Canada’s nightmarish opioid crisis has renewed calls for involuntary drug treatment. Does the government have a right to force users to get help?

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The Fight Over Forced Rehab

 

Daniel Vigo is British Columbia’s first scientific adviser for psychiatry, toxic drugs and concurrent disorders. He has a big job. B.C. is at the epicentre of the country’s drug addiction crisis. Several thousand people in the province overdose and die each year. 

To address the crisis, Vigo has proposed that B.C. dip its toe in a new and highly controversial form of therapy: mandatory drug treatment. Some people think forcing people into rehab is an overdue experiment, while others see it as an unconscionable civil rights violation.

A person in a dark hallway

Following Vigo’s plan, B.C. has created a handful of involuntary treatment facilities for people in custody who have concurrent addiction and mental-health problems. The first 10 beds opened this April at the Surrey Pretrial Services Centre, a high-security remand centre for men detained while awaiting trial.

Another group is opening soon at the Alouette Correctional Centre in the Vancouver suburb of Maple Ridge. In a deep-dive longform feature for Maclean’s, Anthony Milton explores how all this might work and why it has attracted so much attention. “It’s an experiment that will be watched closely across the nation,” he says.

Visit macleans.ca for more coverage of everything that matters in Canada, and subscribe to the magazine here.

—Sarah Fulford, editor-in-chief, Maclean’s

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