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Mandated community treatment: beyond outpatient commitment.

Publication ,  Journal Article
Monahan, J; Bonnie, RJ; Appelbaum, PS; Hyde, PS; Steadman, HJ; Swartz, MS
Published in: Psychiatr Serv
September 2001

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.

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Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

September 2001

Volume

52

Issue

9

Start / End Page

1198 / 1205

Location

United States

Related Subject Headings

  • United States
  • Public Assistance
  • Psychiatry
  • Patient Compliance
  • Outcome Assessment, Health Care
  • Motivation
  • Humans
  • Community Mental Health Services
  • Commitment of Mentally Ill
  • Ambulatory Care
 

Citation

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Monahan, J., Bonnie, R. J., Appelbaum, P. S., Hyde, P. S., Steadman, H. J., & Swartz, M. S. (2001). Mandated community treatment: beyond outpatient commitment. Psychiatr Serv, 52(9), 1198–1205. https://doi.org/10.1176/appi.ps.52.9.1198
Monahan, J., R. J. Bonnie, P. S. Appelbaum, P. S. Hyde, H. J. Steadman, and M. S. Swartz. “Mandated community treatment: beyond outpatient commitment.Psychiatr Serv 52, no. 9 (September 2001): 1198–1205. https://doi.org/10.1176/appi.ps.52.9.1198.
Monahan J, Bonnie RJ, Appelbaum PS, Hyde PS, Steadman HJ, Swartz MS. Mandated community treatment: beyond outpatient commitment. Psychiatr Serv. 2001 Sep;52(9):1198–205.
Monahan, J., et al. “Mandated community treatment: beyond outpatient commitment.Psychiatr Serv, vol. 52, no. 9, Sept. 2001, pp. 1198–205. Pubmed, doi:10.1176/appi.ps.52.9.1198.
Monahan J, Bonnie RJ, Appelbaum PS, Hyde PS, Steadman HJ, Swartz MS. Mandated community treatment: beyond outpatient commitment. Psychiatr Serv. 2001 Sep;52(9):1198–1205.
Journal cover image

Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

September 2001

Volume

52

Issue

9

Start / End Page

1198 / 1205

Location

United States

Related Subject Headings

  • United States
  • Public Assistance
  • Psychiatry
  • Patient Compliance
  • Outcome Assessment, Health Care
  • Motivation
  • Humans
  • Community Mental Health Services
  • Commitment of Mentally Ill
  • Ambulatory Care