Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales
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Published version
Author(s)
Type
Journal Article
Abstract
Aims and method: We conducted a secondary analysis of data from the National Audit of Psychosis to identify factors associated with use of community treatment orders (CTOs) and assess the quality of care that people on CTOs receive.
Results: Between 1.1 and 20.2% of patients in each trust were being treated on a CTO. Male gender, younger age, greater use of in-patient services, coexisting substance misuse and problems with cognition predicted use of CTOs. Patients on CTOs were more likely to be screened for physical health, have a current care plan, be given contact details for crisis support, and be offered cognitive-behavioural therapy.
Clinical implications: CTOs appear to be used as a framework for delivering higher-quality care to people with more complex needs. High levels of variation in the use of CTOs indicate a need for better evidence about the effects of this approach to patient care.
Declaration of interest: None.
Results: Between 1.1 and 20.2% of patients in each trust were being treated on a CTO. Male gender, younger age, greater use of in-patient services, coexisting substance misuse and problems with cognition predicted use of CTOs. Patients on CTOs were more likely to be screened for physical health, have a current care plan, be given contact details for crisis support, and be offered cognitive-behavioural therapy.
Clinical implications: CTOs appear to be used as a framework for delivering higher-quality care to people with more complex needs. High levels of variation in the use of CTOs indicate a need for better evidence about the effects of this approach to patient care.
Declaration of interest: None.
Date Issued
2019-10
Date Acceptance
2019-03-01
Citation
BJPsych Bulletin, 2019, 43 (5), pp.227-235
ISSN
2056-4694
Publisher
Cambridge University Press (CUP)
Start Page
227
End Page
235
Journal / Book Title
BJPsych Bulletin
Volume
43
Issue
5
Copyright Statement
© The Authors 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30971324
PII: S2056469419000238
Subjects
Community treatment order
community care
mental health act
psychosis
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2019-04-11