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

  • Ritz DeRidder (a1), Andrew Molodynski (a2), Catherine Manning (a3), Pearse McCusker (a4) and Jorun Rugkåsa (a5)...
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.

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Copyright
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.
Corresponding author
Correspondence to Andrew Molodynski (andrew.molodynski@oxfordhealth.nhs.uk)
Footnotes
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Joint first authors.

Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

  • Ritz DeRidder (a1), Andrew Molodynski (a2), Catherine Manning (a3), Pearse McCusker (a4) and Jorun Rugkåsa (a5)...
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