Influence of race on outpatient commitment and assertive community treatment for persons with severe and persistent mental illness
Abstract
Critics of outpatient commitment (OPC) suggest that African Americans with severe and persistent mental illness may be more frequently subjected to coercive treatment. This study examines the frequency of use of OPC and assertive community treatment and compares their influence on the perceptions of procedural justice/choice and coercion/negative pressure on African Americans and Whites. No significant differences were found in the rate at which OPC was applied to African Americans or in the use of assertive community treatment. Although procedural justice/choice does contribute significantly to the perception of coercion/negative pressure in both groups, its influence is diminished in African Americans.
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University graduates had significantly higher perceptions of coercion in three studies.
“University graduates had significantly higher perceptions of coercion in three studies [45,92,95].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [95]
Patients subjected to outpatient commitment were more likely to perceive coercion.
“Patients subjected to outpatient commitment were more likely to perceive coercion [24,57,65,92,95,107]”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [95]
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References 50 · Cited by 7
- Authors
- Galon, P. A., Wineman, N. M., & Grande, T.
- Affiliations
- University of Akron (US)
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 26
- Issue
- 3
- Pages
- 202-213
- ISSN
- 0883-9417 (ISSN-L)
- OpenAlex
- W2022425237
- Cited by
- 7
- References
- 50
- Citations by year
- 2025: 3 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- outpatient commitment, assertive community treatment, severe and persistent mental illness, African Americans, racial disparities, involuntary treatment, procedural justice, perceived coercion, negative pressure, patient perspectives
- MeSH terms
- Mental Disorders, Black or African American, Commitment of Persons with Psychiatric Disorders, Community Mental Health Services, Female, Humans, Interviews as Topic, Male, Surveys and Questionnaires, United States, White People, Racial Groups
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