Community treatment orders are not effective
Enforcing psychiatric treatment in the community through
compulsory treatment orders does not lead to reduction in the use of
hospital care. Comparing patients placed on treatment orders with
matched controls, Preston and colleagues (p 1244) found that the
subsequent inpatient admissions and bed days in hospital were reduced in both groups but treatment orders were associated with increased outpatient contacts. Legislative solutions, the authors say,
may therefore not be an effective alternative to assertive community
treatment programmes for high risk patients.
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- Assessing the outcome of compulsory psychiatric treatment in the community: epidemiological study in Western Australia
- Neil J Preston, Steve Kisely, and Jianguo Xiao
BMJ 2002 324: 1244.[Abstract] [Full Text] [PDF]
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