Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform

Laws facilitating the involuntary civil commitment (ICC) of people with substance use disorders vary considerably internationally and across the United States. Puerto Rico, a colonial territory of the United States since 1898, currently harbors the most punitive ICC legislation in the country. It is...

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Main Authors: Caroline M. Parker, Oscar E. Miranda-Miller, Carmen Albizu-García
Format: Article
Language:English
Published: Harvard FXB Center for Health and Human Rights 2020-12-01
Series:Health and Human Rights
Online Access:https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2022/12/parker.pdf
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author Caroline M. Parker
Oscar E. Miranda-Miller
Carmen Albizu-García
author_facet Caroline M. Parker
Oscar E. Miranda-Miller
Carmen Albizu-García
author_sort Caroline M. Parker
collection DOAJ
description Laws facilitating the involuntary civil commitment (ICC) of people with substance use disorders vary considerably internationally and across the United States. Puerto Rico, a colonial territory of the United States since 1898, currently harbors the most punitive ICC legislation in the country. It is the only place in the United States where self-sufficient adults who pose no grave danger to themselves or others can be involuntarily committed to restrictive residential facilities for over a year at a time without ever being assessed by a health care professional. The involuntary commitment of otherwise-able citizens—many of whom have never been diagnosed with a substance use disorder—continues to be ignored nationally and internationally. In this paper, we specify how Puerto Rican ICC law and procedures systematically violate rights and liberties that are supposed to be guaranteed by Puerto Rico’s Mental Health Act, the US Federal Supreme Court, and the Universal Declaration of Human Rights. To ensure that Puerto Rico’s ICC procedures conform to prevailing local, national, and international standards, we propose a series of legislative reforms. Finally, we highlight the importance of addressing the preponderance of poorly constructed ICC laws both within the United States and internationally.
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spelling doaj.art-2ef25a98d7cb4e91938aa28f6eca0a592022-12-26T03:13:12ZengHarvard FXB Center for Health and Human RightsHealth and Human Rights2150-41132020-12-012425970Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal ReformCaroline M. Parker0Oscar E. Miranda-MillerCarmen Albizu-GarcíaA presidential fellow of medical anthropology at the Department of Social Anthropology at the University of Manchester, United Kingdom.Laws facilitating the involuntary civil commitment (ICC) of people with substance use disorders vary considerably internationally and across the United States. Puerto Rico, a colonial territory of the United States since 1898, currently harbors the most punitive ICC legislation in the country. It is the only place in the United States where self-sufficient adults who pose no grave danger to themselves or others can be involuntarily committed to restrictive residential facilities for over a year at a time without ever being assessed by a health care professional. The involuntary commitment of otherwise-able citizens—many of whom have never been diagnosed with a substance use disorder—continues to be ignored nationally and internationally. In this paper, we specify how Puerto Rican ICC law and procedures systematically violate rights and liberties that are supposed to be guaranteed by Puerto Rico’s Mental Health Act, the US Federal Supreme Court, and the Universal Declaration of Human Rights. To ensure that Puerto Rico’s ICC procedures conform to prevailing local, national, and international standards, we propose a series of legislative reforms. Finally, we highlight the importance of addressing the preponderance of poorly constructed ICC laws both within the United States and internationally.https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2022/12/parker.pdf
spellingShingle Caroline M. Parker
Oscar E. Miranda-Miller
Carmen Albizu-García
Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
Health and Human Rights
title Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
title_full Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
title_fullStr Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
title_full_unstemmed Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
title_short Involuntary Civil Commitment for Substance Use Disorders in Puerto Rico: Neglected Rights Violations and Implications for Legal Reform
title_sort involuntary civil commitment for substance use disorders in puerto rico neglected rights violations and implications for legal reform
url https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2022/12/parker.pdf
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