Treatment of drug addicts is compulsory. How to convince a drug addict to go to compulsory treatment? Sign up for a free consultation

A drug addict in the family is scary. It is hard for parents and relatives 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 an 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.

Referring to the law

On November 25, 2013, a law on the 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 addiction. No matter how.

The law on compulsory treatment of drug addicts entered into force on May 1, 2014, but it has many shortcomings. It is worth starting with a comparison of some facts.

Can't everyone help?

When adopting the law on the compulsory treatment of drug addicts, the Russian authorities did not take into account one point. Only public hospitals can provide treatment services. And how many beds for drug addicts are paid from the country's budget? About one and a half thousand. Against eight million drug addicts officially registered in Russia. We emphasize that this is according to official data. And how many of those that the state does not know about? It turns out that we will cure one and a half thousand citizens, and what about the rest? The drafters of the law did not think about this.

Who is subject to the law

Compulsory treatment of drug addicts is possible if the patient has a medical examination of the disease. If a drug addict has never asked for help and his illness is not officially certified, you can not count on help from the state.

What is compulsory treatment

Compulsory treatment of drug addicts is carried out by court order. If a person poses a threat to people's lives, is dangerous to society or to himself, he can be sent forcibly treated. That's just for this you need to collect a lot of papers and wait in line at state center treatment and rehabilitation of drug addicts.

Is there any point in treatment?

Let's face it. Will there be any sense if the drug addict is sent for a compulsory decision, and even through the court? Hardly. Those who have dealt with drug addicts know how they react to the challenge of getting rid of their disease. They do not understand that they are sick, they say that they can stop at any moment, they avoid all kinds of talk about treatment or accept them aggressively.

Now imagine how the drug addict will react to the fact that he is sent to be treated forcibly? Plus, you have to wait for your turn. At least, inappropriate behavior and uncontrolled aggression on the part of the patient are guaranteed.

Is there a way out?

How to send a drug addict to compulsory treatment, we found out. 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 consider the claim.

And what about the relatives of a drug addict? To determine him in a psychiatric clinic to prove that he is insane, and after that go to court with everyone necessary documents? It is only in words that everything is so simple, but, in fact, 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?

The statistics of the treatment of drug addicts (impressions 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 narcotic substances. 25% break down at the stage of treatment, and 10% begin to "dabble" again.

But back to the answer to the question of intervention. The result is vicious circle: to get a court decision on the treatment of drug addicts forcibly, you need to go through nine circles of hell, and then wait your turn at the state treatment center. If a drug addict escapes from there, it will be almost impossible to return him there.

Let's start with the method of persuasion. Intervention is the conviction of an addict that he needs treatment. We will make a reservation right away - the service is provided by private centers.

How is everything going?

Why tell a family that has no money about how doctors convince rich drug addicts to be treated in their center. Let's talk about a method that a poor family can adopt.

So, relatives and a psychologist hold a meeting. Relatives of a drug addict tell in detail about him: what he loves, what he does not like, how he can behave, what hobbies he had before the illness, what is happening to him now - the whole life of his sick relative.

The next day the doctor comes to the home of the drug addict. Relatives are 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 act as if there is no drug addict around, although he is in the same room. You can talk about anything. The goal is to interest the drug addict, arrange him for a doctor. Such conversations can last for a 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 in 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 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 all the necessary papers, relatives can influence their patient. Only without threats, very gently and unobtrusively. Once consent is obtained, the relatives file a claim with the court.

Motivational crisis

It is easy to give advice, but few people know what the relatives of avid drug addicts have to face. It is one thing when knowledge about a problem is drawn only from textbooks on psychology, it is quite another chemical addiction which the addict is unable to overcome.

In addition to compulsory drug treatment and intervention, there is also a family motivational crisis. The path is long, psychologically difficult, but worth the effort. What is crisis motivation? The fact that the family consistently deprives 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 practice method is very cruel and morally difficult, but it helps. True, only under one condition: the addict himself must want to overcome his addiction. It is recommended to use this method for initial stage addiction, when the disease has not yet developed into a habit.

Buying a lot of alcohol. Anyone who uses a drug addict. There must be someone at home with him. The patient closes in an apartment without money and without a dose, there is only him, drink, food and a person who looks after him. The worst thing is to go through a breakdown. Alcohol is needed to make the addict feel better. It should be borne in mind that during withdrawal, a person becomes inadequate, can scream, roll on the floor, arch. Some people have glazed eyes, breathing becomes heavy and intermittent, sweat appears on their foreheads. If you manage to cope with this condition, the addict will be able to quit. If the observer sees that the matter is very bad, it is better to call an ambulance.

Conclusion

Now the reader knows what compulsory treatment of drug addicts is, how to register a patient in 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.

Many of us know little about the problem of drug addiction and how wide use it has until we ourselves encounter it. It is quite stable that only weak-willed and spineless people begin to use drugs. But an erroneous opinion and those who think so are greatly mistaken, because drug addiction is a very serious and difficult disease that is very difficult to treat, since it is necessary to get rid of not only physical addiction to drugs, but also from psychological, which is much more dangerous. A person involved in the use of 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, it is imperative to carry out treatment, since this disease does not go away on its own, but, on the contrary, every day, week, month it progresses more and more, which ultimately becomes the cause of sad events. Relatives of drug addicts, tired of the endless number of persuasion and requests to quit addiction, begin to look for ways to force the treatment of the disease. But, alas, in this case, the legislative law of Russia 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

chief state law The Russian Federation is the Constitution, which clearly states that any citizen of our country has the right to independently decide where and how to live, for this reason, the law on compulsory treatment of drug addicts, even if adopted, will be contrary to the Constitution. At the legislative level, article 228 of the Criminal Code of the Russian Federation strictly prohibits the production and distribution narcotic substances, however, in the case of taking these drugs by a person, 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 have come close to this disaster are well aware of the need medical process. Likewise, no drug treatment center will assume the responsibility of treating a patient without first obtaining their consent. Only with the consent of the drug addict is it possible to start treatment, because success in more depends on his motivation, desire and purposefulness.

But still there is a legislative possibility of compulsory treatment of drug addicts in cases where they have committed unlawful acts. If at the time of the crime, a person was under the influence of narcotic substances, and this provoked him to unjustified cruelty and insanity, he can 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, a real serving of time in a correctional institution is assigned.

Drug addiction treatment

a very difficult process, it is extremely rare that drug addicts themselves come to an understanding of the need to tie it up and seek help and support from medical centers. In most cases, relatives and friends become the initiators of the need for therapeutic measures, only thanks to their perseverance and perseverance this becomes possible. Again, many do not want publicity about their drug problems, and everyone tries to keep it a secret in ways, which is why they avoid going to doctors, but in this situation there is a way out - this is anonymous drug treatment. In this case, all medical 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 in the event that one of the close people shows signs drug addiction, do not postpone this process and immediately begin to take measures to treat it. Do not try to self-medicate, the most correct thing is to seek help from professionals who will help to cope with trouble and try to set up a person so that the remission period is as long as possible.

How can it happen? What to do if a drug addict refuses to be treated?

Theoretically, compulsory treatment of a person with drug addiction (with an established diagnosis) is possible by a court decision, since drug addiction is mental illness and in certain cases may qualify for involuntary hospitalization. However, in practice, this does not occur at all, that is, there is no actually operating legal mechanism for involuntary drug addiction treatment in Russia.

Any rehabilitation center in which a drug addict is placed against his will operates outside the legal field (Article 127 of the Criminal Code of the Russian Federation - Illegal deprivation of liberty). There have already been dozens of precedents for prosecution under this article in the Russian regions with convictions and real terms of imprisonment for employees of rehabilitation institutions.

However, the answer to the question - what to do in a situation where a drug addict makes the life of his family unbearable, and he himself is in constant danger from the possible fatal consequences of his illness, neither the police nor medicine gives. That is, the family of a drug addict legally does not have the opportunity to change the situation, if a person refuses to be treated, he finds himself in a hopeless situation.

The demand in society for solving this problem is huge, and naturally it gives rise to a proposal.

Intervention

Today, many rehabilitation centers offer an intervention, a service that means that, by persuasion, persuasion, intimidation, deceit or force, the drug addict will end up in a rehabilitation center, from which he will be able to leave only by the decision of his relatives with whom the contract is concluded. As already mentioned, legally this is a crime, but the hopelessness of the situation often turns out to be much stronger than the fear of legal consequences. Many rehabilitation institutions guarantee that a person, as a result of the intervention, will be in a rehabilitation center with one hundred percent probability.

The question often arises - is it effective at all if it happens against the will of a person.

The answer is: rehabilitation is a conscious process and it is possible only with the voluntary participation of the patient. But, this process is also possible if the patient makes the decision to be treated while already in the “rehabilitation center”, where he did not come of his own free will. In other words, the realization of the need for treatment or rehabilitation for such patients may come after a few weeks or months of forced isolation and, accordingly, the inability to use drugs. And, to achieve this awareness from the addict and his own decision much more difficult or simply impossible without isolation from the drug, from the social circle, that is, co-users. In such a situation, the rehabilitation center becomes a physical barrier between the person and the continuation of drug addiction. And this barrier remains until the person comes to his senses, opens his eyes to his own and his life. real situation. After that, the real recovery begins.

The situation may be similar even if the drug addict himself agreed to rehabilitation, but he did it under strong pressure from relatives, not accepting the need for this process, that is, silently denying the treatment.

With a qualified formulation of the process, this approach is effective. That is, having ended up in a rehabilitation center not of his own free will, but, already being in the rehabilitation process, realizing and agreeing that he has a problem and needs to be solved, that is, treated, a person may well begin to recover and there are many examples of such a path of recovery. lots of.

Quite often, rehabilitation that begins without the consent of the patient is divided into two large stages: motivational and rehabilitation itself, and these two stages can be carried out in different rehabilitation centers X. Even better if these two different tasks are solved in different centers, albeit in the same organization, since these tasks are truly different: the first is to achieve an awareness of reality, the second is to learn to live in a new way.

If the family of a dependent person chooses this path, then it is necessary to carefully choose a rehabilitation center.

Given the duration and significant total cost of the rehabilitation process, many unscrupulous organizations operate in this area, whose goal is to keep patients under the guise of rehabilitation, which is paid for by their families. Therefore, despite the fact that in a situation with drug addiction it is impossible to hesitate, the choice of a rehabilitation center should be thorough and justified.

Another danger that can prevent the described process compulsory rehabilitation, this is the existing probability of police interference in the work of a rehabilitation institution (an unscheduled inspection of the organization with the removal of all patients to the police station). Such an incident is always a shock to the dependent patient and can destroy even a successful and sustainable recovery process.

Another way of dealing with a drug addict who refuses treatment is the formation of an intra-family motivational crisis - concerted pressure on the addict and depriving him of any form of support (financial, social, emotional, etc.) until he agrees to treatment. The path is more complicated, longer, but, from the point of view of the therapeutic effect, it is more correct.

In Russia, the first two rehabilitation centers are starting to work, where for the first time drug addicts will be treated forcibly - by a court decision, Rossiyskaya Gazeta reports. Such new way stop drug addiction introduces a law signed by President Vladimir Putin. Under this law, the courts, when sentencing, will be able to send drug addicts who are caught with a dose in their pocket to mandatory treatment.Experts comment on the legislative innovation.

In such cases, the vicious circle problem arises.

Hegumen Methodius (Kondratiev) - Head of the Coordinating Center for Combating Drug Addiction of the Department for Charity of the Russian Orthodox Church

In Russia on this moment does not exist material base to implement such a program. But from some end it is necessary to begin the solution of this issue. In such cases, we always face the problem of a vicious circle, and we need to somehow break it. When the law comes into force, that is, drug addicts go for treatment, the understanding will come that there is no place to treat patients, and they will begin to create a base for treatment.

In this case, the circle is the system that we have developed with drug addiction. I think that the law will be the breaking of this circle, which will entail the next steps. If a person is caught in some not very serious drug-related crime, he is offered an alternative: either he receives a punishment or undergoes treatment. Based on the results of the treatment, a conclusion is made, according to which the punishment may not follow if the treatment was successful.

In the West, such a system works. But at the same time, its effectiveness should not be exaggerated. Not everyone who comes across prefers treatment, some choose prison. In the process of rehabilitation, a person himself must actively engage in his healing. They don't just put him in a clinic and give him pills. This is not detoxification, but rehabilitation and resocialization in the future. He must be an active participant in the process and his desire is necessary - nothing will work without this.

This alternative and the proposal to start treatment is an incentive for many to think about treatment. Just like in life. Often, until a person is given a hard diagnosis and is told: “either death or treatment,” he will not begin to monitor his health and be treated. It’s the same here: “Either we put you in jail, or start treatment.” This is serious motivation.

Drug addicts now have virtually nowhere to send

Evgeny Roizman, Head of the City Without Drugs Foundation, Mayor of Yekaterinburg

The introduced law, in fact, establishes the practice of drug courts. This step is positive in itself, at least in right direction. The problem is that now there is virtually nowhere to send drug addicts. The state has provided for this purpose only two rehabilitation centers, which, of course, will not be able to cope with the entire volume of loads.

Another problem is that we still do not have criminal liability for drug use. I've been listing for a long time necessary measures to be adopted at the legislative level.

First, it is necessary to close the border with all drug-producing regions. Secondly, to introduce compulsory treatment by a court verdict. Thirdly, tougher criminal penalties for drug trafficking are required and, of course, it is necessary to introduce criminal liability for drug use. It used to exist, and there were hundreds of times fewer drug addicts. In addition, she served as an excellent incentive for drug addicts to quit using drugs and go to rehab. Now, despite the return of drug ships, there is no such incentive.

With a craving for drugs in our hospitals practically do not work

Elena Rydalevskaya - Executive Director charitable foundation“Diakonia”, narcologist, St. Petersburg

Similar legislation exists in different countries peace. This is an alternative treatment law. An addicted person can choose to either go to jail for drug use or go to rehab.

But in the West, this law is supported by structures that are ready to accept this person for rehabilitation. Our law on treatment, unfortunately, is not supported by structures that officially have the right to carry out long-term rehabilitation measures.

If you just go into narcology and get drunk, the person still returns to drugs because of the persistence of addiction. But in our hospitals, they practically don’t work with cravings for drugs, they work with us in order to remove withdrawal symptoms.

We practically do not have rehabilitation centers that have the right to work with drug addicts who, according to the law, are supposed to be sent for treatment. The system of certification of institutions has not yet been worked out, the system of issuing certificates for treatment of children who use drugs has not been worked out either.

Most main question to the law – and how was it enforced? You can make an arbitrarily good decision, but at the same time it is important to think over the mechanism for implementing it. While this is not clear. It is likely that the law will turn into another farce and imitation of actions. This is our big problem. Often, good intentions actually turn out to be only an imitation of their embodiment. Everything is limited to loud slogans.

In the implementation of the law, much depends on how it will be used, where the actions will be directed. At the moment existing forms medical care inappropriate for emerging needs. Therefore, many medical institutions are empty, they do not meet the real needs of drug addicts. Now these institutions can be filled, but it is not known how much this will help the guys.

At the moment, we are already partially implementing Western experience. We have 2 rehabilitation centers and a center social adaptation, but this is not supported by the state on a regular basis. We do not have documents that would allow us to consider these centers as a structure where patients can be sent by court order.

There are 62 rehabilitation centers in the Orthodox Church in Russia. Certification of these centers has not yet been worked out. There are rehabilitation programs, there is an understanding of how to make treatment effective, and adaptation measures are working. However, many mechanisms for working with drug addicts have not been worked out by law. And it is not yet clear whether something will change in connection with the adoption of the new law.

The initiative is completely unfinished.

Vyacheslav Borovskikh, psychotherapist, director of the Orthodox Center for Medical and Social Rehabilitation "Ascetic", Yekaterinburg

Vyacheslav Borovskikh Photo: http://dusha-orthodox.ru

The initiative, unfortunately, has not been worked out at all. At the moment, the quality of rehabilitation in state centers is so low that they cannot cure volunteers, let alone those who are rehabilitated forcibly. Public rehabilitation centers remain outside the scope of the law, primarily Orthodox ones, many of which have already proven their effectiveness.

For example, rehabilitation in the state center "Ural without drugs" is based on the "12 steps" system. This is not a medical system and it does not carry any deep spiritual component either. It is clear that in practice it is ineffective. All in all, we have only four state rehabilitation centers in the country, two of which will allow addicts to be sent by court order. At the same time, we have eight million drug addicts. It feels like the law was adopted just for show, because it is not capable of seriously solving the problem.

In addition, before introducing compulsory treatment, it would be logical to introduce criminal liability for drug use. In the meantime, an alternative to such treatment is a fine of 4,000 to 5,000 rubles, or 30 days of corrective labor. The vast majority of drug addicts will choose a fine or work. In order to incentivize an addict into treatment, the responsibility for drug use must be much more terrible for him than treatment or rehabilitation. Then he himself will agree to go to the rehab center, and this will be at least his own decision.

As for testing, here I agree with the head of the Federal Drug Control Service, Viktor Ivanov, that the general fascination with tests has begun to resemble an epidemic. In practice, I am afraid that this will turn out to be another waste of public money. 80% of drug addicts use smoking mixtures and salts, that is synthetic drugs, half of which are still not recognized as narcotic drugs. Therefore, no tests reveal them either.

A drug addict in a state of acute psychosis cannot think about treatment

Nadezhda Baskina, mother of a salt addict

I think this is the right initiative. Drug addicts are in such a state that they do not realize that they need help, and for this period they should be sent to compulsory treatment. There they can remove intoxication, the person will come to his senses and he will be able to realize that he needs treatment. But while the drug addict is using drugs, he is in a state of acute psychosis, and he is not able to think about any treatment. The state cannot send him for treatment without his consent. I think it's just a crime against these people.

By the way, after the police “released” my son Roman from the City Without Drugs fund, he no longer used salt. Yes, compulsory treatment does not seem to be for him, but nevertheless, this whole situation shook him up. Now it remains only to pray that he does not break in the future.

Clinic license

No flu sufferer enjoys coughing and chills. It is impossible to find an asthmatic who looks forward to the next attack of suffocation. People don't like to get sick, and that's only natural.

But addiction is a special disease. With each new dose, the addict kills himself more and more, but at the same time he gets a “high” - a pleasant experience that you don’t want to get rid of. In 99 cases out of 100, relatives who decide to help the patient face the same problem: he thinks he doesn't need help . And categorically refuses to start treatment.

Many desperate relatives turn to narcologists with the same question: Is it possible to treat drug addicts forcibly? Let's talk about it.

Prices for motivation

The cost of motivation and treatment

№	Service	Price
1	Motivation services
1.1	Departure of a narcologist for a consultation at home	1 500 rub.
1.2	Motivation for treatment (with delivery to the clinic)	from 10 000 rub.
1.3	Transportation of the patient from home	from 3 000 rub.
2	The cost of treatment in the clinic
2.1	Treatment in the intensive care unit "REANIMATION"	10 000 rub./day
2.2	UBOD (Ultra Rapid Opioid Detoxification)	from 35 000 rub.
2.3	Inpatient drug detox	from 7 000 rub./day
2.4	Detoxification from drugs in the clinic (1 local, VIP)	from 12 000 rub./day

Is it possible to carry out compulsory drug addiction treatment under the law?

Drug addiction treatment is not compulsorily permitted by law. In Russia, such treatment is generally possible for any disease, but only in 4 cases:

• If a person is insane, helpless and cannot express his will himself (naturally, this must be proven and documented).
• If leaving a person without help can lead to his death or other serious consequences.
• If the patient behaves so inappropriately that it becomes dangerous for him and those around him.
• And the most extreme case: if the patient, being insane, committed a crime.

As you can see, as long as nothing terrible has happened, the law does not say anything about compulsory treatment for drug addiction, more precisely, it prohibits it.

But, after all, you can probably just force the patient to turn to a narcologist and carry out the treatment of drug addicts forcibly? For example, the head of the family can simply put a drug addict before the fact: you will be treated. Here, too, everything is not so simple.

Why Compulsory Drug Treatment Is Often the Only Chance to Save a Life

The key to successful drug addiction treatment is constant interaction between doctor and patient. If a person is not inclined to be treated himself, then, most likely, very soon he will return to drugs again. Compulsory drug addiction treatment is impossible to imagine without the patient's motivation and setting to start a sober lifestyle.

Therefore, even the law on the compulsory treatment of drug addicts, when it applies to a specific situation, often does not solve the problem. Rather, its goal is to isolate a dangerous patient from society and prevent his death.

Motivation for drug addicts: first we create a desire in the patient, and then we carry out voluntary treatment

Relatives of drug addicts often tell our narcologists that they have talked with the patient many times, but all arguments have always been smashed like a stone wall: he just wants a new dose, but does not care about steel.

Many people are surprised when our narcologists say that right motivation 9 people out of 10 can convince drug addicts to be treated. For success, you only need to meet certain conditions:

• The interview with the patient should be conducted by a specially trained specialist. Our center employs professionals with vast experience.
• It is necessary to strictly adhere to a certain scheme. The process of persuasion is called intervention.
• Once the patient's consent has been obtained, should be taken to the clinic immediately. . Keyword this is straightaway. Since motivation is maintained as long as there is contact with the doctor.

We try to work that way.

Between the usual conversation with the patient and the one that is conducted by a specialist, according to a certain scheme, there is big difference. 9 out of 10 is the real statistics of our work. Believe me, we have come across many cases that were certainly more difficult than yours. And they were successful.

Compulsory addiction treatment has a more effective alternative. Our experts are always ready to help. Let's tear your loved one from the clutches of addiction.