Is mandatory outpatient treatment effective?
Abstract
This paper reviews the major studies of mandatory outpatient treatment (MOT) and examines why there has been inconsistency in some of the findings. Attempts to answer the question "is mandatory treatment effective?" must first clarify the type of mandatory treatment being examined, the type of patient being treated, and the outcome by which effectiveness is measured. There is consistent evidence that various forms of MOT increase follow-up with psychiatric services and that court-ordered outpatient committal decreases victimization of patients in the community. It also appears likely that MOT reduces the use of hospitalization; but, due to methodological problems associated with the research, this conclusion remains controversial.
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The available evidence suggests that compulsory community treatment does not adversely affect the therapeutic alliance between healthcare professionals and patients or drive people with severe mental illnesses away from services.
“although the available evidence suggests that this does not happen (O'Reilly 2005; Kisely 2013a ).”
From Compulsory community and involuntary outpatient treatment for people with severe mental disorders. (2017) · cites this paper as O'Reilly 2005
Cites
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Compulsory community and involuntary outpatient treatment for people with severe mental disorders
Kisely, S. R., & Campbell, L. A. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004408.pub4 · Cited by 320 · see citing works
Compulsory community and involuntary outpatient treatment for people with severe mental disorders.
Kisely, S. R., Campbell, L. A., & O'Reilly, R. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004408.pub5 · Cited by 123 · see citing works
Self-citationO’Reilly, R. L. (2006) · The Canadian Journal of Psychiatry · doi:10.1177/070674370605101102 · Cited by 15 · see citing works
Self-citationOutpatient Commitment and Its Alternatives: Questions Yet to Be Answered
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Şahin, E. K., Koç, A., & Ensari, H. (2023) · Minerva Psychiatry · doi:10.23736/s2724-6612.22.02339-9
- Authors
- O'Reilly, R. L., & Gray, J. E.
- Affiliations
- The University of Western Ontario
- Western University (CA)
- Venue
- Canadian Journal of Community Mental Health
- Published
- 2005-09-01
- Volume
- 24
- Issue
- 2
- Pages
- 77-83
- ISSN
- 0713-3936 (ISSN-L)
- OpenAlex
- W2031215804
- Cited by
- 5
- References
- 25
- Citations by year
- 2023: 1 · 2017: 1 · 2014: 2
- FWCI
- 0.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Community Mental Health (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
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- outpatient psychiatric care, psychiatric hospitalization, psychiatric follow-up, treatment effectiveness, mental health service utilization
- MeSH terms
- Ambulatory Care, Mental Disorders, Hospitalization, Humans, Length of Stay, Mandatory Programs
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