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Civil commitment is disappearing in Oregon.

Joseph D Bloom1

  • 1Department of Psychiatry, Oregon Health & Science University, Portland, OR 97201, USA. bloomj@ohsu.edu

The Journal of the American Academy of Psychiatry and the Law
|December 23, 2006
PubMed
Summary
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Oregon

Area of Science:

  • Mental Health Services
  • Public Health Policy
  • Legal Psychiatry

Background:

  • Civil commitment rates in Oregon have declined significantly over the past two decades.
  • This trend occurs despite a substantial increase in the state's population.

Purpose of the Study:

  • To analyze the trends in civil commitment in Oregon over the last 20 years.
  • To identify potential factors contributing to the observed decline in commitment rates.

Main Methods:

  • Comparative analysis of civil commitment data.
  • Examination of population changes and psychiatric bed availability.

Main Results:

  • Civil commitment petition numbers have risen, but actual commitment rates have fallen by 50%.

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  • A significant shortage of acute psychiatric beds is identified as a primary factor.
  • Conclusions:

    • The decline in civil commitment rates may be linked to stricter definitions of "danger to self or others."
    • The scarcity of acute psychiatric beds is critically impacting the civil commitment process in Oregon.
    • Civil commitment in Oregon may be approaching functional extinction due to these systemic issues.