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Commitment without confinement: Outpatient compulsory care for substance abuse, and severe mental disorder in Sweden
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD). National Board of Institutional Care, Sweden.ORCID iD: 0000-0001-5152-7820
2016 (English)In: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 45, 60-69 p.Article in journal (Refereed) Published
Abstract [en]

In Sweden, a person with severe substance abuse or a severe mental disorder may be committed to compulsory care according to two different legislations. Both acts include an option of providing involuntary care outside the premises of an institution - care in other forms (COF) and compulsory community care (CCC), respectively. As co-occurring disorders are commonplace many individuals will be subject to both types of compulsory care. The structures of both legislations and their provisions for compulsory care in the community are therefore scrutinized and compared. Based on a distinction between "least restrictive" or "preventative" schemes the article compares COF and CCC in order to determine whether they serve different purposes. The analysis shows that COF and CCC both share the same avowed aims of reducing time spent in confinement and facilitating transition to voluntary care and the community. But they also serve different purposes, something which is reflected in disparate scopes, eligibility criteria, rules, and practices. Overall, COF was found to be a more "least restrictive" and CCC a more "preventative" scheme. The distinction is associated with COF being an established part of legislation on compulsory care for substance abuse with a universal scope and CCC being a recent addition to compulsory psychiatric care legislation with a selective character.

Place, publisher, year, edition, pages
2016. Vol. 45, 60-69 p.
Keyword [en]
Mental health law, Substance abuse law, Involuntary treatment, Sweden, Compulsory treatment orders, Comparative legislative analysis
Keyword [sv]
tvångsvård i öppna former, jämförande lagstiftning, missbruk, psykiatri, Sverige, sociallagstiftning, hälso- och sjukvårdslagstiftning
Keyword [no]
tvangsbehandling i åpne former, sammenlignende lovgivning, misbruk, psykiatri, Sverige, sosiallov, helselov
National Category
Psychiatry Substance Abuse Sociology Law
URN: urn:nbn:se:su:diva-127090DOI: 10.1016/j.ijlp.2016.02.011ISI: 000375358800007OAI: diva2:906373
Available from: 2016-02-24 Created: 2016-02-24 Last updated: 2016-06-07Bibliographically approved

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Reitan, Therese
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