Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

Ritz DeRidder; Andrew Molodynski; Catherine Manning; Pearse McCusker; Jorun Rugkasa

doi:10.1192/pb.bp.115.050773

Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

Ritz DeRidder, Andrew Molodynski, Catherine Manning, Pearse McCusker, Jorun Rugkasa

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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 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.

Original language	English
Pages (from-to)	119-123
Number of pages	5
Journal	BJPsych Bulletin
Volume	40
Issue number	3
DOIs	https://doi.org/10.1192/pb.bp.115.050773
Publication status	Published - Jun 2016

Keywords

CTOs
clinical practice
patient care

Documents and Links

10.1192/pb.bp.115.050773

DeRidder, R. et al (2016) Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists
© 2016 The Authors 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.
Final published version, 90.8 KBLicence: CC BY

Cite this

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AB - Aims and methodCommunity 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.ResultsThe 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 implicationsGiven 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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Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

Abstract

Keywords

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