Discuss how outpatient or community commitment meets some of the concerns of over paternalism and addresses some of the needs created by deinstitutionalization
Answer:
When patients were released from mental hospitals because of deinstitutionalization, many had mental health needs that were not met, and large numbers became homeless and indigent. The libertarian values behind deinstitutionalization came into question in the 1990s as concerns arose around (1) treating severely disturbed patients who lack insight into their conditions and (2) protecting the public from the violently mentally ill. Outpatient commitment is mandatory, court-ordered treatment, such as therapy or medication, that takes place in the community rather than through institutionalization. Outpatient commitment orders must be based on the same legal standards as inpatient commitment, i.e. dangerousness and (in some states) inability to care for self. Outpatient treatment of sufficient length reduces the rate of subsequent hospitalization; thus, the coercive procedure can help the seriously mentally ill to receive help in a less restrictive environment
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