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Developing a comprehensive system for handling mental illness commitments

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Abstract

A comprehensive system for processing individuals being evaluated for mental illness commitment is presented. The system comprises six levels making maximum use of screening and evaluation procedures prior to judicial action. The system levels are described. Data from both the general literature and research specific to the system are presented to support the efficacy of such a processing model. The data suggest state hospital admissions/readmissions and hospital populations are reduced following implementation of the proposed screening/evaluation procedures. Additionally, the commitment system presented addresses recent sociopolitical trends mandating sufficient recognition of the rights of the mentally ill.

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References

  1. Aviram U, Syme SL, Cohen JB: The effects of policies and programs on reduction of mental hospitalization.Soc Sci Med 10: 571–577, 1976.

    Google Scholar 

  2. DeLaney JA, Seidman E, Willis G: Crisis intervention and the prevention of institutionalization: An interrupted time-series analysis.Am J Comm Psychol 6: 33–45, 1978.

    Google Scholar 

  3. Frederick V, Coltrane FP, Griffith L: Developing a partnership between a court and community agencies to reduce involuntary commitments.Hosp Comm Psychiat 27: 689–692, 1976.

    Google Scholar 

  4. Ozarin LD: Community alternatives to institutional care.Am J Psychiat 133: 69–72, 1976.

    Google Scholar 

  5. Taylor LD, Brooks GW: A screening program to reduce admissions to a state hospital.Hosp Comm Psychiat 31: 59–60, 1980.

    Google Scholar 

  6. Kirk S, Hughes RS: Staffing patterns for screening involuntary patients in Dallas County and their effects on dispositions. Paper presented at a meeting of the Southwestern Psychological Association, Dallas, April, 1982.

  7. Texas Revised Civil Statutes Annotated. Article 5547-38(c) (Vernon suppl 1980).

  8. Rosenthal MP:Interpretation of the Mental Health Code 5th ed. Austin, TX, Hogg Foundation, 1976.

    Google Scholar 

  9. Lake v Cameron 364 F.2d 657 (DC Circuit 1966).

  10. Shuman DW, Hawkins R: The use of alternatives to institutionalization of the mentally ill.Southwestern Law J 33: 1181–1217, 1980.

    Google Scholar 

  11. Winston A, Pardes H, Papernik DS, et al: Aftercare of psychiatric patients and its relation to rehospitalization.Hosp Comm Psychiat 28: 118–121, 1977.

    Google Scholar 

  12. Powell BJ, Othmer E, Sinkhorn C: Pharmacological aftercare for homogenous groups of patients.Hosp Comm Psychiat 28: 125–127, 1977.

    Google Scholar 

  13. Stickney SK, Hall RCW, Gardner ER: The effect of referral procedures on aftercare compliance.Hosp Comm Psychiat 31: 567–569, 1980.

    Google Scholar 

  14. Cotton PC, Bene-Kociemba A, Starker L: A mental health center's aftercare speciality service for discharged state hospital patients.Hosp Comm Psychiat 31: 397–400, 1980.

    Google Scholar 

  15. Johnson G, Fox J, Schaefer HH, et al: Predicting rehospitalization from community placement.Psychol Rep 29: 475–478, 1971.

    Google Scholar 

  16. Donlon PT, Rada RT: Issues in developing quality aftercare clinics for the chronic mentally ill.Comm Men Health J 12: 29–36, 1976.

    Google Scholar 

  17. Orlinsky N, D'Elia E: Rehospitalization of the schizophrenic patient.Arch Gen Psychiat 10: 47–54, 1964.

    Google Scholar 

  18. Davis AE, Dinitz S, Pasamanick B: The prevention of hospitalization in schizophrenia: Five years after an experimental program.Am J Orthopsychiat 42:375–388, 1972.

    Google Scholar 

  19. Paul GL: Chronic mental patient: Current status—future directions.Psycho! Bull 71: 81–94, 1969.

    Google Scholar 

  20. Bassuk EL: The impact of deinstitutionalization on the general hospital psychiatric emergency ward.Hosp Comm Psychiat 31:623–627, 1980.

    Google Scholar 

  21. Zolik ES, Lantz EM, Sommers R: Hospital return rates and pre-release referrals.Arch Gen Psychiat 18: 712–717, 1968.

    Google Scholar 

  22. Dittmar ND, Franklin JL: State hospital patients discharged to nursing homes: How are they doing?Hosp Comm Psychiat 31: 255–258, 1980.

    Google Scholar 

  23. Redlich F, Kellert SR: Trends in American mental health.Am J Psychiat 135: 22–28, 1978.

    Google Scholar 

  24. Budson RD: Community residential care for the mentally ill in Massachusetts: Half-way houses and cooperative apartments. In J Goldmeier, FV Manning, MF Shore (eds):New Directions in Mental Health Care: Cooperative Apartments (DHEW Publication No. (ADM) 78-685). Washington DC, US Government Printing Office, 1978.

    Google Scholar 

  25. Sandall H: The St. Louis community homes program: How people with long-term psychiatric problems are enabled to live ordinary lives. In J Goldmeier, FV Manning, MF Shore (eds):New Directions in Mental Health Care: Cooperative Apartments (DHEW Publication No. (ADM) 78-685). Washington DC, US Government Printing Office, 1978.

    Google Scholar 

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Sauer, G.C., Kirk, S. & George, C.E. Developing a comprehensive system for handling mental illness commitments. Psych Quart 54, 237–246 (1982). https://doi.org/10.1007/BF01064819

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