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OtherREGULAR ARTICLE

Psychiatrists' Opinions About Involuntary Civil Commitment: Results of a National Survey

Robert A. Brooks
Journal of the American Academy of Psychiatry and the Law Online June 2007, 35 (2) 219-228;
Robert A. Brooks
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    Table 1

    U.S. Psychiatrists, APA Sample Population, and APA Sample, by State

    StatePercentage of U.S. Psychiatrists (n)*Percentage of APA Sample Population (n)Percentage of APA Sample (n)
    AL0.75 (298)0.60 (9)0.56 (4)
    AK0.16 (63)0.27 (4)0.42 (3)
    AZ1.35 (539)0.60 (9)0.56 (4)
    AR0.50 (198)0.74 (11)0.56 (4)
    CA13.44 (5,352)7.41 (111)6.55 (47)
    CO1.67 (667)1.20 (18)1.81 (13)
    CT2.46 (981)2.20 (33)2.51 (18)
    DE0.25 (101)0.47 (7)0.56 (4)
    DC0.93 (370)1.27 (19)1.53 (11)
    FL4.53 (1,806)2.47 (37)2.23 (16)
    GA2.18 (868)1.94 (29)2.09 (15)
    HI0.55 (217)0.20 (3)0.14 (1)
    ID0.20 (80)0.27 (4)0.56 (4)
    IL3.87 (1,540)6.81 (102)5.85 (42)
    IN1.22 (486)2.27 (34)1.81 (13)
    IA0.51 (205)1.20 (18)1.81 (13)
    KS0.82 (328)0.74 (11)0.70 (5)
    KY0.98 (392)1.00 (15)0.97 (7)
    LA1.29 (514)0.93 (14)0.70 (5)
    ME0.52 (209)0.60 (9)0.70 (5)
    MD3.43 (1,366)4.81 (72)5.29 (38)
    MA5.18 (2,063)7.28 (109)6.69 (48)
    MI2.87 (1,143)2.27 (34)2.65 (19)
    MN1.32 (526)3.14 (47)2.92 (21)
    MS0.43 (171)0.40 (6)0.56 (4)
    MO1.41 (560)1.27 (19)0.84 (6)
    MT0.20 (76)0.20 (3)0.28 (2)
    NE0.38 (151)0.67 (10)0.84 (6)
    NV0.34 (134)0.27 (4)0.28 (2)
    NH0.53 (212)1.13 (20)1.39 (10)
    NJ3.53 (1,405)2.94 (44)2.51 (18)
    NM0.63 (249)0.13 (2)0.00 (0)
    NY14.44 (5,750)8.41 (126)7.80 (56)
    NC2.45 (974)5.01 (75)5.33 (38)
    ND0.18 (71)0.53 (8)0.56 (4)
    OH2.88 (1,147)4.54 (68)4.87 (35)
    OK0.66 (262)0.40 (6)0.56 (4)
    OR1.06 (424)0.93 (14)1.25 (9)
    PA5.09 (2,026)5.27 (79)5.57 (40)
    RI0.53 (213)0.93 (14)0.97 (7)
    SC1.14 (453)2.14 (32)2.79 (20)
    SD0.12 (49)0.13 (2)0.14 (1)
    TN1.34 (535)1.07 (16)0.97 (7)
    TX4.71 (1,877)3.54 (53)2.65 (19)
    UT0.48 (192)0.53 (8)0.56 (4)
    VT0.37 (149)0.87 (13)0.97 (7)
    VA2.31 (920)2.94 (44)2.51 (18)
    WA1.84 (731)2.07 (31)2.51 (18)
    WV0.38 (152)0.53 (8)0.97 (7)
    WI1.48 (590)2.23 (34)2.23 (16)
    WY0.10 (40)0.00 (0)0.00 (0)
    Total99.99 (39,825)99.77 (1,498)99.38 (718)
    • Data are percentages. Columns do not total to 100% due to rounding.

    • * Data were computed using a 1999 estimate of psychiatrists per capita per state from the U.S. Department of Health and Human Services,24 and U.S. population in 2000 from U.S. Census Bureau.25

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    Table 2

    Combined Cross-Tabulations Showing Respondents' Acccuracy With Respect to Five Grounds for Commitment

    State Law Status in 2001Believes the Ground Is the LawBelieves the Ground Is Not the LawTotal (n)
    Grave disability is grounds*70.729.3100.0 (690)
    Grave disability is not grounds*61.538.5100.0 (13)
    Relapse is grounds†19.081.0100.0 (116)
    Relapse is not grounds†9.490.6100.0 (586)
    Sexual predator status is grounds‡11.388.7100.0 (320)
    Sexual predator status is not grounds‡4.295.8100.0 (382)
    Alcohol addiction is grounds§37.262.8100.0 (86)
    Alcohol addiction is not grounds§10.090.0100.0 (617)
    Drug addiction is grounds‖20.080.0100.0 (145)
    Drug addiction is not grounds‖9.091.0100.0 (558)
    • * Pearson χ2 = 0.518, p = 0.472; Goodman-Kruskal gamma = 0.203 (Several cells were sparse, and so the χ2 statistic is suspect).

    • † Pearson χ2 = 9.100, p = 0.003; Goodman-Kruskal γ = 0.386.

    • ‡ Pearson χ2 = 12.660, p < 0.0001; Goodman-Kruskal γ = 0.487.

    • § Pearsonχ2 = 48.070, p < 0.0001; Goodman-Kruskal γ = 0.683.

    • ‖ Pearson χ2 = 14.062, p < 0.0001; Goodman-Kruskal γ = 0.435.

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    Table 3

    Acuracy of Responses About IOC

    State Law Status in 2001Believes IOC Is AllowedDoes Not Believe IOC Is AllowedDoes Not KnowTotal (n)
    State allows IOC59.8622.3617.78100.00 (568)
    State does not allow IOC26.3252.6321.05100.00 (133)
    Total (n)53.50 (375)28.10 (197)18.40 (129)
    • Data are percentages. Pearson χ2 = 58.435, p < 0.0001, Goodman-Kruskal γ = 0.325.

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Journal of the American Academy of Psychiatry and the Law Online: 35 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 35, Issue 2
June 2007
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Psychiatrists' Opinions About Involuntary Civil Commitment: Results of a National Survey
Robert A. Brooks
Journal of the American Academy of Psychiatry and the Law Online Jun 2007, 35 (2) 219-228;

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Psychiatrists' Opinions About Involuntary Civil Commitment: Results of a National Survey
Robert A. Brooks
Journal of the American Academy of Psychiatry and the Law Online Jun 2007, 35 (2) 219-228;
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