title: Civil commitment is disappearing in Oregon.
abstract: Over the past 20 years, in Oregon, the number of individuals entered into the civil commitment process has risen, but the number of those actually committed has gone down dramatically. This commentary compares commitment data during a time when the state's population has increased substantially, while commitment rates have dropped by 50 percent. There are many possible factors that have contributed to this decline in commitment rates, including a stricter functional definition of "danger to self or others," but perhaps the most significant reason is the shortage of the acute psychiatric beds that are essential in the commitment process. It is hard not to conclude that civil commitment in this state is headed toward functional extinction.
authors.affiliation: Department of Psychiatry, Oregon Health & Science University, Portland, OR 97201, USA. bloomj@ohsu.edu
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Bloom
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders / Q000639:trends*; D003617:Dangerous Behavior; D005544:Forecasting; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000639:trends*; D006783:Hospitals, State / Q000639:trends; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology*; D009922:Oregon; D011156:Population Density