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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.
The variation has led to the suggestion that treatment responsive and treatment resistant schizophrenia be considered as two different subtypes. [ 149 ] [ 159 ] It is further suggested that if the subtypes could be distinguished at an early stage significant implications could follow for treatment considerations, and for research. [ 154 ]
This treatment may involve the administration of psychoactive drugs, including involuntary administration. In many jurisdictions, people diagnosed with mental health disorders can also be forced to undergo treatment while in the community; this is sometimes referred to as outpatient commitment and shares legal processes with commitment.
Soteria houses provide a community space for people experiencing mental distress or crisis and have no restraint facilities. Loren Mosher , founder of the first Soteria house, believed that people with schizophrenia did, in fact, recover from the illness without the use of neuroleptics in a supportive home-like environment.
This is one of the main reasons that 40 percent of people with schizophrenia stop taking their medications within 18 months. And while antipsychotics can help schizophrenia’s “positive” symptoms, such as hallucinations, they have a minimal impact on the “negative” symptoms, which are arguably more devastating.
An intensive outpatient program (IOP), also known as an intensive outpatient treatment (IOT) program, is a structured non-residential psychological treatment program which addresses mental health disorders and substance use disorders (SUDs) that do not require detoxification through a combination of group-based psychotherapy, individual psychotherapy, family counseling, educational groups, and ...
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