Author:
Kang Sunyou,McCreedy Katie,Messinger John,Bhargava Rahul,Beletsky Leo
Abstract
Background
As drug-related deaths have surged, the number and scope of legal mechanisms authorizing involuntary commitment for substance use have expanded. Media coverage of involuntary commitment routinely ignores documented health and ethical concerns. Prevalence and dynamics of misinformation about involuntary commitment for substance use have not been assessed.
Methods
Media content mentioning involuntary commitment for substance use published between January 2015 and October 2020 was aggregated using MediaCloud. Articles were redundantly coded for viewpoints presented, substances mentioned, discussion of incarceration, and mentions of specific drugs. In addition, we tracked Facebook shares of coded content.
Results
Nearly half (48%) of articles unequivocally endorsed involuntary commitment, 30% presented a mixed viewpoint, and 22% endorsed a health-based or rights-based critique. Only 7% of articles included perspectives of people with lived experience of involuntary commitment. Critical articles received nearly twice as many Facebook shares (199,909 shares) as supportive and mixed narratives combined (112,429 shares combined).
Discussion
Empirical and ethical concerns about involuntary commitment for substance use are largely absent from coverage in mainstream media, as are voices of those with lived experience. Better alignment between news coverage and science is vital to inform effective policy responses to emerging public health challenges.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Pharmacology (medical),Psychiatry and Mental health
Reference11 articles.
1. Nature and utilization of civil commitment for substance abuse in the United States;J Am Acad Psychiatry Law,2015
2. Involuntary commitment for substance use: addiction care professionals must reject enabling coercion and patient harm;J Addict Med,2021
3. Civil commitment experiences among opioid users;Drug Alcohol Depend,2018
4. Perceived benefits and harms of involuntary civil commitment for opioid use disorder;J Law Med Ethics,2020
5. Civil commitment for opioid misuse: do short-term benefits outweigh long-term harms? [published online May 27, 2021];J Med Ethics,2002