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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.

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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)
Linked references
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

T Burns , J Catty , M Dash , C Roberts , A Lockwood , M Marshall (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.

J Coid (1994). Failure in community care: psychiatry's dilemma. British Medical Journal 308, 805806.

J Dawson (2006). Fault-lines in community treatment order legislation. International Journal of Law and Psychiatry 29, 482494.

A Gibbs , J Dawson , C Ansley , R Mullen (2005). How patients in New Zealand view community treatment orders. Journal of Mental Health 14, 357368.

R Mullen , J Dawson , A Gibbs (2006). Dilemmas for clinicians in use of community treatment orders. International Journal of Law and Psychiatry 29, 535550.

G Niveau , J Materi (2007). Psychiatric commitment: over 50 years of case law from the European Court of Human Rights. European Psychiatry 22, 5967.

V Pinfold , J Bindman , G Thornicroft , D Franklin , D Hatfield (2001). Persuading the persuadable: evaluating compulsory treatment in England using supervised discharge orders. Social Psychiatry and Psychiatric Epidemiology 36, 260266.

S Romans , J Dawson , R Mullen , A Gibbs (2004). How mental health clinicians view community treatment orders: a national New Zealand survey. Australian and New Zealand Journal of Psychiatry 38, 836841.

M Slade , S Priebe (2001). Are randomised controlled trials the only gold that glitters? British Journal of Psychiatry 179, 286287.

C Wright , J Catty , H Watt , T Burns (2004). A systematic review of home treatment services. Classification and sustainability. Social Psychiatry and Psychiatric Epidemiology 39, 789796.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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