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• W1534133611 abstract "Involuntary civil commitment of the mentally ill has been treated with profound ambivalence by our society. Concern for the treatment needs of mentally ill persons who will not or cannot seek care on their own has led every state to create mechanisms whereby care can be provided without those persons’ consent (Schwitzgebel, 1981). On the other hand, fear of the intrusion on personal liberty that can result from such a system has led courts and legislatures to surround the commitment process with substantive and procedural safeguards (Lessurd v Schmidt, 1972). These safeguards inevitably impede the delivery of psychiatric care to some of those in need, just as effective systems for delivering that care inevitably infringe on some individual liberties. This uneasy balance is a result of the tension between the benevolent and the libertarian impulses of our society. No perfect resolution of this tension is possible. Short of abolishing civil commitment or removing all legal controls on the process both extremely unlikely outcomes approaches to the problem demand some compromise of principles on both sides of the ledger. Historically, this compromise took place over the question of procedural protections that should accompany civil commitment. As society’s primary concern alternated, over the last 150 years, between treating the illnesses of the mentally disturbed and protecting their rights, procedures required for civil commitment were tightened and loosened accordingly (Appelbaum, in press). Beginning in the late 196Os, however, a new battieground for the resolution of these conflicting impulses appeared. For the first time, the debate expanded to include the substantive standards that determined who might be committed. (Appelbaum, 1984). Proponents of restrictive commitment statutes based on a person’s dangerousness to self or others claimed that such limitations on the powers of the state best comported with the traditional American value of individual autonomy (Wexler, 1981). On the other side, advocates of less stringent commitment standards, drawn from some variant of the historic inquiry about a person’s need for psychiatric care, based their arguments heavily on appeals to benevolent impulses and the responsibility of society to provide" @default.
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• W1534133611 date "1984-01-01" @default.
• W1534133611 modified "2023-09-25" @default.
• W1534133611 title "Standards for civil commitment:" @default.
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• W1534133611 doi "https://doi.org/10.1016/0160-2527(84)90028-1" @default.
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