Eric B Elbogen

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..Ultimately, the use of a systematic, empirical framework could lead to improved clinical decision-making in the area of risk assessment and potentially help prevent violence among Veterans...

..Each of these conditions has been associated with elevated anger and hostility in veterans from previous conflicts. The authors sought to identify variables empirically related to anger and hostility in Iraq and Afghanistan veterans...

..The relationship between mental illness and violence has a significant effect on mental health policy, clinical practice, and public opinion about the dangerousness of people with psychiatric disorders...

..To review the prevalence, benefits, and problems associated with families who, either informally or formally as representative payees, manage money for adults with severe mental illness...

..Studies show a high potential demand for psychiatric advance directives but low completion rates. The authors conducted a randomized study of a structured, manualized intervention to facilitate completion of psychiatric advance directives...

..Violent behavior is uncommon, yet problematic, among schizophrenia patients. The complex effects of clinical, interpersonal, and social-environmental risk factors for violence in this population are poorly understood...

..This study prospectively examined the effectiveness of treatment with olanzapine versus risperidone in reducing violent behavior among patients with schizophrenia under "usual care" conditions in the community...

..Violence is an uncommon but significant problem associated with schizophrenia...

..This study investigated the role of psychiatric advance directives in treatment choice and medication adherence...

..Involuntary outpatient commitment, when sustained over time, indirectly exerts a positive effect on subjective quality of life for persons with SMI, at least in part by improving treatment adherence and lowering symptomatology...

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..Living instability was common and related to medication nonadherence, too, warranting further investigation...

..Implications for equal access to mental health services, in this case, effective psychopharmacologic treatment, are discussed...

..However, relatively few studies have focused on understanding the connection between violence and dynamic, malleable variables such as a patient's level of treatment engagement...

..PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system...

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..Few studies have examined barriers to physical and mental healthcare among homeless mentally adults...

..Although laws authorizing psychiatric advance directives have proliferated, little is known about clinicians' understanding and perceptions of these legal tools...

..Throughout the analyses, the consumers tended to have the most negative views of the illness. Implications for future stigma research and education are discussed...

..This study examined mental health consumers' appraisals of the fairness and effectiveness of mandated community treatment and related pressures to promote treatment adherence...

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..The data shed light on the potential for family representative payeeship to be associated with increased risk of interpersonal conflict and violence in SMI...

..This study examined whether patients' reasons for refusing treatment influenced clinician decision making about implementing psychiatric advance directives...

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..The study examined different types of third-party money management arrangements for persons with psychiatric disabilities and consumers' perceptions of their finances in the context of these arrangements...

..g., homelessness) and veterans without SMI (e.g., PTSD)...

..The data suggest that these legal tools both affect adherence to treatment, but when used together significantly increase the perceived coerciveness of treatment. Questions remain concerning the underlying mechanism of these effects...

..Laws authorizing PADs have proliferated in the past decade, but there has been little research regarding perceptions of barriers to the implementation of PADs among groups of mental health professionals...

..Treatment with atypical antipsychotic medications should be considered as an important component of violence risk management for schizophrenia patients at risk for violent behavior...

..This study therefore examined access and barriers to medical care among persons with serious mental illness...

..However, residential setting was not related to polypharmacology. Additional work is needed to study the appropriateness of use and implications of such patterns for research on intervention outcomes...

..We discuss philosophical-ethical and legal issues surrounding overriding PADs and offer analysis of the possible future of legal cases in which the question of overriding PADs and fiscal concerns may collide...

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..This study suggests that involuntary OPC may provide a short-term reduction in the risk of homelessness among a subgroup of treatment-reluctant individuals with severe mental disorders combined with severe functional impairment...

..These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice...

..It also examines the potential moderating effect of social support on the association between mandated treatment experiences and barriers attributable to fear of involuntary commitment or forced treatment...

..Finally, we examine the legal considerations involved, with particular attention devoted to the role the individual's traumatic brain injury played in applying the insanity defense...