Compulsory community and involuntary outpatient treatment for people with severe mental disorders

Kisely, Steve R. and Campbell, Leslie A. (2015) Compulsory community and involuntary outpatient treatment for people with severe mental disorders. Schizophrenia Bulletin, 41 3: 542-543. doi:10.1093/schbul/sbv021


Author Kisely, Steve R.
Campbell, Leslie A.
Title Compulsory community and involuntary outpatient treatment for people with severe mental disorders
Journal name Schizophrenia Bulletin   Check publisher's open access policy
ISSN 0586-7614
1745-1701
Publication date 2015-05
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1093/schbul/sbv021
Open Access Status Not Open Access
Volume 41
Issue 3
Start page 542
End page 543
Total pages 2
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2016
Language eng
Abstract There is controversy as to whether compulsory community treatment (CCT) for people with severe mental illness (SMI) reduces health service use or improves clinical outcome and social functioning. To examine the effectiveness of CCT for people with SMI. We searched the Cochrane Schizophrenia Group’s Trials Register and Science Citation Index (2003, 2008, 2012, and 2013). We obtained all references of identified studies and contacted authors where necessary. All relevant randomized controlled clinical trials (RCTs) of CCT compared with standard care for people with SMI (mainly schizophrenia and schizophrenia-like disorders, bipolar disorder, or depression with psychotic features). Standard care could be voluntary treatment in the community or another preexisting form of compulsory community treatment such as supervised discharge. We found 3 trials with a total of 752 people. Two trials compared a form of CCT called ‘Outpatient Commitment’ (OPC) versus standard voluntary care, whereas the third compared Community Treatment Orders with intermittent supervised discharge. CCT was no more likely to result in better service use, social functioning, mental state, or quality of life compared with either standard voluntary or supervised care. However, people receiving CCT were less likely to be victims of crime than those on voluntary care. Further research is indicated into the effects of different types of CCT as these results are based on 3 relatively small trials.
Keyword Mental health
Involuntary Outpatient Treatment
Compulsory Community Treatment
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
 
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