Skip to main content
×
×
Home

Involuntary out-patient commitment: 2-year follow-up

  • Laura Castells-Aulet (a1), Miguel Hernández-Viadel (a1), Pedro Asensio-Pascual (a1), Carlos Cañete-Nicolás (a1), Carmen Bellido-Rodríguez (a2), Guillem Lera-Calatayud (a3) and Roman Calabuig-Crespo (a4)...
Abstract
Aims and method

To evaluate the impact of involuntary out-patient commitment (OPC) in patients with severe mental disorder who use hospital services. This is a retrospective–observational study in a population of 91 patients under OPC. The psychiatric diagnosis, sociodemographic variables, who requested the court order and for what motive were studied. The study also looked at the use of the available health services (emergency room visits, admissions, average length of hospital stay) for the period beginning 2 years before and ending 2 years after the initiation of the OPC.

Results

The number of emergency room visits, admissions and the length of hospitalisation diminished in the 2 years following the initiation of the OPC. In terms of diagnosis, the OPC has the most impact on individuals with schizophrenia and delusional disorder.

Clinical implications

The OPC can be useful for certain patients with severe mental disorder, particularly individuals with schizophrenia and delusional disorder.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Involuntary out-patient commitment: 2-year follow-up
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Involuntary out-patient commitment: 2-year follow-up
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Involuntary out-patient commitment: 2-year follow-up
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Laura Castells-Aulet (castells5@hotmail.com)
Footnotes
Hide All

See also current practice (pp. 54–57) and commentary (pp. 58–59), this issue.

Declaration of interest

None.

Footnotes
References
Hide All
1 Swartz, MS, Swanson, JW. Involuntary outpatient commitment, community treatment orders, and assisted outpatient treatment: what's in the data? Can J Psychiatry 2004; 49: 585–91.
2 Kisely, S, Campbell, LA, Preston, N. Compulsory community and involuntary outpatient treatment for people with severe mental disorders. Cochrane Database Syst Rev 2005; 3: CD004408.
3 Spanish Society of Legal Psychiatry. Position of Spanish Society of Legal Psychiatry on Involuntary Outpatient Treatment. Available at: http://www.psiquiatrialegal.org.
4 Diaz Fernández, E. Document, S.N.A. Regarding the proposal of regulation of the involuntary outpatient treatment for people with mental disorder. Span Assoc Neuropsychiatry Mag 2004; 24: 177–85.
5 Santander, F. Tratamiento ambulatorio involuntaria: tal vez sí, pero [Community Treatment Orders (CTOs). Maybe, but …]. Cuad Psiquiatr Comunitaria 2006; 6: 4754
6 Ganzenmüller Roig, C. Conclusiones de las Jornadas de Fiscales Especializados en la Protección de las Personas con Discapacidad y Tutelas del 19 y 20 de Octubre de 2009. [Conclusions of the conference of prosecutors specialized in the protection of disability and guardianship of 19 and 20 October 2009]. Available at: http://www.observatoriodeladiscapacidad.es/en/node/11231.
7 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn, text revision) (DSM-IV-TR). APA, 2000.
8 Steadman, HJ, Gounis, K, Dennis, D, Hopper, K, Roche, B, Swartz, M, et al. Assessing the New York City involuntary outpatient commitment pilot program. Psychiatr Serv 2001; 52: 330–6.
9 Churchill, R, Owen, G, Singh, S, Hotopf, M. International Experiences of Using Community Treatment Orders. Department of Health, 2007 (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_072730).
10 Ingram, G, Muirhead, D, Harvey, C. Effectiveness of community treatment orders for treatment of schizophrenia with oral or depot antipsychotic medication: changes in problem behaviours and social functioning. Aust N Z J Psychiatry 2009; 43: 1077–83.
11 Segal, SP, Burgess, P. Preventing psychiatric hospitalization and involuntary outpatient commitment. Soc Work Health Care 2009; 48: 232–42.
12 Swartz, MS, Wilder, CM, Swanson, JW, Van Dorn, RA, Clark Robbins, PC, Steadman, HJ, et al. Assessing outcomes for consumers in New York's assisted outpatient treatment program. Psychiatr Serv 2010; 61: 976–81.
13 Swanson, JW, Swartz, MS, Wagner, HR, Burns, BJ, Borum, R, et al. Involuntary out-patient commitment and reduction of violent behaviour in persons with severe mental illness. Br J Psychiatry 2000; 176: 324–31.
14 Gilbert, AR, Moser, LL, Van Dorn, RA, Swanson, JW, Wilder, CM, Robbins, PC, et al. Reductions in arrest under assisted outpatient treatment in New York. Psychiatr Serv 2010; 61: 996–9.
15 Van Dorn, RA, Swanson, JW, Swartz, MS, Wilder, CM, Moser, LL, Gilbert, AR, et al. Continuing medication and hospitalization outcomes after assisted outpatient treatment in New York. Psychiatr Serv 2010; 61: 982–7.
16 Hernández-Viadel, M, Cañete Nicolás, C, Lera Calatayud, G, Pérez Prieto, JF, Roche Millan, T. Tratamiento ambulatorio involuntario para personas con trastorno mental severo. Resultados de un estudio en la ciudad de Valencia [Involuntary outpatient treatment for people with severe mental disorders. Results of a study of Valencia city]. Psiquiatr Biol 2007; 14: 712.
17 Novick, D, Haro, JM, Suarez, D, Perez, V, Dittmann, RW, Haddad, PM. Predictors and clinical consequences of non-adherence with antipsychotic medication in the outpatient treatment of schizophrenia. Psychiatry Res 2010; 176: 109–13.
18 Ascher-Synum, H, Faries, DE, Zhu, B, Ernst, FR, Swartz, MS, Swanson, JW. Medication adherence and long-term functional outcomes in the treatment of schizophrenia in usual care. J Clin Psychiatry 2006; 67: 453–60.
19 Morken, G, Widen, JH, Grawe, RW. Non-adherence to antipsychotic medication, relapse and rehospitalization in recent-onset schizophrenia. BMC Psychiatry 2008; 8: 32.
20 Ayuso-Guitiérrez, JL, del Río Vega, JM. Factors influencing relapse in the long-term course of schizophrenia. Schizophr Res 1997; 28: 199206.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 16 *
Loading metrics...

Abstract views

Total abstract views: 83 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 20th July 2018. This data will be updated every 24 hours.

Involuntary out-patient commitment: 2-year follow-up

  • Laura Castells-Aulet (a1), Miguel Hernández-Viadel (a1), Pedro Asensio-Pascual (a1), Carlos Cañete-Nicolás (a1), Carmen Bellido-Rodríguez (a2), Guillem Lera-Calatayud (a3) and Roman Calabuig-Crespo (a4)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *