Patient-centered, recovery-oriented psychiatric care and treatment are not always voluntary
Authors
Geller, Jeffrey L.UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2012-05-01Keywords
AdultAdvance Directives
Aged
*Coercion
*Commitment of Mentally Ill
Dangerous Behavior
Female
Humans
Male
Mental Disorders
Patient Rights
Patient-Centered Care
Professional-Patient Relations
Schizophrenia
*Social Control, Formal
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
Explicitly coercive measures are sometimes necessary in the care and treatment of psychiatric patients. The author describes how use of such measures is not antithetical to patient-centered, recovery-oriented practice either in inpatient or outpatient settings. Citing a definition widely used by advocates to describe the overarching goal of recovery--"a full, meaningful, and self-determined life in the community ... regardless of psychiatric status"--the author draws parallels between coercive measures taken by society to prevent and treat citizens' dangerous behaviors, such as speeding and public inebriation, and coercive interventions to address dangerous behaviors of psychiatric patients, such as harm to self or others. Society applies coercive interventions to address dangerous behaviors, not psychiatric status.Source
Psychiatr Serv. 2012;63(5):493-5. Link to article on publisher's site
DOI
10.1176/appi.ps.201100503Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45401Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1176/appi.ps.201100503