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Outpatient commitment in New York: E...

Erickson, Steven Kyle.

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Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law./
Author:	Erickson, Steven Kyle.
Description:	148 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-08, Section: B, page: 4033.
Contained By:	Dissertation Abstracts International64-08B.
Subject:	Psychology, Clinical. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3102357

Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law.
Erickson, Steven Kyle.

Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law. - 148 p.

Source: Dissertation Abstracts International, Volume: 64-08, Section: B, page: 4033.

Thesis (Ph.D.)--State University of New York at Buffalo, 2003.

The purpose of this dissertation study is to explore the effectiveness of New York's Assisted Outpatient Treatment Program (Kendra's Law) in reducing violence and inducing treatment compliance as well as examining demographic characteristics of Assisted Outpatient Treatment patients. One hundred participants, 50 current and 50 former patients, of the Assisted Outpatient Program in Erie County, New York were selected at random and their files reviewed for demographic data and tabulation of monthly compliance records which measured compliance across nine different domains. In addition, violence was measured by examining the number of arrests for participants ten years prior to AOT treatment and during AOT treatment. These arrest records were scrutinized for different types of arrests, including arrest for violent crimes, nonviolent crimes, and crimes typically associated with the seriously mentally ill, such as disorderly conduct and loitering. Participant records were also reviewed for incidents of unreported, interpersonal aggression both before and during Assisted Outpatient Treatment.Subjects--Topical Terms:

524864
Psychology, Clinical.

Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law.
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100 1 $a Erickson, Steven Kyle. $3 1948421
245 1 0 $a Outpatient commitment in New York: Examining violence, compliance and demographic characteristics of the seriously mentally ill under Kendra's Law.
300 $a 148 p.
500 $a Source: Dissertation Abstracts International, Volume: 64-08, Section: B, page: 4033.
500 $a Major Professor: Scott T. Meier.
502 $a Thesis (Ph.D.)--State University of New York at Buffalo, 2003.
520 $a The purpose of this dissertation study is to explore the effectiveness of New York's Assisted Outpatient Treatment Program (Kendra's Law) in reducing violence and inducing treatment compliance as well as examining demographic characteristics of Assisted Outpatient Treatment patients. One hundred participants, 50 current and 50 former patients, of the Assisted Outpatient Program in Erie County, New York were selected at random and their files reviewed for demographic data and tabulation of monthly compliance records which measured compliance across nine different domains. In addition, violence was measured by examining the number of arrests for participants ten years prior to AOT treatment and during AOT treatment. These arrest records were scrutinized for different types of arrests, including arrest for violent crimes, nonviolent crimes, and crimes typically associated with the seriously mentally ill, such as disorderly conduct and loitering. Participant records were also reviewed for incidents of unreported, interpersonal aggression both before and during Assisted Outpatient Treatment.
520 $a Results indicated that the majority of Assisted Outpatient Treatment participants were Caucasian males, with a mean age of 37, and a diagnosis of schizophrenia. Most AOT participants had been hospitalized four times within the two years prior to AOT. The average number of arrests prior to Assisted Outpatient Treatment was three, with only a quarter of these for violent crimes. During treatment, the mean number of arrests was one, with less than 15% of these arrests for violent crimes. The majority of crimes committed by participants were nonviolent.{09}However, a substantial number of participants did have reports of interpersonal aggression, with verbal threats and domestic violence being most frequent. Thus, results indicated that violence is common among the mentally ill, but that violence usually occurs within the families of participants and does not usually involve law enforcement or the courts. Also, violent crimes were rarely committed against the general public, a notion that is in contrast with the impetus of Assisted Outpatient Treatment programs nationwide.
520 $a These results are discussed in terms of current mental health practices and the persistent movement towards outpatient treatment for the seriously mentally ill. Limitations of outpatient treatment programs for the seriously mentally ill are examined and the enlarged role of the judicial system is explored. This study concludes that Assisted Outpatient Treatment is effective at increasing certain treatment compliance, reducing acute psychiatric hospitalizations, and reducing arrests during treatment. Further studies will be needed to investigate whether these effects continue after Assisted Outpatient Treatment is discontinued.
590 $a School code: 0656.
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Law. $3 600858
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Health Care Management. $3 1017922
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690 $a 0398
690 $a 0347
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710 2 0 $a State University of New York at Buffalo. $3 1017814
773 0 $t Dissertation Abstracts International $g 64-08B.
790 1 0 $a Meier, Scott T., $e advisor
790 $a 0656
791 $a Ph.D.
792 $a 2003
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3102357