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Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities

Publication ,  Journal Article
Van Dorn, RA; Swartz, M; Elbogen, EB; Swanson, JW
Published in: International Journal of Forensic Mental Health
January 1, 2005

Policies to leverage adherence with community-based mental health treatment have become widespread; however, little research exists on the attitudes of persons with psychiatric disorders regarding such leverage. This study examines the appraisals of 1, 011 persons with psychiatric disorders regarding the fairness and effectiveness of leverage. A majority of consumers perceives leverage to be both fair and effective; these perceptions are highly correlated. Multivariate models suggest that perceived coercion and insight into illness are associated with both outcomes while number of hospitalizations, years in treatment, and appointment reminders are associated with either outcome. However, consumers with a psychotic diagnosis and high barriers to care view leverage as unfair when controlling for effectiveness. Consumers who experience less coercion and have better insight believe that they benefit from formal and informal sanctions to adhere to treatment. However, perceived barriers to care impact the evaluation of the fairness of leverage. © 2005 International Association of Forensic Mental Health Services.

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Published In

International Journal of Forensic Mental Health

DOI

EISSN

1932-9903

ISSN

1499-9013

Publication Date

January 1, 2005

Volume

4

Issue

2

Start / End Page

119 / 133

Related Subject Headings

  • 5205 Social and personality psychology
  • 5201 Applied and developmental psychology
  • 4402 Criminology
  • 1801 Law
  • 1701 Psychology
  • 1103 Clinical Sciences
 

Citation

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Van Dorn, R. A., Swartz, M., Elbogen, E. B., & Swanson, J. W. (2005). Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities. International Journal of Forensic Mental Health, 4(2), 119–133. https://doi.org/10.1080/14999013.2005.10471218
Van Dorn, R. A., M. Swartz, E. B. Elbogen, and J. W. Swanson. “Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities.” International Journal of Forensic Mental Health 4, no. 2 (January 1, 2005): 119–33. https://doi.org/10.1080/14999013.2005.10471218.
Van Dorn RA, Swartz M, Elbogen EB, Swanson JW. Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities. International Journal of Forensic Mental Health. 2005 Jan 1;4(2):119–33.
Van Dorn, R. A., et al. “Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities.” International Journal of Forensic Mental Health, vol. 4, no. 2, Jan. 2005, pp. 119–33. Scopus, doi:10.1080/14999013.2005.10471218.
Van Dorn RA, Swartz M, Elbogen EB, Swanson JW. Perceived fairness and effectiveness of leveraged community treatment among public mental health consumers in five U.S. cities. International Journal of Forensic Mental Health. 2005 Jan 1;4(2):119–133.

Published In

International Journal of Forensic Mental Health

DOI

EISSN

1932-9903

ISSN

1499-9013

Publication Date

January 1, 2005

Volume

4

Issue

2

Start / End Page

119 / 133

Related Subject Headings

  • 5205 Social and personality psychology
  • 5201 Applied and developmental psychology
  • 4402 Criminology
  • 1801 Law
  • 1701 Psychology
  • 1103 Clinical Sciences