Mental health recovery
By definition, the recovery process must be self-directed by the individual, who defines his or her own life goals and designs a unique path towards those goals.Yet, research shows that competence to make decisions about treatment may be problematic among people with serious mental illnesses. If decision making is so compromised that an individual is incapable of making safe choices about treatment, is it right to encourage self-direction? Can the principles of recovery be reconciled with the need to use leveraged or mandatory care in some circumstances?
Some very thoughtful authors have tried to address this apparent inconsistency and proposed to “broaden the concept of patient-centeredness to include mandated care under certain circumstances. … [U]sing incentives and disincentives to facilitate and promote adherence to treatment is patient-centered care to the extent that these interventions are experienced by patients as being grounded in a caring therapeutic relationship.” See Mandated Treatment in the Community for People with Mental Disorders.
Read more on the Ethics of Mandatory Community Treatment.