Community Treatment Order: Identifying the need for more evidence based justification of its use in first episode psychosis patients.

Détails

ID Serval
serval:BIB_17C5820D94E3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Community Treatment Order: Identifying the need for more evidence based justification of its use in first episode psychosis patients.
Périodique
Schizophrenia research
Auteur(s)
Morandi S., Golay P., Lambert M., Schimmelmann B.G., McGorry P.D., Cotton S.M., Conus P.
ISSN
1573-2509 (Electronic)
ISSN-L
0920-9964
Statut éditorial
Publié
Date de publication
07/2017
Peer-reviewed
Oui
Volume
185
Pages
67-72
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Community Treatment Order (CTO) is a legal regime that obliges patients suffering mental disorder to adhere to treatment in the community and allows for a swift admission to hospital if necessary. Study aims were to: (i) determine CTO frequency in a large representative sample of first episode psychosis (FEP) patients; (ii) compare the characteristics of patients with or without CTO before entry, during treatment and at discharge from an early psychosis program.
Information on 660 patients treated at the Early Psychosis Prevention and Intervention Centre (EPPIC) between 1998 and 2000 was collected from medical files.
19.2% of patients were under CTO at least once during treatment and they differed on most pre-treatment, baseline, treatment and service discharge variables. They were less educated, more likely to have a history of offending behavior, had lower pre-morbid functioning, longer duration of untreated psychosis, increased prevalence and more persistent substance use disorders, greater severity of symptoms, lower functioning, poorer insight at any time during treatment and were more likely to be admitted to hospital.
CTO frequency was high, likely related to the representativeness of the cohort. Characteristics of patients on CTO are comparable to those with serious and persistent mental illness. Considering the absence of solid evidence regarding the effectiveness of this form of compulsion, it is crucial to study the use of CTO in FEP patients in order to explore its impact and identify patients for whom it may be beneficial.

Mots-clé
Adolescent, Adult, Cohort Studies, Community Mental Health Services/methods, Community Mental Health Services/utilization, Evidence-Based Practice, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotic Disorders/epidemiology, Psychotic Disorders/therapy, Treatment Outcome, Young Adult, Community Treatment Order, Compulsion, Compulsory outpatient treatment, Early psychosis, First episode schizophrenia disorder
Pubmed
Web of science
Création de la notice
20/12/2016 9:26
Dernière modification de la notice
20/08/2019 13:47
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