Coercion and power in psychiatry #MHQT

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Ian Cummins explores a Belgian qualitative study looking at the experiences of people who have been subject to compulsory mental health legislation and admitted to hospital against their will.

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Compulsory Community Treatment does not reduce readmissions or length of stay in hospital

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John Baker explores a systematic review of compulsory community treatment to reduce readmission to hospital and increase engagement with community care in people with mental illness.

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How far is evidence-informed policy-making achievable?

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On the day that the new Mental Health Act Review report is published, Sonia Johnson and Bryn Lloyd-Evans reflect on the NIHR Mental Health Policy Research Unit contribution to the Independent Review of the Mental Health Act.

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Community treatment orders and social outcomes in psychosis

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Ian Cummins considers the findings of a recent 48-month follow-up study of social outcomes for patients with psychosis, which concludes that community treatment orders did not offer any long term benefits.

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Community treatment orders and personalisation: an unresolvable paradox?

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Ian Cummins explores new research about community treatment orders and the paradox of personalisation under compulsion.

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Community treatment orders still don’t work at 36 months: OCTET trial follow up

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Raphael Underwood presents the 3 year follow up of the OCTET trial of community treatment orders for people with psychosis, which finds no significant difference on readmission or disengagement for patients on CTOs compared to those discharged to voluntary status via Section 17 leave.

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Multiple perspectives on community treatment orders

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In his second blog on community treatment orders, Ian Cummins looks at a UK study on user, carer and practitioner perspectives and critiques the policy.

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Compulsory community treatment results in no significant difference in service use, social functioning or quality of life

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Rebecca Syed appraises and summarises an updated Cochrane review of compulsory community treatment and involuntary outpatient treatment for people with severe mental disorders. The review finds just 3 trials, which show that CCT results in no significant difference in service use, social functioning or quality of life.

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Community treatment orders and the limits of freedom

Erstwhile Mental Elf blogger, Ian Cummins, Senior Lecturer in Social Work at Salford University, joins the Social Care Elf to examine a study on the perspectives of service users, psychiatrists and carers on community treatment orders.

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Community treatment orders simply don’t work

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Community Treatment Orders (CTOs) were introduced in the UK in the last revisions of the Mental Health Act. They are highly controversial, and unpopular amongst the mental health community. They clearly impact on an individual’s Human Rights. Interestingly, they cannot enforce a treatment but can require an individual to return to hospital or a place of treatment. [read the full story…]