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Current Psychiatry Reports

, 20:112 | Cite as

Update on Assisted Outpatient Treatment

  • Stephanie N. Cripps
  • Marvin S. Swartz
Public Policy and Public Health (G Norquist, Section Editor)
  • 90 Downloads
Part of the following topical collections:
  1. Topical Collection on Public Policy and Public Health

Abstract

Purpose of Review

Assisted outpatient treatment (AOT) is an outpatient court-ordered treatment for people with severe mental illness (SMI) whose care needs are often unmet in the community due, in part, to treatment non-adherence. AOT is controversial, and the goal of this review is to provide an update on recent research, the status of AOT in the United States, and future directions for research and implementation.

Recent Findings

Several recent studies have demonstrated that it is not just a lack of access to appropriately intensive care that prevents some individuals with SMI from engaging in and benefiting from treatment and that AOT can improve engagement and patient outcomes over and above the provision of care.

Summary

The future of AOT in the United States is still somewhat uncertain and will largely depend on the effectiveness and sustainability of the SAMHSA AOT grant programs. Future research efforts should investigate the conditions under which and for whom AOT can be most effective, to help avoid poor outcomes for this vulnerable population.

Keywords

Assisted outpatient treatment Involuntary outpatient commitment Community treatment orders 

Notes

Compliance with Ethical Standards

Conflict of Interest

Stephanie N. Cripps declares no conflict of interest.

Marvin S. Swartz has received a grant from RTI and personal fees from PRA Inc.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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    SAMHSA awards up to $54 million for the Assisted Outpatient Treatment Program to help address the need of people who have experienced serious mental illness [press release]. 9 September 2016. https://www.samhsa.gov/newsroom/press-announcements/201609091230.
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    Swartz MS, Hoge SK, Pinals DA, Lee E, Lee L, Sidor M, et al. Resource document on involuntary outpatient commitment and related programs of assisted outpatient treatment. APA resource document. American Psychiatric Association. October 2015. <apapsy.ch/involuntary>.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesDuke University School of MedicineDurhamUSA

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