Clinical encounters with outpatient coercion at the CMHC: questions of implementation and efficacy
Geller, Jeffrey L.
Geller, Jeffrey L.
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Authors
Student Authors
Faculty Advisor
Academic Program
UMass Chan Affiliations
Document Type
Journal Article
Publication Date
1992-04-01
Keywords
Adult
*Ambulatory Care
Chronic Disease
*Coercion
Commitment of Mentally Ill
Community Mental Health Centers
Female
Hospitals, Psychiatric
Humans
Length of Stay
Male
Massachusetts
Mental Disorders
Middle Aged
Psychiatric Status Rating Scales
Treatment Refusal
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
*Ambulatory Care
Chronic Disease
*Coercion
Commitment of Mentally Ill
Community Mental Health Centers
Female
Hospitals, Psychiatric
Humans
Length of Stay
Male
Massachusetts
Mental Disorders
Middle Aged
Psychiatric Status Rating Scales
Treatment Refusal
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
Clinical encounters with three outpatients at a CMHC who were managed with alternating periods of voluntary or uncoerced and involuntary or coerced treatment are presented. The two periods of coerced community treatment--of eight months and then two to four years duration--produced positive results quite distinct from the periods of uncoerced community treatment. In discussing the implementation and efficacy of coerced outpatient treatment at the CMHC, the author addresses legal, clinical, and resource issues which form the basis for seven arguments often heard as to why staffs at CMHCs hesitate to employ involuntary or coercive interventions.
Source
Community Ment Health J. 1992 Apr;28(2):81-94.
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DOI
Permanent Link to this Item
PubMed ID
1611860