DeLand F H, Borenstein N M
Department of Psychiatry, SUNY Health Sciences Center.
Am J Psychiatry. 1990 Jan;147(1):38-43. doi: 10.1176/ajp.147.1.38.
The authors conducted a retrospective study of the initial impact (1986-1987) of the Rivers v. Katz decision involving patients' right to refuse treatment at New York State's largest forensic psychiatric hospital. Of 18 petitions submitted, 15 cases were adjudicated. All 15 patients were found incompetent, and all treatment plans submitted were approved by the court. Most patients selected for Rivers hearings were diagnosed as having chronic schizophrenia and/or were older than the hospital population. A comparison of the implementation of the Rivers decision with that of Rogers v. Commissioner of Mental Health in Massachusetts showed Rogers to be significantly more expensive in human resources, time, and money.
作者对里弗斯诉卡茨案判决（1986 - 1987年）的初步影响进行了一项回顾性研究，该判决涉及纽约州最大的法医精神病医院患者拒绝治疗的权利。在提交的18份请愿书中，15起案件得到了裁决。所有15名患者均被判定无行为能力，提交的所有治疗方案均获法院批准。大多数被选入里弗斯听证会的患者被诊断患有慢性精神分裂症和/或年龄大于医院总体患者。将里弗斯案判决的实施情况与马萨诸塞州罗杰斯诉心理健康专员案的实施情况进行比较后发现，罗杰斯案在人力资源、时间和金钱方面的花费要高得多。
