Community treatment orders: how ethical without experimental evidence?
نویسندگان
چکیده
منابع مشابه
Community treatment orders: how ethical without experimental evidence?
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.
متن کاملHow patients in New Zealand view community treatment orders.
BACKGROUND New Zealand operates a well-embedded community treatment order scheme for patients with serious mental disorders. A similar scheme may be enacted for England and Wales. AIM To explore the views of patients with recent experience of community treatment orders. METHOD All patients in one region under an order in the last 2 years, not readmitted to hospital for at least 6 months, we...
متن کاملCommunity treatment orders.
2 They are playing a game. They are playing at not playing a game. If I show them I see they are, I shall break the rules and they will punish me. I must play their game, of not seeing I see the game Preface Community Treatment Orders (CTOs) were introduced to Western Australia as part of the Mental Health Act 1996 (the 'Act') which came into force on 13 November 1997. In line with the use of C...
متن کاملCommunity treatment orders: current evidence and the implications.
Community treatment orders (CTOs) have been widely introduced to address the problems faced by 'revolving door' patients. A number of case-control studies have been conducted but show conflicting results concerning the effectiveness of CTOs. The Oxford Community Treatment Order Evaluation Trial (OCTET) is the third randomised controlled trial (RCT) to show that CTOs do not reduce rates of readm...
متن کاملCommunity Treatment Orders (CTO's): a clinico-ethical perspective from Melbourne, Australia
Conclusion The state of Victoria has been at the forefront of the move away from institutional to community based mental health practice. CTO's have been pivotal to this community focused model of service delivery. CTO's were readily adopted in Victoria twenty years ago with little extensive debate, and to date, there has been little open discussion about their actual value. This failure to exa...
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ژورنال
عنوان ژورنال: Psychological Medicine
سال: 2009
ISSN: 0033-2917,1469-8978
DOI: 10.1017/s0033291709005352