title: Patient-centered, recovery-oriented psychiatric care and treatment are not always voluntary.
abstract: 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.
authors.affiliation: Department of Psychiatry, University of Massachusetts Medical School, 55 Lake AveNorth, Worcester, MA 01655, USA. jeffrey.geller@umassmed.edu
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Geller
mesh_terms: D000328:Adult; D016223:Advance Directives; D000368:Aged; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders; D003617:Dangerous Behavior; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D028701:Patient Rights; D018802:Patient-Centered Care / Q000941:ethics / Q000379:methods*; D011369:Professional-Patient Relations; D012559:Schizophrenia / Q000628:therapy; D012926:Social Control, Formal