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Updated: Apr 23, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Walking a tightrope: case management services and outpatient commitment.

W Patrick Sullivan1, Jenneth Carpenter, Destinee F Floyd

  • 1a School of Social Work, Indiana University , Indianapolis , Indiana , USA.

Journal of Social Work in Disability & Rehabilitation
|September 16, 2014
PubMed
Summary
This summary is machine-generated.

Community mental health case managers can build strong alliances with clients, even those under involuntary outpatient commitment orders. Utilizing advance psychiatric directives and shared decision-making can decrease coercive practices.

Keywords:
case management servicescoercioncommunity mental healthcommunity mental health practicemental healthmental health recoverymental illnessserious mental illness

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Area of Science:

  • Mental Health Services
  • Social Work
  • Psychiatry

Background:

  • Effective case management in community mental health relies on a strong therapeutic alliance.
  • Serving involuntary clients, particularly those under outpatient commitment, presents unique challenges to this alliance.

Purpose of the Study:

  • To explore case managers' perceptions of outpatient commitment orders.
  • To understand how these orders impact the professional relationship with involuntary clients.

Main Methods:

  • Qualitative study involving 19 intensive interviews with case managers.
  • Data focused on perceptions of outpatient commitment utility and its effect on the professional relationship.

Main Results:

  • Case managers' experiences with outpatient commitment orders were examined.
  • The impact of involuntary orders on the client-case manager relationship was analyzed.

Conclusions:

  • Advance psychiatric directives and shared decision-making can mitigate the need for coercive interventions.
  • These approaches may improve the therapeutic alliance with involuntary clients in community mental health settings.