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 languageEnglish
Pages (from-to)119-123
Number of pages5
JournalBJPsych Bulletin
Volume40
Issue number3
DOIs
Publication statusPublished - Jun 2016

Keywords

  • CTOs
  • clinical practice
  • patient care

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    DeRidder, R., Molodynski, A., Manning, C., McCusker, P., & Rugkasa, J. (2016). Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists. BJPsych Bulletin, 40(3), 119-123. https://doi.org/10.1192/pb.bp.115.050773