Skip to main content

Advertisement

Log in

A Competency-Based Approach to Managing Violence with Involuntary Outpatient Treatment

  • Original Paper
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Involuntary outpatient treatment is one of the most controversial areas in public psychiatry. There are cogent arguments and strong emotions both for and against the use of it. Yet there is violent behavior towards others by individuals with mental illness who reside in the community that is not managed well even when recognized as highly likely. For individuals already in the community mental health system, the ability to keep them in treatment, even against their will, is necessary in some instances to decrease the likelihood of them engaging in outwardly directed violent behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Brophy v. New England Sinai Hospital, Inc., 497 N.E. 2d 626 (1986), from Mill, On Liberty, In R. Hutchins, (Ed.), 43 Great Books of the Western World, 1952.

  • Chambers, D. (1972). Alternatives to civil commitment of the mentally ill: Practical guides and constitutional imperatives. Michigan Law Review, 70, 1107–1200.

    Article  Google Scholar 

  • Elbogen, E., & Tomkins, A. (2000). From the psychiatric hospital to the community: Integrating conditional release and contingency management. Behavioral Sciences and the Law, 18, 427–444.

    Article  PubMed  CAS  Google Scholar 

  • Geller, J., McDermeit, M., Grudzinskas, A., Lawlor, T. & Fisher, W. (1997). A competency-based approach to court-ordered outpatient commitment. New Directions for Mental Health Services, 75, Fall, 1997.

  • Hiday, V., & Scheid-Cook, T. (1989). A follow-up of chronic patients committed to outpatient treatment. Hospital and Community Psychiatry, 40, 52–59.

    PubMed  CAS  Google Scholar 

  • Hiday, V., Swanson, J., Swartz, M., Borum, R., & Wagner, H. (2001). Victimization: A link between mental illness and violence? International Journal of Law and Psychiatry, 24, 559–572.

    Article  PubMed  CAS  Google Scholar 

  • Lawlor, T. (2002). Public sector risk management: A specific model. Administration and Policy in Mental Health, 29, 443–460.

    Article  PubMed  Google Scholar 

  • Link, B., Stueve, A., & Phelan, J. (1998). Psychotic symptoms and violent behaviors: Probing the components of “threat/control-override” symptoms. Social Psychiatry and Psychiatric Epidemiology, 33, S55–S60.

    Article  PubMed  Google Scholar 

  • Miller, R. (1992). Need-for-treatment criteria for involuntary civil commitment: Impact in practice. American Journal of Psychiatry, 149, 1380–1384.

    PubMed  CAS  Google Scholar 

  • Monahan, J., Steadman, H., Silver, E., Appelbaum, P., Robbins, P., Mulvey, E., Roth, L., Grisso, T., & Banks, S. (2001). Rethinking risk assessment: The MacArthur study of mental disorder and violence. New York, NY: Oxford University Press.

    Google Scholar 

  • NASMHPD website (2005). Mission and Values Statement. Bylaws, preamble, 3/2000.

  • New York State Office of Mental Health (2005). Assisted outpatient treatment report, Table 9.

  • Sells, D., Rowe, M., Fisk, D., & Davidson, L. (2003). Violent victimization of persons with co-occurring psychiatric and substance use disorders. Psychiatric Services, 54, 1253–1257.

    Article  PubMed  Google Scholar 

  • Steadman, H., Mulvey, E., Monahan, J., Robbins, P., Appelbaum, P., Grisso, T., Roth, L., & Silver, E. (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Archives of General Psychiatry, 55, 393–401.

    Article  PubMed  CAS  Google Scholar 

  • Swanson, J., Holzer, C., Ganju, V., & Jono, R. (1990). Violence and psychiatric disorder in the community: Evidence from the epidemiologic catchment area studies. Hospital and Community Psychiatry, 41, 761–770.

    PubMed  CAS  Google Scholar 

  • Swanson, J., Borum, R., Swartz, M., & Hiday, V. (1999). Violent behavior preceding hospitalization among persons with severe mental illness. Law and Human Behavior, 23, 185–204.

    Article  PubMed  CAS  Google Scholar 

  • Swanson, J., Swartz, M., Borum, R., Hiday, V., Wagner, H., & Burns, B. (2000). Involuntary out-patient commitment and reduction of violent behavior in persons with severe mental illness. British Journal of Psychiatry, 176, 324–331.

    Article  PubMed  CAS  Google Scholar 

  • Swartz, M., Swanson, J., Hiday, V., Borum, R., Wagner, H., & Burns, B. (1998). Violence and severe mental illness: The effects of substance abuse and nonadherence to medication. American Journal of Psychiatry, 155, 226–231.

    PubMed  CAS  Google Scholar 

  • Tarasoff v. Regents of the University of California, 17 Cal 3d 425 (1976).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ted Lawlor.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lawlor, T., Grudzinskas, A.J., Geller, J.L. et al. A Competency-Based Approach to Managing Violence with Involuntary Outpatient Treatment. Adm Policy Ment Health 34, 315–318 (2007). https://doi.org/10.1007/s10488-006-0102-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-006-0102-y

Keywords

Navigation