Not inconsistent; many will refuse treatment if simply asked, but with forced treatment / detox may come through the woods a bit and make a different decision.
It's the same freedom vs. detention debate and we've swung towards full freedom option in the US since the shutdown of mental health prisons and we've offloaded the care for the most difficult cases to police, ER, health workers, and they live on the streets. It's high time the pendulum swung back a bit with some (hopefully humanely administered) compulsory treatment options which is was the other commenter may have been getting at
I work in the ER in a high drug use area - I estimate around 80% of patients who start outpatient "medication assisted treatment" in the ER (outpatient buprenorphine-naloxone to treat the withdrawal symptoms) are there because the judge in their criminal case tells them it's that or go to prison. Some people definitely can't make good decisions for themselves and need to be "forced" to get treatment - and are later often grateful for having been forced to do so if they stay clean.
It's the same freedom vs. detention debate and we've swung towards full freedom option in the US since the shutdown of mental health prisons and we've offloaded the care for the most difficult cases to police, ER, health workers, and they live on the streets. It's high time the pendulum swung back a bit with some (hopefully humanely administered) compulsory treatment options which is was the other commenter may have been getting at