Compulsory community mental health treatment: literature review.

Abstract:

:Following their introduction in the United States in the 1970s various forms of compulsory treatment in the community have been introduced internationally. Compulsory treatment in the community involves a statutory framework that mandates enforceable treatment in a community setting. Such frameworks can be categorized as preventative, least restrictive, or as having both preventative and least restrictive features. Research falls into two categories; descriptive, naturalistic studies and controlled and uncontrolled comparative studies. The research has produced equivocal results, and presents numerous methodological challenges. Where programmes have demonstrated improved outcomes debate continues as to whether these outcomes are associated with legal compulsion or enhanced service provision. Service user, family and clinician perspectives demonstrate a divergence of views within and across groups, with clinicians more strongly in support than service users. The issue of compulsory community treatment is an important one for nurses, who are often at the forefront of clinical service provision, in some cases in statutory roles. Critical reflection on the issue of compulsory community treatment requires understanding of the limitations of empirical investigations and of the various ethical and social policy issues involved. There is a need for further research into compulsory community treatment and possible alternatives.

journal_name

Int J Nurs Stud

authors

O'Brien AJ,McKenna BG,Kydd RR

doi

10.1016/j.ijnurstu.2009.02.006

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

1245-55

issue

9

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(09)00062-5

journal_volume

46

pub_type

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