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The Utility of Outpatient Civil Commitment
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The document discusses the utility of outpatient civil commitment (OCC) in the context of serious mental illness. OCC is a legal intervention initiated to protect against imminent threats to the health and safety of individuals with mental disorders. The document presents data on the implementation of OCC in different jurisdictions and its outcomes in terms of addressing the protection of health and safety and the provision of needed treatment. It also highlights the strengths and weaknesses of OCC, as well as stakeholder views and concerns. <br /><br />The findings suggest that OCC is effective when fully implemented, but its effectiveness can be compromised when not well-supported by the mental health system. The document also discusses the impact of capacity restrictions on the use of OCC and how it has led to increased health and safety threats for individuals with severe mental illness. Stakeholder views vary, with some expressing feelings of coercion and control, while others view OCC as a safety net that provides necessary services.<br /><br />The document emphasizes the need to address stakeholder concerns in order to improve the utilization and outcomes of OCC. It concludes that OCC is a less restrictive alternative to hospitalization and highlights the importance of balancing the right to be free with the need to protect the health and well-being of individuals with mental illness.
Keywords
outpatient civil commitment
serious mental illness
legal intervention
health and safety
implementation of OCC
stakeholder views
effectiveness of OCC
mental health system
severe mental illness
necessary services
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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