title: Walking a tightrope: case management services and outpatient commitment.
abstract: Effective case managers in community mental health are successful at forging a working alliance with recipients. This article explores one key aspect of case management practice, serving involuntary clients, specifically those on outpatient commitment orders. In 19 intensive interviews, a subset of a larger study, case managers shared their perceptions of the utility of outpatient commitment with a focus on how such orders impacted the professional relationship. We argue that the use of advance psychiatric directives and shared decision-making processes can reduce the need for coercive practice.
authors.affiliation: a School of Social Work, Indiana University , Indianapolis , Indiana , USA.
authors.forename: W Patrick
authors.initials: WP
authors.lastname: Sullivan
authors.forename: Jenneth
authors.initials: J
authors.lastname: Carpenter
authors.forename: Destinee F
authors.initials: DF
authors.lastname: Floyd
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D003134:Commitment of Persons with Psychiatric Disorders / Q000592:standards / Q000639:trends; D003156:Community Mental Health Services / Q000458:organization & administration*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D008605:Mental Health Services / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D014481:United States
keywords: case management services; coercion; community mental health; community mental health practice; mental health; mental health recovery; mental illness; serious mental illness