| Assisted outpatient treatment in New York: regional differences in New York's assisted outpatient treatment program. | |
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MedLine Citation:
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PMID: 20889633 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study sought to describe the implementation of "Kendra's Law" in New York State and examine regional differences in the application of the program. METHODS: Between February 2007 and April 2008, interviews were conducted with 50 key informants across New York State. Key informants included assisted outpatient treatment (AOT) county coordinators, county directors of community services, judges, attorneys from the Mental Hygiene Legal Service (MHLS), psychiatrists, treatment providers, peer advocates, family members, and other referred individuals. Additional analyses were conducted using AOT program administrative and evaluation databases and client history data. RESULTS: From program inception in 1999 through 2007, a total of 8,752 initial AOT orders and 5,684 renewals were granted. Notable regional differences were found in the use of two distinct models of AOT: AOT First and Enhanced Voluntary Services First. Regional differences were also found in how the AOT program was implemented and administered. Other variations stemmed from the court proceedings themselves, the continuity and interest of the presiding judge, and the attitudes of the MHLS attorneys. CONCLUSIONS: Many regional adaptations of the AOT program were found. Many were the result of lack of guidance in implementing Kendra's Law. Policy makers may want to consider whether the law should change to allow for these differences or whether additional support from a central source is warranted to ensure more uniformity in the implementation of AOT and thus the fairness of its application across the state. |
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Authors:
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Pamela Clark Robbins; Karli J Keator; Henry J Steadman; Jeffrey W Swanson; Christine M Wilder; Marvin S Swartz |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Psychiatric services (Washington, D.C.) Volume: 61 ISSN: 1557-9700 ISO Abbreviation: Psychiatr Serv Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-04 Completed Date: 2011-01-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9502838 Medline TA: Psychiatr Serv Country: United States |
Other Details:
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Languages: eng Pagination: 970-5 Citation Subset: IM |
Affiliation:
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Research Associates, Inc., 345 Delaware Ave., Delmar, NY 12054, USA. probbins@prainc.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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legislation & jurisprudence,
organization & administration* Commitment of Mentally Ill / legislation & jurisprudence Humans Interviews as Topic Mentally Ill Persons / legislation & jurisprudence* New York Outpatients |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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