It remains uncertain whether compulsory community treatment for people with severe mental illness actually improves clinical outcomes and / or social functioning or reduces the level of usage of health services.
A recent pilot study investigated old age psychiatrists’ perceptions and rationale for use / non-use of Community Treatment Orders (CTOs) with older adults. CTOs were introduced in England and Wales in 2008, although with little evidence concerning their effectiveness.
“ …the use of CTOs in older adults remains a challenging and under-researched area”. (p.28).
Bhattacharyya, S. Bailey, J. [and] Khan, F. [et al] (2017). Views of old age psychiatrists on use of community treatment orders in ageing population in England and Wales – a pilot study. Journal of Geriatric Care and Research (JGCR). June 2017, 4(1): 22-27.
A Cochrane Review recently re-addressed the inadequacy of evidence internationally, and for patients of all ages:
Kisely, SR. Campbell, LA. [and] O’Reilly, R. (2017). Compulsory community and involuntary outpatient treatment for people with severe mental disorders. Cochrane Database of Systematic Reviews. March 17th 2017; 3: CD004408.
There is also an Executive Summary.