Jeffrey W Swanson

..This study examined the prevalence and correlates of violent behavior by individuals with severe mental illness...

..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 double-blind study compared a second generation (atypical) antipsychotic drugs compared to a representative older agent for patients with schizophrenia who use or avoid illicit substances...

..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...

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

..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...

..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...

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

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..This study examined whether New York State's assisted outpatient treatment (AOT) program, a form of involuntary outpatient commitment, improves a range of policy-relevant outcomes for court-ordered individuals...

..This study examined the relationship between substance use and psychosocial functioning in schizophrenia...

..This study examined whether New York State's assisted outpatient treatment (AOT) program disadvantaged voluntary service recipients by directing services toward court-ordered individuals...

..This study examined whether AOT recipients have lower odds of arrest than persons with serious mental illness who have not yet initiated AOT or signed a voluntary service agreement...

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

..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...

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

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

..These results suggest that, in practice, sustained OPC represents a consensual agreement between clinicians and the court to more intensively address the complex needs of persons with severe and persistent mental illness...

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

..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...

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

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

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

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..These data provide little support for acceptance and "gratitude" as a rationale to support decision making about OPC continuation. Rather, clinicians need to rely on other clinical and empirical data for such decision making...

..This study examined lifetime use rates and correlates of outpatient commitment or related civil court-ordered outpatient treatment in five U.S. communities...

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

..These results suggest that mandated treatment may serve as a barrier to treatment, but that ongoing informal pressures to adhere to treatment may also be important barriers to treatment...

..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...

..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...

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

..Optimizing treatment for all patients will help prevent violence by the few who pose a risk of violence, even when such patients are not identified in advance...

..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...

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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...

..CONCLUSION:S: Gender differences in the lifetime rates of drug risks explain the higher rates of hepatitis C infection among men with severe mental illness...

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..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 paper reviews the empirical literature on the procedure's effectiveness...

..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...

..The purpose of this study was to assess whether use of a relatively new method of detection, radioimmunoassay of hair, improved detection and was acceptable to patients with serious mental illness...

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..The current analyses demonstrate that a consequence of OPC is increased perceptions of coercion in the treatment process, which is partially explained by the increased attention by case managers to noncompliance with treatment...

..This report examines, within an equal-access healthcare system, racial differences in time to initiation of stroke rehabilitation services and in the trajectory of physical function recovery...

..Implications for future research on the social ecology of mental disorder are discussed...

..The authors' goal was to evaluate the effectiveness of outpatient commitment in reducing victimization among people with severe mental illness...

..Finally, each of the articles in this special section is briefly outlined, with reference to the overall hypotheses of the studies...

..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...

..However, the relationship of advance statements to involuntary treatment is more problematic, as is their effective implementation in many mental health service settings...

..However, leverage experience was not associated with treatment compliance and satisfaction, or perceptions of coercion and mandate efficacy, particularly when demographic characteristics were considered...

..In sum, though the most significant challenges facing the implementation of PADs involve clinicians' familiarity with and education about PADs, much promise for the future growth of PADs lies in the benefits perceived by the patients...

..This paper examines the ways in which PADs support and can be a tool for recovery and discusses future recovery-oriented directions for PAD research and intervention...

..A randomized clinical trial of 245 clients was carried out to compare face-to face and computer-assisted interviewing (233 clients completed two surveys)...