Scholars@Duke publication: Does involuntary outpatient commitment lead to more intensive treatment?

Does involuntary outpatient commitment lead to more intensive treatment?

Publication , Journal Article

Wagner, HR; Swartz, MS; swanson, JW; Burns, BJ

Published in: Psychol Public Policy Law

2003

Studies of involuntary outpatient commitment (OPC) among persons with severe mental illness have concluded that OPC is only effective in improving treatment outcomes when it is sustained for 6 months or longer and is combined with frequent outpatient services. This article explores factors that influence the delivery of outpatient services to subjects in a randomized trial of OPC and finds 2 general patterns. Outpatient visits were more frequent among all subjects with apparent clinical need, regardless of study assignment, and among subjects whose OPC was sustained beyond an initial court order. These results suggest that, in practice, sustained OPC represents a consensual agreement between clinicians and the court to more intensively address the complex needs of persons with severe and persistent mental illness.

Duke Scholars

Author Henry Ryan Wagner II Psychiatry, Child & Family Mental Health & Community Psychia ...

Author Marvin Stanley Swartz Psychiatry, Child & Family Mental Health & Community Psychia ...

Author Jeffrey W. Swanson Psychiatry, Child & Family Mental Health & Community Psychia ...

Published In

Psychol Public Policy Law

DOI

10.1037/1076-8971.9.1-2.145

ISSN

1076-8971

Publication Date

2003

Volume

Issue

1-2

Start / End Page

145 / 158

Location

United States

Related Subject Headings

United States
Treatment Outcome
Psychotic Disorders
Patient Compliance
North Carolina
Mentally Ill Persons
Jurisprudence
Humans
Evaluation Studies as Topic
Empirical Research

Citation

APA

Chicago

ICMJE

MLA

NLM

Wagner, H. R., Swartz, M. S., swanson, J. W., & Burns, B. J. (2003). Does involuntary outpatient commitment lead to more intensive treatment? Psychol Public Policy Law, 9(1–2), 145–158. https://doi.org/10.1037/1076-8971.9.1-2.145

Wagner, H Ryan, Marvin S. Swartz, Jeffrey W. swanson, and Barbara J. Burns. “Does involuntary outpatient commitment lead to more intensive treatment?” Psychol Public Policy Law 9, no. 1–2 (2003): 145–58. https://doi.org/10.1037/1076-8971.9.1-2.145.

Wagner HR, Swartz MS, swanson JW, Burns BJ. Does involuntary outpatient commitment lead to more intensive treatment? Psychol Public Policy Law. 2003;9(1–2):145–58.

Wagner, H. Ryan, et al. “Does involuntary outpatient commitment lead to more intensive treatment?” Psychol Public Policy Law, vol. 9, no. 1–2, 2003, pp. 145–58. Pubmed, doi:10.1037/1076-8971.9.1-2.145.

Wagner HR, Swartz MS, swanson JW, Burns BJ. Does involuntary outpatient commitment lead to more intensive treatment? Psychol Public Policy Law. 2003;9(1–2):145–158.

Published In

Psychol Public Policy Law

DOI

10.1037/1076-8971.9.1-2.145

ISSN

1076-8971

Publication Date

2003

Volume

Issue

1-2

Start / End Page

145 / 158

Location

United States

Related Subject Headings

United States
Treatment Outcome
Psychotic Disorders
Patient Compliance
North Carolina
Mentally Ill Persons
Jurisprudence
Humans
Evaluation Studies as Topic
Empirical Research