A randomized controlled trial of outpatient commitment in North Carolina.
A randomized controlled trial of outpatient commitment in North Carolina.
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北卡罗来纳州门诊承诺的随机对照试验。
DOI：
10.1176/appi.ps.52.3.325
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Borum,R
中科院分区：
文献类型：
--
作者：
Swartz,MS;Swanson,JW;Hiday,VA;Wagner,HR;Burns,BJ;Borum,R
在北卡罗来纳州进行了一项关于门诊承诺的随机对照试验，以提供关于非自愿门诊承诺的经验数据，并评估其在改善严重精神疾病患者预后方面的有效性。每个人都得到了病例管理服务和门诊治疗。两组参与者都被监测了一年。在最初的90天门诊承诺订单后，患者可以获得180天的可续期延期。对照组患者免疫门诊承诺一年。信息是从自我报告和报告的几个线人，以及从门诊治疗，医院，和逮捕records.WITTSIn大多数双变量分析，结果为门诊承诺组和对照组没有显着差异时，门诊承诺的持续时间没有考虑。然而，接受持续门诊承诺和接受相对密集的门诊治疗的患者住院人数较少，住院天数较少，更有可能坚持社区治疗，并且不太可能暴力或受害。延长门诊承诺也与参与者的多次再住院和以前的逮捕合并历史的逮捕较少。干预是特别有效的个人与精神病disorders.CONCLUSIONSOUTH承诺可以改善治疗结果时，法院命令是持续的，并结合相对密集的社区治疗。单凭法院命令不能取代改善结果的有效治疗。
OBJECTIVEA randomized controlled trial of outpatient commitment was conducted in North Carolina to provide empirical data on involuntary outpatient commitment and to evaluate its effectiveness in improving outcomes among persons with severe mental illnesses.METHODSA total of 331 involuntarily hospitalized patients awaiting discharge under outpatient commitment were randomly assigned to be released or to undergo outpatient commitment. Each received case management services and outpatient treatment. Participants in both groups were monitored for one year. After the initial 90-day outpatient commitment order, a patient could receive a renewable 180-day extension. Patients in the control group were immune from outpatient commitment for one year. Information was obtained from self-reports and reports of several informants as well as from outpatient treatment, hospital, and arrest records.RESULTSIn most bivariate analyses, outcomes for the outpatient commitment group and the control group did not differ significantly when the duration of outpatient commitment was not taken into account. However, patients who underwent sustained outpatient commitment and who received relatively intensive outpatient treatment had fewer hospital admissions and fewer days in the hospital, were more likely to adhere to community treatment, and were less likely to be violent or to be victimized. Extended outpatient commitment was also associated with fewer arrests of participants with a combined history of multiple rehospitalizations and previous arrests. The intervention was particularly effective among individuals with psychotic disorders.CONCLUSIONSOutpatient commitment can improve treatment outcomes when the court order is sustained and combined with relatively intensive community treatment. A court order alone cannot substitute for effective treatment in improving outcomes.
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发表时间：
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期刊：
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1999-12
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影响因子：
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作者：
J. Swanson;R. Borum;M. Swartz;V. Hiday;H. Wagner;B. Burns
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