{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:39Z","timestamp":1787991399735,"version":"build-2784847793"},"reference-count":56,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Characteristics and outcomes of all patients treated involuntarily under Victoria\u2019s Severe Substance Dependence Treatment Act 2010 between 2011 and 2023 were described. Predictors of outcomes 6\u2009months after the end of the Severe Substance Dependence Treatment Act 2010 treatment period were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>All admissions under the Severe Substance Dependence Treatment Act 2010 from when the programme began in January 2011 to December 2023 were audited. Data were analysed using descriptive statistics and univariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 70 admissions for 60 patients. 58% were male, and 5% were Aboriginal and Torres Strait Islander people. Alcohol was a substance of concern for 91%, 43% had liver disease and 78% had additional psychiatric diagnoses. Six months after the end of treatment, 15% were deceased and 48% of patients had returned to their previous level of substance use. 27.6% were either using less or abstinent at 6\u2009months which was predicted by reduced use or abstinence at 1\u2009month (OR\u2009=\u200970, 95% CI\u2009=\u2009[11.5, 424.8],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study suggests that brief involuntary treatment is associated with meaningful improvements in substance use outcomes for a minority of patients. If reduced substance use is achieved early following involuntary admission, it is likely to be sustained. No other clear predictor of outcome emerged in this cohort. In the absence of a control group, it is not possible to attribute these results to treatment under the Severe Substance Dependence Treatment Act 2010. Larger cohorts are required to determine variables that can be used to predict outcomes and enable judicious use of involuntary treatment for substance use disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261438065","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:21:06Z","timestamp":1776853266000},"page":"792-802","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Involuntary treatment for substance use disorders in Victoria \u2013 An audit of people treated under the Severe Substance Dependence Treatment Act from 2011 to 2023"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5645-9986","authenticated-orcid":false,"given":"Tom","family":"English","sequence":"first","affiliation":[{"name":"Department of Addiction Medicine, St Vincent\u2019s Hospital Melbourne, Fitzroy, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3468-9208","authenticated-orcid":false,"given":"Adam","family":"Pastor","sequence":"additional","affiliation":[{"name":"Department of Addiction Medicine, St Vincent\u2019s Hospital Melbourne, Fitzroy, VIC, Australia"},{"name":"Department of Medicine, St Vincent\u2019s Hospital, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greta","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Addiction Medicine, St Vincent\u2019s Hospital Melbourne, Fitzroy, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Vogrin","sequence":"additional","affiliation":[{"name":"Department of Medicine, St Vincent\u2019s Hospital, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Bonomo","sequence":"additional","affiliation":[{"name":"Department of Addiction Medicine, St Vincent\u2019s Hospital Melbourne, Fitzroy, VIC, Australia"},{"name":"Department of Medicine, St Vincent\u2019s Hospital, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Substance Addiction (Compulsory Assessment and Treatment) Act 2017 Review: Final Report","author":"Allen + Clarke (Consulting)","year":"2021","unstructured":"Allen + Clarke (Consulting) (2021) Substance Addiction (Compulsory Assessment and Treatment) Act 2017 Review: Final Report. 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