Involuntary outpatient treatment in patients with severe mental illness: A one-year follow-up study

Lera-Calatayud, Guillem; Hernández-Viadel, Miguel; Bellido-Rodríguez, Carmen; Cañete-Nicolás, Carlos; Asensio-Pascual, Pedro; Calabuig-Crespo, Roman; Leal-Cercós, Carmen

doi:10.1016/j.ijlp.2013.11.021

Cited by 12 publications

(6 citation statements)

References 18 publications

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“…The patients in this study revealed the same socio-demographic characteristics as those found in most studies of OC patients [1, 9–12]. The typical OC patient seems to be a middle-aged male with a diagnosis in the schizophrenia spectrum, living alone or with his family, with no income, except from public insurance or social benefits.…”

Section: Discussionsupporting

confidence: 71%

“…In reports from other countries, Burns and colleagues [22] found that the median duration of all OC orders during the three-year study period was 364 days. Smith et al [23] found that 51% of the index OCs lasted for more than one year, while Lera-Calatayud et al [12] found a mean duration of 29.2 months (standard deviation 16.5) in their study.…”

Section: Discussionmentioning

confidence: 89%

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Patients on outpatient commitment orders in Northern Norway

2017

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BackgroundIn recent years, an increasing number of countries have introduced outpatient commitment orders (OC), which imply that patients can be subject to compulsory follow-up and treatment while living in the community. However, few studies on how OC is practised have been published.MethodRetrospective case register study based on medical files of all patients receiving an OC order in 2008–2012. We used a pre/post design, recording the use of inpatient services three years before and three years after for those patients who received their first ever OC order in 2008 and 2009.ResultsA total of 345 OC orders applying to 286 persons were identified in the study period 2008–2012. Incidence and prevalence rates were relatively stable, but decreased during the last years of the study period. For all the 54 patients receiving their first ever OC order in 2008 and 2009, need for treatment was the reason for imposing OC, and all received psychotropic medication. The number of inpatient admissions and inpatient days was greater, while the number of days for each admission was lower three years after the OC order than three years before. The first ever OC lasted under a year for 76% of the patients. Receiving depot medication and follow-up by psychiatrists predicted longer OC durations than such treatment and care by psychologists. Only nine patients were not hospitalized during the three-year follow-up after the first ever OC order.ConclusionPatients on first ever OC orders in Northern Norway used inpatient services more after OC orders than before. Further studies are needed to explore whether increased use of inpatient services by OC patients is beneficial or a failure of OC.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 89%

Patients on outpatient commitment orders in Northern Norway

2017

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“…Despite differences in legislation, culture and organization of mental health care, several studies found that the patient group consists mainly of men about 40 years old, with mental illnesses and schizophrenia over several years, who have a poor effect of medication and are considered potentially dangerous [4,11,12,13,14].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and management of patients with outpatient commitment in the mental health services

Løvsletten

Haug

Granerud³

et al. 2016

Nordic Journal of Psychiatry

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Background People with mental health problems are mostly treated within the community. The law allows for the use of compulsory mental health care both in hospital and in the community. Various forms of outpatient commitment (OC) have been adopted in much European legislation. To be subjected to OC is a serious intervention in a person's life. Aim The purpose of this study is to gain knowledge about patients who undergo OC. The study explores the incidence and prevalence of OC in a geographical area, the central characteristics of the sample, and how the framework for follow-up treatment for patients to resolve OC works. Methods The data were collected from a review of electronic patient records. The statistical methods used in this study were descriptive analysis, with frequency analysis and cross-tabulation analysis. Results The main finding in the present study is that the use of OC has increased. An important finding is that most of the patients have a decision made for OC that is justified by the treatment criterion. The present study shows that there is insufficient documentation on statutory responsibilities for follow-up treatment of patients with an OC. Conclusions This study shows that the use of OC has increased. It should be considered whether implemented measures to reduce the use of coercion have the desired effect.

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“…Gerace et al 2015) CT positively impacts on hostility and suicide attempts in psychosis (Nitschke et al 2018) CT improves prognosis if there is a high risk of recurrence(Lera-Calatayud et al 2014) …”

mentioning

confidence: 99%

Reconsidering the ethics of compulsive treatment in light of clinical psychiatry: A selective review of literature

Madeira

Santos

2022

F1000Res

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The ethics of compulsive treatment (CT) is a medical, social and legal discussion that reemerged after the ratification by 181 countries of the 2007 United Nations Convention on the Rights of Persons with Disabilities (UN-CRPD). The optional protocol of the UN-CRPD was ratified by 86 countries aiming to promote, protect and ensure the full and equal enjoyment of all human rights. It also determined the need to review mental health laws as under this light treatment of persons with disabilities, particularly those with mental disorders, cannot accept the use of CT. This selective review of literature aims to clarify inputs from clinical psychiatry adding evidence to the multi-disciplinary discussion. It provides contradictory evidence on how patients experience CT and its impact on their mental health and treatment programs, also which are main reasons for the use of CT and what efforts in psychiatry have been made to reduce, replace and refine it.

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Involuntary outpatient treatment in patients with severe mental illness: A one-year follow-up study

Cited by 12 publications

References 18 publications

Patients on outpatient commitment orders in Northern Norway

Patients on outpatient commitment orders in Northern Norway

Prevalence and management of patients with outpatient commitment in the mental health services

Reconsidering the ethics of compulsive treatment in light of clinical psychiatry: A selective review of literature

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