Factors Related to Drug Treatment Refusal in a Forensic Hospital
Paul Rodenhauser M.D.1,
Charles E. Schwenkner Ed.D.2, and
H. J. Khamis Ph.D.3
1 Department of psychiatry at Wright State University School of Medicine, P.O. Box 927, Dayton, Ohio 45401
2 Lebanon (Ohio) Correctional Institute
3 Wright State University
Using the hospital records of 421 patients in a maximum-security forensic hospital, the authors explored the relationship between clinical factors and patients' receptiveness to or refusal of drug treatment. They found drug treatment refusal to be significantly related to a psychotic diagnosis in the absence of a personality disorder; in contrast, psychotic patients with personality disorders tended to be relatively compliant with drug treatment. Treatment refusers had significantly longer lengths of hospitalization that were not reduced by receipt of medication. Significant relationships were also found between treatment refusal and involuntary medication, use of restraints, and greater number of previous hospitalizations; between reasons for refusal and involuntary medication; and between history of substance abuse and previous incarceration.
Note:
The authors thank Thomas G. Gutheil, M.D., and H. Verdain Barnes, M.D., for their critical suggestions and Robert K. Landry and Amanda M. Romero for their technical assistance.
