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Marvin Stanley Swartz

Professor of Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
Box 102505 DUMC, Durham, NC 27710
2400 Pratt St. North Pavilion, Box 102505, Durham, NC 27710

Featured Works


Detection of illicit substance use among persons with schizophrenia by radioimmunoassay of hair.

Journal article Psychiatr Serv · June 2003 Featured Publication OBJECTIVE: Illicit substance use is a potent risk factor for poor outcomes in schizophrenia, yet methods for detecting substance use consistently underestimate the problem. The purpose of this study was to assess whether use of a relatively new method of d ... Full text Link to item Cite

Regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection.

Journal article Psychiatr Serv · June 2003 Featured Publication OBJECTIVE: An estimated 19.6 percent of persons with severe mental illness are infected with the hepatitis C virus. Given the pressing need to identify and treat persons with severe mental illness who are at risk of hepatitis C infection and transmission, ... Full text Link to item Cite

Assessment of four stakeholder groups' preferences concerning outpatient commitment for persons with schizophrenia.

Journal article Am J Psychiatry · June 2003 Featured Publication OBJECTIVE: Study findings indicating that involuntary outpatient commitment can improve treatment outcomes among persons with severe mental illness remain controversial. Opponents of outpatient commitment argue that its coerciveness is unacceptable even gi ... Full text Link to item Cite

The social-environmental context of violent behavior in persons treated for severe mental illness.

Journal article Am J Public Health · September 2002 Featured Publication OBJECTIVES: This study examined the prevalence and correlates of violent behavior by individuals with severe mental illness. METHODS: Participants (N = 802) were adults with psychotic or major mood disorders receiving inpatient or outpatient services in pu ... Full text Link to item Cite

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

Journal article J Am Acad Psychiatry Law · 2002 Featured Publication 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 re ... Link to item Cite

Mandated community treatment: beyond outpatient commitment.

Journal article Psychiatr Serv · September 2001 Featured Publication 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 ... Full text Link to item Cite

Effects of involuntary outpatient commitment and depot antipsychotics on treatment adherence in persons with severe mental illness.

Journal article J Nerv Ment Dis · September 2001 Featured Publication This study examines potential improvement in treatment adherence during a study of involuntary outpatient commitment among individuals with severe mental illnesses. Involuntarily hospitalized subjects, awaiting discharge under outpatient commitment, were r ... Full text Link to item Cite

Special section on involuntary outpatient commitment: introduction.

Journal article Psychiatr Serv · March 2001 Featured Publication Full text Link to item Cite

A randomized controlled trial of outpatient commitment in North Carolina.

Journal article Psychiatr Serv · March 2001 Featured Publication OBJECTIVE: A randomized controlled trial of outpatient commitment was conducted in North Carolina to provide empirical data on involuntary outpatient commitment and to evaluate its effectiveness in improving outcomes among persons with severe mental illnes ... Full text Link to item Cite

Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness.

Journal article Am J Public Health · January 2001 Featured Publication OBJECTIVES: This study assessed seroprevalence rates of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) among individuals with severe mental illness. METHODS: Participants (n = 931) were patients undergoing inpatient or outpatient treatment in Co ... Full text Link to item Cite

Involuntary out-patient commitment and reduction of violent behaviour in persons with severe mental illness.

Journal article Br J Psychiatry · April 2000 Featured Publication BACKGROUND: Violent behaviour among persons with severe mental illness (SMI) causes public concern and is associated with illness relapse, hospital recidivism and poor outcomes in community-based treatment. AIMS: To test whether involuntary out-patient com ... Full text Link to item Cite

Psychiatric advance directives: an alternative to coercive treatment?

Journal article Psychiatry · 2000 Featured Publication Psychiatric Advance Directives (PADs) are a legal means by which persons with mental illness, while competent to make healthcare decisions, may specify their preferences for treatment and may designate a surrogate decision-maker to act on their behalf in t ... Full text Link to item Cite

Can involuntary outpatient commitment reduce hospital recidivism?: Findings from a randomized trial with severely mentally ill individuals.

Journal article Am J Psychiatry · December 1999 Featured Publication OBJECTIVE: The goal of this study was to evaluate the effectiveness of involuntary outpatient commitment in reducing rehospitalizations among individuals with severe mental illnesses. METHOD: Subjects who were hospitalized involuntarily were randomly assig ... Full text Link to item Cite

Criminal victimization of persons with severe mental illness.

Journal article Psychiatr Serv · January 1999 Featured Publication OBJECTIVE: The types and amounts of crime experienced by persons with severe mental illness were examined to better understand criminal victimization in this population. METHODS: Subjects were 331 involuntarily admitted psychiatric inpatients who were orde ... Full text Link to item Cite

Taking the wrong drugs: the role of substance abuse and medication noncompliance in violence among severely mentally ill individuals.

Journal article Soc Psychiatry Psychiatr Epidemiol · December 1998 Featured Publication Increasing numbers of severely mentally ill individuals are being treated in nonhospital, community-based settings and public concern about potential violence by these individuals has increased, often as a result of tragic, albeit uncommon events. The pres ... Full text Link to item Cite

Violence and severe mental illness: the effects of substance abuse and nonadherence to medication.

Journal article Am J Psychiatry · February 1998 Featured Publication OBJECTIVE: Violent behavior among individuals with severe mental illness has become an important focus in community-based care. This study examines the joint effect of substance abuse and medication noncompliance on the greater risk of serious violence amo ... Full text Link to item Cite

What constitutes a psychiatric emergency: clinical and legal dimensions.

Journal article Bull Am Acad Psychiatry Law · 1987 Featured Publication In true medical emergencies, informed consent is presumed or implied without application of the usual standard. In the litigation over the right to refuse treatment in psychiatry, a limited right for involuntarily committed patients to refuse treatment has ... Link to item Cite