A Follow-up of Chronic Patients Committed to Outpatient Treatment

North Carolina State University, Raleigh 27695.
Hospital & community psychiatry 02/1989; 40(1):52-9. DOI: 10.1176/ps.40.1.52
Source: PubMed


Data collected in a statewide study of psychiatric patients involved in civil commitment hearings in North Carolina were used to evaluate the effectiveness of outpatient commitment as a less restrictive alternative to involuntary hospitalization. Six months after the commitment hearings, outcome data for patients who were committed to outpatient treatment were compared with outcome data for patients who were released and patients who were involuntarily hospitalized. All three groups comprised patients who were chronically mentally ill, had previously been hospitalized, and had histories of medication refusal and dangerousness. Patients who were committed to outpatient treatment were significantly more likely than patients with the other two dispositions to utilize aftercare services and to continue in treatment.

1 Read
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study examines whether individuals who experienced involuntary outpatient commitment (OPC) attribute benefit to this intervention. It was found that the majority of experimental subjects who underwent a period of OPC did not personally endorse OPC's benefits at the end of the study, either because they did not think it improved treatment adherence or because they rejected their own need for continued treatment. However, at the end of the study, a positive appraisal of benefit was roughly twice as likely among subjects who actually experienced positive treatment outcomes. These data provide little support for acceptance and "gratitude" as a rationale to support decision making about OPC continuation. Rather, clinicians need to rely on other clinical and empirical data for such decision making.
    Psychology Public Policy and Law 01/2003; 9(1-2):70-93. DOI:10.1037/1076-8971.9.1-2.70 · 1.93 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article briefly describes the historical conditions in the origin and development of outpatient commitment that framed the discourse on its merits and the empirical studies on its outcomes. It divides those empirical studies into two sets on the basis of the questions addressed and critically reviews them. The review pays particular attention to the latest studies that were able to randomize subjects to experimental and control conditions and that were able to offer enhanced services. Finally, this article presents issues not addressed by the empirical studies on outpatient commitment but that need to be addressed in order to understand the choice of using the law to force persons with mental illness to comply with treatment and receive services in the community.
    Psychology Public Policy and Law 01/2003; 9(1-2):8-32. DOI:10.1037/1076-8971.9.1-2.8 · 1.93 Impact Factor
  • Source
Show more