Commitment to Outpatient Treatment: A National Survey
Robert D. Miller M.D.,Ph.D.1
1 Mendota Mental Health Institute, 301 Troy Drive, Madison, Wisconsin 42704. the E Edical College of Wisconsin in Milwaukee and at the University of Wisconsin in Madison
State mental health directors and state attorneys general were surveyed on the use of outpatient commitment in their states. The survey found considerable disagreement between the two groups on responses to several of the items, including whether outpatient commitment was even permitted in their states. The responses also indicated that twothirds of the jurisdictions that permit outpatient commitment use it as an alternative to inpatient commitment in fewer than 5 percent of commitments. The author concludes that unless states obtain more input from both inpatient and outpatient clinicians in devising procedures for outpatient commitment, it will continue to be underutilized and ineffective.