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Related Experiment Videos

The dangerousness criterion for civil commitment: the problem and a possible solution.

M J Brouillette1, J Paris

  • 1Allan Memorial Institute, Montreal, Quebec.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|May 1, 1991
PubMed
Summary
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Civil commitment criteria for dangerousness are unclear, particularly for personality disorders and substance abuse. Adopting American Psychiatric Association guidelines on mental disorder severity and treatability may offer a clearer solution.

Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology

Background:

  • The dangerousness criterion for civil commitment lacks specificity regarding qualifying mental disorders.
  • Patients with personality disorders or substance abuse may present dangerousness but have limited treatment options.

Purpose of the Study:

  • To address the ambiguity in civil commitment criteria for dangerousness.
  • To explore the utility of the American Psychiatric Association guidelines in refining commitment criteria.

Main Methods:

  • Analysis of the current dangerousness criterion for civil commitment.
  • Review of American Psychiatric Association guidelines considering mental disorder severity and treatability.

Main Results:

  • The current dangerousness criterion is ambiguous and inadequately specifies mental disorders.

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  • Personality disorders and substance abuse pose challenges due to limited effective treatments.

    • Conclusions:

    • The dangerousness criterion requires clearer specification of mental disorders.
    • Incorporating mental disorder severity and treatability, as per APA guidelines, could enhance commitment criteria.