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Impact of outpatient commitment on victimization of people with severe mental illness.

Publication ,  Journal Article
Hiday, VA; Swartz, MS; Swanson, JW; Borum, R; Wagner, HR
Published in: Am J Psychiatry
August 2002

OBJECTIVE: The authors' goal was to evaluate the effectiveness of outpatient commitment in reducing victimization among people with severe mental illness. METHOD: One hundred eighty-four involuntarily hospitalized patients were randomly assigned to be released (N=99) or to continue under outpatient commitment (N=85) after hospital discharge. An additional group of patients with a recent history of serious violent behavior (N=39) was nonrandomly assigned to at least a brief period of outpatient commitment following hospital disharge. All three groups were followed for 1 year, and case management services plus additional outpatient treatment were provided to all subjects. Outcome data were based on interviews with the patients and informants as well as service records. RESULTS: Subjects who were ordered to outpatient commitment were less likely to be criminally victimized than those who were released without outpatient commitment. Multivariate analysis indicated that each additional day of outpatient commitment reduced the risk of criminal victimization and that outpatient commitment had its effect through improved medication adherence, reduced substance use or abuse, and fewer violent incidents. CONCLUSIONS: Protection from criminal victimization appears to be a positive, unintended consequence of outpatient commitment.

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Published In

Am J Psychiatry

DOI

ISSN

0002-953X

Publication Date

August 2002

Volume

159

Issue

8

Start / End Page

1403 / 1411

Location

United States

Related Subject Headings

  • Violence
  • Time Factors
  • Severity of Illness Index
  • Psychiatry
  • Probability
  • Patient Discharge
  • Patient Compliance
  • North Carolina
  • Multivariate Analysis
  • Models, Statistical
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hiday, V. A., Swartz, M. S., Swanson, J. W., Borum, R., & Wagner, H. R. (2002). Impact of outpatient commitment on victimization of people with severe mental illness. Am J Psychiatry, 159(8), 1403–1411. https://doi.org/10.1176/appi.ajp.159.8.1403
Hiday, Virginia Aldigé, Marvin S. Swartz, Jeffrey W. Swanson, Randy Borum, and H Ryan Wagner. “Impact of outpatient commitment on victimization of people with severe mental illness.Am J Psychiatry 159, no. 8 (August 2002): 1403–11. https://doi.org/10.1176/appi.ajp.159.8.1403.
Hiday VA, Swartz MS, Swanson JW, Borum R, Wagner HR. Impact of outpatient commitment on victimization of people with severe mental illness. Am J Psychiatry. 2002 Aug;159(8):1403–11.
Hiday, Virginia Aldigé, et al. “Impact of outpatient commitment on victimization of people with severe mental illness.Am J Psychiatry, vol. 159, no. 8, Aug. 2002, pp. 1403–11. Pubmed, doi:10.1176/appi.ajp.159.8.1403.
Hiday VA, Swartz MS, Swanson JW, Borum R, Wagner HR. Impact of outpatient commitment on victimization of people with severe mental illness. Am J Psychiatry. 2002 Aug;159(8):1403–1411.
Journal cover image

Published In

Am J Psychiatry

DOI

ISSN

0002-953X

Publication Date

August 2002

Volume

159

Issue

8

Start / End Page

1403 / 1411

Location

United States

Related Subject Headings

  • Violence
  • Time Factors
  • Severity of Illness Index
  • Psychiatry
  • Probability
  • Patient Discharge
  • Patient Compliance
  • North Carolina
  • Multivariate Analysis
  • Models, Statistical