Community treatment orders: The ethical balancing act in community mental health

Journal of Psychiatric and Mental Health Nursing

Volumn 16, Issue 2, 2009, Pages 177-186

  Snow, N ^a,b   Austin, W J ^a  

^a UNIVERSITY OF ALBERTA   (Canada)

^b Centre for Nursing Studies   (Canada)

Author keywords

Community treatment orders; Ethics; Mental health

Indexed keywords

ADULT; ARTICLE; CANADA; CASE REPORT; FREEDOM; HOMICIDE; HUMAN; HUMAN RIGHTS; INTERPERSONAL COMMUNICATION; LEGAL ASPECT; MALE; MANDATORY REPORTING; MENTAL DISEASE; MENTAL HEALTH SERVICE; PSYCHOLOGICAL ASPECT; SAFETY; UNITED STATES; UNIVERSITY;

ADULT; CANADA; COMMUNITY MENTAL HEALTH SERVICES; DISCLOSURE; FREEDOM; HOMICIDE; HUMAN RIGHTS; HUMANS; MALE; MANDATORY REPORTING; MENTAL DISORDERS; SAFETY; UNIVERSITIES; VIRGINIA;

EID: 60049089379     PISSN: 13510126     EISSN: 13652850     Source Type: Journal    
DOI: 10.1111/j.1365-2850.2008.01363.x     Document Type: Article

References (70)

1. Austin W., Bergum V. Dossetor J. (2003) Relational ethics: an action ethic as a foundation for health care. In : Approaches to Ethics in Nursing: Nursing beyond Boundaries (ed Tschudin, V. pp. 45 52. Butterworth Heinemann, Edinburgh, UK.
2. Beauchamp T.L. Childress J.F. (2001) Principles of Biomedical Ethics, 5th edn. Oxford University Press, Oxford, UK.
3. Bergum V. Dossetor J. (2005) Relational Ethics: The Full Meaning of Respect. University Publishing Group, Hagerstown, MD.
4. Canadian Broadcasting Company (2000) Brian's Law gets hearing in Ottawa. CBC. Available at: http://www.cbc.ca/news/story/2000/05/24/brianslaw000524.html (accessed 14 May 2007).
5. Canadian Federation of Mental Health Nurses (2006) Canadian Standards of Practice for Psychiatric Mental Health Nursing, 3rd edn. Canadian Federation of Mental Health Nurses, Toronto, ON.
6. Canadian Mental Health Association (1998) Policy statement on community committal. Available at: http://www.cmha.ca/bins/content-page.asp?cid=5-33- 179&lang=1 (accessed 14 May 2007).
7. Canvin K., Bartlett A. Pinfold V. (2002) A 'bittersweet pill to swallow': learning from mental health service users' responses to compulsory community care in England. Health and Social Care in the Community 10, 361 369.
8. Coffey M. (1997) Supervised discharge: concerns about the new powers for nurses. British Journal of Nursing 6, 215 218.
9. Coffey M. Jenkins E. (2002) Power and control: forensic community mental health nurses' perceptions of team-working, legal sanction, and compliance. Journal of Psychiatric and Mental Health Nursing 9, 521 529.
10. Crowe M. (2000) Psychiatric diagnosis: some implications for mental health nursing care. Journal of Advanced Nursing 31, 583 589.
11. Department of Health (2007) Mental Health Act - overview. Available at: http://www.dh.gov.uk/en/Healthcare/NationalServiceFrameworks/Mentalhealth/ DH-078743 (accessed 2 April 2008).
12. Eastman N. (1994) Mental health law: civil liberties and the principle of reciprocity. British Medical Journal 308, 43 45.
13. Ekeland T.J. Bergem R. (2006) The negotiation of identity among people with mental illness in rural communities. Community Mental Health Journal 42, 225 232.
14. Elfstrom G. (2002) Involuntary outpatient commitment. In : Mental Illness And Public Health Care (eds Humber, J.M. Almer, R.F. pp. 27 49. Humana Press, Totowa, NJ.
15. Foucault M. (1988) Madness and Civilization: A History of Insanity in the Age of Reason. Vintage Books, New York, NY (Original work published 1961).
16. Foucault M. (1995) Discipline and Punish: The Birth of the Prison. Vintage Books, New York, NY (Original work published 1975).
17. Gadow S. (1999) Relational narratives: the postmodern turn in nursing ethics. Scholarly Inquiry for Nursing Practice 13, 57 70.
18. Geller J.L., Fisher W.H., Grudzinskas A.J., et al. (2006) Involuntary outpatient treatment as 'deinstitutionalized coercion': the net widening concerns. International Journal of Law and Psychiatry 29, 551 562.
19. Gibbs A., Dawson J., Ansley C., et al. (2005) How patients in New Zealand view community treatment orders. Journal of Mental Health 14, 357 368.
20. Goodwin S. (1997) Comparative Mental Health Policy: From Institutional to Community Care. Sage Publications, London, UK.
21. Government of Alberta (2007) Mental health treatment improved by revised legislation. Available at: http://www.alberta.ca/home/NewsFrame.cfm?ReleaseID=/ acn/200712/22685AC9BDE06-A5B9-DF6F-D6AE78CB7D8D2A61.html (accessed 2 April 2008).
22. Government of Newfoundland and Labrador (2007) Mental health care and treatment act. Available at: http://www.health.gov.nl.ca/health/mhcta/ (accessed 14 May 2007).
23. Graham J.H. (2006) Community care or therapeutic stalking: two sides of the same coin? Journal of Psychosocial Nursing and Mental Health Services 44, 41 44, 45 50.
24. Hannigan B. Cutcliffe J. (2002) Challenging contemporary mental health policy: time to assuage the coercion? Journal of Advanced Nursing 37, 477 484.
25. Haque M.S., Nolan P., Dyke R., et al. (2002) The work and values of mental health nurses observed. Journal of Psychiatric and Mental Health Nursing 9, 673 680.
26. Heffern W.A. Austin W. (1999) Compulsory community treatment: ethical considerations. Journal of Psychiatric and Mental Health Nursing 6, 37 42.
27. Hess J.D. (1996) The ethics of compliance: a dialectic. Advances in Nursing Science 19, 18 27.
28. Jenkins E. Coffey M. (2002) Compelled to interact: forensic community mental health nurses' and service users' relationships. Journal of Psychiatric and Mental Health Nursing 9, 553 562.
29. Johnstone M.J. (2001) Stigma, social justice, and the rights of the mentally ill: challenging the status quo. Australian and New Zealand Journal of Mental Health Nursing 10, 200 209.
30. Kanter J. (1989) Clinical case management: definition, principles and component. Hospital and Community Psychiatry 41, 361 368.
31. Keilitz I. Hall T. (1985) State statutes governing involuntary commitment. Mental and Physical Disability Law Reporter 9, 378 387.
32. Kelly B.D. (2005) Structural violence and schizophrenia. Social Science and Medicine 61, 721 730.
33. Kent-Wilkinson A. Boyd M.A. (2008) The context of mental health care. In : Psychiatric nursing for Canadian practice (eds Austin, W. Boyd, M.A. pp. 27 38. Lippincott Williams & Wilkins, Philadelphia, PA.
34. Kisely S., Smith L.A., Preston N.J., et al. (2006) Can epidemiological studies assist in the evaluation of community treatment orders?: the experience of Western Australia and Nova Scotia. International Journal of Law and Psychiatry 29, 507 515.
35. Levinas E. (1985) Ethics and Infinity. Duquesne University Press, Pittsburgh, PA.
36. Lützén K. (1998) Subtle coercion in psychiatric practice. Journal of Psychiatric Mental Health Nursing 5, 101 107.
37. Lützén K. Nordin C. (1993) Benevolence, a central moral concept derived in a grounded theory study of nurses' moral decision making in psychiatric nursing. Journal of Advanced Nursing 18, 1106 1111.
38. MacCallum E.J. (2002) Othering and psychiatric nursing. Journal of Psychiatric and Mental Health Nursing 9, 87 94.
39. McFadden R.D. (1999) New York nightmare kills a dreamer. New York Times January 5, A1.
40. Magnusson A. Lützén K. & K. (1999) Intrusion into patient privacy: a moral concern in the home care of persons with chronic mental illness. Nursing Ethics 6, 399 410.
41. Magnusson A., Severinsson E., Lützén K., et al. (2002) Nurses' views on situations related to privacy in providing home care for persons with long term mental illnesses: an exploratory study. Issues in Mental Health Nursing 23, 61 75.
42. Meya D.B. McAdam P.W.J. (2007) The TB pandemic: an old problem seeking new solutions. Journal of Internal Medicine 261, 309 329.
43. Miller R.D. Fiddleman P.B. (1984) Outpatient commitment: treatment in the least restrictive environment? Hospital & Community Psychiatry 35, 147 148.
44. Ministry of Health New Zealand (n.d.) Mental Health compulsory Assessment and Treatment Act 1992. Available at: http://www.moh.govt.nz/moh.nsf/pagesmh/ 2443/$File/Chapter2MentalHealthLaw.pdf (accessed 2 April 2008).
45. Morrow M., Smith J., Pederson A., et al. (2006) Relocations, dislocations, and innovations in mental health reform: examining the impact of psychiatric deinstitutionalization on women, men, and communities. Centre of Excellence for Women's Health Research Bulletin 5, 19 20.
46. Munetz M.R., Galon P.A. Frese F.J., III. (2003) The ethics pf mandatory community treatment. The Journal of the American Academy of Psychiatry and Law 31, 173 183.
47. Oberle K. Tenmore S. (2000) Ethical issues in public health nursing. Nursing Ethics 7, 425 438.
48. Ontario Ministry of Health and Long Term Care (2000) Brian's Law (Mental Health Legislative Reform) 2000. Available at: http://www.health.gov.on.ca/ english/public/program/mentalhealth/mental-reform/brians-law.html (accessed 14 May 2007).
49. O'Brien L. (2000) Nurse-client relationships: the experience of community psychiatric nurses. Australian and New Zealand Journal of Mental Health Nursing 9, 184 194.
50. O'Reilly R.L., Keegan D.L., Corring D., et al. (2006) A qualitative analysis of the use of community treatment orders in Saskatchewan. International Journal of Law and Psychiatry 29, 516 524.
51. Perkins D.V., Hudson B.L., Gray D.M., et al. (1998) Decisions and justifications by community mental health providers about hypothetical ethical dilemmas. Psychiatric Services 49, 1317 1322.
52. Playle J.F. Keeley P. (1998) Noncompliance and professional power. Journal of Advanced Nursing 27, 304 311.
53. Roberts W., Battaglia J. Epstein R.S. (1999) Frontier ethics: mental health care needs and ethical dilemmas in rural communities. Psychiatric Services 50, 497 503.
54. Schuman M. (2007) Falling through the cracks: Virginia tech and the restructuring of college mental health services. The New England Journal of Medicine 357, 105 110.
55. State of Victoria Department of Human Services (2005) Community Treatment Orders: Chief Psychiatrist's Guidelines. Department Human Services, Victoria Government, Melbourne, Australia.
56. Szasz T. (2005) 'Idiots, infants, and the insane': mental illness and legal incompetence. Journal of Medical Ethics 31, 78 81.
57. Szmukler G. Holloway F. (2001) Confidentiality in community psychiatry. In : Confidentiality and Mental Health (ed Codress, C. pp. 53 70. Jessica Kingsley Publishers, London, UK.
58. Taylor P. Gunn J. (1999) Homicides by people with mental illness: myth and reality. British Journal of Psychiatry 174, 9 14.
59. The Toronto Star (2007) Shooter dodged treatment order. thestar.com. Available at: http://www.thestar.com/article/211223 (accessed 10 May 2007).
60. Thompson F.E. (2002) Moving from codes of ethics to ethical relationships for midwifery practice. Nursing Ethics 9, 522 536.
61. Timms P. Borrell T. (2001) Doing the right thing: ethical and practical dilemmas in working with homeless mentally ill people. Journal of Mental Health 10, 419 426.
62. Trueman S. (2003) Community treatment orders and Nova Scotia: the least restrictive alternative? Health Law Journal 11, 1 33.
63. United Nations (1948) United Nations Declaration of Human Rights. Available at: http://www.un.org/Overview/rights.html (accessed 14 May 2007).
64. Van Dorn R., Elbogen E., Redlich A., et al. (2006) The relationship between mandated treatment and perceived barriers to care in persons with mental illness. International Journal of Law and Psychiatry 29, 495 506.
65. Vaughan K., McConaghy N., Wolf C., et al. (2000) Community treatment orders: relationship to clinical care, medication compliance, behavioural disturbance and readmission. Australian and New Zealand Journal of Psychiatry 34, 801 808.
66. Virginia Tech Review Panel (2007) Mass shootings at Virginia Tech, April 16, 2007: Report of the review panel presented to Timothy M. Kaine, Governor Commonwealth of Virginia. Office of the Governor, Commonwealth of Virginia.
67. Wales H.W. Hiday V.A. (2006) PLC or TLC: is outpatient commitment the/an answer? International Journal of Law and Psychiatry 29, 451 468.
68. Warner T.D., Monaghan-Geernalt P., Battalglia J., et al. (2005) Ethical considerations in rural health care: a pilot study of clinicians in Alaska and New Mexico. Community Mental Health Journal 41, 21 33.
69. Wellman N. (2006) Assessing risk. In : Working with Serious Mental Illness: A Manual for Clinical Practice, 2nd edn (eds Gamble, C. Brennan, G. pp. 145 164. Elsevier, Philadelphia, PA.
70. Winefield H.R. Burnett P.L. (1996) Barriers to an alliance between family and professional caregivers in chronic schizophrenia. Journal of Mental Health 5, 223 232.