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  1. Management of threats of violence under California's duty-to-protect statute.

    Article - En anglais

    Objective 

    This is the first study to assess clinical practices under one of the new duty-to-protect statutes, some version of which has been passed in many states.

    In 1985, California enacted a statute enabling psychotherapists to limit their liability when a patient makes a serious threat of violence by 1) making reasonable efforts to warn the victim of the threat and 2) notifying local police.

    Method 

    The authors examined all duty-to-protect notifications over a 5-year period in San Francisco by reviewing police and court records.

    Results 

    Police received only 337 notifications, typically made by nondoctoral staff members at public facilities such as psychiatric hospitals and crisis clinics.

    Patients most commonly directed their threats toward family members.

    Of the patients who made threats resulting in notifications, 51% had prior arrest records, and 14% had subsequent arrests.

    Only 52% of the patients who made threats were civilly committed.

    Conclusions 

    The findings suggest that 1) clinicians rarely discharge the duty to protect in the manner specified by the law, 2) many patients whose threats result in notifications have extensive involvement with the criminal justice system, and 3) family intervention may have clinical relevance in many duty-to-protect situations.

    Mots-clés Pascal : Personnel sanitaire, Attitude, Législation, Responsabilité professionnelle, Evaluation, Trouble comportement social, Violence, Santé mentale, Ethique, Homme

    Mots-clés Pascal anglais : Health staff, Attitude, Legislation, Occupational responsibility, Evaluation, Social behavior disorder, Violence, Mental health, Ethics, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0425886

    Code Inist : 002B18H04. Création : 25/01/1999.