Titre du document / Document title

Mandated community treatment: Beyond outpatient commitment

Auteur(s) / Author(s)

MONAHAN John ⁽¹⁾ ; BONNIE Richard J. ⁽¹⁾ ; APPELBAUM Paul S. ⁽²⁾ ; HYDE Pamela S. ; STEADMAN Henry J. ⁽³⁾ ; SWARTZ Marvin S. ⁽⁴⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ University of Virginia School of Law, 580 Massic Road, Charlottesville, Virginia 22903-1789, ETATS-UNIS
⁽²⁾ Department of psychiatry of the University of Massachusetts Medical Schoo, Worcester, ETATS-UNIS
⁽³⁾ Policy Research Associates, Delmar, New York, ETATS-UNIS
⁽⁴⁾ Department of psychiatry at Duke University Medical Center, Durham, North Carolina, ETATS-UNIS

Résumé / Abstract

Outpatient commitment, although often viewed as merely an extension of inpatient commitment, is only one of a growing array of legal tools used to mandate treatment adherence. The authors describe various forms of mandated community treatment. People with severe and chronic mental disorders often depend on goods and services provided by the social welfare system. Benefits disbursed by representative payees and the provision of subsidized housing have both been used as leverage to ensure treatment adherence. Many discharged patients are arrested for criminal offenses. Favorable disposition of their cases by a mental health court may be tied to participation in treatment. Under outpatient commitment statutes, judges can order committed patients to comply with prescribed treatment. Patients may attempt to maximize their control over treatment in the event of later deterioration by executing an advance directive. The ideological posturing that currently characterizes the field must be replaced by an evidence-based approach.

Revue / Journal Title

Psychiatric services   ISSN 1075-2730 

Source / Source

2001, vol. 52, n^o9, pp. 1198-1205 (59 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Psychiatric Association, Washington, DC, ETATS-UNIS  (1995) (Revue)

Mots-clés anglais / English Keywords

Treatment compliance ; Community treatment ; At home ; Human ; Mental disorder ; Mental health ; Therapeutic schedule ; Ambulatory ; Treatment ; Efficiency ; Evidence-based medicine ;

Mots-clés français / French Keywords

Observance thérapeutique ; Traitement communautaire ; A domicile ; Homme ; Trouble psychiatrique ; Santé mentale ; Programme thérapeutique ; Ambulatoire ; Traitement ; Efficacité ; Médecine factuelle ;

Mots-clés espagnols / Spanish Keywords

Observancia del tratamiento ; Tratamiento comunitario ; A domicilio ; Hombre ; Trastorno psiquiátrico ; Salud mental ; Programa terapéutico ; Ambulatorio ; Tratamiento ; Eficacia ; Medicina basada en pruebas ;

Localisation / Location

INIST-CNRS, Cote INIST : 12956, 35400009946717.0070