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Harrison, I've been here very infrequently of late and I hated to see this update today. I've been a Registered Nurse for over 20 years and nearly all of that time in psych nursing so I've seen scenarios similar to this played out many, many times. While the situations and the substances abused may vary widely, two things never change: the family suffers horribly from the chaos and believe it or not....so does the addict.
I won't presume to give advice, unsolicited and without full knowledge of all the dynamics, but I would like to make a few general observations. On the issue of ordering someone into a mental health facility or rehab; generally this is a civil court order as opposed to a criminal court order. Laws vary from state to state (I'm in Virginia) but often these involuntary orders are relatively short in duration and intended as a crisis admission to evaluate "Imminent" danger to self or others. Someone that is actively psychotic and running in traffic....or someone hopelessly depressed and suicidal with a plan are two classic examples. While a substance abuser may display very risky and harmful behavior when they are under the influence, disinhibited by their drug of choice. They often 'sober up" in 24-36 hours and want nothing more than to be released and go get high....again. Unless they are currently displaying the same dangerous and harmful behavior that got them admitted in the first place, a court may have no choice but to release them. At least in my state, these civil orders generally can NOT order an addict into treatment if there are no other factors (delusions, psychosis, suicidally depressed) present.
Second, there is a (slow) growth of a new treatment options for substance abusers who have "intersected with the justice system" and that is Drug Courts. At times this is a hot-bed issue when people believe it is being soft on crime and no politician want to be accused of having a "Hug a Thug" record rather than tough on crime stance. But drug courts are (again, generally) made for non-vioelnt offenders with a substance abuse problem. It is a program run by a specially trained judge and support staff that requires an offender to meet ALL of their requirements or its back in jail for them. I know that Virginia, especially rural Virginia, has just a few of these. I found the website below that has a littel information on this, but I don't know where to point you for further information or referrals.
Pennsylvania Unified Judicial System
I don't mean to sound discouraging and I hope it doesn't make you feel that way. You mentioned opiate pain killers earlier and if thats the case it is a dangerous and powerfully addictive substance. Some great pain meds under a Dr's care but all too easily abused. And all too common on the street these days.
Its a very diffiucult thing to watch a loved one self-destruct before your eyes. Its just as difficult to really want to help them but not sure how to do that without either enabling them (rescuing) so they just use again...or help in a way that doesn't make you feel like your turning your back on them. Talking helps, it really does. I've been impressed with your candor and strength to reach out like this to your friends on this forum. Assuming all of what I've written above may be of some help and not just old news you've heard a dozen times before; you may want to look for local family support groups like "Nar-Anon" or "Al-Anon" in your area. A quick google search found the site naranonepa.org for eastern PA, but I'm not sure if thats where you live.
Good luck and all the best to you and your parents.........Your brother too. Nobody chooses to be an addict; its a miserable spiral that they may believe they have control over, but it ultimatley controls them. Treatment can work, when they choose it. I hope he does.
(Looks like I did give advice after all, sorry. I know how this situation feels and I hope my best wishes come across even if my words may seem dire.)
Best regards,
Derek
I had hoped that this thread had concluded. I have to say that your post literally took my breath away. I really liked Derek's post. IM me if you wish to talk anytime. I wish him and your family the best.
Question? Where is he getting the "opiates"? And is he doing Oxy or heroin? Either way that costs $$. So is he stealing from your family or others to get his drugs? If so, that is gonna get bad real quick on top of his addiction.
Hang in there, buddy.