A systematic review of the views and experiences of subjects of community treatment orders

‘It's unbelievably humiliating’—Patients' expressions of negative effects of coercion in mental health care

“…On the positive side, CTOs are often considered a better alternative than being in hospital, and some perceive the order as a safety net, with assured access to services. Positive and helpful relationships with clinicians can be present under a CTO (Corring et al, 2017). The results from quantitative studies seem inconclusive.…”

“…Experienced coercion under CTOs were reviewed recently (Corring, O'Reilly, & Sommerdyck, 2017;Pridham et al, 2015). Patients report feeling controlled and coerced by the order, and that the CTO mainly revolves around medication, which some patients believe they need and others do not.…”

“…Recruitment of patients with first-hand experiences of coercion is difficult (Corring et al, 2017;Soininen et al, 2014), and dissatisfaction and unfortunate treatment outcome may well be predictors of reluctance to participate, or of gatekeeper censoring (Øye et al, 2016). Seminar attendees were strongly dissatisfied with coercion, and this project could potentially funnel some of their sentiments into the research literature.…”

Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales

“…4,5 Although CTOs have been recommended as a method for improving adherence and patient safety, patients treated under CTOs feel more coerced. 6 The use of CTOs has been much higher than was initially anticipated, 7,8 and has increased considerably since they were first introduced. 8,9 Concerns have been raised about greater use of compulsion amongst people from ethnic minority communities.…”

“…6 Surveys of both patients and carers indicate that many believe their main aim is to try to force people to take regular mediation. 6,16 It has been argued that use of CTOs can improve a person's mental health and quality of life, but negative findings of randomised trials 17,18 and limited information about the quality of care that people actually receive have led to calls for further research in this area. 11,19 The National Clinical Audit of Psychosis is a 10 year programme of work commissioned by the Healthcare Quality Improvement Partnership as part of the National Clinical Audit and Patient Outcomes Programme in England and Wales, which aims to improve the quality of care that people with psychosis receive.…”