You're not treating something as a "public health problem" if you use the criminal justice system to address it.https://www.nytimes.com/2017/06/12/nyregion/when-opioid-addicts-find-an-ally-in-blue.html?smprod=nytcore-iphone&smid=nytcore-iphone-share …
Any studies on whether addicts in Portugal, where referrals less coercive, do worse/better than US counterparts in court-mandated programs?
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Research comparing court-mandated vs. voluntary tend to show similar outcomes in part because few people are totally voluntary (1/2)
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As it turns out, compulsory Tx and voluntary *do not* have similar risk profiles. Ppl completing coerced Tx have markedly higher OD risk
End of conversation
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In treatment we talk about the "4Ls" that make most people come in: Liver, lover, livelihood and the law. Usually there's external pressure.
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