Skip to main content
×
Home
    • Aa
    • Aa

Community treatment orders: how ethical without experimental evidence?

  • T. Burns (a1) and J. Dawson (a2)
Abstract

Compulsory community treatment orders are a feature of most advanced mental health systems without convincing experimental evidence of benefits. Is it ethical to continue without such evidence? This paper argues that the responsibility for ensuring it is collected lies as much with Parliament as with researchers.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Community treatment orders: how ethical without experimental evidence?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Community treatment orders: how ethical without experimental evidence?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Community treatment orders: how ethical without experimental evidence?
      Available formats
      ×
Copyright
Corresponding author
*Address for correspondence: Professor T. Burns, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK. (Email: tom.burns@psych.ox.ac.uk)
References
Hide All
Burns T, Catty J, Dash M, Roberts C, Lockwood A, Marshall M (2007). Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. British Medical Journal 335, 336.
Churchill R, Owen G, Singh S, Hotopf M (2007). International Experiences of Using Community Treatment Orders. Institute of Psychiatry: London.
Coid J (1994). Failure in community care: psychiatry's dilemma. British Medical Journal 308, 805806.
Dawson J (2006). Fault-lines in community treatment order legislation. International Journal of Law and Psychiatry 29, 482494.
Department of Human Services (2005). Community Treatment Orders: Chief Psychiatrist's Guideline. Victorian Government: Melbourne (www.health.vic.gov.au/mentalhealth).
Gibbs A, Dawson J, Ansley C, Mullen R (2005). How patients in New Zealand view community treatment orders. Journal of Mental Health 14, 357368.
Lawton-Smith S (2005). A Question of Numbers. The Potential Impact of Community-based Treatment Orders in England and Wales. King's Fund: London.
Mullen R, Dawson J, Gibbs A (2006). Dilemmas for clinicians in use of community treatment orders. International Journal of Law and Psychiatry 29, 535550.
New York State Office of Mental Health (1994). New York Mental Hygiene Law (1994) chapter 560, section 9.61. In Kendra's Law: Final Report on the Status of Assisted Outpatient Treatment, Appendix 1 (www.omh.state.ny.us/omhweb/Kendra_web/finalreport/).
Niveau G, Materi J (2007). Psychiatric commitment: over 50 years of case law from the European Court of Human Rights. European Psychiatry 22, 5967.
Pinfold V, Bindman J, Thornicroft G, Franklin D, Hatfield D (2001). Persuading the persuadable: evaluating compulsory treatment in England using supervised discharge orders. Social Psychiatry and Psychiatric Epidemiology 36, 260266.
Romans S, Dawson J, Mullen R, Gibbs A (2004). How mental health clinicians view community treatment orders: a national New Zealand survey. Australian and New Zealand Journal of Psychiatry 38, 836841.
Royal College of Psychiatrists (1993). Community Supervision Orders. Royal College of Psychiatrists: London.
Slade M, Priebe S (2001). Are randomised controlled trials the only gold that glitters? British Journal of Psychiatry 179, 286287.
Swartz MS, Swanson JW, Wagner HR, Burns BJ, Hiday VA, Borum R (1999). Can involuntary outpatient commitment reduce hospital recidivism? Findings from a randomized trial with severely mentally ill individuals. American Journal of Psychiatry 156, 19681975.
Wright C, Catty J, Watt H, Burns T (2004). A systematic review of home treatment services. Classification and sustainability. Social Psychiatry and Psychiatric Epidemiology 39, 789796.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 21
Total number of PDF views: 189 *
Loading metrics...

Abstract views

Total abstract views: 266 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 20th October 2017. This data will be updated every 24 hours.