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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? — Preceding unsigned comment added by 24.61.41.34 ( talk) 00:31, 3 January 2016 (UTC)
Added mention of 1990's, 2000's "outpatient commitment" laws and events behind them.
Daniel C. Boyer
Added mention of side-effects of neuroleptics.
Daniel C. Boyer
The result of the move request was: No consensus, page not moved Ronhjones (Talk) 21:58, 26 May 2010 (UTC)
Outpatient commitment → Assisted outpatient treatment — relist. Vegaswikian ( talk) 19:26, 28 April 2010 (UTC)
A landmark report by the RAND Corporation [1] was commissioned by the Senate Committee on Rules in 2001 when a bill authorizing court-ordered outpatient treatment was being debated in California (subsequently passed and known as " Laura's Law" 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:
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 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 [2] and 2009 [3] showed that outpatient treatment was effective.
These studies were also tended to refute criticissm from opponents of assisted outpatient treatment. The 2005 study found:
Specifically, the OMH study found that among participants in the AOT program:
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:
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 treatment, assisted outpatient treatment recipients overwhelmingly endorsed the program:
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 alliance.
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 with key stakeholders across the state corroborate these findings."
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 et al. 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." [4] Another 2010 study from Swartz et al. 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 [OR]=.77, 95CI=.72-.82) and by over 1/3 during a subsequent six-month 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)." [5]
References
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Hello fellow Wikipedians,
I have just modified one external link on Outpatient commitment. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
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In November 2017, New Brunswick will be implementing "Community support orders". [2] and the map of Canada will need to be updated.-- Auric talk 15:44, 25 August 2017 (UTC)
This article relies heavily on primary sources and others that don't meet the requirements for reliable medical sources. So, I've located several recent review articles 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.
<ref name=Kisely2016/>
<ref name=Rugkasa2016/>
<ref name=Steinert2014/>
All of these are free to access and published within the last 5 years. The articles from Actas Españolas de Psiquiatría, Canadian Journal of Psychiatry, and Frontiers in Public Health should also be useful for
globalizing the article. —
Shelley V. Adams ‹
blame
credit› 02:35, 6 October 2017 (UTC)
@ Hploter: 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 Talpedia ( talk) 17:49, 4 February 2022 (UTC)
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.... Talpedia ( talk) 22:49, 19 August 2022 (UTC)
This is the
talk page for discussing improvements to the
Outpatient commitment article. This is not a forum for general discussion of the article's subject. |
Article policies
|
Find medical sources: Source guidelines · PubMed · Cochrane · DOAJ · Gale · OpenMD · ScienceDirect · Springer · Trip · Wiley · TWL |
This article is rated Start-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||||||||||||||||||||||||||||||||
|
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? — Preceding unsigned comment added by 24.61.41.34 ( talk) 00:31, 3 January 2016 (UTC)
Added mention of 1990's, 2000's "outpatient commitment" laws and events behind them.
Daniel C. Boyer
Added mention of side-effects of neuroleptics.
Daniel C. Boyer
The result of the move request was: No consensus, page not moved Ronhjones (Talk) 21:58, 26 May 2010 (UTC)
Outpatient commitment → Assisted outpatient treatment — relist. Vegaswikian ( talk) 19:26, 28 April 2010 (UTC)
A landmark report by the RAND Corporation [1] was commissioned by the Senate Committee on Rules in 2001 when a bill authorizing court-ordered outpatient treatment was being debated in California (subsequently passed and known as " Laura's Law" 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:
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 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 [2] and 2009 [3] showed that outpatient treatment was effective.
These studies were also tended to refute criticissm from opponents of assisted outpatient treatment. The 2005 study found:
Specifically, the OMH study found that among participants in the AOT program:
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:
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 treatment, assisted outpatient treatment recipients overwhelmingly endorsed the program:
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 alliance.
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 with key stakeholders across the state corroborate these findings."
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 et al. 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." [4] Another 2010 study from Swartz et al. 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 [OR]=.77, 95CI=.72-.82) and by over 1/3 during a subsequent six-month 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)." [5]
References
{{
citation}}
: Check date values in: |publication-date=
(
help)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help)
Hello fellow Wikipedians,
I have just modified one external link on Outpatient commitment. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
When you have finished reviewing my changes, you may follow the instructions on the template below to fix any issues with the URLs.
An editor has reviewed this edit and fixed any errors that were found.
Cheers.— InternetArchiveBot ( Report bug) 22:00, 26 July 2017 (UTC)
In November 2017, New Brunswick will be implementing "Community support orders". [2] and the map of Canada will need to be updated.-- Auric talk 15:44, 25 August 2017 (UTC)
This article relies heavily on primary sources and others that don't meet the requirements for reliable medical sources. So, I've located several recent review articles 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.
<ref name=Kisely2016/>
<ref name=Rugkasa2016/>
<ref name=Steinert2014/>
All of these are free to access and published within the last 5 years. The articles from Actas Españolas de Psiquiatría, Canadian Journal of Psychiatry, and Frontiers in Public Health should also be useful for
globalizing the article. —
Shelley V. Adams ‹
blame
credit› 02:35, 6 October 2017 (UTC)
@ Hploter: 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 Talpedia ( talk) 17:49, 4 February 2022 (UTC)
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.... Talpedia ( talk) 22:49, 19 August 2022 (UTC)