Mexico reformed its health regulations to partially legalize drug possession for individual use and increase compulsory referrals to licensed drug rehabilitation centers instead of imprisonment in 2009. Simultaneously, news media reported vehement attacks performed by drug lords against Mexican drug treatment centers and occasions of human rights abuses by the staff against persons who use drugs. In most cases, these violent occasions happened at drug treatment centers that harbor many drug-dependent persons. To comprehend the barriers to treatment uptake, we scrutinized the prevalence and correlation of perceived dangers of violence at drug treatment centers among PWID in Mexico.
Tributary analysis of standard data gathered between March 2011 and May 2013 of PWID enlisted into a potential group study in Tijuana. Interviewer-administered studies measured the apparent risk of violent drug treatment centers by asking the participants to give their level of agreement with the statement “going to drug treatment center puts me at jeopardy of violence.”
34.5 % of 733 participants thought the risk of violence at a drug treatment center. In multivariate analysis, commenting that having ever taken crystal methamphetamine and cocaine, having an urge to seek help against drug abuse, and receiving specialized help for drug/alcohol abuse were adversely related to a perceived risk of violence at the drug treatment center, while having been instructed by authorities that drug rehabilitation attendance is compulsory was associated with the perceived risk of violence positively. All relations are significant at a 0.05 alpha level.
The insight of violence at drug treatment centers among patients does not represent those PWID experiences that attended specialized services, recorded an urge to seek help for their drug abuse, and had a past using cocaine and crystal. Specializing service provision and engaging authorities in their novel role of legalization and service referral for patients could solve violence at the drug treatment center. Similarly, health authorities should expand impromptu checkups at a drug treatment centerto ensure quality service delivery and reduce concerns of PWIDs about violence.
Drug treatment is a complicated process that can consist of a diversity of treatment modalities with comparative efficiency levels. The World Health Organization (WHO) notes that optimizing the proportion of drug-dependent persons getting effective rehabilitation should benefit those individuals and society. The WHO further acknowledges that this can be attained through guaranteed quality drug treatment making it, affordable and accessible.