Abstract
In an exploratory study, case managers held divergent views about their appropriate roles in involuntarily committing clients to psychiatric care. In light of vague organizational guidelines about appropriate use of involuntary commitment, case managers drew on professional social work values to form views about commitment. These values supported client self-determination, but did not clearly delineate ways for case managers' use of power and discretion concerning involuntary hospitalization, resulting in a range of understandings among case managers. This article provides a history of discretionary choices in the helping professions, cases illustrating divergent views about commitment among case managers and consequences for clients, and a discussion of ways this range may be narrowed in the future.
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REFERENCES
Abbott, Andrew. (1988). The System of Professions: An Essay on the Division of Expert Labor. Chicago: University of Chicago.
Abbott, Ann. (1988). Professional Choices: Values at Work. Silver Spring, MD: National Association of Social Workers.
Aiken, L.H. (Mechanic, D., Ed.) (1983). Nurses. In Handbook of Health, Health Care, and the Health Professions. New York: Free Press. Pp. 407–431.
Becker H.S., Geer B., Hughes E.C., & Strauss A., Eds. (1976). Boys in White: Student Culture in Medical School. New York: Transactions.
D'Elia, V.L. (1988). Physicians' liaisons increase admissions. Health Care Strategic Management, 6, 4–6.
Dennis, D.L. & Monahan, J., Eds. (1996). Coercion and Aggressive Community Treatment: A New Frontier in Mental Health Law. New York: Plenum.
Feld, S. & Radin, N. (1982). Social Psychology for Social Work and the Mental Health Professions. New York: Columbia University Press.
Fox, R.C. (Merton, R.K., Reader, G., & Kendel, P., Eds.) (1957). Training for uncertainty. In The Student-Physician. Cambridge: Harvard University.
Fox, R.C. (Aiken, L.H. & Mechanic, D. Eds.) (1986). Medicine, Science, and Technology. In Applications of Social Science to Clinical Medicine and Health Policy. New Brunswick, NJ: Rutgers University.
Fox, R.C. & Leif, H. (Leif H., Leif, V., & Leif, N., Eds.) (1963). Training for detached concern in medical students. In Psychological Basis of Medical Practice. New York: Harper & Row.
Fox, R.C., Aiken, L.H., & Messikomer C.M. (1990). The culture of caring: AIDS and the nursing profession.” Milbank Quarterly, 68,2, 226–256.
Freidson, E. (1988). Profession of Medicine: A Study of the Sociology of Applied Knowledge. Chicago: University of Chicago.
Gardner W.P., Hoge S.K., Bennett N.S., Roth L.H., Lidz C.W., Monahan J., & Mulvey E.P. (1993). Two scales for measuring patients' perceptions of coercion during mental hospital admission. Behavior Sciences and the Law 11, 307–321.
Garvin, C. & Seabury, B. (1984). Interpersonal practice in social work: Process and procedures. Englewood Cliffs, NJ: Prentice-Hall.
Geller, J. L. (1993). On being committed to treatment in the community. Innovations and Research 2(1):23–27.
Gottlieb, G.L. (1995). The changing marketplace for mental health services: The challenge for freestanding psychiatry. Psychiatric Annals, 25, 500–503.
Handler J.F. (Hasenfeld, Y., Ed.) (1992). Dependency and discretion. Human Services as Complex Organizations. Newbury Park: Sage.
Harris C., Hicks L.L., & Kelly B.J. (1992). Physician-hospital networking: Avoiding a shotgun wedding. Health Care Management Review, 17, 17–28.
Hasenfeld, Y., Ed. (1992), Human Services as Complex Organizations. New York: Sage.
Hiday, V.A. (1992). Coercion in civil commitment: Processes, preferences and outcome. International Journal of Law and Psychiatry, 15, 259–377.
Hoge S.K., Lidz C.W., Mulvey E.P., Roth L.H., Bennett N.S., Siminoff L.A., & Monahan J.P. (1993). Patient, family and staff perceptions of coercion in mental hospital admission: An exploratory study. Behavioral Sciences and the Law, 11, 281–294.
Kopels, S. (1995). Private and public psychiatric hospitalization after Zinermon v. Burch. Administration and Policy in Mental Health, 22, 607–620.
Leininger, M.M. (1980). Caring: A central focus of nursing and health care services. Nursing and Health Care, 1, 135–143.
Leininger, M.M. (1984). Care: The Essence of Nursing and Health. Thorofare, New Jersey: Slack, Inc.
Lewis, D., Goetz, E., Schoenfield, M., Gordon, A., & Griffin, E. (1984). The negotiation of involuntary civil commitment. Law and Society Review, 18, 629–649.
Lidz C.W. & Mulvey E.P. (Weisz, G., Ed.) (1990). Institutional factors affecting psychiatric admissions and commitment decisions. Social Science Perspectives on Mental Ethics. Dordrecht, The Netherlands: Kluwer Academic Publishers.
Lidz C.W., Mulvey E.P., Arnold R.M., Bennett N.S., & Kirsch M.A. (1993). Coercive interactions in a psychiatric emergency room. Behavioral Sciences and the Law, 11, 269–280.
Lidz C.W., Hoge S.K., Gardner W.P., Bennett N.S., Monahan J.S., Mulvey E.P., & Roth L.H. (1995). Perceived coercion in mental hospital admission: Pressures and process. Archives of General Psychiatry, 52, 1034–1039.
Mechanic, D. (1968). Medical Sociology. New York: Free Press.
Nicholson, R.A., Ekenstam, C., & Norwood, S. (1996). Coercion and the outcome of psychiatric hospitalization. International Journal of Law and Psychiatry, 19, 201–217.
Reverby, S.M. (1987). Ordered to Care: The Dilemma of American Nursing, 1850–1945. New York: Cambridge University.
Rogers, A. (1993). Coercion and ‘voluntary’ admission: An examination of psychiatric patient views. Behavioral Sciences and the Law, 11, 259–267.
Rooney, R. (1992). Strategies for Work with Involuntary Clients. New York: Columbia University.
Schwartz, S.J., Leostanzo, C.E. (1987). Compelling Treatment in the Community: Distorted Doctrines and Violated Values. Loyola of Los Angeles Law Review, 20: 1329–1429.
Shortel, S., & Kalzuny A.P. (1994). Health Care Management: Organizational Behavior and Design (3rd ed.). Albany, New York: Delmar Publishers.
Sledge, W.H., Astrachan, B., Thompson, K., Rakfeldt, J., Leaf, P. (1995). Case management in psychiatry: an analysis of tasks. American Journal of Psychiatry 152(9), 1259–1265.
Starr, P. (1984). The Social Transformation of American Medicine. New York: Basic Books.
Winick, B.J. (1994). How to handle voluntary hospitalization after Zinermon v Burch. Administration and Policy in Mental Health, 21, 395–406.
Zola, I.K. (1963). Problems of communication, diagnosis and patient care: The interplay of patient, physician, and clinic organization. Journal of Medical Education, XXXVIII, 829–830.
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Encandela, J.A., Korr, W., Lidz, C.W. et al. Discretionary Use of Involuntary Commitment by Case Managers of Mental Health Clients: A Case Study of Divergent Views. Clinical Social Work Journal 27, 397–411 (1999). https://doi.org/10.1023/A:1022826314561
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DOI: https://doi.org/10.1023/A:1022826314561