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Outpatient commitment
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=====Service engagement===== {{blockquote|"After 12 months or more on AOT, service engagement increased such that AOT recipients were judged to be more engaged than voluntary patients. This suggests that after 12 months or more, when combined with intensive services, AOT increases service engagement compared to voluntary treatment alone."}} Consumers approve. Despite being under a court order to participate in treatment, current AOT recipients feel neither more positive nor more negative about their treatment experiences than comparable individuals who are not under AOT."<ref name=pmid20889634/>{{failed verification|date=October 2017}} {{blockquote|"When the court order was for seven months or more, improved medication possession rates and reduced hospitalization outcomes were sustained even when the former AOT recipients were no longer receiving intensive case coordination services."<ref name="Van Dorn et al 2010">{{cite journal |last1=Van Dorn |first1=Richard A. |last2=Swanson |first2=Jeffrey W. |last3=Swartz |first3=Marvin S. |last4=Wilder |first4=Christine M. |last5=Moser |first5=Lorna L. |last6=Gilbert |first6=Allison R. |last7=Cislo |first7=Andrew M. |last8=Robbins |first8=Pamela Clark |display-authors=3 |title=Continuing Medication and Hospitalization Outcomes After Assisted Outpatient Treatment in New York |journal=Psychiatric Services |volume=61 |issue=10 |date=October 2010 |pages=982β7 |doi=10.1176/ps.2010.61.10.982 |doi-access= |pmid=20889635 }}</ref>{{primary source inline|date=October 2017}}}} In Los Angeles, CA, the AOT pilot program reduced incarceration 78%, hospitalization 86%, hospitalization after discharge from the program 77%, and cut taxpayer costs 40%.<ref>{{cite report |last=Southard |first=Marvin |date=February 24, 2011 |title=Assisted Outpatient Treatment Program Outcomes Report |publisher=Los Angeles County Department of Mental Health |location=Los Angeles, CA |url=http://lauras-law.org/states/california/lalauraslawstudy.pdf |access-date=24 September 2014 |url-status=dead |archive-url=https://web.archive.org/web/20131228224756/http://lauras-law.org/states/california/lalauraslawstudy.pdf |archive-date=28 December 2013 }}</ref> In North Carolina, AOT reduced the percentage of persons refusing medications to 30%, compared to 66% of patients not under AOT.<ref>{{cite journal |last1=Hiday |first1=Virginia AldigΓ© |last2=Scheid-Cook |first2=Teresa L. |title=The North Carolina experience with outpatient commitment: A critical appraisal |journal=International Journal of Law and Psychiatry |volume=10 |issue=3 |year=1987 |pages=215β32 |doi=10.1016/0160-2527(87)90026-4 |pmid=3692660 }}</ref> In Ohio, AOT increased attendance at outpatient psychiatric appointments from 5.7 to 13.0 per year. It increased attendance at day treatment sessions from 23 to 60 per year. "During the first 12 months of outpatient commitment, patients experienced significant reductions in visits to the psychiatric emergency service, hospital admissions, and lengths of stay compared with the 12 months before commitment."<ref>{{cite journal |title=The effectiveness of outpatient civil commitment |journal=Psychiatric Services |volume=47 |issue=11 |date=November 1996 |pages=1251β3 |doi=10.1176/ps.47.11.1251 |pmid=8916245 |last1=Munetz |first1=M.R. |last2=Grande |first2=T. |last3=Kleist |first3=J. |last4=Peterson |first4=G.A. |display-authors=3 |citeseerx=10.1.1.454.5055 }}</ref>{{primary source inline|date=October 2017}} In Arizona, "71% [of AOT patients] ... voluntarily maintained treatment contacts six months after their orders expired" compared with "almost no patients" who were not court-ordered to outpatient treatment.<ref>{{cite journal |vauthors=Van Putten RA, Santiago JM, Berren MR |title=Involuntary outpatient commitment in Arizona: a retrospective study |journal=Hospital & Community Psychiatry |volume=39 |issue=9 |pages=953β8 |date=September 1988 |pmid=3215643 |doi=10.1176/ps.39.9.953 }}</ref>{{primary source inline|date=October 2017}} In Iowa, "it appears as though outpatient commitment promotes treatment compliance in about 80% of patients... After commitment is terminated, about ΒΎ of that group remain in treatment on a voluntary basis."<ref>{{cite report |last=Rohland |first=Barbara |date=1998 |title=The role of outpatient commitment in the management of persons with schizophrenia |publisher=Iowa Consortium for Mental Health Services, Training and Research |url=http://www.healthcare.uiowa.edu/icmh/archives/reports/finalrpt.pdf |access-date=25 September 2014 |archive-url=https://web.archive.org/web/20160204112043/http://www.healthcare.uiowa.edu/icmh/archives/reports/finalrpt.pdf |archive-date=4 February 2016 |url-status=dead }}</ref>
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