title: Court-mandated outpatient psychiatric care for a pregnant woman with psychosis: a unique bridge to alliance.
abstract: We describe the case of a young pregnant woman with refractory schizoaffective disorder and how we reached a decision to apply for court-mandated outpatient psychiatric treatment (Assisted Outpatient Treatment or AOT). The patient was stable when we made this application as a preventive measure, given her serious prior episodes of illness. While there has been court-mandated outpatient obstetrical treatment, as far as we know this is the first report of mandated outpatient psychiatric treatment in connection with pregnancy. The ultimate benefit of this AOT application was the development of a therapeutic alliance and improved voluntary adherence to treatment, and a safe outcome to the pregnancy.
authors: New York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, USA.
authors: Dianna
authors: D
authors: Dragatsi
authors: Beatriz R
authors: BR
authors: Mejia
authors: Laura M
authors: LM
authors: Polania
authors: Laura
authors: L
authors: Sirulnik
authors: David A
authors: DA
authors: Kahn
mesh_terms: D000553:Ambulatory Care / Q000331:legislation & jurisprudence*; D019090:Case Management; D002655:Child Custody / Q000331:legislation & jurisprudence; D002669:Child Welfare / Q000331:legislation & jurisprudence; D002675:Child, Preschool; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D009518:New York; D010349:Patient Compliance / Q000523:psychology; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D011256:Pregnancy Outcome; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D055502:Secondary Prevention; D055815:Young Adult