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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...

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Autores principales: DeRidder, Ritz, Molodynski, Andrew, Manning, Catherine, McCusker, Pearse, Rugkåsa, Jorun
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
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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.
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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
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