Cited by 62Healthcare Decision-Making and RestraintsPsychiatric care and mental health servicesElectroconvulsive Therapy Studies

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The Efficacy of Involuntary Outpatient Treatment in Massachusetts

Geller, Jeffrey, Grudzinskas, Albert J., McDermeit, Melissa, Fisher, William H., Lawlor, Ted·1998·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1023/a:1022239322212

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Abstract

One means to address some of the unintended consequences of the shift of treatment for individuals with serious mental illness from hospitals to communities has been involuntary outpatient treatment (IOT). Using Massachusetts data, 19 patients with court orders for IOT were matched to all and to best fits on demographic and clinical variables, and then to individuals with the closest fit on utilization before the IOT date. Outcomes indicated the IOT group had significantly fewer admissions and hospital days after the court order. The full impact of IOT requires more study, particularly directed toward IOT's effects on insight and quality of life.

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Authors: Geller, J., Grudzinskas, A. J., McDermeit, M., Fisher, W. H., & Lawlor, T.
Affiliations: University of Massachusetts Chan Medical School (US)
Chestnut Health Systems (US)
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 1998-01
Volume: 25
Issue: 3
Pages: 271-285
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1023/a:1022239322212
OpenAlex: W1587931337
Cited by: 61
References: 28
Citations by year: 2025: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 1
FWCI: 5.00
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
PubMed (publishedVersion)
The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
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: involuntary outpatient treatment, court-ordered treatment, severe mental illness, deinstitutionalization, hospitalization, length of hospital stay, community mental health services, Massachusetts
MeSH terms: Adult, Ambulatory Care, Analysis of Variance, Mental Disorders, Commitment of Persons with Psychiatric Disorders, Female, Humans, Length of Stay, Male, Massachusetts, Patient Admission, Quality of Life, Program Evaluation, Matched-Pair Analysis, Mental Competency, Outcome Assessment, Health Care, Statistics, Nonparametric

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The Efficacy of Involuntary Outpatient Treatment in Massachusetts

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