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effectiveness of outpatient commitment is linked to the provision of intensive services. Whether court orders have any effect at all in the absence of intensive treatment is an unanswered question." However, more recent studies such as those from the New York Office of Mental Health (OMH) in 2005 and 2009 showed that outpatient treatment was effective.
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In 2009, an independent study by Duke
University into alleged racism found "no evidence that the (assisted outpatient treatment) Program is disproportionately selecting African Americans for court orders, nor is there evidence of a disproportionate effect on other minority populations. Our interviews
1063:
tracked
Medicaid claims and state reports for 3,576 AOT consumers from 1999-2007. They found that "the likelihood of psychiatric hospital admission was significantly reduced by ~25% during the initial six-month court order (odds ratio =.77, 95CI=.72-.82) and by over 1/3 during a subsequent six-month
1031:
As a component of the OMH study, researchers with the New York State
Psychiatric Institute and Columbia University conducted face-to-face interviews with 76 recipients to assess their opinions about the program and its impact on their quality of life. The interviews showed that after receiving
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Additionally, 87 percent of participants said they were confident in their case manager's ability to help them; 88 percent said that they and their case manager agreed on what is important for them to work on, i.e., assisted outpatient treatment exhibited a positive effect on the therapeutic
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renewal of the order (OR=.59, CI=.54-.65) compared with the period before initiation of the court order. Similar significant reductions in days of hospitalization were evident during initial court orders and subsequent renewals (OR=.80, CI=.78-.82, & OR-.84, CI=.81-.86, respectively)."
984:
In the literature review, Rand noted that the literature in 2001 was not of high methodological quality and that "while there may exist a subgroup of people with severe mental illness for whom a court order acts as leverage to enhance treatment compliance, the best studies suggest that the
1928:
Hey
Hploter, I think it's quite valuable having information for Italy and France. Did you happen to have citations for these countries at hand, since you seem knowledgeable about this? I find cites very valuable when digging into a topic using wikipedia as a starting point
1948:
One of these days I'm planning to take the blanking hammer to these primary sources from the US supporting outpatient commitment and replace them with similar reviews and recent larger studies that, if my reading is correct, suggest that they don't make any difference....
1058:
showed that "the odds of arrest for participants currently receiving assisted outpatient treatment (AOT) were nearly 2/3 lower (OR .39, p<.01) than for individuals who had not yet initiated AOT or signed a voluntary service agreement." Another 2010 study from Swartz
1490:
and one meta-analysis about outpatient commitment that I intend to use to improve the article. Since there's no way I'll get to all of these tonight, I'm posting the list here (1) so I won't lose the citations and (2) in case anyone else would like to help.
955:
Three things were deemed critical to the success of outpatient commitment: having the infrastructure to support it; having the services to make it work for patients; and having a service system that can deliver those services
948:" for Laura Wilcox). This 176-page report was an evidence-based review that both searched the literature and interviewed key informants for their perceptions of the assisted outpatient treatment system. Among the findings:
1564:
Cañete-Nicolás, Carlos; Hernández-Viadel, Miguel; Bellido-RodrĂguez, Carmen; Lera-Calatayud, Guillem; Asensio-Pascual, Pedro; PĂ©rez-Prieto, Juan F.; Calabuig-Crespo, Roman; Leal-CercĂłs, Carmen (January–February 2012).
135:
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Castells-Aulet, Laura; Hernández-Viadel, Miguel; JimĂ©nez-Martos, JesĂşs; Cañete-Nicolás, Carlos; Bellido-RodrĂguez, Carmen; Calabuig-Crespo, Roman; Asensio-Pascual, Pedro; Lera-Calatayud, Guillem (August 2015).
150:
965:
There was disagreement as to whether the outpatient commitment order is "reciprocal"(i.e., commits the provider or mental health system to provide services as well as committing the patient to receive them).
857:. It looks to me like the article is about the general concept of "outpatient commitment," which is not necessarily the same thing as the official name of the legal orders requiring outpatient commitment. A
1428:
I can update the map, but I'd like to add a caption and citation when I do so. Do you know where I can find a full list of which provinces and territories have (or lack) outpatient commitment laws? —
971:
Not all outpatient commitment orders were specific about which agency will provide services and what the specific treatment will be. Medication was not necessarily a part of the commitment orders.
941:
858:
841:, the preferred terms are "Assisted outpatient treatment" or "community ordered treatment" or something to that effect. I suggsest moving the article to "assisted outpatient treatment."
962:
As part of their commitment process, at least three states were using mechanisms to involve the patient in development of a consensus plan for compliance with mental health treatment.
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Comparing the experience of outpatient commitment recipients over the first six months of commitment to the same period immediately prior to commitment, the OMH study found:
959:
Outpatient commitment laws were being used infrequently in most states and were used primarily as a discharge-planning vehicle rather than an alternative to hospitalization.
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The burden of monitoring outpatient commitment orders most often fell to treatment providers, most of whom did not have the resources to provide high levels of supervision.
1893:
952:
There was widespread support for outpatient commitment among key informants, although quite a few expressed only qualified support for the practice in their own states.
332:
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Coercion in mental health: a trial of the effectiveness of community treatment orders and an investigation of informal coercion in community mental health care
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2002:
1977:
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322:
683:
It shows Alaska not having an AOT law, but ALASKA STAT. § 47.30.755(b) provides indirectly for AOT. I don't do graphics; can someone update the image?
1830:"The use of coercive interventions in mental health care in Germany and the Netherlands. A comparison of the developments in two neighboring countries"
1054:
Subsequent studies have confirmed a positive effect in outcomes, albeit attenuated from the NY OMH 2005 study. A 2010 study on Kendra's Law by
Gilbert
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indicates the term is still in use. (I attempted to check the article's two references to see if they use the term, but both links appear to be dead.)
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Burns, Tom; Rugkåsa, Jorun; Yeeles, Ksenija; Catty, Jocelyn; et al. (Oxford Mental Health
Coercion (OCTET) Programme Group) (December 2016).
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897:
580:
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709:). It looks like Connecticut, Maryland, Massachusetts, & Tennessee are currently the only states without outpatient commitment laws.
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in 2001 when a bill authorizing court-ordered outpatient treatment was being debated in
California (subsequently passed and known as "
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When you have finished reviewing my changes, you may follow the instructions on the template below to fix any issues with the URLs.
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These studies were also tended to refute criticissm from opponents of assisted outpatient treatment. The 2005 study found:
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Subsequent comments should be made in a new section on this talk page. No further edits should be made to this section.
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Subsequent comments should be made in a new section on the talk page. No further edits should be made to this section.
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1082:. Some items may be readded into the history or controversy sections after the section on efficacy has been completed.
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States differed widely in the extent to which their outpatient commitment orders had "teeth"(i.e., were enforceable).
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Swartz, MS; et al. (2010). "Assessing outcomes for consumers in New York's assisted outpatient treatment program".
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1735:"An updated meta-analysis of randomized controlled evidence for the effectiveness of community treatment orders"
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1114:"The Effectiveness of Involuntary Outpatient Treatment Empirical Evidence and the Experience of Eight States"
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If you have discovered URLs which were erroneously considered dead by the bot, you can report them with
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on
Knowledge (XXG). If you would like to participate, please visit the project page, where you can join
24:
1319:. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit
70:
1070:
The above was removed as this is an article about outpatient commitment and not only Kendra's Law per
1829:
177:
1211:
Gilbert, AR; et al. (2010). "Reductions in arrest under assisted outpatient treatment in New York".
1644:"Compulsory community and involuntary outpatient treatment for people with severe mental disorders"
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I think it should be "outpatient treatment" without the "assisted" part bevause that is the most
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1567:"Involuntary outpatient treatment (IOT) for severe mental patients: current situation in Spain"
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1523:"Impact of involuntary out-patient commitment on reducing hospital services: 2-year follow-up"
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https://web.archive.org/web/20060109153452/http://www.nyclu.org/aot_program_tstmny_040805.html
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1594:"Care planning for consumers on community treatment orders: an integrative literature review"
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In most states, medication over objection was not allowed under outpatient commitment orders.
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The term "outpatient committment" is outdated, and is not used in UK, US, NZ or
Australia.
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of the efficacy of this treatment modality - which can be taken as the gold standard under
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All of these are free to access and published within the last 5 years. The articles from
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treatment, assisted outpatient treatment recipients overwhelmingly endorsed the program:
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Dawson, Suzanne; Lawn, Sharon; Simpson, Alan; Muir-Cochrane, Eimear (10 November 2016).
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Daniel, this information should go on the Edit summary instead of in this discussion.--
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If you found an error with any archives or the URLs themselves, you can fix them with
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Added mention of 1990's, 2000's "outpatient commitment" laws and events behind them.
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90 percent said AOT made them more likely to keep appointments and take medication.
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In
November 2017, New Brunswick will be implementing "Community support orders".
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55 percent fewer recipients engaged in suicide attempts or physical harm to self;
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Steinert, Tilman; Noorthoorn, Eric O.; Mulder, Cornelis L. (24 September 2014).
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Specifically, the OMH study found that among participants in the AOT program:
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1501:(Report). Programme Grants for Applied Research. Vol. 4. Southampton, UK:
1141:"Kendra's Law Final Report on the Status of Assisted Outpatient Treatment"
1782:"Effectiveness of Community Treatment Orders: The International Evidence"
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75 percent reported that AOT helped them gain control over their lives;
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An editor has reviewed this edit and fixed any errors that were found.
1691:"Canadian Studies on the Effectiveness of Community Treatment Orders"
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with key stakeholders across the state corroborate these findings."
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I'll do this at the same time that I update the map of Canada (see
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1165:"New York State Assisted Outpatient Treatment Program Evaluation"
412:. Please visit the project page for details or ask questions at
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81 percent said that AOT helped them to get and stay well; and
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Provider liability was a concern but not an overwhelming one.
404:, which recommends that medicine-related articles follow the
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for additional information. I made the following changes:
644:, where you can join the project and/or contribute to the
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77 percent fewer experienced psychiatric hospitalization;
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The following discussion is an archived discussion of a
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1074:. The findings of this study are not in line with the
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The above discussion is preserved as an archive of a
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43 percent fewer threatened physical harm to others.
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http://www.nyclu.org/aot_program_tstmny_040805.html
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46 percent fewer damaged or destroyed property; and
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1642:Kisely, Steve R.; Campbell, Leslie A. (May 2015).
1944:Primary sources supporting Outpatient commitment
1482:and others that don't meet the requirements for
1398:and the map of Canada will need to be updated.--
33:for general discussion of the article's subject.
1733:Kisely, Steve; Hall, Katharine (October 2014).
408:and that biomedical information in any article
896:"Outpatient treatment" is a very broad term.
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406:Manual of Style for medicine-related articles
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1004:87 percent fewer experienced incarceration.
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424:Knowledge (XXG):WikiProject Medicine
398:This article is within the scope of
287:This article is within the scope of
559:and the subjects encompassed by it.
230:It is of interest to the following
23:for discussing improvements to the
2003:Low-importance psychiatry articles
1978:Low-importance psychology articles
1486:. So, I've located several recent
640:. For more information, visit the
14:
1315:. Please take a moment to review
1139:Carpinello, Sharon (March 2005),
745:Added mention of side-effects of
50:New to Knowledge (XXG)? Welcome!
1993:Low-importance medicine articles
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1015:49 percent fewer abused alcohol;
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1998:Start-Class psychiatry articles
1983:WikiProject Psychology articles
1973:Start-Class psychology articles
1824:<ref name=Steinert2014/: -->
1780:RugkĂĄsa, Jorun (January 2016).
1478:This article relies heavily on
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327:This article has been rated as
310:Template:WikiProject Psychology
2013:All WikiProject Medicine pages
2008:Psychiatry task force articles
1886:Canadian Journal of Psychiatry
1882:Actas Españolas de PsiquiatrĂa
1786:Canadian Journal of Psychiatry
1776:<ref name=Rugkasa2016/: -->
1739:Canadian Journal of Psychiatry
1695:Canadian Journal of Psychiatry
1689:Kisely, Steve (January 2016).
1574:Actas Españolas de PsiquiatrĂa
1018:48 percent fewer abused drugs;
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1988:Start-Class medicine articles
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1092:17:57, 21 November 2012 (UTC)
820:Assisted outpatient treatment
796:No consensus, page not moved
482:This article is supported by
427:Template:WikiProject Medicine
301:and see a list of open tasks.
42:Put new text under old text.
1939:17:49, 4 February 2022 (UTC)
2023:Low-importance law articles
1959:22:49, 19 August 2022 (UTC)
1917:Cites for Italy and France?
1912:02:35, 6 October 2017 (UTC)
1466:13:21, 6 October 2017 (UTC)
1444:03:12, 6 October 2017 (UTC)
1416:15:44, 25 August 2017 (UTC)
1286:Explicit use of et al. in:
1239:Explicit use of et al. in:
1163:Swartz, Marvin (06-30-09),
728:03:18, 6 October 2017 (UTC)
699:00:31, 3 January 2016 (UTC)
2054:
1892:should also be useful for
1890:Frontiers in Public Health
1834:Frontiers in Public Health
1752:10.1177/070674371405901010
1308:Hello fellow Wikipedians,
1172:Office of Mental Health NY
1145:Office of Mental Health NY
892:10:14, 24 April 2010 (UTC)
871:14:45, 21 April 2010 (UTC)
850:12:40, 21 April 2010 (UTC)
832:19:26, 28 April 2010 (UTC)
766:23:00, 14 March 2010 (UTC)
591:project's importance scale
450:project's importance scale
333:project's importance scale
1611:10.1186/s12888-016-1107-z
1391:Canada map needs updating
1386:22:00, 26 July 2017 (UTC)
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936:A landmark report by the
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1799:10.1177/0706743715620415
1708:10.1177/0706743715620414
1540:10.1192/pb.bp.114.047464
1484:reliable medical sources
1448:I'm afraid not. Sorry.--
940:was commissioned by the
922:Please do not modify it.
906:15:58, 19 May 2010 (UTC)
809:21:58, 26 May 2010 (UTC)
786:Please do not modify it.
568:Template:WikiProject Law
1304:External links modified
1112:Ridgely, Susan (2001),
839:As the article mentions
634:is within the scope of
1648:Schizophrenia Bulletin
1192:Check date values in:
637:WikiProject Disability
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290:WikiProject Psychology
220:This article is rated
75:avoid personal attacks
1661:10.1093/schbul/sbv021
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25:Outpatient commitment
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1213:Psychiatric Services
401:WikiProject Medicine
105:No original research
772:Moving this article
679:Map of US incorrect
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1894:globalizing
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1266:: 976–981.
1219:: 996–999.
956:rationally.
946:Laura's Law
880:common name
855:Weak oppose
824:Vegaswikian
691:24.61.41.34
557:legal field
222:Start-class
31:not a forum
1967:Categories
1604:(1): 394.
1381:Report bug
1177:2010-10-27
1150:2010-10-27
1126:2010-10-27
1100:References
1047:alliance.
876:Suggestion
822:— relist.
651:Disability
646:discussion
614:Disability
544:Law portal
361:Psychiatry
304:Psychology
295:Psychology
251:Psychology
1364:this tool
1357:this tool
863:Propaniac
88:if needed
71:Be polite
21:talk page
1951:Talpedia
1931:Talpedia
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1816:27582449
1769:25565690
1725:27582448
1678:25767194
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1370:Cheers.—
1288:|author=
1271:20889634
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1224:20889637
1185:citation
1080:WP:MEDRS
884:WikiDonn
687:unsigned
421:Medicine
356:Medicine
178:Springer
143:Cochrane
56:get help
29:This is
27:article.
1924:Hploter
1856:4173217
1840:: 141.
1808:4756604
1761:4197791
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589:on the
448:on the
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1907:credit
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1072:WP:DUE
1061:et al.
1056:et al.
804:jones
723:credit
228:scale.
166:OpenMD
136:PubMed
1903:blame
1570:(PDF)
1453:Auric
1435:blame
1424:Auric
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1168:(PDF)
1117:(PDF)
719:blame
192:Wiley
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1955:talk
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1088:talk
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185:Trip
159:Gale
151:DOAJ
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1842:doi
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