Hiday V A, Scheid-Cook T L
Department of Sociology, North Carolina State University, Raleigh 27695-8107.
J Nerv Ment Dis. 1991 Feb;179(2):83-8. doi: 10.1097/00005053-199102000-00004.
This paper describes the use and effectiveness of outpatient commitment in inducing compliance with treatment among chronically mentally ill "revolving door" patients, those who recurrently become dangerous and revolve though civil commitment courts as well as state mental hospitals. Patients characteristics, treatment modalities, and mental health center actions to ensure compliance are described. Comparison of those patients ordered to outpatient commitment with those having other court dispositions (involuntary hospitalization and release) indicates that outpatient commitment induces compliance and leads to treatment maintenance even after the court order terminates.
本文描述了门诊治疗承诺在促使患有慢性精神疾病的“旋转门”患者遵守治疗方面的应用及效果。这些患者反复出现危险行为，并在民事强制治疗法庭以及州立精神病院之间循环往复。文中描述了患者特征、治疗方式以及精神健康中心为确保患者遵守治疗所采取的行动。将被要求进行门诊治疗承诺的患者与有其他法庭处置方式（非自愿住院和出院）的患者进行比较表明，门诊治疗承诺能促使患者遵守治疗，甚至在法庭命令终止后仍能维持治疗。
