Clinical guidelines for the use of involuntary outpatient treatment
AuthorsGeller, Jeffrey L.
UMass Chan AffiliationsDepartment of Psychiatry
Document TypeJournal Article
Community Mental Health Centers
*Mentally Ill Persons
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry and Psychology
MetadataShow full item record
AbstractSuccessful 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.
SourceHosp Community Psychiatry. 1990 Jul;41(7):749-55.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/45046
Related ResourcesLink to Article in PubMed
Showing items related by title, author, creator and subject.
Promoting the Health of Parents & Children: Addressing Perinatal Mental Health by Building Medical Provider Capacity Through Perinatal Psychiatry Access ProgramsByatt, Nancy; Bergman, Aaron; Maslin, Melissa C. T.; Forkey, Heather; Griffin, Jessica L.; Moore Simas, Tiffany A. (2020-11-03)Mental health conditions are the most common obstetric complications of the perinatal period, impacting 1 in 5 individuals during pregnancy and the year following pregnancy. Perinatal mental health (PMH) conditions have deleterious effects on the health of perinatal individuals and their children, and are a leading and preventable cause of maternal mortality. Nevertheless, PMH conditions are underrecognized, underdiagnosed, and undertreated. To address these gaps, Massachusetts created the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms to build the capacity of frontline medical providers to address PMH conditions by providing education, consultation, and resources and referrals. MCPAP for Moms has emerged as a successful and scalable model with at least 25 states or organizations implementing or developing similar Perinatal Psychiatry Access Programs. This report summarizes the Perinatal Psychiatry Access Program model and its individual and national impact.
Linking Kids with Trauma to Evidence-Based Treatment: Implementation of a Centralized Referral System at the Child Trauma Training Center at the University of Massachusetts Medical SchoolKostova, Zlatina; Griffin, Jessica L. (2019-10-16)At a time when the general standard of child welfare and mental health provision has been improving, some important groups in Massachusetts remain under-served. One such is children suffering from trauma. Despite various state-wide efforts to educate professionals about the evidence-based treatments available, trauma sufferers have typically faced long waits to receive these treatments, with average waiting times at some larger mental health agencies stretching to four or even six months. In this brief, we are presenting the implementation of a highly innovative Centralized Referral System – LINK-KID – developed at the Child Trauma Training Center (CTTC) at the University of Massachusetts Medical School. LINK-KID referral system connects children in need of evidence-based trauma treatment with mental health providers who have been trained in these treatments.
A Public Health Framework for the State Mental Health Authority: A Call for Action by Massachusetts Consumers and Family MembersDelman, Jonathan (2006-01-01)During the Spring of 2006, Consumer Quality Initiatives (CQI) conducted 20 focus groups across the state, 12 with adults with mental illness, 3 with parents of youth with serious emotional disorder, 2 with youth with SED, 1 with family members of adult consumers, and 2 with youth in transition. Supported by a contract with Massachusetts Department of Mental Health (DMH), the goal was to assist DMH in framing the criteria for its upcoming reprocurement. Our findings reveal a frustration with an approach to health care delivery that focuses primarily on the provision of psychiatric care (egs, medication, therapy, hospitalization). We reviewed the focus group reports to identify the most significant themes, which clustered within eight broad categories.