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Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness.

Publication ,  Journal Article
Elbogen, EB; Swanson, JW; Swartz, MS
Published in: J Nerv Ment Dis
October 2003

This study takes preliminary steps to examine the effects of 2 legal mechanisms-outpatient commitment (OPC) and representative payeeship (rep payee)-on perceived coercion and treatment adherence in persons with severe mental illness (SMI). Data were collected in structured interviews from 258 involuntarily-admitted inpatients with SMI who were followed for 1 year after discharge. Subjects' clinicians and family members were also interviewed. The analyses show that subjects with both OPC and a rep payee perceived their mental health treatment to be significantly more coercive than subjects who did not receive these legal interventions. Duration of OPC and having a newly-appointed rep payee were both significantly associated with increased treatment adherence over the course of 1 year. For treatment-adherent subjects, neither form of legal mechanism was associated with perceived coercion in treatment, whereas subjects who were nonadherent perceived legal mechanisms as significantly more coercive. The data suggest that these legal tools both affect adherence to treatment, but when used together significantly increase the perceived coerciveness of treatment. Questions remain concerning the underlying mechanism of these effects.

Duke Scholars

Published In

J Nerv Ment Dis

DOI

ISSN

0022-3018

Publication Date

October 2003

Volume

191

Issue

10

Start / End Page

629 / 637

Location

United States

Related Subject Headings

  • Psychiatry
  • Perception
  • Patient Compliance
  • Odds Ratio
  • Mental Disorders
  • Male
  • Logistic Models
  • Humans
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Elbogen, E. B., Swanson, J. W., & Swartz, M. S. (2003). Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness. J Nerv Ment Dis, 191(10), 629–637. https://doi.org/10.1097/01.nmd.0000092195.22555.12
Elbogen, Eric B., Jeffrey W. Swanson, and Marvin S. Swartz. “Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness.J Nerv Ment Dis 191, no. 10 (October 2003): 629–37. https://doi.org/10.1097/01.nmd.0000092195.22555.12.
Elbogen EB, Swanson JW, Swartz MS. Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness. J Nerv Ment Dis. 2003 Oct;191(10):629–37.
Elbogen, Eric B., et al. “Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness.J Nerv Ment Dis, vol. 191, no. 10, Oct. 2003, pp. 629–37. Pubmed, doi:10.1097/01.nmd.0000092195.22555.12.
Elbogen EB, Swanson JW, Swartz MS. Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness. J Nerv Ment Dis. 2003 Oct;191(10):629–637.

Published In

J Nerv Ment Dis

DOI

ISSN

0022-3018

Publication Date

October 2003

Volume

191

Issue

10

Start / End Page

629 / 637

Location

United States

Related Subject Headings

  • Psychiatry
  • Perception
  • Patient Compliance
  • Odds Ratio
  • Mental Disorders
  • Male
  • Logistic Models
  • Humans
  • Follow-Up Studies
  • Female