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Related Experiment Videos

Parens patriae considerations in the commitment process.

H Bursztajn1, T G Gutheil, R M Hamm

  • 1Program in Psychiatry and the Law, Massachusetts Mental Health Center, Boston 02115.

The Psychiatric Quarterly
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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Clinicians consider patient dangerousness and treatment needs when seeking involuntary hospitalization. Patient requests for discharge are influenced by their perceived illness severity and dangerousness.

Area of Science:

  • Psychiatry
  • Mental Health Law
  • Clinical Psychology

Background:

  • Involuntary hospitalization decisions involve balancing legal mandates with clinical judgment.
  • The "dangerousness" criterion is legally central to civil commitment.
  • The parens patriae doctrine emphasizes treatment needs.

Purpose of the Study:

  • To assess clinicians' adherence to "dangerousness" criteria in commitment decisions.
  • To investigate the influence of clinical indicators of treatment need.
  • To explore the interaction between clinician and patient perspectives in commitment.

Main Methods:

  • Analysis of 71 commitment-seeking decisions by 36 clinicians.
  • Observation of clinician decision-making in a state-funded mental health center.

Related Experiment Videos

  • Examination of patient discharge requests and clinician petitions.

    • Main Results:

    • Clinicians largely relied on "dangerousness" criteria, replicating previous findings.
    • Clinicians also considered clinical indicators of patient treatment needs.
    • Patients judged more ill or dangerous were less likely to seek discharge.

    Conclusions:

    • Clinician commitment decisions integrate legal "dangerousness" and clinical "treatment need" factors.
    • Patient discharge requests are influenced by their own assessment of illness and dangerousness.
    • Commitment is a transactional process shaped by mutual influence between clinician and patient.