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The case for mandatory outpatient treatment
Mary Cullen-Drill1, Kathleen Schilling
1Saint Clare's Behavioral Health Services, Denville, NJ 07834, USA. mcullendrill@aol.com
Journal of Psychosocial Nursing and Mental Health Services
|February 26, 2008
Summary
Mandatory outpatient treatment, a court-ordered mental health follow-up, is effective for individuals with serious mental illness. Expanding its use benefits patients and society.
Area of Science:
- Mental Health Services
- Public Health Policy
- Forensic Psychiatry
Background:
- Mandatory outpatient treatment (MOT) is court-ordered mental health follow-up care.
- Existing MOT policies are often underutilized.
- Criticism of MOT includes limited efficacy research and rights infringement concerns.
Observation:
- Despite criticism, evidence supports MOT for individuals with chronic mental illness in community settings.
- Ethical principles like beneficence, utilitarianism, and communitarianism can justify MOT.
- MOT is particularly helpful for individuals with mental illness who are nonadherent to treatment.
Findings:
- Research supports the effectiveness of mandatory outpatient treatment for serious mental illness.
- Sufficient literature validates MOT's utility for community-dwelling individuals with chronic mental illness.
- Ethical frameworks support MOT in specific circumstances.
Implications:
- Expanding appropriate use of MOT is ethically sound and effective.
- Increased utilization of MOT can improve outcomes for individuals with serious mental illness.
- Wider adoption of MOT serves the best interests of both patients and the general public.
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