title: Involuntary outpatient treatment in patients with severe mental illness: a one-year follow-up study.
abstract: BACKGROUND
  Involuntary outpatient treatment (IOT) aims to ensure adherence to therapy in patients with serious mental disease who are unaware of their illness and for whom treatment discontinuation carries a high risk of relapse.
  
  
  OBJECTIVE
  To evaluate the effectiveness of IOT in preventing relapse among patients with serious mental disease.
  
  
  METHODS
  A retrospective observational study was carried out on all of the patients (n=140) receiving IOT in the city of Valencia, Spain. Hospital service uses (emergency care, admissions and mean stay times) during the 12 months before and after the introduction of IOT were compared.
  
  
  RESULTS
  Patients with schizophrenia, delusional disorder or schizoaffective disorder showed a significant reduction in the number of admissions and days spent in the psychiatry ward during the year of IOT. The reduction in the number of visits to the emergency department was only significant for the patients with schizophrenia.
  
  
  CONCLUSIONS
  We conclude that involuntary outpatient treatment may be effective for patients with serious mental disease who are unaware of their illness and for whom treatment discontinuation carries a high risk of relapse.
authors.affiliation: Psychiatry Department, La Ribera Hospital, Valencia, Spain. Electronic address: guillemlera@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Lera-Calatayud
authors.affiliation: Psychiatry Department, University Clinic Hospital, Valencia, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Hernández-Viadel
authors.affiliation: Medical-Legal Institute of Valencia, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Bellido-Rodriguez
authors.affiliation: Psychiatry Department, University Clinic Hospital, Valencia, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Cañete-Nicolás
authors.affiliation: Psychiatry Department, University Clinic Hospital, Valencia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Asensio-Pascual
authors.affiliation: Psychiatry Department, Doctor Peset University Hospital, Valencia, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Calabuig-Crespo
authors.affiliation: Psychiatry Department, University Clinic Hospital, Valencia, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Leal-Cercós
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000628:therapy; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013030:Spain; D055815:Young Adult
keywords: Involuntary outpatient treatment; Psychosis; Serious mental disease