Contract treatment reduces recidivism and substance-related adverse health events

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Substance use disorder treatment in the community is a superior alternative to incarceration for offenders with a substance misuse background, according to a recent study evaluating the effectiveness of the contract treatment sanction in Sweden.

Contract treatment refers to a criminal penalty in which the offender voluntarily consents to treatment in accordance with a specific implementation plan.

"With the introduction of contract treatment, criminal behaviour and substance-related adverse health events, such as overdoses and hospitalizations due to psychiatric and somatic reasons, decreased significantly compared to the period before contract treatment," Virtanen says. "Substance use disorders are increasingly understood as a health issue that should primarily be addressed by means of health care. Usually, prison is not the best place for an individual who needs appropriate treatment and support for recovery," Virtanen says.

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