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American Journal of Public Health logoLink to American Journal of Public Health
. 1999 Sep;89(9):1339–1345. doi: 10.2105/ajph.89.9.1339

The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems.

B A Pescosolido 1, J Monahan 1, B G Link 1, A Stueve 1, S Kikuzawa 1
PMCID: PMC1508769  PMID: 10474550

Abstract

OBJECTIVES: The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS: The 1996 General Social Survey provided interview data with a nationally representative sample (n = 1444). Respondents were given a vignette based on diagnostic criteria for schizophrenia, major depression, alcohol dependence, or drug dependence, or a "control" case. RESULTS: The specific nature of the problem was the most important factor shaping public reaction. Respondents viewed those with "troubles," alcohol dependence, or depression as able to make treatment decisions. Most reported that persons with alcohol or drug problems or schizophrenia cannot manage money and are likely to be violent toward others. Respondents indicated a willingness to coerce individuals into treatment. Respondent and other case characteristics rarely affected opinions. CONCLUSIONS: Americans report greater concern with individuals who have drug or alcohol problems than with persons who have other mental health problems. Evaluations of dangerousness and coercion indicate a continuing need for public education.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Grisso T., Appelbaum P. S. Comparison of standards for assessing patients' capacities to make treatment decisions. Am J Psychiatry. 1995 Jul;152(7):1033–1037. doi: 10.1176/ajp.152.7.1033. [DOI] [PubMed] [Google Scholar]
  2. Grisso Thomas, Appelbaum Paul S. The MacArthur Treatment Competence Study. III: Abilities of patients to consent to psychiatric and medical treatments. Law Hum Behav. 1995 Apr;19(2):149–174. doi: 10.1007/BF01499323. [DOI] [PubMed] [Google Scholar]
  3. Link B. G., Phelan J. C., Bresnahan M., Stueve A., Pescosolido B. A. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999 Sep;89(9):1328–1333. doi: 10.2105/ajph.89.9.1328. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Monahan J., Hoge S. K., Lidz C., Roth L. H., Bennett N., Gardner W., Mulvey E. Coercion and commitment: understanding involuntary mental hospital admission. Int J Law Psychiatry. 1995 Summer;18(3):249–263. doi: 10.1016/0160-2527(95)00010-f. [DOI] [PubMed] [Google Scholar]
  5. Monahan J. Mental disorder and violent behavior. Perceptions and evidence. Am Psychol. 1992 Apr;47(4):511–521. doi: 10.1037//0003-066x.47.4.511. [DOI] [PubMed] [Google Scholar]
  6. Pescosolido B. A., Gardner C. B., Lubell K. M. How people get into mental health services: stories of choice, coercion and "muddling through" from "first-timers". Soc Sci Med. 1998 Jan;46(2):275–286. doi: 10.1016/s0277-9536(97)00160-3. [DOI] [PubMed] [Google Scholar]
  7. Steadman H. J., Mulvey E. P., Monahan J., Robbins P. C., Appelbaum P. S., Grisso T., Roth L. H., Silver E. Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods. Arch Gen Psychiatry. 1998 May;55(5):393–401. doi: 10.1001/archpsyc.55.5.393. [DOI] [PubMed] [Google Scholar]

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