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Article   |    
Needed Changes in Law and Procedure for the Chronically Mentally Ill
H. Richard Lamb; Mark J. Mills
Psychiatric Services 1986; doi:
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The University of Southern California School of Medicine, 1934 Hospital Place, Los Angeles, California 90033.

The Psychiatry Service at the Brentwood Division of the Veterans Administration Medical Center in West Los Angeles, The School of Medicine of the University of California, Los Angeles, The UCLA Neuropsychiatric Institute

1986 American Psychiatric Association

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Abstract

Three areas of legal change have had major effects on the chronic mentally ill: substantive and procedural alterations in civil commitment laws, the limited implementation of a constitutionally based right to treatment, and the partial recognition of a right to refuse treatment. After discussing these changes, the authors make recommendations they believe would be beneficial. Revised civil commitment laws should allow greater access to both emergency and ongoing involuntary treatment, including reintroduction of a need-for-treatment standard and use of informal rules of evidence. The right to treatment should be implemented beginning with established constitutional minimums of providing reasonable care and safety, reasonably nonrestrictive confinement, and treatment to prevent clinical deterioration. Legislation should permit medication of involuntarily committed patients without their consent.

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