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Resource document on mandatory outpatient treatment.

J B Gerbasi, R J Bonnie, R L Binder

    The Journal of the American Academy of Psychiatry and the Law
    |July 11, 2000
    PubMed
    Summary

    Mandatory outpatient treatment, a court-ordered therapy for severe mental illness, can help noncompliant patients avoid psychiatric hospital readmissions. This approach is useful for a specific group needing structured mental healthcare.

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    Area of Science:

    • Psychiatry and Law
    • Mental Health Policy

    Background:

    • Severe mental illness often leads to noncompliance with treatment.
    • The
    • revolving door
    • phenomenon describes frequent psychiatric hospitalizations.
    • Existing statutes vary regarding mandatory outpatient treatment.

    Purpose of the Study:

    • To provide information for drafting mandatory outpatient treatment legislation.
    • To review the history and empirical findings of mandatory outpatient treatment.
    • To discuss salient issues and offer recommendations for statutory schemes.

    Main Methods:

    • Review of historical data on mandatory outpatient treatment.
    • Analysis of recent empirical findings.
    Keywords:
    American Psychiatric AssociationLegal ApproachMental Health Therapies

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  • Discussion of key legislative and clinical issues.

    • Main Results:

    • Mandatory outpatient treatment can be effective for a subset of noncompliant patients.
    • Legislation for mandatory outpatient treatment is being considered or enacted in many states.
    • Specific recommendations for statutory provisions are provided.

    Conclusions:

    • Mandatory outpatient treatment is a valuable intervention for specific noncompliant individuals with severe mental illness.
    • Careful legislative drafting is essential for successful implementation.
    • This approach can improve treatment adherence and reduce hospitalizations.