A comparison of respondents in initial and recommitment hearings

Legislators and researchers have focused on one aspect of civil commitment: initial commitments. Many patients, however, remain in the hospital after their initial commitment expires and, thus, must be recommitted if they are to remain in involuntary treatment. Demographic, clinical, and treatment data were collected on 374 adults having initial or recommitment hearings during a 3-month period at a large state hospital in Virginia. Respondents in initial commitment hearings were younger and displayed acute symptoms; recommitment respondents were older with symptoms of chronic psychopathology, especially those associated with schizophrenia and organic brain syndrome. The subject of recommitment patients and hearings needs to be a focus of future research efforts to determine whether these differences are reflected in a greater relative gap between the letter and practice of the law in recommitment hearings.This research was supported by grant No. R03 MH44065-01 from the National Institute of Mental Health. The financial assistance of the Institute for Research Development of the Human Sciences Research Council is also acknowledged. This article was written while the first author was a postdoctoral fellow in Clinical Services Research, NIMH grant No. 5T32MH17184-06.