Impact of outpatient commitment on victimization of people with severe mental illness
Impact of outpatient commitment on victimization of people with severe mental illness
复制标题
DOI：
10.1176/appi.ajp.159.8.1403
复制
发表时间：
2002-08-01
影响因子：
17.7
通讯作者：
Wagner, HR
中科院分区：
文献类型：
--
作者：
Hiday, VA;Swartz, MS;Wagner, HR
目的：作者的目标是评估门诊承诺的有效性，在减少受害人与严重的精神疾病。方法：184例非自愿住院患者被随机分配到释放（N=99）或继续门诊承诺（N=85）出院后。另一组近期有严重暴力行为史的患者（N=39）被非随机分配到至少一个短暂的门诊承诺后，医院出院。所有三组均随访1年，并为所有受试者提供病例管理服务和额外的门诊治疗。结果资料是基于与病人和告密者的访谈以及服务记录。结果：被命令门诊承诺的受试者比那些没有门诊承诺的被释放者更不可能成为刑事受害者。多变量分析表明，每增加一天的门诊承诺降低了犯罪受害的风险，门诊承诺有其效果，通过提高药物依从性，减少物质的使用或滥用，和更少的暴力incidents.Conclusions：保护免受犯罪受害似乎是一个积极的，意外的后果门诊承诺。
Objective: The authors' goal was to evaluate the effectiveness of outpatient commitment in reducing victimization among people with severe mental illness.Method: one hundred eighty-four involuntarily hospitalized patients were randomly assigned to be released (N=99) or to continue under outpatient commitment (N=85) after hospital discharge. An additional group of patients with a recent history of serious violent behavior (N=39) was nonrandomly assigned to at least a brief period of outpatient commitment following hospital disharge. All three groups were followed for 1 year, and case management services plus additional outpatient treatment were provided to all subjects. outcome data were based on interviews with the patients and informants as well as service records.Results: Subjects who were ordered to outpatient commitment were less likely to be criminally victimized than those who were released without outpatient commitment. Multivariate analysis indicated that each additional day of outpatient commitment reduced the risk of criminal victimization and that outpatient commitment had its effect through improved medication adherence, reduced substance use or abuse, and fewer violent incidents.Conclusions: Protection from criminal victimization appears to be a positive, unintended consequence of outpatient commitment.