Document Type
Article
Publication Date
2-24-2025
Abstract
The opioid epidemic has led to the rapid growth of drug rehabilitation centers or addiction rehabilitation centers across the United States, especially in hard-hit areas like Appalachia. These centers aim to provide treatment and recovery services for people struggling with addiction, but their presence has sparked debate. Supporters argue that they help revitalize local economies, reduce crime, and offer much-needed care, while critics raise concerns about declining property values, community resistance, and unethical management practices. This paper examines these issues through two ethical perspectives: Social Contract Theory and Utilitarianism. Social Contract Theory suggests that rehab centers have a responsibility to both their patients and the communities they serve, meaning they should operate transparently and address local concerns. The Utilitarian approach looks at the bigger picture, weighing the benefits of addiction treatment against any negative impacts on surrounding neighborhoods. Our research finds that while rehab centers play an essential role in combating the opioid crisis, their success depends on how well they integrate into their communities. They bring economic benefits and can help lower crime, but stigma and poor management can create challenges for all stakeholders. We conclude that these facilities can fulfill their social contract, but only if they are run ethically, communicate openly with local residents, and work to build trust within their communities.
Advisor
Claudia Hanrahan, PhD
Recommended Citation
Peek, Cameron; Noel, Terry; and Beard, Trezhan, "A Social Contract in Crisis: Do Drug Rehabilitation Centers Help or Harm Local Communities?" (2025). Business Ethics. 14.
https://digitalcommons.shawnee.edu/business_ethics_3100/14