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    Civil commitment reform: context and consequences

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    Authors
    Fisher, William H.
    Pierce, Glenn L.
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    1985-01-01
    Keywords
    Commitment of Mentally Ill
    Community Mental Health Services
    Deinstitutionalization
    Hospitals, Psychiatric
    Hospitals, State
    Humans
    Mental Disorders
    United States
    Health Services Research
    Mental and Social Health
    Psychiatric and Mental Health
    Psychiatry
    Psychiatry and Psychology
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    Link to Full Text
    http://dx.doi.org/10.1007/BF01277616
    Abstract
    Laws and policies governing the care and treatment of the mentally ill are in part shaped by the sociopolitical climate in which they are formulated, and their outcomes are similarly shaped by the context in which they occur. Civil commitment laws were narrowed in a liberal era but later broadened in response both to the outcome of the initial reform and the trend toward social and fiscal conservatism which emerged in the late 1970s and 1980s. This study, which reports on the evolution of commitment law in the state of Washington, indicates that while recent changes in these laws mandate greater use of state hospitals, the retention of the procedural safeguards set in place by the initial reform coupled with limitations on resources available to state mental health systems will prevent a return to the state hospital as it appeared prior to the deinstitutionalization movement. These factors may promote the search for non-institutional alternatives, such as efforts underway in Washington and elsewhere to implement civil commitment of community-based services.
    Source
    Psychiatr Q. 1985 Fall-Winter;57(3-4):217-29.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45149
    PubMed ID
    3842521
    Related Resources
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