Les soins sans consentements peuvent-ils s’appliquer en cas d’addiction dans le contexte français ? Une analyse critique des données

Is involuntary commitment to treatment applicable in case of an addictive disorder in the French context? A critical review of available evidence

Article in French

Digé S(1), Jakubiec LA(1), Auriacombe M(2).

Author information:
(1)Université de Bordeaux, Bordeaux, France; Équipe phénoménologie et
déterminants des comportements appétitifs, Sanpsy CNRS USR 3413, université de
Bordeaux, Bordeaux, France; Pôle addictologie et filière régionale, centre
hospitalier Charles-Perrens, CHU de Bordeaux, Bordeaux, France.
(2)Université de Bordeaux, Bordeaux, France; Équipe phénoménologie et
déterminants des comportements appétitifs, Sanpsy CNRS USR 3413, université de
Bordeaux, Bordeaux, France; Pôle addictologie et filière régionale, centre
hospitalier Charles-Perrens, CHU de Bordeaux, Bordeaux, France; Center for
studies of addiction, department of psychiatry, Perelman school of medicine,
university of Pennsylvania, Philadelphia, PA, États-Unis. Electronic address:
.

OBJECTIVE: The objective of this work was to determine whether compulsory
psychiatric treatment is applicable in France to patients with an addiction. To
this end, several questions were formulated, at the legislative level and in
terms of professional recommendations. Our secondary objective was to analyse
those practices epidemiologically and in terms of evaluating their impact.
METHODS: Using the PRISMA method for systematic research, documents were selected
from the following databases: regulatory (Legifrance), scientific societies (High
Authority for Health (HAS), French Society of Emergency Medicine (SFMU), French
Society of Alcohology (SFA)); concerning our secondary objective (epidemiological
and evaluative) documents from several data bases (Public Health Database (BDSP)),
Psy Health Foundation, EM-Premium, Pubmed were reviewed.

RESULTS: The search retrieved 163 documents, of which 13 were included based on
examination. Legislative texts and professional recommendations do not exclude
involuntary commitment to treatment in case of an addictive disorder.
Epidemiological data describe use disorder as one of the most mentioned disorders
in cases of involuntary commitment to treatment, with clinical improvement as
long as treatment lasts.

CONCLUSION: French law does not prohibit compulsory addiction treatment in
psychiatry. Compulsory addiction treatment could be an access to health care for
some patients and an emergency measure to limit at one point the accumulation of
damage or in view of a life-threatening situation.

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