ReviewCanadian journal of psychiatry. Revue canadienne de psychiatrie2017
Involuntary Outpatient Commitment and the Elusive Pursuit of Violence Prevention.
Review in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- "Involuntary" and "Voluntary" in Psychiatric, Behavioral, and Mental Health Services: A Scoping Review of Definitions.The journal of behavioral health services & research · 2026Article
- From lived experience to leadership: establishing a stakeholder advisory board to guide first-episode psychosis research and services.BMC health services research · 2025Article
- Assisted outpatient treatment: are court-ordered antipsychotic medications effective?CNS spectrums · 2025Review
- Evictions and psychiatric treatment.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2024Article
- Client Outreach in Los Angeles County's Assisted Outpatient Treatment Program: Strategies and Barriers to Engagement.Research on social work practice · 2022Article
- Could Expanding and Investing in First-Episode Psychosis Services Prevent Aggressive Behaviour and Violent Crime?Frontiers in psychiatry · 2022Review
- Physical Assault in the Psychiatry Emergency Room.The journal of the American Academy of Psychiatry and the Law · 2020Article
- Community Treatment Order Outcomes in Quebec: A Unique Jurisdiction.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Community Treatment Orders and Other Forms of Mandatory Outpatient Treatment.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
- Civil commitment of persons with mental illness: Comparison of the Mental Healthcare Act 2017 with corresponding legislations of the USA.Indian journal of psychiatry · 2019Review
- Update on Assisted Outpatient Treatment.Current psychiatry reports · 2018Review
- Communicating about Mental Illness and Violence: Balancing Stigma and Increased Support for Services.Journal of health politics, policy and law · 2018Article
- Balancing autonomy and beneficence at the time of psychiatric discharge.Israel journal of health policy research · 2018Article
- Neural Mechanisms Underlying Affective Theory of Mind in Violent Antisocial Personality Disorder and/or Schizophrenia.Schizophrenia bulletin · 2017Article
- The Use of Scientific Evidence about Schizophrenia and Violence in Clinical Services.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveInvoluntary outpatient commitment (OPC)-also referred to as 'assisted outpatient treatment' or 'community treatment orders'-are civil court orders whereby persons with serious mental illness and repeated hospitalisations are ordered to adhere to community-based treatment. Increasingly, in the United States, OPC is promoted to policy makers as a means to prevent violence committed by persons with mental illness. This article reviews the background and context for promotion of OPC for violence prevention and the empirical evidence for the use of OPC for this goal.
methodRelevant publications were identified for review in PubMed, Ovid Medline, PsycINFO, personal communications, and relevant Internet searches of advocacy and policy-related publications.
resultsMost research on OPC has focussed on outcomes such as community functioning and hospital recidivism and not on interpersonal violence. As a result, research on violence towards others has been limited but suggests that low-level acts of interpersonal violence such as minor, noninjurious altercations without weapon use and arrests can be reduced by OPC, but there is no evidence that OPC can reduce major acts of violence resulting in injury or weapon use. The impact of OPC on major violence, including mass shootings, is difficult to assess because of their low base rates.
conclusionsEffective implementation of OPC, when combined with intensive community services and applied for an adequate duration to take effect, can improve treatment adherence and related outcomes, but its promise as an effective means to reduce serious acts of violence is unknown.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.