The effect of community treatment orders on outcome as assessed by the Health of the Nation Outcome Scales

Kisely, Steve, Xiao, Jianguo, Crowe, Elizabeth, Paydar, Anita and Jian, L. (2014) The effect of community treatment orders on outcome as assessed by the Health of the Nation Outcome Scales. Psychiatry Research, 215 3: 574-578. doi:10.1016/j.psychres.2013.12.036


Author Kisely, Steve
Xiao, Jianguo
Crowe, Elizabeth
Paydar, Anita
Jian, L.
Title The effect of community treatment orders on outcome as assessed by the Health of the Nation Outcome Scales
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
1872-7123
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.psychres.2013.12.036
Open Access Status Not Open Access
Volume 215
Issue 3
Start page 574
End page 578
Total pages 5
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Language eng
Abstract Many studies of outpatient commitment have assessed effects on health service use rather than psychiatric symptomatology. We examined whether patients on one form of outpatient commitment, community treatment orders (CTOs), had better outcomes on the Health of the Nation Outcome Scales (HoNOS). Cases and controls from three linked Western Australian databases were matched on age, sex, diagnosis and time of hospital discharge. These databases cover the entire state (population=2.3 million). We compared HoNOS scores of CTO cases and controls at baseline, six-, and twelve-month follow-up, using multivariate analyses to further control for confounders. We identified 1296 CTO cases between 2004 and 2009 along with the same number of controls matched on age, sex, discharge date and mental health diagnosis (total n=2592). HoNOS scores were available for 1433 (55%) of the patients who could have had these recorded at baseline (748 CTO cases and 685 controls). There was no significant difference in HoNOS scores at six- and twelve-month follow-up between CTO cases and controls after adjusting for potential confounders at each time-point. Although the study was limited by missing data, outpatient commitment in the form of CTOs may not result in better psychiatric outcomes as measured by the HoNOS.
Keyword Health outcomes
HoNOS
Mental health services
Outpatient commitment
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 007344
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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Created: Mon, 03 Mar 2014, 23:51:52 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital