ArticleCanadian journal of public health = Revue canadienne de sante publique2025
A call for upstream solutions to the unregulated drug crisis in British Columbia, Canada: Locked up or locked out.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Evaluating treatment outcomes across four substance use treatment settings: a 12-month longitudinal study in Iran.Harm reduction journal · 2025Article
- The stakes of stimulant use, psychosis, and antipsychotic treatment among youth who use drugs: A longitudinal qualitative study.Social science & medicine (1982) · 2025Article
- Responding to the toxic drug crisis: Promising innovations, gaps, and calls to action.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The unregulated drug crisis has raised growing concerns about the care and treatment of people experiencing complex mental health and substance use issues in British Columbia (BC). The BC government's recent plans for expansion of involuntary treatment across the province demonstrate a misguided understanding of mental health and substance use disorders. Relying on involuntary treatment as a primary response to this public health issue raises several ethical and clinical concerns. With the majority of evidence on involuntary treatment demonstrating limited effectiveness, and potential for increased harms, alternative evidence-based approaches are urgently needed. Addressing this public health challenge requires a shift away from involuntary treatment to person-centered, voluntary, integrated, and community-based solutions that address the social determinants of health. This commentary will review the limitations, clinical challenges, and policy alternatives to involuntary treatment of adults with substance use disorders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.