PMID: 11926081Apr 3, 2002Paper

Treatment delays for involuntary psychiatric patients associated with reviews of treatment capacity

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Michelle KellyRichard L O'Reilly

Abstract

To determine the duration of delays in treatment initiation when involuntary patients apply for a review of a finding of treatment incapacity and to estimate the cost of keeping patients hospitalized without treatment in these circumstances. Using a computerized database and written records, we identified all patients at 2 psychiatric hospitals in Ontario who applied for a review of a finding of treatment incapacity during a 10-year period. We recorded clinical and demographic variables, dates of stopping and starting medication, and dates of review board hearings and outcomes. We also noted all cases in which a patient appealed a decision from the review board to the court. Two hundred and thirty-seven patients made 334 applications to the review board. The board overturned the physician's finding of incapacity in only 5 (1.5%) applications; 15 appealed the review board's finding to the courts. None of these appeals were successful. In the absence of an appeal to the courts, the average delay in initiating treatment was 25 days. For patients appealing to the court, the average delay was 253 days. The cost of hospitalizing untreated patients while their capacity was under legal review was estimated at $3,867,000, of which $1,33...Continue Reading

References

Jul 1, 1991·The American Journal of Psychiatry·J M ZitoJ Wanderling
Jan 1, 1990·The American Journal of Psychiatry·F H DeLand, N M Borenstein
Jan 1, 1987·The American Journal of Psychiatry·J Veliz, W S James
Nov 7, 1998·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·R L O'Reilly

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Citations

Nov 15, 2012·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Zahinoor IsmailBenoit H Mulsant
Nov 27, 2015·The Journal of Behavioral Health Services & Research·Laura BrennamanRobin Meize-Growchowski
Aug 19, 2007·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Ronald Sklar
Jun 3, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·John E GrayRichard L O'Reilly

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