Historically, models of isolation and violence inflict deep harm on already targeted peoples: Indigenous, Black, racialized, disabled, criminalized people and drug users. Studies show that forcibly institutionalizing people creates worse outcomes than other forms of support. People already struggle to access voluntary treatment, counselling and bed-based services. This type of incarceration often reduces tolerance to substances, increasing the risk of fatal overdoses upon release, particularly when community-based supports are lacking.