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Community treatment orders in England: review of usage from national data

AIMS AND METHOD: Community treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses national data to explore the use of CTOs i...

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Detalles Bibliográficos
Autores principales: Gupta, Susham, Akyuz, Elvan U., Baldwin, Toby, Curtis, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048733/
https://www.ncbi.nlm.nih.gov/pubmed/29681252
http://dx.doi.org/10.1192/bjb.2017.33
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author Gupta, Susham
Akyuz, Elvan U.
Baldwin, Toby
Curtis, David
author_facet Gupta, Susham
Akyuz, Elvan U.
Baldwin, Toby
Curtis, David
author_sort Gupta, Susham
collection PubMed
description AIMS AND METHOD: Community treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses national data to explore the use of CTOs in England. RESULTS: About 5500 patients are subject to CTOs at any one time. Each year, ~4500 patients are made subject to a CTO each year and ~2500 are fully discharged, usually by the responsible clinician; fewer than half of CTO patients are recalled, and two-thirds of recalls end in revocation. The low rate of CTO discharges by mental health tribunals (below 5%) suggests that they are not used inappropriately. CLINICAL IMPLICATIONS: The introduction of CTOs in England has coincided with a reduction in psychiatric service provision due to the economic downturn. Pressures on services might be even more severe if patients currently subject to CTOs instead needed to be detained as in-patients. DECLARATION OF INTEREST: None.
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spelling pubmed-60487332018-07-18 Community treatment orders in England: review of usage from national data Gupta, Susham Akyuz, Elvan U. Baldwin, Toby Curtis, David BJPsych Bull Original Papers AIMS AND METHOD: Community treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses national data to explore the use of CTOs in England. RESULTS: About 5500 patients are subject to CTOs at any one time. Each year, ~4500 patients are made subject to a CTO each year and ~2500 are fully discharged, usually by the responsible clinician; fewer than half of CTO patients are recalled, and two-thirds of recalls end in revocation. The low rate of CTO discharges by mental health tribunals (below 5%) suggests that they are not used inappropriately. CLINICAL IMPLICATIONS: The introduction of CTOs in England has coincided with a reduction in psychiatric service provision due to the economic downturn. Pressures on services might be even more severe if patients currently subject to CTOs instead needed to be detained as in-patients. DECLARATION OF INTEREST: None. Cambridge University Press 2018-06 /pmc/articles/PMC6048733/ /pubmed/29681252 http://dx.doi.org/10.1192/bjb.2017.33 Text en © The Authors 2018 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Gupta, Susham
Akyuz, Elvan U.
Baldwin, Toby
Curtis, David
Community treatment orders in England: review of usage from national data
title Community treatment orders in England: review of usage from national data
title_full Community treatment orders in England: review of usage from national data
title_fullStr Community treatment orders in England: review of usage from national data
title_full_unstemmed Community treatment orders in England: review of usage from national data
title_short Community treatment orders in England: review of usage from national data
title_sort community treatment orders in england: review of usage from national data
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048733/
https://www.ncbi.nlm.nih.gov/pubmed/29681252
http://dx.doi.org/10.1192/bjb.2017.33
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