Treatment Programs in the United States

799 WordsJul 10, 20184 Pages
Jefferson M. Fish, Professor Emeritus, former Chair of the Psychology Department as well as a former Director of Clinical Psychology at St. John's University wrote in the Oregon Law Review, "another set of mistaken assumptions underlies current policy regarding...mandatory drug treatment, offered by the courts as an alternative to imprisonment, is an effective and enlightened policy" (Fish, 2013). Fish (2013) attempted to convey to the readers, the absolute necessity of overhauling current United States policies regarding drug treatment. Several topics were touched upon, including the foundational policies of the War on Drugs as well as competing treatment paradigms. Regarding treatment paradigms, Fish (2013) breaks treatment programs down…show more content…
That relationship allows the client to candidly discuss anything, including illegal drug use. If the client feels that therapy isn't working, she is free to leave altogether, or to seek another therapist. By contrast, in compulsory drug treatment, the therapist is working for the court, and seeking to leave therapy can be labeled as uncooperative behavior and result in imprisonment” (Fish, 2013). Fish's (2013) assertion that compulsory treatment is ineffective resulting from a lack of voluntary trust is contrary to the conventional policy rationale and discredits diversion treatment. Lastly with regard to civil commitment, Fish (2013) argues that, “for non-problem users, therapy turns into a charade”. I believe that Gostin (1991) is correct in that society must weigh the compulsion of treatment against the efficacy, however Fish shows us that our current models are ineffective as “non-problem” users find treatment unnecessary and that problem users are unable to receive effective treatment in a compulsory manner. Europe has faced a growing pandemic of youth related psychiatric hospitalizations resulting from designer drugs in the club scene. “With the use of psychotomimetic compounds, psychiatric hospitalizations have seen a definite increase over the last few years, at least in the European scene” (Schifano & Tedeschi, 2008). The number of psychiatric hospitalizations resulting from drug abuse has
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