Clinical guidelines for the use of involuntary outpatient treatment

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adult; Aged; *Clinical Protocols; Community Mental Health Centers; Dangerous Behavior; Female; Humans; Male; Mental Disorders; *Mentally Ill Persons; Middle Aged; Patient Advocacy; *Patient Compliance


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


Successful involuntary psychiatric outpatient treatment requires identifying patients who are suited to such treatment and ensuring that the service system is able to deliver the treatment. Based on his clinical experience, the author has developed ten sequential guidelines that can help clinicians identify patients who are appropriate for involuntary outpatient treatment. The sequential order of the guidelines means that a patient must meet the criteria for each guideline before being evaluated on subsequent guidelines. The guidelines assume that the patient has a chronic mental illness and a history of dangerousness to self or other because of that illness. The author believes that achieving consensus about who should receive involuntary outpatient treatment is an important first step in permitting evaluation of the efficacy of the approach.


Hosp Community Psychiatry. 1990 Jul;41(7):749-55.

Journal/Book/Conference Title

Hospital and community psychiatry

Related Resources

Link to Article in PubMed

PubMed ID