The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
Arie P. Schinnar - One of the best experts on this subject based on the ideXlab platform.
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A framework for classifying state Involuntary Commitment statutes
Administration and Policy in Mental Health and Mental Health Services Research, 1996Co-Authors: Ruth E. Ross, Aileen B. Rothbard, Arie P. SchinnarAbstract:A typology for classifying state Involuntary Commitment statutes is described. The basis for classifying the statutes was the severity of the state criteria, the number of possible alternatives available for Commitment purposes and, the need for evidence. Based on the classification system, an empirical analysis examined the relationship between the stringency levels of the Commitment statutes and rates of admission to state and county hospitals. A log linear regression model was specified using admission rates as the dependent variable and a host of sociodemographic and other supply factors as independent variables. The results of the analysis support the hypothesis that states with stringent Involuntary Commitment statutes have fewer admissions to state and county hospitals. The typology used in this analysis has numerous public policy applications and can be updated easily as states change their statute criteria.
Paul S. Appelbaum - One of the best experts on this subject based on the ideXlab platform.
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To Commit or Not to Commit: The Psychiatry Resident as a Variable in Involuntary Commitment Decisions
Academic Psychiatry, 2006Co-Authors: S. Pirzada Sattar, Debra A. Pinals, Paul S. AppelbaumAbstract:Objective To study whether psychiatry residents’ personalvariables (such as age, gender, level of training, previous experience with patient suicide or lawsuits) and their temperamental predispositions have an impact on their decisions to seek Involuntary Commitment. Method In a prospective pilot study, all psychiatry residents in Massachusetts were surveyed using a questionnaire that assessed their risk-taking behavior and clinical vignettes of patients with risk of harm to self or others. Data were analyzed using chisquares and t tests. Results Level of training and the residents’ risk-taking behavior may be linked to their likelihood to seek Involuntary Commitment. Conclusions Psychiatric residency training should address non-patient variables that might inappropriately influence the residents’ decisions to seek Involuntary Commitment.
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to commit or not to commit the psychiatry resident as a variable in Involuntary Commitment decisions
Academic Psychiatry, 2006Co-Authors: Pirzada S Sattar, Debra A. Pinals, Paul S. AppelbaumAbstract:Objective To study whether psychiatry residents’ personalvariables (such as age, gender, level of training, previous experience with patient suicide or lawsuits) and their temperamental predispositions have an impact on their decisions to seek Involuntary Commitment.
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Commentary & analysis: the Draft Act Governing Hospitalization of the Mentally Ill: its genesis and its legacy.
Psychiatric Services, 2000Co-Authors: Paul S. AppelbaumAbstract:Editor's Note: As a follow-up to the preceding article first published in the February 1953 issue, Paul Appelbaum, M.D., offers a commentary and analysis on the revised Draft Act Governing Hospitalization of the Mentally Ill. He includes its psychiatric context in the five-year period between 1951 and 1955 and later developments related to Involuntary Commitment.
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Civil Commitment of the anorexic patient
General Hospital Psychiatry, 1998Co-Authors: Paul S. Appelbaum, Teri RumpfAbstract:Abstract Involuntary Commitment appears to be an infrequently used intervention with anorexic patients, in part because of clinicians’ uncertainty about its applicability to this population. In contrast to overtly suicidal patients, anorexic patients typically fail to express an intent to harm themselves, although their actions may result in severe harm. Examination of the language of civil Commitment statutes, however, suggests that when the behavior of anorexic patients endangers their lives, they will usually be committable under grave disability standards. This appears to comport with the practices of experts in the treatment of anorexia, and with practices in other countries as well. Involuntary Commitment should be used as an approach of last resort, when patients decline voluntary hospitalization and their physical safety is at risk. Moreover, civil Commitment should probably also be limited to circumstances in which therapeutic gain is likely from hospitalization. Many severely ill anorexic patients will lack competence to make treatment decisions on their own behalf, allowing Involuntary feeding and other procedures to take place, if necessary. Civil Commitment is a tool that can legitimately be used in emergent situations with anorexic patients.
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almost a revolution an international perspective on the law of Involuntary Commitment
Journal of the American Academy of Psychiatry and the Law, 1997Co-Authors: Paul S. AppelbaumAbstract:To what extent have developments in Commitment law around the world paralleled trends in the United States in the last three decades? Although the American emphasis on dangerousness criteria and strigent procedural rights has been echoed in a number of other countries, it has not dominated reform in most nations. The leading alternative has been the 1983 Mental Health Act in England and Wales, with its focus on the "health and safety" of the patient, as well as protection of other persons, and its avoidance of judicial hearings. How have these reforms fared? Extensive data from the United States, and more limited data from other countries, suggest that reforms in general are resisted when they are seen as shifting the focus away from patients' treatment needs. When law fails to reflect widely held moral sentiments, it is molded in practice to conform more closely to those sentiments. It is helpful to recognize that a variety of approaches to mental health law are consistent with reasonable protection of civil liberties in a democratic society. Greater attention to practices in other countries may help reformers expand the menu of options in policy debates.
Riittakerttu Kaltialaheino - One of the best experts on this subject based on the ideXlab platform.
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Involuntary Commitment and detainment in adolescent psychiatric inpatient care
Social Psychiatry and Psychiatric Epidemiology, 2010Co-Authors: Riittakerttu KaltialaheinoAbstract:Objective To evaluate whether adolescents committed to psychiatric inpatient care are the most disturbed, and whether psychosocial factors other than psychiatric symptoms are associated with Commitment to and detainment in psychiatric care among adolescents.
Hasan Sapci - One of the best experts on this subject based on the ideXlab platform.
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law psychiatry telecourt the use of videoconferencing for Involuntary Commitment hearings in academic health centers
Psychiatric Services, 2007Co-Authors: B Janis S Price, Hasan SapciAbstract:: The use of videoconferencing for psychiatric Involuntary Commitment hearings is not a recent development. The courts ruled on the constitutionality of these proceedings as long ago as 1993. In 2004 University of Michigan Hospital began videoconferencing Involuntary Commitment hearings with Washtenaw County Probate Court. The experience of the University of Michigan Health System and the Washtenaw Probate Court with telecourt hearings for Involuntary Commitment has proven to benefit the safety and dignity of patients as well as the financial health of the medical center.
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Law & Psychiatry: Telecourt: The Use of Videoconferencing for Involuntary Commitment Hearings in Academic Health Centers
Psychiatric Services, 2007Co-Authors: B.s. Janis Price, Hasan SapciAbstract:: The use of videoconferencing for psychiatric Involuntary Commitment hearings is not a recent development. The courts ruled on the constitutionality of these proceedings as long ago as 1993. In 2004 University of Michigan Hospital began videoconferencing Involuntary Commitment hearings with Washtenaw County Probate Court. The experience of the University of Michigan Health System and the Washtenaw Probate Court with telecourt hearings for Involuntary Commitment has proven to benefit the safety and dignity of patients as well as the financial health of the medical center.
Ruth E. Ross - One of the best experts on this subject based on the ideXlab platform.
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A framework for classifying state Involuntary Commitment statutes
Administration and Policy in Mental Health and Mental Health Services Research, 1996Co-Authors: Ruth E. Ross, Aileen B. Rothbard, Arie P. SchinnarAbstract:A typology for classifying state Involuntary Commitment statutes is described. The basis for classifying the statutes was the severity of the state criteria, the number of possible alternatives available for Commitment purposes and, the need for evidence. Based on the classification system, an empirical analysis examined the relationship between the stringency levels of the Commitment statutes and rates of admission to state and county hospitals. A log linear regression model was specified using admission rates as the dependent variable and a host of sociodemographic and other supply factors as independent variables. The results of the analysis support the hypothesis that states with stringent Involuntary Commitment statutes have fewer admissions to state and county hospitals. The typology used in this analysis has numerous public policy applications and can be updated easily as states change their statute criteria.
