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Arch Psychiatr Nurs. 2011 Dec;25(6):404-18. doi: 10.1016/j.apnu.2010.10.004. Epub 2011 Mar 1.

Quasi-experimental comparison of coercive interventions on client outcomes in individuals with severe and persistent mental illness.

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The University of Akron, College of Nursing, Akron, OH 33325-3701, USA.


This study compares outpatient commitment (OPC) and Assertive Community Treatment (ACT) as forms of coercive treatment interventions to evaluate the influence of each individually and in combination on clients' perception of procedural justice and coercion, as well as clinical outcomes that include treatment compliance, quality of life, symptom distress, empowerment, and violence/victimization. Findings support that the perception of procedural justice and coercion are inversely related; persons subject to OPC experience higher levels of perceived coercion, and higher levels of perceived coercion do not influence treatment compliance. ACT alone does not increase the perception of coercion nor is there any interaction effect.

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