Involuntary outpatient treatment as “desintitutionalized coercion”: The net-widening concerns

In American jurisprudence, two justifications have traditionally been put forth to support the government's social control of persons with mental illness: police power and parens patriae. As public mental hospitals became less available as loci in which to exercise these functions, governments sought alternative means to achieve the same ends. One prominent but quite controversial means is involuntary outpatient treatment (IOT). While the concerns about IOT have been myriad, one often alluded to but never documented is that of “net-widening.” That is, once IOT became available, it would be applied to an ever greater number of individuals, progressively expanding the margins of the designated population to whom it is applied, despite the formal standard for its application remaining constant. We tested the net-widening belief in a naturalistic experiment in Massachusetts. We found that net-widening did not occur, despite an environment strongly conducive to that expansion. At this time, whatever the arguments against IOT might be, net-widening should not be one of them.     

Does involuntary outpatient commitment lead to more intensive treatment?

Studies of involuntary outpatient commitment (OPC) among persons with severe mental illness have concluded that OPC is only effective in improving treatment outcomes when it is sustained for 6 months or longer and is combined with frequent outpatient services. This article explores factors that influence the delivery of outpatient services to subjects in a randomized trial of OPC and finds 2 general patterns. Outpatient visits were more frequent among all subjects with apparent clinical need, regardless of study assignment, and among subjects whose OPC was sustained beyond an initial court order. These results suggest that, in practice, sustained OPC represents a consensual agreement between clinicians and the court to more intensively address the complex needs of persons with severe and persistent mental illness.     

A dynamic test of the marginality hypothesis

The marginality hypothesis is an attempt to relate the voting margins of members of Congress to their subsequent legislative behavior. A major corollary of the hypothesis is that members of Congress with small victory margins will be more responsive to constituents than those with large victory margins. This has been assumed to mean that electorally secure representatives can afford to be more loyal to their congressional parties, since they have less cause to worry about their chances for reelection. Previous empirical studies have produced mixed results. We ask the question in a different way: Do changes in marginality affect party voting within Congress? If so, major shifts in the electorate potentially can have a fundamental impact on the behavior of Congress itself. We find that this is not true. Electoral margin is simply not related to party loyalty.     

The dragon breathes fire: Chinese organized crime in New York City

Although it is widely acknowledged that Chinese businesses are victims of extortion by Asian youth gangs, there is no reliable information to examine the patterns and social processes of the problem. This paper explores the structure of extortion and other forms of victimization based on surveys of (N=603) Chinese-owned businesses in three Chinatown neighborhoods in New York City. It focuses on the nature of Chinese crime groups, social contexts of gang extortion, social processes of victimization, and merchants' compliance or resistance to gang demands. Finally, the paper discusses the problems and prospects of Chinese criminality in America.Support for this research was provided by Grant 89-IJ-CX-0021 from the National Institute of Justice. The opinions are those of the authors and do not reflect the policies or views of the U.S. Department of Justice.