Mandated community treatment: beyond outpatient commitment.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Monahan, J; Bonnie, RJ; Appelbaum, PS; Hyde, PS; Steadman, HJ; Swartz, MS

Published Date

  • September 2001

Published In

Volume / Issue

  • 52 / 9

Start / End Page

  • 1198 - 1205

PubMed ID

  • 11533393

Pubmed Central ID

  • 11533393

International Standard Serial Number (ISSN)

  • 1075-2730

Digital Object Identifier (DOI)

  • 10.1176/appi.ps.52.9.1198

Language

  • eng

Conference Location

  • United States