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Related Experiment Videos

Evaluations of dangerousness.

F Kress

    Schizophrenia Bulletin
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Mentally ill individuals not dangerous to others or themselves cannot be involuntarily committed. A 1976 study found commitment decisions were influenced by evaluator bias rather than patient behavior.

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    Area of Science:

    • Psychiatry
    • Law
    • Social Work

    Background:

    • The Supreme Court ruling in O'Connor v. Donaldson (1975) established criteria for involuntary commitment of mentally ill individuals.
    • Individuals not deemed dangerous and capable of community survival cannot be held against their will.

    Purpose of the Study:

    • To evaluate the legality of involuntary psychiatric commitments in a State mental hospital following the O'Connor v. Donaldson decision.
    • To assess whether commitment decisions aligned with legal standards and patient behavior.

    Main Methods:

    • A project reviewed the commitment legality of 107 patients in a State mental hospital in 1976.
    • Commitment legality was assessed by three interdisciplinary panels (law student, psychiatrist, social worker).
    • Patient dangerousness was evaluated using hospital records, therapist interviews, and patient interviews.

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    Main Results:

    • Analysis of panel recommendations indicated that commitment decisions were more influenced by the evaluators' clinical perspectives.
    • The study found a disconnect between patient behavior and the criteria for involuntary commitment.
    • Evaluator bias appeared to play a significant role in commitment recommendations.

    Conclusions:

    • Commitment decisions in the evaluated State mental hospital were not solely based on patient behavior or legal standards.
    • The study highlights the potential for subjective bias in involuntary commitment evaluations.
    • Adherence to O'Connor v. Donaldson criteria requires careful, objective assessment of dangerousness and community survival.