Compulsory community and involuntary outpatient treatment for people with severe mental disorders

Kisely, Steve; Campbell, Leslie Anne; Preston, Neil

doi:10.1002/14651858.cd004408.pub2

Cited by 124 publications

(118 citation statements)

References 46 publications

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“…1 The proposed legislation was controversial. Two large reviews 2,3 failed to find an evidence base to support the claims made for compulsory community treatment. One review did, however, acknowledge the difficulties in conducting studies in this area.…”

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confidence: 99%

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Is the bark worse than the bite? Additional conditions used within community treatment orders

2014

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Aims and method To investigate the use of additional conditions attached to community treatment orders (CTOs) and whether they influence the process of recall to hospital. We conducted a retrospective descriptive survey of the records and associated paperwork of all the CTOs started in the trust in the year from January 2010. Each CTO was followed up for 12 months.Results A total of 65 CTOs were included in the study; 25 patients were recalled during the study and all but one of these had their CTO revoked and remained in hospital. Each patient whose CTO was revoked had experienced a relapse in their condition. Many patients had not complied with CTO conditions prior to relapsing and could potentially have been recalled earlier.Clinical implications Our findings suggest that the breaching of additional CTO conditions does not tend to result in a patient's recall to hospital. This has implications regarding how the workings of CTOs are explained to patients and regarding the utility of additional conditions more generally.

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confidence: 99%

“…One review did, however, acknowledge the difficulties in conducting studies in this area. 3 The main criticisms of CTOs relate to the restrictions that they impose on patients' human rights. 4 …”

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confidence: 99%

Is the bark worse than the bite? Additional conditions used within community treatment orders

2014

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“…One report found: “Black people see using mental health services as a degrading and alienating experience” and that “Service users expressed fears about being admitted to hospital and most strikingly a fear that involvement with mental health services could eventually lead to their death.”3 In addition, a recent Cochrane review found no strong evidence that compulsory treatment reduces use of health services or improves patients' social functioning. It also concluded that a lack of data made it impossible to assess the effect on costs, mental state, and other aspects of patient or carer satisfaction 4. And, finally, the government has clearly said that the proposed legislation does not introduce a new power of preventive detention 5…”

Section: What's Wrong With What We Have?mentioning

confidence: 99%

Who benefits from the new act?

Crepaz‐Keay

2005

BMJ

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“…7 A Cochrane review, which included two randomised trials, concluded that community treatment orders may not be an effective alternative to standard care. 8 …”

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confidence: 99%