Hospitalization, Arrest, or Discharge: Important Legal and Clinical Issues in the Emergency Evaluation of Persons Believed Dangerous to Others

Huber, George A.; Roth, Loren H.; Appelbaum, Paul S.; Ore, Timothy

doi:10.2307/1191244

Cited by 7 publications

(4 citation statements)

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“…The inhibitory effect of hospitalization and treatment on violent behavior likely minimizes the accuracy rates obtained in such studies, making them in part uninterpretable. It has also been reported that patients are sometimes committed to hospitals on nonlegal, that is, illegitimate considerations (Stone, 1976;Appelbaum & H a m , 1982), thus potentially invalidating the presumption that a psychiatric commitment constitutes a genuine prediction of imminent violence. Such research, however, also suffers from the same contextual problems as that of the earlier research; predictions are made in one context (the community) but validated in another (hospital).…”

Section: Discussionmentioning

confidence: 99%

“…Predictive reliability and accuracy remain poor, and significant numbers of false positive predictions continue to be made, given the relatively low prevalence of serious violent conduct in psychiatric patients. Advances in predictive methodology can be anticipated with improved characterization of the etiologies and syndromes of violent behavior (Huber, Roth, Appelbaum, & Ore, 1982;Prins, 1980;Craig, 1982;Elliott, 1982;Mungas, 1983) and their precipitants (Masuda, Cutler, Hein, & Holmes, 1978;Levinson & Ramsay, 1979;Langevin, Paitich, Orchard, Handy, & Grusson, 1982;Monahan & Klassen, 1982;Felson & Steadman, 1983). Use of probability statements rather than dichotomous predictions, differential base rates, and validated decision aids would also be helpful.…”

Section: Discussionmentioning

confidence: 99%

“…With regard to the mental health professions, there is considerable controversy about the scope of the mental health professional's involvement with violent individuals (Stone, 1975;Stone, 1976;Melick, Steadman, & Cocozza, 1979;Peszke, 1975;Szasz, 1963). Mental health professionals are at times unwillingly cast into this arena in a variety of contexts relating to diagnosis, treatment, and prevention of violent behavior, regardless of its relationship to mental illness or disease (Huber, Roth, Appelbaum, & Ore, 1982;Shah, 1978b). It has been suggested that much of the mental health professional's involvement with violent individuals is premised upon an alleged increased prevalence of violence among the mentally ill (Teplin, 1983;Rabkin, 1979;Monahan & Steadman, 1982) as well as an assumed ability of mental health professionals to predict and treat dangerous behavior at least in mentally ill individuals and arguably in the nonmentally ill as well (Shah, 1978b).…”

Section: Introductionmentioning

confidence: 99%

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The prediction of violent behavior and the duty to protect third parties

Wettstein

1984

Behavioral Sci & The Law

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The prediction of violent behavior and the duty to protect third parties

Wettstein

1984

Behavioral Sci & The Law

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“…While it is ideal to eliminate unnecessary document-related tasks and conduct business remotely, hospitals' increasing legal liabilities often necessitate various consent forms [16][17][18]. As con rmed in this study, optimising patient administrative tasks using mobile devices is the easiest way to utilise existing technologies.…”

Section: Improving Administrative Processes In Hospitalsmentioning

confidence: 93%

Mobile Admission Process and Administrative Turnaround Time of Hospitalisation for Outpatients: A Retrospective Study

Chung,

Namgung,

Bae

et al. 2023

Preprint

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Background and Objectives: This study compared the time efficiency of the hospital admission process using mobile devices versus traditional walk-in methods and assessed the usability of the mobile admission process. Methods: This retrospective study was conducted at Chung-Ang University Gwangmyeong Hospital in South Korea (August 2022–January 2023). It compared the turnaround time of the walk-in and mobile admission processes. Patients were divided into mobile and walk-in groups based on the admission process method. Timestamp data were collected based on the flow of patients or caregivers during the admission process and extracted by examining patients’ electronic medical record log time or caregivers' electronic signatures on consent forms. Patients' arrival time at the ward was determined by referencing the log time in nursing records. Time intervals between timestamp data were calculated and compared. A questionnaire survey using the 10-item System Usability Scale was conducted with mobile admission users. Results: The study enrolled 4,344 patients to compare the turnaround time and demographics of the mobile (n = 1,336) and walk-in (n = 3,008) admission processes. The mobile admission process had a significantly shorter turnaround time of 13.4 min compared to 22.2 min for the walk-in process. Female and younger patients, and those admitted to surgery departments were likelier to use the mobile process. Older patients were less likely to undergo mobile admissions. Linear regression analysis showed that these factors significantly affected the usability of the mobile device admission process. Female and surgery patients used the mobile admission process significantly more frequently, whereas older adults used the mobile process significantly less frequently. The System Usability Scale for mobile admission users showed a good usability score (mean 74.4). Conclusions: The mobile admission process can reduce the task completion time compared to the traditional walk-in admission process owing to its superior usability.

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The criminalisation of the mentally ill: does dangerousness take precedence over need for treatment?

Miller

1993

Criminal Behav Ment Health

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The current emphasis on dangerousness as a criterion for both civil and criminal commitments in the USA results from a confluence of political and legal factors which have little to do with the provision of appropriate treatment to mentally disordered persons. These factors have resulted in significant changes in the types of persons involuntarily hospitalised, and the stages of their disorders when interventions are to be permitted. As a result, hospitalised patients are more likely to have personality disorders, to have criminal histories, and to be resistant to treatment than was the case prior to deinstitutionalisation. The rising proportions of such patients consumes scarce resources and complicates treatment for those patients who are potentially responsive to treatment. This situation is unlikely to change as long as society expresses a preference through its laws for short‐term protection from harm over the provision of effective treatment.

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Hospitalization, Arrest, or Discharge: Important Legal and Clinical Issues in the Emergency Evaluation of Persons Believed Dangerous to Others

Cited by 7 publications

References 0 publications

The prediction of violent behavior and the duty to protect third parties

The prediction of violent behavior and the duty to protect third parties

Mobile Admission Process and Administrative Turnaround Time of Hospitalisation for Outpatients: A Retrospective Study

The criminalisation of the mentally ill: does dangerousness take precedence over need for treatment?

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