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Cited by 43Healthcare Decision-Making and RestraintsHistorical Psychiatry and Medical PracticesPsychiatric care and mental health services

Coercion in Community Mental Health Care

·2016·Oxford Medicine Online
DOI 10.1093/med/9780198788065.001.0001
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Abstract

The use of coercion is one of the defining issues of mental health care and has been intensely controversial since the very earliest attempts to contain and treat the mentally ill. The balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it has never been finer, with the ‘move into the community’ in many high-income countries over the last 50 years and the development of community services. The vast majority of patients worldwide now receive mental health care outside hospital, and this trend is increasing. New models of community care, such as assertive community treatment (ACT), have evolved as a result and there are widespread provisions for compulsory treatment in the community in the form of community treatment orders. These legal mechanisms now exist in over 75 jurisdictions worldwide. Many people using community services feel coerced, but at the same time intensive forms of treatment such as ACT, which arguably add pressure to patients to engage in treatment, have been associated with improved outcome. This volume draws together current knowledge about coercive practices worldwide, both those founded in law and those ‘informal’ processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology, and medicine and for is explored

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Crossref · 10.1093/med/9780198788065.001.0001

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Venue
Oxford Medicine Online
Publisher
Oxford University Press
Published
2016-09
DOI
10.1093/med/9780198788065.001.0001
OpenAlex
W2556308869
Cited by
43
References
0
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2022: 2 · 2021: 30 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1
FWCI
2.11
Type
book
Language
en
Open access
closed
Locations
Oxford University Press eBooks (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
  • Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
coercion in mental health care, community mental health services, assertive community treatment, community treatment orders, involuntary treatment, patient autonomy, deinstitutionalization, history of psychiatry, mental health law

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