2016
DOI: 10.1192/pb.bp.115.050773
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Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

Abstract: Aims and method Community treatment orders (CTOs) are increasingly embedded into UK practice and their use continues to rise. However, they remain highly controversial. We surveyed psychiatrists to establish their experiences and current opinions of using CTOs and to compare findings with our previous survey conducted in 2010.Results The opinions of psychiatrists in the UK have not changed since 2010 in spite of recent evidence questioning the effectiveness of CTOs. Clinical factors (the need for engagement an… Show more

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Cited by 20 publications
(25 citation statements)
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“…Our findings indicate that decisions to recall patients are based on judgements of the patient’s clinical state. This is also how psychiatrists explain their use of CTOs [28, 29], and it is in line with current legal understanding of how recall may be used [26]. …”
Section: Discussionsupporting
confidence: 52%
“…Our findings indicate that decisions to recall patients are based on judgements of the patient’s clinical state. This is also how psychiatrists explain their use of CTOs [28, 29], and it is in line with current legal understanding of how recall may be used [26]. …”
Section: Discussionsupporting
confidence: 52%
“…18 Only patients deemed most at risk can access psychiatric beds. In other words, they get help only because the MHA (that is, the law) demands that they get treatment.…”
Section: The Act Ensures That People Get Helpmentioning
confidence: 99%
“…The reported reasons for consumers being placed on a CTO, from qualitative studies, included risk to self and/or others [27, 28], poor insight, lack of compliance with treatment (predominantly medication) [27, 29], ensuring treatment [2830] facilitating discharge from inpatient services and hospital avoidance [29]. Quantitative studies reporting on workers perspectives of factors governing decision-making of CTO use found the most reported factors to be: ensuring contact with workers; protecting consumers’ from consequences of relapse; promoting medication adherence and providing authority to treat [3134]. These clinical factors driving CTO use have remained consistent over the past decade, and across continents [31, 34].…”
Section: Core Components Of Case Managementmentioning
confidence: 99%
“…Quantitative studies reporting on workers perspectives of factors governing decision-making of CTO use found the most reported factors to be: ensuring contact with workers; protecting consumers’ from consequences of relapse; promoting medication adherence and providing authority to treat [3134]. These clinical factors driving CTO use have remained consistent over the past decade, and across continents [31, 34]. …”
Section: Core Components Of Case Managementmentioning
confidence: 99%
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