Aim of the study was to indicate the growing burden for the medical practice, due to malfunctioning institute of the court ordered treatment for alcohol and drugs. Methods: We have used for illustration descriptive analysis of court ordered treatments in the Centre for Treatment of Drug Dependencies in Bratislava in the year 2009 and also the trends of new court orders versus court discharges from the treatments in this centre during 12 year period from the year 1998 till the end of the year 2009. Results: 56 % of sentenced people reported for the treatment in time, 37 % have not reported for the treatment after it was ordered by court, the rest of them came late. 591 court ordered treatments have been ended by the courts out of 1,484 orders in the searched time - period. The seizures are opening. Conclusions: Due to the fact, that institute of court ordered treatment for alcohol and drugs is not well functioning and is anachronism in the European Union, we are suggesting to drop it from the Penal Code by its amendment and to replace it by the treatment as an alternative to the punishment.

Key words: Court ordered treatments – mandatory treatments – alcohol dependence – drug dependence