code of the Russian Federation. According to a court decision, a citizen may be sentenced to undergo special therapy and imprisonment, and he must serve the sentence in a specialized drug treatment center.

In addition, a special psychiatric commission after an examination can send a drug addict to a specialized clinic in the Russian Federation for therapy, if he is socially dangerous. Execution of the sentence is mandatory for everyone, however, such methods do not always bring the desired result and in this way it is quite possible to only significantly aggravate the existing problem.

How to apply for compulsory treatment for a drug addict

Drug addiction on given time is a fairly common problem that is very common in our country. Some relatives of a drug addict decide to send him to a clinic for rehabilitation without the consent of the patient himself.

Compulsory treatment for drug addiction by court order is quite possible in Moscow and the price for such a service is quite reasonable. The basis for referral for mandatory therapy is that a person may experience a state of severe psychosis, helplessness, and even some dementia resulting from drug use.

In addition, the basis for compulsory therapy may be if a person has committed a criminal offense, or if he poses a potential danger to the life and health of others.

If a drug addict is in a very serious condition, then he can be picked up by an ambulance, which is called by relatives for withdrawal harmful substances from the patient's body. However, subsequent therapy and rehabilitation actions are carried out only with the consent of the drug addict himself.

Name of service	Price	Additional Information
Hospital
Initial consultation with a narcologist (with selection of a course of treatment)	For free
Detoxification of the body for alcoholism/drug addiction Standard ward	From RUB 2,900/day	Cost excluding additional procedures. The price includes accommodation, meals, supervision by a narcologist, droppers as prescribed (for mild intoxication of the body)
Detoxification of the body for alcoholism/drug addiction VIP chamber	From 7,900 rub.	Cost excluding additional procedures. The price includes accommodation in a single room, meals, monitoring by a narcologist, IV drips as prescribed.
UBOD (Ultra-rapid opioid detoxification)	From 35,000 rub.	Accommodation is not included in the price
Coding	From 7000 rub.
Individual psychotherapy session	3000 rub.
Correction module Narco-psychotherapy using biological feedback(author's Methodology).	15,000 rub.
Individual nursing station	3000 rub.
Xenon therapy	7500 rub.
Plasmophoresis	7000 rub.
ILBI	1100 rub.
Electroson	1200 rub.
Massage	2000 rub.
MRI	from 3000 rub.
Coding for alcoholism	From 6000 rub.	The coding method is selected by the doctor in agreement with the patient/relatives.
File for drug addiction “Esperal”, “Naltrexone”	From 20,000 rub.	The type of filing is selected by the doctor in agreement with the patient/relatives.
Individual work with a psychologist	From 3000 rub.	Depends on the category of doctor, counseling methods, timing, program, etc.
Screening tests for the presence of narcotic substances	From 1500 rub.	Depends on the number of types of drugs
Complex treatment
General ward	5000 rub./day	accommodation in a shared ward for up to 4 people
Double room	9000 rub./day	accommodation in a room for up to 2 people
Single room	12,000 rub./day	accommodation in a single VIP room with increased level comfort: toilet, shower, air conditioning, TV, etc.
Individual treatment programs
Standard-ALKO 3	RUB 30,500	three days of detoxification in the general ward, general analysis blood, ECG, plasmapheresis, 4 ILBI procedures, managed by a clinical psychologist
Standard-ALCO CODE	RUB 37,400	three days of detoxification in the general ward, general blood test, ECG, plasmapheresis, 2 ILBI procedures, management by a clinical psychologist, coding
Standard-ALCO XENON	39,000 rub.	three days of detoxification in the general ward, general blood test, ECG, 4 light xenon therapy procedures, consultation with a psychologist
STANDARD-Narco 5	RUB 34,300	5 days of treatment in a general ward, general blood test, blood biochemistry, ECG
Standard-NARCO 7	RUB 55,400	7 days of treatment in a general ward, general blood test, blood biochemistry, ECG, 2 medical xenon therapy procedures, 2 sessions of individual psychotherapy
Standard-NARCO 10	RUB 78,100	10 days of treatment in a general ward, general blood test, blood biochemistry, ECG, 3 medical xenon therapy procedures, 2 sessions of individual psychotherapy
Rehabilitation
Rehabilitation	from 1100 rub./day	The cost of rehabilitation is determined individually by a specialist. Depends on the patient's condition, treatment program, center and length of stay.
Comprehensive rehabilitation in a modern Rehabilitation Center of the Moscow Region (MO), group classes, work with a psychologist.	from 30000/month
Comprehensive treatment program for Hepatitis C
Treatment of Hepatitis C of moderate severity	140 000
Treatment of liver cirrhosis, severe form of Hepatitis C	from 170,000	Complex treatment; tests, selection of treatment, therapy, observation by the attending physician
Calling a doctor to your home
Calling a doctor to your home (for alcoholism)	From 2000 rub.
Coding for alcoholism at home.	From 2000 rub.
Detoxification at home.	From 2500 rub.	The cost includes medications and treatment.
Calling a doctor to your home (for drug addiction)	From 3000 rub.	Patient's history, prescription of treatment course
Coding for drug addiction at home.	From 3000 rub.	Selection of drug and coding method. Encoding.
Motivation for treatment (intervention service)	From 10,000 rub.	The cost may be changed depending on the distance from the Moscow Ring Road, region, and time of day.
Delivery of the patient to the clinic	For free	If the patient: 1. Does not need to be accompanied by a doctor. 2. With a course of treatment of three days.

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 adopted finally 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 for 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 .

In the end it turns out 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 undergoing 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.