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The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study.

Publication ,  Journal Article
Swartz, MS; Wagner, HR; Swanson, JW; Hiday, VA; Burns, BJ
Published in: J Am Acad Psychiatry Law
2002

This study examines self-reported coercion in subjects with severe mental illness who were randomly assigned in an experimental study to continue under, or be released from, involuntary outpatient commitment (OPC) subsequent to hospital discharge. After review of bivariate relationships, multivariable analyses demonstrated significantly higher levels of reported coercion among subjects who experienced longer periods of OPC; who were African American; who were single and not cohabiting; and who had ongoing substance abuse problems, poor insight into illness, and severe symptoms. Case managers' verbal reminders to subjects about the consequences of nonadherence to treatment partially account for higher reports of coercion. Previous reports from this study have found that OPC, if sustained and combined with frequent outpatient mental health services, can improve some outcomes. The current analyses demonstrate that a consequence of OPC is increased perceptions of coercion in the treatment process, which is partially explained by the increased attention by case managers to noncompliance with treatment.

Duke Scholars

Published In

J Am Acad Psychiatry Law

ISSN

1093-6793

Publication Date

2002

Volume

30

Issue

2

Start / End Page

207 / 217

Location

United States

Related Subject Headings

  • Treatment Refusal
  • Quality of Life
  • Outcome and Process Assessment, Health Care
  • North Carolina
  • Middle Aged
  • Male
  • Interviews as Topic
  • Humans
  • Hospitals, Psychiatric
  • Health Services Research
 

Citation

APA
Chicago
ICMJE
MLA
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Swartz, M. S., Wagner, H. R., Swanson, J. W., Hiday, V. A., & Burns, B. J. (2002). The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. J Am Acad Psychiatry Law, 30(2), 207–217.
Swartz, Marvin S., H Ryan Wagner, Jeffrey W. Swanson, Virginia A. Hiday, and Barbara J. Burns. “The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study.J Am Acad Psychiatry Law 30, no. 2 (2002): 207–17.
Swartz MS, Wagner HR, Swanson JW, Hiday VA, Burns BJ. The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. J Am Acad Psychiatry Law. 2002;30(2):207–17.
Swartz, Marvin S., et al. “The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study.J Am Acad Psychiatry Law, vol. 30, no. 2, 2002, pp. 207–17.
Swartz MS, Wagner HR, Swanson JW, Hiday VA, Burns BJ. The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. J Am Acad Psychiatry Law. 2002;30(2):207–217.

Published In

J Am Acad Psychiatry Law

ISSN

1093-6793

Publication Date

2002

Volume

30

Issue

2

Start / End Page

207 / 217

Location

United States

Related Subject Headings

  • Treatment Refusal
  • Quality of Life
  • Outcome and Process Assessment, Health Care
  • North Carolina
  • Middle Aged
  • Male
  • Interviews as Topic
  • Humans
  • Hospitals, Psychiatric
  • Health Services Research