Patient-centered, recovery-oriented psychiatric care and treatment are not always voluntary
Geller, Jeffrey L.
Citations
Authors
Student Authors
Faculty Advisor
Academic Program
UMass Chan Affiliations
Document Type
Publication Date
Keywords
Advance Directives
Aged
*Coercion
*Commitment of Mentally Ill
Dangerous Behavior
Female
Humans
Male
Mental Disorders
Patient Rights
Patient-Centered Care
Professional-Patient Relations
Schizophrenia
*Social Control, Formal
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Subject Area
Embargo Expiration Date
Link to Full Text
Abstract
Explicitly coercive measures are sometimes necessary in the care and treatment of psychiatric patients. The author describes how use of such measures is not antithetical to patient-centered, recovery-oriented practice either in inpatient or outpatient settings. Citing a definition widely used by advocates to describe the overarching goal of recovery--"a full, meaningful, and self-determined life in the community ... regardless of psychiatric status"--the author draws parallels between coercive measures taken by society to prevent and treat citizens' dangerous behaviors, such as speeding and public inebriation, and coercive interventions to address dangerous behaviors of psychiatric patients, such as harm to self or others. Society applies coercive interventions to address dangerous behaviors, not psychiatric status.
Source
Psychiatr Serv. 2012;63(5):493-5. Link to article on publisher's site