Community treatment orders and reduced time in hospital: a nationwide study, 2007-2012
Open accessAbstract
Aims and method Community treatment orders (CTOs) were introduced in Scotland in 2005, but are controversial owing to a lack of supportive randomised evidence. The non-randomised studies provide mixed results on their efficacy and utility. We aimed to examine hospital bed day usage across Scotland both before and after CTOs were initiated in a national cohort of patients, spanning 5 years. Results In total, 1558 individuals who were subject to a CTO between 2007 and 2012, of whom 63% were male, were included. After CTO initiation the number of hospital bed days fell, on average, from 66 to 39 per annum per patient. Those with a longer psychiatric history appeared to benefit more from a CTO, in terms of reduced time in hospital. Clinical implications Our data offer cautious support for the use of CTOs in routine practice, in terms of reducing time spent in psychiatric hospital. This finding is balanced by the more rigorous randomised studies which do not find any benefit to CTOs.
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Mirror-image studies use people as their own controls and consistently report reduced use of admission and other improved outcomes after placement on a community treatment order.
“Mirror-image studies use people as their own controls and consistently report reduced use of admission and other improved outcomes after placement on a CTO.”
From Compulsory community and involuntary outpatient treatment for people with severe mental disorders. (2017) · cites this paper as Taylor 2016
The Abstract reports a before-and-after comparison in the same patients and a reduction in hospital bed days after CTO initiation. But it says non-randomised studies have mixed results, not that they consistently show improvement. The Discussion describes autonomy, employment and quality of life as potential benefits rather than measured improvements; this study measured hospital use, not those other outcomes. (LLM, conf=0.88)
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Community treatment orders for patients with psychosis (OCTET): a randomised controlled trial
Burns, T., Rugkåsa, J., Molodynski, A., Dawson, J., Yeeles, K., Vazquez-Montes, M., Voysey, M., Sinclair, J., & Priebe, S. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60107-5 · Cited by 347 · see citing works
Swartz, M. S., Swanson, J. W., Wagner, H. R., Burns, B. J., Hiday, V. A., & Borum, R. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.12.1968 · Cited by 337 · see citing works
Assessing the New York City involuntary outpatient commitment pilot program
Steadman, H. J., Gounis, K., Dennis, D., Hopper, K., Roche, B., Swartz, M., & Robbins, P. C. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.3.330 · Cited by 312 · see citing works
International experiences of using community treatment orders
Churchill, R. C., Owen, G. S., Singh, S. P., & Hotopf, M. H. (2006) · PsycEXTRA Dataset · doi:10.1037/e622832007-001 · Cited by 204 · see citing works
A systematic review of the effect of community treatment orders on service use
Maughan, D., Molodynski, A., Rugkåsa, J., & Burns, T. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0781-0 · Cited by 106 · see citing works
Community treatment orders in England and Wales: national survey of clinicians' views and use
Manning, C., Molodynski, A., Rugkåsa, J., et al. (2011) · The Psychiatrist · doi:10.1192/pb.bp.110.032631 · Cited by 41 · see citing works
Pinfold, V., Bindman, J. P., Thornicroft, G., et al. (2001) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270170058 · Cited by 30 · see citing works
Community treatment orders: Current evidence and the implications
Rugkåsa, J., & Dawson, J. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.133900 · Cited by 25 · see citing works
Can we reverse the rising tide of compulsory admissions?
Johnson, S. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60442-0 · Cited by 25 · see citing works
The epistemic challenges of CTOs: Commentary on … Community treatment orders
Light, E. M. (2014) · Psychiatric Bulletin · doi:10.1192/pb.bp.113.045732 · Cited by 18 · see citing works
Kallapiran, K., Sankaranarayanan, A., & Lewin, T. J. (2010) · Australasian Psychiatry · doi:10.3109/10398562.2010.499945 · Cited by 9 · see citing works
Community treatment orders and their use in the UK
Taylor, M. (2010) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.109.007815 · Cited by 8 · see citing works
Self-citationCommunity compulsion in Scotland: a descriptive analysis
Brown, R., Taylor, M., Mackay, K., et al. (2012) · The Psychiatrist · doi:10.1192/pb.bp.110.033761 · Cited by 4 · see citing works
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Compulsory community and involuntary outpatient treatment for people with severe mental disorders.
Kisely, S. R., Campbell, L. A., & O'Reilly, R. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004408.pub5 · Cited by 123 · see citing works
Effectiveness of community treatment orders: The international evidence
Rugkåsa, J. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743715620415 · Cited by 98 · see citing works
Barnett, P., Matthews, H., Lloyd-Evans, B., Mackay, E., Pilling, S., & Johnson, S. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30382-1 · Cited by 89 · see citing works
- Authors
- Taylor, M., Macpherson, M., Macleod, C., & Lyons, D.
- Affiliations
- The University of Queensland (AU)
- University of Edinburgh (GB)
- Corresponding author
- Taylor, Mark
- ORCID
- Taylor, Mark
- Venue
- BJPsych Bulletin
- Publisher
- Royal College of Psychiatrists
- Published
- 2016-06
- Volume
- 40
- Issue
- 3
- Pages
- 124-126
- ISSN
- 2056-4694 (ISSN-L)
- 2056-4708
- PMC
- PMC4887728
- OpenAlex
- W2276166214
- Cited by
- 19
- References
- 13
- Citations by year
- 2026: 1 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 1 · 2014: 1
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- BJPsych Bulletin (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- community treatment orders, psychiatric hospitalization, length of hospital stay, psychiatric inpatient care, community mental health services, Scotland, psychiatric history, deinstitutionalization
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