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Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an outpatient treatment plan designed to prevent further deterioration or recurrence that is harmful to themselves or others.

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  • Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an outpatient treatment plan designed to prevent further deterioration or recurrence that is harmful to themselves or others. This form of involuntary treatment is distinct from involuntary commitment in that the individual subject to the order continues to live in their home community rather than being detained in hospital or incarcerated. The individual may be subject to rapid recall to hospital, including medication over objections, if the conditions of the order are broken, and the person's mental health deteriorates. This generally means taking psychiatric medication as directed and may also include attending appointments with a mental health professional, and sometimes even not to take non-prescribed illicit drugs and not associate with certain people or in certain places deemed to have been linked to a deterioration in mental health in that individual. The criteria and process for outpatient commitment are established by law, which vary among nations and, in the U.S. and Canada, among states or provinces. Some jurisdictions require court hearings, where a judge will make a court order, and others require that treating psychiatrists comply with a set of requirements before compulsory treatment is instituted. When a court process is not required, there is usually a form of appeal to the courts or appeal to or scrutiny by tribunals set up for that purpose. Community treatment laws have generally followed the worldwide trend of community treatment. See mental health law for details of countries which do not have laws that regulate compulsory treatment. (en)
  • Les soins ambulatoires forcés référent à des décisions juridiques prises sur l'avis d'un psychiatre, obligeant à des traitements forcés d'une personne vivant à son domicile et non détenue dans un hôpital comme dans le cas d'un internement involontaire. La personne peut faire l'objet d'un rappel à l'hôpital, et de médication forcée, si les conditions de l'ordonnance ne sont pas respectées. Cela signifie généralement de prendre des médicaments psychiatriques selon les directives et d'assister à des rendez-vous avec un professionnel de la santé mentale, voire de ne pas prendre de drogues illicites ou sans ordonnance. (fr)
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  • October 2017 (en)
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  • There was a concern raised over the course of the evaluation that where case managers acted as “gatekeepers”, few alternatives exist for consumers to learn about and access the IMHA service. (en)
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  • Blog post describes early analysis of data from a single U.S. state. (en)
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  • Outpatient commitment—also called assisted outpatient treatment (AOT) or community treatment orders (CTO)—refers to a civil court procedure wherein a legal process orders an individual diagnosed with a severe mental disorder to adhere to an outpatient treatment plan designed to prevent further deterioration or recurrence that is harmful to themselves or others. (en)
  • Les soins ambulatoires forcés référent à des décisions juridiques prises sur l'avis d'un psychiatre, obligeant à des traitements forcés d'une personne vivant à son domicile et non détenue dans un hôpital comme dans le cas d'un internement involontaire. (fr)
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  • Soins ambulatoires forcés (fr)
  • Outpatient commitment (en)
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