Americans ’ Attitudes toward Mental Illness and Involuntary Psychiatric Medication

This study uses data from the Mental Health Modules of the General Social Survey (1996 and 2006) to understand why some Americans endorse the involuntary use of psychiatric medication. Results indicated that in 1996 and 2006, 28 percent of Americans believed that people with mental illness should be forced by law to take psychiatric medication. The belief that people with mental illness are dangerous significantly contributed to Americans ’ endorsement of this form of mandated treatment. Interestingly, the belief that mental illness is caused by stress increased the odds of support for mandated medication in 1996 and then reduced the odds of support in 2006. Moreover, stigmatizing preferences for social distance from those with mental illness were no longer contributing factors in 2006. It is still imperative, however, that public policy makers promote anti-stigma initiatives to reduce barriers to psychiatric treatment and counteract the public’s lingering fear of people with mental illness. Keywords mental disorders, drug therapy, stigma, treatment A controversial issue that warrants further research is how society should treat people with mental illness. Deinstitutionalization signified a major societal change in how people with mental health problems were treated medically, which included an emphasis on short-term inpatient and outpatient treatment, com-munity mental health services, and the use of psychi-atric medications (Crilly 2008; Lamb and Bachrach 2001). Despite deinstitutionalization, involuntary psy-chiatric treatment continues to be a source of consid-erable debate in the United States and internationall