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Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales.

Lei, H, Barnicot, K. ORCID: 0000-0001-5083-5135, Maynard, E., Etherington, A., Zalewska, K., Quirk, A., Sanatinia, R., Cooper, S. J. and Crawford, M. J. (2019). Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales.. BJPsych Bulletin, 43(5), pp. 227-235. doi: 10.1192/bjb.2019.23

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 implicationsCTOs 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.

Publication Type: Article
Additional Information: COPYRIGHT: © 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 re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Publisher Keywords: Community treatment order; community care; mental health act; psychosis
Subjects: K Law > KD England and Wales
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RM Therapeutics. Pharmacology
Departments: School of Health Sciences > Healthcare Services Research & Management
Date Deposited: 18 Aug 2020 12:22
URI: https://openaccess.city.ac.uk/id/eprint/24747
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