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What decades of research reveal about involuntary substance use treatment – and why evidence points elsewhere

  • Written by Susan E. Collins, Professor of Psychiatry and Behavioral Sciences, University of Washington

Since President Donald Trump issued a July 2025 executive order aimed at “ending crime and disorder on America’s streets,” national attention has increasingly focused on involuntary treatment as a response to visible homelessness and drug use.

A few months later, in September 2025, officials in Utah announced plans for a 16-acre...

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