What is the role of procedural justice in civil commitment?
OBJECTIVE
To determine best practice management strategies in the clinical application of civil commitment.


METHODS
All relevant literature on the topics of 'civil commitment', 'coercion' and 'procedural justice' were located on MEDLINE and PsychLIT databases and reviewed. Literature on the use of Ulysses contracts and advance directives in mental health treatment was integrated into the findings.


RESULTS
Best practice evidence that guides management strategies is limited to the time of enactment of civil commitment. Management strategies involve enhancing the principles of procedural justice as a means of limiting negative patient perception of commitment. In the absence of evidence-based research beyond this point of enactment, grounds for the application of the principles of procedural justice are supported by reference to ethical considerations. Ulysses contracts provide an additional method for strengthening procedural justice.


CONCLUSIONS
Procedural justice principles should be routinely applied throughout the processes of civil commitment in order to enhance longer term therapeutic outcomes and to blunt paternalism.
McKenna
B G
BG
Department of Psychiatry and Behavioural Science, Faculty of Medicine and Health Science, University of Auckland, New Zealand.
Simpson
A I
AI
Coverdale
J H
JH
D016223:Advance Directives; D002961:Civil Rights / Q000331:legislation & jurisprudence*; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D019992:Databases as Topic; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation; D008605:Mental Health Services / Q000331:legislation & jurisprudence*; D012935:Social Justice / Q000331:legislation & jurisprudence*