TY - JOUR

T1 - Community treatment orders

T2 - Current practice and a framework to aid clinicians

AU - Lepping, Peter

AU - Malik, Masood

PY - 2013/2/1

Y1 - 2013/2/1

N2 - Aims and method Community treatment orders (CTOs) have been used more than anticipated. We report data from the North Wales audit about their current use and explain how a SMART framework can be used to potentially improve their effectiveness.Results Findings from this audit confirm those from other studies, with the reasons for use of CTOs extending beyond that of medication adherence to risk management. The combined recall and voluntary admission rate was 40%, which raises questions about the effectiveness of CTOs.Clinical implications More research is needed as it remains to be seen whether CTOs are able to achieve their intended aims. The SMART framework can be used to aid clinicians in ensuring that conditions placed on patients have a specific purpose and are clinically meaningful.

AB - Aims and method Community treatment orders (CTOs) have been used more than anticipated. We report data from the North Wales audit about their current use and explain how a SMART framework can be used to potentially improve their effectiveness.Results Findings from this audit confirm those from other studies, with the reasons for use of CTOs extending beyond that of medication adherence to risk management. The combined recall and voluntary admission rate was 40%, which raises questions about the effectiveness of CTOs.Clinical implications More research is needed as it remains to be seen whether CTOs are able to achieve their intended aims. The SMART framework can be used to aid clinicians in ensuring that conditions placed on patients have a specific purpose and are clinically meaningful.

U2 - 10.1192/pb.bp.111.037705

DO - 10.1192/pb.bp.111.037705

M3 - Article

VL - 37

JO - Psychiatrist

JF - Psychiatrist

SN - 1758-3209

IS - 2

ER -