Open main menu
Home
Random
Recent changes
Special pages
Community portal
Preferences
About Wikipedia
Disclaimers
Incubator escapee wiki
Search
User menu
Talk
Dark mode
Contributions
Create account
Log in
Editing
Outpatient commitment
(section)
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
====Outcomes and hospital admissions==== AOT "programs improve adherence with outpatient treatment and have been shown to lead to significantly fewer emergency commitments, hospital admissions, and hospital days as well as a reduction in arrests and violent behavior."<ref>{{cite web |date=17 November 2016 |title=Extensive New Independent Support for Assisted Outpatient Treatment from AHRQ Report |website=Mental Illness Policy Org |url=https://mentalillnesspolicy.org/national-studies/extensive-new-independent-support-for-assisted-outpatient-treatment-from-ahrq-report-pdf.html }}</ref> {{blockquote|"The likelihood of psychiatric hospital admission was significantly reduced by approximately 25% during the initial six-month court order...and by over one-third during a subsequent six-month renewal of the order.... Similar significant reductions in days of hospitalization were evident during initial court orders and subsequent renewals.... Improvements were also evident in receipt of psychotropic medications and intensive case management services. Analysis of data from case manager reports showed similar reductions in hospital admissions and improved engagement in services."<ref name=pmid20889634>{{cite journal |last1=Swartz |first1=Marvin S. |last2=Wilder |first2=Christine M. |last3=Swanson |first3=Jeffrey W. |last4=Van Dorn |first4=Richard A. |last5=Robbins |first5=Pamela Clark |last6=Steadman |first6=Henry J. |last7=Moser |first7=Lorna L. |last8=Gilbert |first8=Allison R. |last9=Monahan |first9=John |display-authors=3 |title=Assessing Outcomes for Consumers in New York's Assisted Outpatient Treatment Program |journal=Psychiatric Services |volume=61 |issue=10 |pages=976–81 |date=October 2010 |pmid=20889634 |doi=10.1176/ps.2010.61.10.976 |doi-access= }}</ref>{{Primary source inline|date=October 2017}}}} 74% fewer participants experienced homelessness. 77% fewer experienced psychiatric hospitalization. 56% reduction in length of hospitalization. 83% fewer experienced arrest. 87% fewer experienced incarceration. 49% fewer abused alcohol. 48% fewer abused drugs. Consumer participation and medication compliance improved. The number of individuals exhibiting good adherence to meds increased 51%. The number of individuals exhibiting good service engagement increased 103%. Consumer perceptions were positive. 75% reported that AOT helped them gain control over their lives. 81% said AOT helped them get and stay well. 90% said AOT made them more likely to keep appointments and take meds. 87% of participants said they were confident in their case manager's ability. 88% said they and their case manager agreed on what was important to work on.{{citation needed|date=August 2016}} In Nevada County, CA, AOT ("Laura's Law") decreased the number of psychiatric hospital days 46.7%, the number of incarceration days 65.1%, the number of homeless days 61.9%, and the number of emergency interventions 44.1%. Laura's Law implementation saved $1.81–$2.52 for every dollar spent, and receiving services under Laura's Law caused a "reduction in actual hospital costs of $213,300" and a "reduction in actual incarceration costs of $75,600."<ref name="Van Dorn et al 2010"/>{{Primary source inline|date=October 2017}} In New Jersey, Kim Veith, director of clinical services at Ocean Mental Health Services, noted the AOT pilot program performed "beyond wildest dreams." AOT reduced hospitalizations, shortened inpatient stays, reduced crime and incarceration, stabilized housing, and reduced homelessness. Of clients who were homeless, 20% are now in supportive housing, 40% are in boarding homes, and 20% are living successfully with family members.<ref>{{cite web |date=September 2, 2014 |title=Success of AOT in New Jersey 'Beyond Wildest Dreams' |website=Treatment Advocacy Center |url=http://www.treatmentadvocacycenter.org/about-us/our-blog/110-nj/2625-success-of-aot-in-new-jersey-beyond-wildest-dreams |access-date=25 September 2014 }}</ref>{{Unreliable medical source|date=October 2017|reason=Blog post describes early analysis of data from a single U.S. state.}} Writing in the ''[[British Journal of Psychiatry]]'' in 2013, Jorun Rugkåsa and John Dawson stated, "The current evidence from {{abbr|RCTs|randomized controlled trials}} suggests that {{abbr|CTOs|community treatment orders}} do not reduce readmission rates over 12 months."<ref>{{cite journal |last1=Rugkåsa |first1=Jorun |last2=Dawson |first2=John |title=Community treatment orders: current evidence and the implications |journal=British Journal of Psychiatry |volume=203 |issue=6 |pages=406–8 |date=December 2013 |pmid=24297787 |doi=10.1192/bjp.bp.113.133900 |doi-access=free }}</ref> "We find that New York State's AOT Program improves a range of important outcomes for its recipients, apparently without feared negative consequences to recipients."{{cite quote|date=October 2017}} "The increased services available under AOT clearly improve recipient outcomes, however, the AOT court order, itself, and its monitoring do appear to offer additional benefits in improving outcomes."{{cite quote|date=August 2016}}
Edit summary
(Briefly describe your changes)
By publishing changes, you agree to the
Terms of Use
, and you irrevocably agree to release your contribution under the
CC BY-SA 4.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)