Compulsory Community and Involuntary Outpatient Treatment for People With Mental Illness (JGCR / Cochrane Database)


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).

Full Text Link


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:

Full Text Link


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.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Mental Health, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Systematic Reviews, UK, Wales, Wolverhampton and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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