Clinical guidelines for the use of involuntary outpatient treatment
Geller, Jeffrey L.
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Aged
*Clinical Protocols
Community Mental Health Centers
Dangerous Behavior
Female
Humans
Male
Mental Disorders
*Mentally Ill Persons
Middle Aged
Patient Advocacy
*Patient Compliance
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
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Abstract
Successful involuntary psychiatric outpatient treatment requires identifying patients who are suited to such treatment and ensuring that the service system is able to deliver the treatment. Based on his clinical experience, the author has developed ten sequential guidelines that can help clinicians identify patients who are appropriate for involuntary outpatient treatment. The sequential order of the guidelines means that a patient must meet the criteria for each guideline before being evaluated on subsequent guidelines. The guidelines assume that the patient has a chronic mental illness and a history of dangerousness to self or other because of that illness. The author believes that achieving consensus about who should receive involuntary outpatient treatment is an important first step in permitting evaluation of the efficacy of the approach.
Source
Hosp Community Psychiatry. 1990 Jul;41(7):749-55.