Compulsory treatment for alcoholism - how to send an alcoholic to the hospital by court order. How to send for compulsory treatment
Compulsory treatment of alcoholism in our country was and is carried out only by court decision. However, there is a big difference between how therapy was implemented during the period Soviet Union and the present - there used to be occupational health centers that isolated alcoholics from society. In these conditions he was busy labor activity, and also took place therapeutic measures aimed at overcoming cravings for alcohol.
Today there is no alternative to such institutions. Compulsory therapy is carried out in a psychoneurological dispensary only to those persons who have committed an offense while intoxicated. The decision is made by the court on the basis of a forensic medical examination, but it is important to comply with one condition: he must not only be intoxicated, but be recognized as a person with a mental disorder due to alcohol abuse. It is also possible to send a person who poses a threat to the life and health of others to himself for treatment (if leaving without help could lead to harm), but this circumstance is much more difficult to prove - any alcoholic cannot be without “supervision” due to his helplessness, but not everyone appears within the relevant institution.
They will also be forcibly liquidated acute conditions – psychiatric clinics provide assistance to people with delirium tremens, but this is not a complete treatment chronic alcoholism, but only the first step of recovery.
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Where can you send a drinking relative?
In the presence of a real threat to health, a disorder of the patient’s consciousness, hallucinations, aggressive behavior it is necessary to call the police and a specialized team. Law enforcement officers record possible threat life and health, and psychiatrists determine the need for hospitalization of the patient and further compulsory treatment for alcoholism.
If there are no obvious mental disorders in case of aggressive behavior, the police should also be called; the arriving officers will decide what to do next.
Practically these simple steps may not bring results. Some do not know how to behave with an alcoholic husband - the ambulance team may refuse to come, considering the described symptoms insignificant, law enforcement officers detain the addict in the department for 3 hours, after which they release him back. What to do in this case?
Both relatives and other persons can write an application addressed to the chief physician of a drug treatment or psychiatric dispensary. It must state a request to take action against a patient with alcoholism without his consent, detailing the reasons. A similar document must be issued by the local police officer. The decision on compulsory treatment can be influenced by the number of preliminary police calls to an aggressive alcoholic - they record an administrative offense, and the more there are, the easier it will be to prove the patient’s insanity.
These authorities can go to court at the request of loved ones to further decide on treatment without consent. You can go to court yourself in cases of refusal at the dispensary and the police (in writing).
Disadvantages of compulsory court-ordered treatment for alcoholism
Today, compulsory therapy for alcohol addiction is carried out in virtually all cities and their regions: Tyumen, Moscow, Novosibirsk, St. Petersburg and many others. This makes it possible to isolate patients with alcoholism and prevent possible harm, which they provide to loved ones, to society, to achieve temporary remission of the disease, to prevent complications that threaten with alcohol poisoning.
However this method has disadvantages:
- This is only the first stage of treatment. In order to overcome the disease, the patient himself must ask the question “how to stop drinking alcohol,” since in the absence of desire, further social rehabilitation is impossible.
- High risk of relapse. At the end of the course of treatment, the alcoholic often returns to his previous lifestyle, since the withdrawal symptoms are relieved. medication assistance do not guarantee abstinence from alcoholic beverages.
- Inattention to the cause of alcoholism. For effective treatment It is important to determine why a person started drinking alcohol, and only after working through the reasons together with a psychotherapist or psychologist will therapy have an effect.
Compulsory treatment of alcoholism at home
Many relatives, looking for answers to the question “how to forcefully treat an alcoholic?” encounter advertising various means. According to the information contained in it, it is enough to add the “miracle drug” to an alcoholic’s drink or food and soon the craving for alcohol will be reduced.
Need I say that compulsory treatment and taking measures without the knowledge of the patient - are these different concepts?
Any medications are prescribed strictly by a doctor, which is especially important for alcoholics due to their health deteriorating from alcohol. Only those methods of treatment for alcoholism that are approved by a narcologist should be used. It is unknown how exactly the use of questionable drugs together with alcohol will affect, since they also have their side effects.
Only possible option is the use of herbal and other folk remedies, but most often their use is relevant at the stage of “coming out of binge drinking.”
Folk remedies for alcohol addiction
Brine is considered the main remedy for a hangover. The main recommendation for exiting alcohol intoxication is to drink a large amount of liquid, while the first “portion” is better to choose black or Herb tea with sugar, and after that – brine (preferably cabbage).
There are several herbs that help reduce cravings for alcohol. They can be taken as a decoction on their own or added to alcohol.
Such plants include:
- motherwort;
- horsetail;
- burdock root;
- sorrel root;
- field mint.
Herbs in a volume of 10 grams each are crushed, mixed, and then brewed for about 15 minutes in a water bath. Then you need to strain the liquid, take 1 glass per day (in several equal doses).
Monastic tea for alcoholism
One of the most common treatments alcohol addiction at home is monastery tea.
Its action is determined by the following effects:
- Reducing cravings and symptoms of addiction.
- Normalization of immune function.
- Restoration of the nervous system.
- Improving the functioning of internal organs.
- Removing toxins and breakdown products.
Brew 1 teaspoon of the mixture and leave for several minutes. The product can be used up to 3 times a day as regular tea during the day.
Whatever method is chosen, the basis for the treatment of chronic alcoholism is the desire of the patient himself to overcome the disease, since the course of therapy, regardless of the method, consists of two stages: detoxification and support procedures physical health, further social rehabilitation and work with psychologists.
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The decision on compulsory treatment for alcoholism can be made by the court after studying the evidence base. Most attention is given to the results of the medical examination. The process is regulated by the Law “On Psychiatric Care and Guarantees of Citizens’ Rights in its Provision.” Compulsory treatment is difficult to call effective therapy– a person’s personal desire to restore health is necessary. Contacting doctors in this case is considered as an attempt by the alcoholic’s immediate circle to eliminate the danger to own life.
How to send for compulsory treatment legally
The law prohibits sending patients for treatment against their will without proof of danger to society. During the court hearing, the provided documents, photographs and videos recording drunken behavior are taken into account. Compulsory therapy for the treatment of alcoholism is prescribed in the following cases:
- uttering threats and attacking others;
- suicide attempt;
- incapacity;
- unstable mental condition, regular exacerbations of diseases.
The reason for compulsory treatment is socially dangerous behavior in a state alcohol intoxication. At the first sign of a real threat to the life of the alcoholic and those around him, it is necessary to call the police. Employees, having assessed the patient’s inadequate condition, will eliminate the risk to life and health. Next, they will call an ambulance for psychiatric help. It is important to keep a copy of the completed protocol. Relatives have the right to file a claim for compulsory treatment against a medical institution.
A possible certificate of mental impairment plays an important role. After analyzing the situation, employees of the medical institution request a decision from the judicial organization. As a result, the need for therapy in relation to a socially dangerous individual without his consent will be determined. A medical examination is appointed, which will give comprehensive assessment mental state.
There is another option to send for compulsory treatment, which involves contacting a local police officer, who will issue a certificate stating that the alcoholic is dangerous to himself and others. Next, an application is submitted to the court, all documentary materials are presented. During the study of information, a forensic expert is invited to perform an examination.
Illegal hospitalization is punishable by criminal liability. The legislation provides for punishment of three to seven years in prison. Qualifying features and other components of this issue are presented in Article 128 of the Criminal Code of the Russian Federation.
Where to surrender an alcoholic without his consent
Compulsory treatment may be provided in government institutions. In this case, therapy is paid for by the state. This option is chosen by families with a lack of finances. Another explanation is the reluctance of loved ones to spend money on procedures.
More comfortable conditions offered in private medical institutions. Here we select for each patient individual approach, turns out complex therapy. Regardless of the place of treatment, you must submit documents confirming the identity of the person being sent for therapy. His medical record and a statement explaining the reasons for the extreme measure are requested. The result of the court hearing is also required.
As treatment progresses, it affects the psyche and physiology. The daily work of doctors contributes to the development of an aversion to alcohol within a few months. The following options for compulsory treatment of alcoholism are currently used:
- coding with possible injection of medications under the skin;
- hardware impact;
- hypnotic session.
Coding is recognized as the most effective of all methods. Doctors work with the patient’s subconscious, developing a refusal to drink alcohol. In some cases, subcutaneous administration of the drug is allowed. It causes vomiting when drinking alcohol.
Hypnosis cannot be called effective technique, which can heal anyone and everyone. During a hypnotic session, the alcoholic is given an aversion to alcohol. A prerequisite is the patient’s absolutely sober state.
It is allowed to influence the patient’s brain using modern devices. The final result is explained by the effect on the areas of the brain that are responsible for the pleasure of alcohol. As a result, the functioning of all vital systems is normalized.
Coding
Encoding represents an impact on the physiology and psyche of the patient. The technique is not used if addiction to alcohol is caused by mental disorders. In some cases, such a tool is used to consolidate the result.
The more ethanol that enters the body, the more severe the consequences. Fear for your own life forces you to give up the habit. After suggestion, a person does not drink alcohol, fearing serious consequences. You can cure a person with coding only after detoxifying the body and conducting explanatory conversations.
Narcological hospital
A comprehensive health examination is carried out in a medical institution. Experts select therapy for the treatment of alcohol addiction. It lasts 3-6 months depending on the stage of alcoholism. The body is cleansed in accordance with individual characteristics patient. The basis for compulsory treatment in a drug treatment hospital is a court decision.
The staff provides a solution to the problem, restoring the functioning of the affected organs and systems. As therapy progresses, they combine various techniques influence on the psyche in order to force treatment for addiction and follow all instructions.
Psychiatric ambulance
People around them can induce psychiatric ambulance, which is obliged to arrive at the place in as soon as possible. The purpose of the visit is to calm the raging person by administering fast-acting medications. Specialists must determine the need for hospitalization based on the actions of the alcoholic and the testimony of those who made the call.
Possible refusal to send to a psychiatric hospital. It is explained by adequate behavior, coherent speech and lack of action, life-threatening and people's health. Provided certificates of mental disorders, photographs and video materials can change the decision of doctors.
Compulsory treatment for alcoholism is a last resort, the implementation of which is possible only by court decision. It is used in relation to alcoholics who are not able to be aware of their actions. Services for organizing the procedure are provided by both public and private medical institutions. At the first signs of socially dangerous behavior of a person suffering from alcoholism, it is necessary to call the police and an ambulance.
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provided for by current legislation. However, it is worth remembering that this is only possible in cases clearly specified in special regulations. In other situations, such treatment requires the consent of the patient or his legal representative. In this article we will tell you how compulsory treatment for alcoholism is carried out in the Russian Federation.
What is compulsory treatment for alcoholism?
This is the placement of a patient without his consent (or without the consent of his legal representative) for treatment in a specialized medical institution with the aim of isolating him from society, bringing him to the stage of forced remission and subsequent recovery from alcoholism.
That is forced treatment for alcoholism is a measure of state coercion aimed at curing the patient.
According to current legislation, treatment of a patient for alcoholism is carried out only with his consent (or with the consent of his legal representative). However, there are cases when the legislator allows compulsory treatment of alcoholic citizens, but only by court decision.
Despite their powers, the courts need sufficiently strong evidence that a citizen suffering from alcoholism is violating the rights and legitimate interests of other citizens. For example, your neighbor abuses alcohol and constantly throws noisy parties at night. Call the local police officer and record this fact. If this happens repeatedly, so much the better. With evidence in hand, you can go to court (it would be more effective to do this collectively), and the court may decide to send the citizen for compulsory treatment.
In addition, strong evidence in court will be the conclusion of a forensic examination that a citizen has a mental illness and his actions harm others. Simply put, if a patient has developed a “squirrel problem,” then go to court and file a petition for an examination.
Compulsory treatment for alcoholism in the event of a crime
Compulsory treatment of alcoholism provided for in Articles 97-104 of the Criminal Code of the Russian Federation as one of the types of psychiatric illness. In particular, the following may be prescribed as compulsory measures:
- ambulatory treatment;
- hospital treatment;
- inpatient treatment in medical organizations specialized type;
- inpatient treatment in specialized medical organizations with intensive supervision.
Compulsory treatment of alcoholism can be assigned only by court decision in relation to persons who have committed a crime.
A citizen against whom compulsory measures are applied is subject to a medical examination once every 6 months to examine the possibility of terminating treatment or extending it. This medical examination can also be carried out at the request of the patient, his relatives or legal representatives. The decision to change a compulsory measure or to terminate it is made only by the court on the basis of the conclusion of a medical commission.
Summarize:
- compulsory treatment for alcoholism is prescribed only if the court passes a guilty verdict, which specifies a compulsory medical measure as a punishment;
- Alcoholic citizens include those who systematically consume alcoholic drinks and does not want to undergo treatment voluntarily;
- the court makes a decision on compulsory treatment for alcoholism only on the basis of a medical examination report, which must indicate the need for such treatment. However, the court has the right to disagree with the experts' arguments.
What is involuntary hospitalization?
In practice, there are cases when prolonged alcoholism develops into more serious illness, and the citizen becomes dangerous to himself and to society. What to do in this case?
The Law of the Russian Federation of July 2, 1992 No. 3185-1 “On psychiatric care and guarantees of the rights of citizens during its provision” provides that a citizen suffering from alcoholism can be hospitalized in a medical institution to provide him with specialized care in a hospital without his consent (or without consent of the legal representative) before a court decision is made, if treatment is possible only in a hospital, and the course of the disease is severe and is determined by:
- human helplessness, that is, the inability to independently satisfy basic needs;
- the danger of his behavior for others and himself;
- causing significant harm to one's health if left without assistance medical care.
Is not forced treatment for alcoholism. In fact, involuntary placement in a hospital includes cases when a citizen begins to show signs of mental disorder. Therefore, simply alcoholism, without “aggravating” consequences, does not fit this terminology. After the citizen completes the course of treatment, he will be allowed to go home.
Despite the fact that the antisocial behavior of citizens suffering from alcoholism causes harm to others, the leadership of the Russian Federation claims that in Russia, compulsory treatment for alcoholism without the consent of the patient (or his legal representative), except in cases provided for by law, will not be introduced, since this violates rights of citizens and contradicts the principles of international law.
Many families of alcoholics are looking forward to a reform that will reconcile human rights activists with the objective need in Russia. And in this article we'll talk About, how to send for compulsory treatment for alcoholism. At the legislative level, involuntary hospitalization is already permitted - but only for a narrow circle of addicts.
Compulsory treatment for alcoholism by court order
Not only relatives of an alcoholic, but also those around them can become the initiators of compulsory treatment. It is important to take into account that the forcible detention of a person in clinical institutions without legal grounds Therefore, carrying out medical manipulations with him from the point of view of the Criminal Code of the Russian Federation is a punishable act.
Thus the basis for compulsory treatment for alcohol can be:
a person's danger to himself - for example, suicide attempts, self-harm;
the danger of an alcoholic to others (threats, attacks, committing real crimes);
Lack of treatment will make it worse mental problems;
inability to care for oneself at the level necessary for survival.
The court decision is made after considering the evidence base - video, photographic materials, certificates and extracts from medical institutions, results psychiatric examination. If the court finds that the addict needs medical care, outpatient and inpatient treatment may be prescribed - both in a regular hospital and in a private or public drug treatment center.
A referral to a medical institution from the court is mandatory in the case of a serious offense and the subsequent diagnosis of a severe mental disorder in the patient. Treatment for alcoholism through the court is regulated by the Law “On Psychiatric Care and Guarantees of the Rights of Citizens in its Provision.”
However, isolating a person in a psychiatric hospital is last resort and is awarded in cases of mental disorder that is dangerous to the life and health of others - that is, when outpatient and voluntary treatment is impossible and may cause harm to society. Usually the basis is the commission of a criminal offense against the background of alcohol abuse. The real threat of committing it rarely leads to forced treatment of the patient.
To open a case, you need a statement to the police from neighbors or family members of the patient, a call to the local police officer (to obtain a certificate of real threat emanating from an alcoholic) and filing a claim in court (a statement of claim can be filed by any interested person, including a colleague or friend). As evidence in court, you will need any certificates, information media and witness testimony that can confirm that the patient caused or attempted to cause damage to their life, health or property due to a mental disorder of alcohol etiology.
There is another way to place an addict in a hospital - emergency hospitalization by decision of the emergency psychiatric team. Together with a collective appeal and a certificate from a forensic expert about the already diagnosed alcoholic mental illness, the testimony of emergency doctors may sway the court in favor of compulsory treatment. Also, a statement of claim can be filed by medical institutions, at the request of the patient’s relatives, if his mental condition requires hospitalization.
How to treat alcoholism without the patient’s consent at home
Treatment for alcoholism without the consent of the addict is often attempted outside the clinic, forgetting that such practice is a criminal offense. " Folk remedies"and conspiracies have no effect - unless the alcoholic himself believes in them and guesses about their use. On numerous forums about how to cure alcoholism forcibly, all kinds of powders and tablets are actively promoted. But even medicinal herbs, used in incorrect dosages and without taking into account contraindications.
There is no need to talk about disulfiram-type drugs, which desperate wives try to put in the food and drink of an alcoholic - they put a serious burden on cardiovascular system and the patient’s body as a whole. As a result of this “treatment” of alcoholism, a violently addicted person may end up in the hospital with a heart attack. In the best case scenario, he drinks even more bitterly, trying to interrupt discomfort, which he does not even think to associate with alcohol.
Narcologists do not recommend creating situations that could completely alienate an alcoholic from loved ones. Non-aggressive methods without swearing, threats and playing on guilt are much more effective. The patient's relatives are advised to emphasize the visible deterioration in his condition - early aging, changes in appearance. You should not provide for an alcoholic and surround him with care - on the contrary, make him feel how much effort it is worth. Forced to provide for themselves, the addict feels the consequences more acutely addiction, feels sick and thinks about treatment.
If this method does not work, it is necessary to make the alcoholic understand that he risks losing his family. Remind him of the painfulness of his condition after negative incidents caused by alcohol consumption and which received an emotional response from the addict. All conversations should be conducted only during breaks between binges, when the patient is able to make decisions in a sober mind.
Help from a narcologist in treating an alcoholic without consent
Treatment of a persistent alcoholic usually begins with a consultation with a narcologist-psychiatrist or psychotherapist for his loved ones. Gradually bringing a person to the need for treatment requires a clear plan of action and perseverance, so the narcologist teaches the addict’s relatives not to become codependent on him, to monitor the patient’s manipulations and to counteract them correctly. If crisis motivation from loved ones cannot be correctly implemented or has not brought results, they can use the service of calling a narcologist to their home.
The main objective of these measures is to obtain the patient’s consent, because how to treat alcoholism without desire patient is impossible. The temporary effect of therapy almost always ends in a new breakdown without the patient’s own motivation.
Intervention procedure
The benefits of psychotherapeutic intervention are not exaggerated - it is indeed effective, but complex method. They can convince an alcoholic to undergo treatment in almost any drug treatment clinic, but this procedure is not cheap, although it is definitely worth the money, your nerves and the health of the patient. The procedure is carried out at home by a psychiatrist or team rehabilitation center and can take several hours. The essence of the belief is that the patient is confronted with the problem face to face, depriving him of the main illusions that accompany alcoholism - that he can quit, he simply doesn’t want to, and that addiction will cost him without consequences. Persuasion can be carried out both while awake and under hypnosis, but an important condition for its effectiveness is the sobriety of the patient. An alcoholic who is on a binge is inaccessible to any type of psychological influence and needs detoxification.
The intervention procedure can involve close people of the addict, conducting a dialogue with him and pointing out the consequences of alcoholism under the guidance of a specialist, or volunteers from among former drug addicts.
Guided by a psychiatrist-narcologist, the patient realizes, if not the whole situation, then at least the problems that alcohol creates for loved ones and for him, and comes to the need to move towards treatment; in almost all cases, the alcoholic agrees to at least hospitalization for detoxification. When a person ends up in the clinic, it is easier to convince him to continue treatment, so immediately after withdrawal from the binge, correction of the patient’s behavior continues.
Alcoholism is a problem from which no family is immune. It is decimating the country's working population like an epidemic, killing up to half a million people annually, of whom 30% are men and 17% are women. Not everyone succeeds in overcoming this terrible addiction on their own, since at first a person does not feel that he has fallen into a trap, but later late stages The craving for alcoholic beverages is already too great and willpower alone is not enough. Therefore, you often have to look for where to submit an alcoholic for compulsory treatment. Alcohol is harmful not only to a person’s physical health, but also to the psyche. Being “under steam”, many people become aggressive, provoking scandals and fights. The statistics on crimes committed while intoxicated are depressing: for last year More than four hundred thousand such cases have been recorded. A drinking person poses a danger to others, and therefore sooner or later the question arises in every family: how to send an alcoholic for compulsory treatment?
To call the brigade, a statement from relatives was enough. However, in such labor treatment centers, rather, a kind of confinement of patients was carried out, since there was no special treatment was not carried out there. In the USSR there was no such question: is it possible to treat an alcoholic forcibly. Occupational therapy undoubtedly had its fruits: some returned to normal life without alcohol, returned to work, improved relationships in the family. But in this case, the patients did not receive any psychological help, and in the treatment of addictions this is one of the key methods. Therefore, relapses were frequent, and alcoholism mostly became chronic. 
Also worked across the country a large number of sobering-up stations where drunk people from the streets and other public places. They stayed there until they sobered up completely, and then returned home, paying a receipt for the services provided.
How to force treatment?
Currently the law prohibits sending drinking man V medical institution against his will. Nowadays, compulsory hospitalization of an alcoholic is possible only after an appropriate court decision. To collect materials for the court, you need to call the district police officer on all the facts inappropriate behavior. Also, the court's decision may be influenced by numerous testimony from neighbors and family acquaintances. If the medical examination confirms the presence of alcoholism, the patient will be placed in specialized institution, and the question of how to force an alcoholic to undergo compulsory treatment will be dealt with by health workers and psychiatrists. There are proven methods.
How to determine an alcoholic for compulsory treatment before trial? Sometimes this is possible. This usually happens for the following reasons:
- The person cannot take care of himself and needs medical care;
- His behavior can harm others and himself;
- The man repeatedly threatened to commit suicide and attempted suicide.
An alcohol addict who has committed a crime may also be sent to a hospital for treatment. In this case, a commission is convened, and if the presence of chronic alcoholism is confirmed, the patient may be sent to a specialized institution. 
Psychiatric help for alcohol addicts
Before calling a psychiatric ambulance for alcoholics, you need to make sure that:
- The person is in a state alcoholic delirium, sees hallucinations, is not oriented in space and can harm himself through negligence;
- Alcohol intoxication has caused an aggressive state, the person rushes at others with fists, threatens with a knife and poses a real threat;
- The person is depressed and attempts suicide.
In the second case, be sure to call the police before the ambulance team. They will help neutralize the patient and hold him until the ambulance arrives.
For effective treatment of alcoholism, experts advise AlcoLock product. This drug:
Where are they treated for free?
If you are looking for where to identify an alcoholic for free, contact government medical institutions of various types. Such treatment is divided into outpatient and inpatient, and inpatient, in turn, can be carried out both in regular medical institutions and in institutions with intensive supervision. As a rule, convicts are sent to the latter if such a preventive measure has been chosen as submitting an alcoholic for compulsory treatment.
There are also social rehabilitation centers where you can take a rehabilitation course for free. However, in such centers it turns out that psychological help without drug treatment.
How to hospitalize?
How to hospitalize an alcoholic if there is no court decision and medical examination report? Alas, no way. Modern laws require that a person’s will be respected, and if he has not committed illegal or life-threatening actions, it will not be possible to place him in a hospital. 
However, modern drug treatment clinics employ specialists, including many professional psychologists. Relatives and friends of such patients often turn to them to find out where to surrender the drinker without his consent. They have extensive experience in convincing alcohol addicts, and after a conversation with such a specialist, no coercive measures will be required. One of the most important conditions on the path to recovery is the patient’s desire to overcome his illness, and the task of doctors is to evoke this desire in him. And then it will end in success.
When choosing where to hospitalize an alcoholic, pay attention to many factors, including:
- positive reviews about the clinic on independent websites;
- availability of all necessary certificates;
- complete anonymity for clients;
- highly qualified attending physicians;
- comfortable conditions for keeping patients.
Many clinics provide free post-rehabilitation support for their clients. Having chosen where to take an alcoholic, based on the advice above, you can count on good results rehabilitation and low relapse rate.
