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iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

iDEA: DREXEL LIBRARIES E-REPOSITORY AND ARCHIVES

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The effect of formal and informal coercion in managing risk for violence in the community

Details
Title
The effect of formal and informal coercion in managing risk for violence in the community
Author(s)
Egan, Abbe
Advisor(s)
Heilbrun, Kirk
Keywords
Clinical psychology; Involuntary treatment; Community mental health services--Evaluation
Date
2005-09
Publisher
Drexel University
Thesis
Ph.D., Clinical Psychology -- Drexel University, 2005
Abstract
Intensive community based mental health treatment programs are being used increasingly by both hospitals and criminal justice facilities that are releasing mental health patients into the community. Thus far, studies on the effectiveness of these community-based treatments have rendered inconsistent results. These community-based programs assert a certain level of informal coercion over the patients in their care to ensure the safety of both the patient and the community. However, to date, no one has studied the effect of this informal coercion on managing levels of risk for violence in the community. This study investigates the impact of formal and informal coercion on managing risk for violence in the community. Participants were mental health consumers (N = 212) who were seeking services at ten community drop-in centers in the metropolitan Philadelphia area. Participants completed two measures: the clinically useful Iterative Classification Tree from the McArthur study of violence risk assessment (to measure the participant’s level of risk for violence in the community) and the modified AES (to measure actual and perceived coercion both in treatment and in their everyday life as well as the impact of that coercion). Results of the study indicate that positive pressure has a significant impact on overall treatment satisfaction. Furthermore, positive pressure may be useful in managing risk for violence among high risk participants by increasing treatment adherence and developing social support.
URI
http://hdl.handle.net/1860/1519
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