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Coercion and Tenacious Treatment in the Community

Applications to the Real World
  • Ronald J. Diamond
Part of the The Springer Series in Social Clinical Psychology book series (SSSC)

Abstract

Coercion in community-based programs has become an increasing concern (Parrish, 1992). Much of this concern has coincided with the development of assertive (or aggressive) community treatment programs. Prior to active community outreach teams, attempts to coerce the behavior of clients living in the community were limited by practical realities. Clients in traditional mental health systems always had the option of just not showing up. It is true that clients could be threatened with rehospitalization under court order, but enforcing such orders required cooperation from police, who typically had little interest in searching for a mentally ill client who had not committed any crime (Cesnik & Puls, 1977).

Keywords

Assertive Community Treatment Group Home Community Psychiatry Supplemental Security Income Assertive Community Treatment Team 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Appelbaum, P. S. (1986). Outpatient commitment: The problems and the promise. American Journal of Psychiatry, 143, 1270–1272.PubMedGoogle Scholar
  2. Blanch, A. K., & Parrish, J. (1993). Reports of three roundtable discussions on involuntary interventions. Psychiatric Rehabilitation and Community Support Monograph, 1, 1–42.Google Scholar
  3. Brotman, A. W., & Muller, J. J. (1990). The therapist as representative payee. Hospital and Community Psychiatry, 41, 167–171.PubMedGoogle Scholar
  4. Byalin, K. (1993). In defense of “restrictiveness”: A critical concept in consumer-oriented treatment planning. Journal of Psychosocial Rehabilitation, 16, 93–100.CrossRefGoogle Scholar
  5. Cesnik, B., and Puls, M. (1977). Law enforcement and crisis intervention services: A critical relationship. Suicide and Life-Threatening Behavior, 7, 211–215.PubMedGoogle Scholar
  6. Chamberlin, J., Rogers, J. A., & Sneed, C. S. (1989). Consumers, families and community support systems. Psychosocial Rehabilitation Journal, 12, 93–106.Google Scholar
  7. Curtis, L. C., & Hodge, M. (1995). Old standards, new dilemmas: Ethics and boundaries in community support services. Psychosocial Rehabilitation Journal (in press).Google Scholar
  8. Diamond, R. J. (1979). The role of the hospital in treating chronically disabled. In L. Stein (Ed.), New directions in mental health services (pp. 45–55 ). San Francisco: JosseyBass.Google Scholar
  9. Diamond, R. J. (1983). Enhancing medication use in schizophrenic patients. Journal of Clinical Psychiatry, 44, 7.PubMedGoogle Scholar
  10. Diamond, R. J., & Factor, R. M. (1994). Treatment resistant patients or a treatment-resistant system? Hospital and Community Psychiatry, 45, 197.PubMedGoogle Scholar
  11. Diamond, R. J., & Wikler, D. I. (1985). Ethical problems in the community treatment of the chronically mentally ill. In L. I. Stein & M. A. Test (Eds.), The training in community living model—A decade of experience (pp. 85–93). San Francisco: Jossey-Bass, New Directions in Mental Health Services.Google Scholar
  12. Durham, M. L. (1985). Implications of need-for-treatment laws: A study of Washington State’s involuntary treatment act. Hospital and Community Psychiatry, 36, 975–977.PubMedGoogle Scholar
  13. Durham, M. L., & LaFond, J. Q. (1985). The empirical consequences and policy implications for broadening the statutory criteria for civil commitment. Yale Law and Policy Review, 3, 395–446.PubMedGoogle Scholar
  14. Everett, B., & Nelson, A. (1992). We’re not cases and you’re not managers: An account of a client-professional partnership developed in response to the “borderline” diagnosis. Journal of Psychosocial Rehabilitation, 15, 77–86.CrossRefGoogle Scholar
  15. Factor, R. M., & Diamond, R. J. (in press). Emergency psychiatry and crisis resolution. In J. V. Vaccaro & G. H. Clark (Eds.), Community psychiatry, a practitioner’s manual. Washington, DC: American Psychiatric Press.Google Scholar
  16. Freund, P. D. (1993). Professional role(s) in the empowerment process: “Working with” mental health consumers. Journal of Psychosocial Rehabilitation, 16, 65–73.CrossRefGoogle Scholar
  17. Gardner, W., Hoge, S. K., Bennett, N., Roth, L. H., Lidz, C. W., Monahan, J., & Mulvey, E. P. (1993). Two scales for measuring patients’ perceptions for coercion during mental hospital admission. Behavioral Sciences and the Law, 11, 307–321.PubMedCrossRefGoogle Scholar
  18. Geller, J. L. (1987). The quandaries of enforced community treatment and unenforceable outpatient commitment statutes. Journal of Psychiatry and the Law, 17, 288–302.Google Scholar
  19. Greeman, M., & McClellan, T. A. (1985). The impact of a more stringent commitment code in Minnesota. Hospital and Community Psychiatry, 36, 990–992.PubMedGoogle Scholar
  20. Hasbe, T., & McRae, J. (1987). A ten-year study of civil commitments in Washington State. Hospital and Community Psychiatry, 38, 983–987.Google Scholar
  21. Hiday, V. A., & Scheid-Cook, T. (1991). Outpatient commitment for “revolving door” patients: Compliance and treatment. Journal of Nervous and Mental Disease, 179, 83–88.PubMedCrossRefGoogle Scholar
  22. Hoffman, P., & Foust, L. (1977). Least restrictive treatment of the mentally ill: A doctrine in search of its senses. San Diego Law Review, 14, 1100–1154.Google Scholar
  23. Kalinowski, C. (1992). Beyond compliance: An approach to client-directed prescribing of psychotropic medication. Unpublished manuscript.Google Scholar
  24. Kanter, J. (1989). Clinical case management: Definition, principles, components. Hospital and Community Psychiatry, 40, 361–368.PubMedGoogle Scholar
  25. Lucksted, A., & Coursey, R. D. (1995). Consumer perceptions of pressure and force in psychiatric treatments. Psychiatric Services, 46, 146–152.PubMedGoogle Scholar
  26. Marx, A. J., Text, M. A., & Stein, L. I. (1973). Extro-hospital management of severe mental illness. Archives of General Psychiatry, 29, 505–511.PubMedCrossRefGoogle Scholar
  27. Morse, S. J. (1982). A preference for liberty: The case against involuntary commitment of the mentally disordered. California Law Review, 70, 54–106.CrossRefGoogle Scholar
  28. Mulvey, E. P., Geller, J. L., & Roth, L. H. (1987). The promise and peril of involuntary outpatient commitment. American Psychologist, 571–584.Google Scholar
  29. Parrish, J. (Ed.). (1992). Proceedings of roundtable discussion on the use of involuntary interventions: Multiple perspectives. Report of a meeting held in Washington, DC, October 1–2, 1992.Google Scholar
  30. Russert, M. G., & Frey, J. L. (1991). The PACT vocational model: A step into the future. Psychosocial Rehabilitation Journal, 14, 7–18.Google Scholar
  31. Schwartz, H. I., Vingiano, W., & Bezirganian, C. (1988). Autonomy and the right to refuse treatment: Patients’ attitudes after involuntary medication. Hospital and Community Psychiatry, 39, 1049–1054.PubMedGoogle Scholar
  32. Segal, S. P., & Aviram, U. (1978). The mentally ill in community-based sheltered care. New York: John Wiley.Google Scholar
  33. Stein, L. I., Diamond, R. J., & Factor, R. M. (1990). A system approach to the care of persons with schizophrenia. In M. I. Herz, S. J. Seith, & J. P. Docherty (Eds.), Handbook of schizophrenia, Vol. 4, Psychosocial treatment of schizophrenia. Amsterdam: Elsevier.Google Scholar
  34. Stein, L. I., & Test, M. A. (1980). An alternative to mental hospital treatment. I. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 392–397.Google Scholar
  35. Tavolaro, K. B. (1992). Preventive outpatient civil commitment and the right to refuse treatment: Can pragmatic realities and constitutional requirements be reconciled? Medical Law, 11, 249–267.Google Scholar
  36. Test, M. A., & Stein, L. I. (1972). Practical guidelines for the community treatment of markedly impaired patients. Community Mental Health Journal, 12, 72.CrossRefGoogle Scholar
  37. Wertheimer, A. (1993). A philosophic examination of coercion for mental health issues. Behavioral Sciences and the Law, 11, 239–258.CrossRefGoogle Scholar
  38. Zusman, J. (1985). APA’s model commitment law and the need for better mental health services. Hospital and Community Psychiatry, 36, 978–980.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Ronald J. Diamond
    • 1
  1. 1.Department of PsychiatryUniversity of Wisconsin HospitalMadisonUSA

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