It is Not the Patient, It is the System: Commentary on "How Advanced Directives Help When Patients Refuse Life-saving Treatment Because of Their Substance Use"

Research output: Contribution to journalEditorialpeer-review

1 Scopus citations

Abstract

Serious infections are common in patients with opioid use disorder who use injection drugs. Clinicians are often frustrated by the complexity and uncertainty involved in managing these patients, who also have a high rate of discharges against medical advice. The commentary addresses a proposal for a substance use advance directive that would bind the patient to involuntary future treatment, even over their contemporaneous objections. Although the problem is significant, this commentary challenges the legal and ethical justifications for the substance use advance directive and advances that instead, attention should focus on mitigating the harms of continued institutional and structural discrimination and advocating for evidence-based inpatient treatment.

Original languageEnglish (US)
Pages (from-to)443-445
Number of pages3
JournalJournal of Addiction Medicine
Volume15
Issue number6
DOIs
StatePublished - Nov 1 2021
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Pharmacology (medical)

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