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Coercion in community mental health treatment in the Americas 

Coercion in community mental health treatment in the Americas
Coercion in community mental health treatment in the Americas

Richard O’Reilly

and John Gray

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date: 08 December 2021

This chapter explores the use of coercion, both legislated and informal, in community mental health services in North America, South America, and the Caribbean. Greater detail is provided for the United States and Canada as there has been more research on formal coercion in these jurisdictions, particularly on the use of outpatient commitment (OPC) and community treatment orders (CTOs). Mexico, Brazil, and Argentina are used as examples of the situation in Latin America and Jamaica as an example from the Caribbean. The chapter discusses whether formal coercive approaches are more respecting of rights than the use of informal coercion. It also compares the types of legislative regimes used in North America.

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