Urban Psychiatric Commitments: Disability and Dangerous Behavior of Black and White Recent Admissions

Pathways to Disability Income among Persons with Severe, Persistent Psychiatric Disorders

“…A recent study by Lindsey, Paul, and Mariotto (1989) found that, compared with whites, the African Americans who presented for involuntary psychiatric admission had more "deficiencies in adaptive functioning" in areas like interpersonal interactions, self-maintenance, and instrumental activity, according to ratings by interviewers and clinicians. The repertoire of instrumental functioning of African Americans was more limited than that of whites, resulting in a composite rating of African Americans as having a greater level of disability than whites.…”

Developing culturally responsive psychosocial rehabilitative programs for African Americans.

“…Nationally, Black patients are overrepresented in public psychiatric institutions and are more likely that White patients to be committed involuntarily (Lindsey, Paul & Mariotto, 1989). Low socioeconomic status (SES) and the general disadvantages associated with minority status jointly influence the quality and degree of services Blacks receive (Newhill, 1990; Ulbrich, Warheit & Zimmerman, 1989).…”

Dangerousness and disability as predictors of psychiatric patients' legal status

“…between involuntary and voluntary groups on various patient characteristics (e.g., Beck & Golowka, 1988;Gove & Fain, 1977;Hoge et al, 1997;Isohanni & Nieminen, 1990;Kjellin & Nilstun, 1993;Kjellin et al, 1993;Lindsey, Paul, & Mariotto, 1989;McClure, 1978;McEvoy, Appelbaum, Apperson, Geller, & Freter, 1989;NeeSmith, 1993;Nicholson, Ekenstam, & Norwood, 1996;Nicholson & Horn, 1986;Nicholson, Mojtabai, & NeeSmith, submitted manuscript;Okin, 1986;Rofman, Askinazi, & Fant, 1980;Rossi et al, 1986;Rubin & Mills, 1983;Shannon, 1976;Spence, Goldney, & Costain, 1988;Spengler, 1986;Spensley, Edwards, & White, 1980;Stoelmayr, Roth, & Parker, 1982;Stoelmayr, Roth, Parker, & Dillavou, 1983;Sussman & Nietzel, 1989;Szmukler, Bird, & Button, 1981;Toews, el-Guebaly, Leckie, & Harper, 1974;Westrin et al, 1990;Zwerling, Karasu, Plutchik, & Kellerman, 1975). Such comparisons suggest possible antecedents of commitment, and may clarify the roles played by demographics, personal resources, psychiatric disability, and legally relevant behavioral characteristics in the pathway to either voluntary or involuntary psychiatric admission.…”

“…Such comparisons suggest possible antecedents of commitment, and may clarify the roles played by demographics, personal resources, psychiatric disability, and legally relevant behavioral characteristics in the pathway to either voluntary or involuntary psychiatric admission. A second research strategy has been to focus on the conduct of civil commitment hearings and/or the variables associated with clinical or judicial decisions to commit, including the legal relevance of the bases for those decisions (e.g., Hiday, 1977(e.g., Hiday, , 1983Hiday & Scheid-Cook, 1987;LeBue, Granger, & Wise, 1979;Lelos, 1981;Mahler & Co, 1984;Monahan, Ruggiero, & Friedlander, 1982;Parry & Turkheimer, 1992;Parry, Turkheimer, & Hundley, 1992;Rothman & Dubin, 1982;Segal, Watson, Gold®nger, & Averbuck, 1988;Shore, Breakey, & Arvidson, 1981;Tomelleri, Lakshminarayanan, & Herjanic, 1977;Warren, 1977;Yesavage, Werner, Becker, & Mills, 1982). Such investigations may provide important evidence concerning the extent to which procedural safeguards are observed and commitment standards are appropriately applied.…”