Cargando…
Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists
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 previo...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of Psychiatrists
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4887727/ https://www.ncbi.nlm.nih.gov/pubmed/27280030 http://dx.doi.org/10.1192/pb.bp.115.050773 |
_version_ | 1782434769972232192 |
---|---|
author | DeRidder, Ritz Molodynski, Andrew Manning, Catherine McCusker, Pearse Rugkåsa, Jorun |
author_facet | DeRidder, Ritz Molodynski, Andrew Manning, Catherine McCusker, Pearse Rugkåsa, Jorun |
author_sort | DeRidder, Ritz |
collection | PubMed |
description | 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 and treatment adherence, and the achievement of adherence and improved insight) remain the most important considerations in initiating and discharging a CTO. Clinical implications Given the accumulating evidence from research and clinical practice that CTOs do not improve outcomes, it is concerning that psychiatrists' opinions have not altered in response, particularly given the implications for patient care. |
format | Online Article Text |
id | pubmed-4887727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-48877272016-06-08 Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists DeRidder, Ritz Molodynski, Andrew Manning, Catherine McCusker, Pearse Rugkåsa, Jorun BJPsych Bull Original Papers 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 and treatment adherence, and the achievement of adherence and improved insight) remain the most important considerations in initiating and discharging a CTO. Clinical implications Given the accumulating evidence from research and clinical practice that CTOs do not improve outcomes, it is concerning that psychiatrists' opinions have not altered in response, particularly given the implications for patient care. Royal College of Psychiatrists 2016-06 /pmc/articles/PMC4887727/ /pubmed/27280030 http://dx.doi.org/10.1192/pb.bp.115.050773 Text en © 2016 The Authors http://creativecommons.org/licenses/by/4.0 This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Papers DeRidder, Ritz Molodynski, Andrew Manning, Catherine McCusker, Pearse Rugkåsa, Jorun Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title | Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title_full | Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title_fullStr | Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title_full_unstemmed | Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title_short | Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists |
title_sort | community treatment orders in the uk 5 years on: a repeat national survey of psychiatrists |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4887727/ https://www.ncbi.nlm.nih.gov/pubmed/27280030 http://dx.doi.org/10.1192/pb.bp.115.050773 |
work_keys_str_mv | AT deridderritz communitytreatmentordersintheuk5yearsonarepeatnationalsurveyofpsychiatrists AT molodynskiandrew communitytreatmentordersintheuk5yearsonarepeatnationalsurveyofpsychiatrists AT manningcatherine communitytreatmentordersintheuk5yearsonarepeatnationalsurveyofpsychiatrists AT mccuskerpearse communitytreatmentordersintheuk5yearsonarepeatnationalsurveyofpsychiatrists AT rugkasajorun communitytreatmentordersintheuk5yearsonarepeatnationalsurveyofpsychiatrists |