Use of longer periods of temporary detention to reduce mental health civil commitments

Psychiatric Services : a Journal of the American Psychiatric Association
Tanya Nicole Wanchek, Richard J Bonnie

Abstract

This study examined whether lengthening the holding period for an individual experiencing a mental health crisis under a temporary detention order (TDO) can reduce the number and length of post-TDO involuntary hospital commitments. Data from the Virginia Court System were matched to the Commonwealth of Virginia Medicaid claims database for July 1, 2008, through March 30, 2009. The final data set included 500 Medicaid recipients who had a mental health diagnosis and at least one TDO during the study period. Covariates included sex, race, age, primary diagnosis, and Community Service Board serving the individual. Logistic and multivariate regression models were used. Longer TDO periods were correlated with an increased probability of a dismissal of the commitment petition rather than hospitalization after a TDO. Among individuals who were hospitalized, longer TDO periods were correlated with an increased likelihood of voluntary hospitalization, rather than involuntary commitment, and shorter hospitalizations, although the net care time (TDO period plus post-TDO hospitalization) increased for individuals whose TDO length was greater than 24 hours. Longer TDO periods were correlated with shorter hospital stays and fewer involuntary...Continue Reading

Citations

Aug 5, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Nathaniel P Morris
Nov 4, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Gi Lee, David Cohen

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