Critical Gaps in Assisted Outpatient Treatment Research in the United States

Elizabeth Sinclair Hancq; Mark Munetz; Shanti C Silver; Hope A Parker; Natalie Bonfine

doi:10.1007/s10488-024-01377-z

Critical Gaps in Assisted Outpatient Treatment Research in the United States

Adm Policy Ment Health. 2024 Apr 30. doi: 10.1007/s10488-024-01377-z. Online ahead of print.

Authors

Elizabeth Sinclair Hancq¹, Mark Munetz², Shanti C Silver¹, Hope A Parker¹, Natalie Bonfine³

Affiliations

¹ Treatment Advocacy Center, Arlington, VA, USA.
² Northeast Ohio Medical University, Rootstown, OH, USA.
³ Northeast Ohio Medical University, Rootstown, OH, USA. nbonfine@neomed.edu.

PMID: 38687427
DOI: 10.1007/s10488-024-01377-z

Abstract

In 2023, the White House included the implementation and improvement of assisted outpatient treatment in a list of under-researched strategies to support recovery and long-term treatment engagement for people with serious mental illness. Assisted outpatient treatment is a community-based, court-ordered, mental health treatment program for a subset of individuals with serious mental illness who have a history of difficulty adhering to treatment and staying well while living in the community. There is research supporting the use of assisted outpatient treatment for this specific population, however, the majority focuses on limited geographic regions, specific program organizations, and is outdated. Meanwhile, assisted outpatient treatment programs have increasingly been adopted by counties and states across the country. More research is needed to ensure that assisted outpatient treatment programs are being implemented in the most effective and equitable way possible. In this paper, the authors identify several key gaps in the current literature base relating to the effectiveness and implementation of assisted outpatient treatment.

Keywords: Assisted Outpatient Treatment; Serious Mental Illness.