Community Treatment Orders Fail to Reduce Readmissions
- 26 Mar
Research has shown that community treatment orders (CTOs) do not cut mental health readmissions to hospital.
A study on CTOs has found that they are much less effective than was thought, and raises questions that they are not worth the infringement on patients liberties.
The study testing the effectiveness of CTOs has found that the use of these restrictions does not reduce the rate of readmission to hospital.
The findings, published today, are based on randomised controlled tests, and compared the outcomes of patients discharged under CTOs with patients discharged under a less restrictive form of supervised community treatment, and concluded there was no reduction despite the extra restrictions on the patient.
As CTOs involve doctors and mental health professionals imposing strict supervised community treatment on patients, it has made people question whether this is justified if it not effective.
Steve Chamberlain, chair of The College of Social Work's Approved Mental Health Professional (AMHP) leads network, said that some AMHPs feel it can be "very difficult" to challenge psychiatrists' on their decisions to discharge patients on CTOs, despite being the ones who have to sign off on it.
He says the study proves findings also shown in American studies:
"We are responsible for agreeing, or not agreeing, to CTOs and we do sometimes feel uncomfortable with the amount of compulsion that's there.
But we cannot, as AMHPs, wash our hands of the figures because the fact is if we said no they wouldn't be as high.
A concern is that, as the Care Quality Commission has noted, there is an over-representation of patients from black, Asian and minority ethnic groups on CTOs.
If this study is replicated elsewhere you need to question whether CTOs are the wisest thing to do? Is the best thing really to keep people under compulsion when they're no longer in hospital?
The Department of Health said CTOs were intended to benefit those with a chronic mental disorder that had stabilized following treatment in hospital.
A spokesperson said:
Every decision to place someone on supervised community treatment is a clinical decision. There is no right or wrong number of people who should be on a community treatment order at any one time.
Similarly, decisions about when to take someone off supervised community treatment are a matter for clinical judgement.
We will, nonetheless, consider the implications of this report carefully.
Image source: http://www.sxc.hu/photo/1057587
- 11 Sep
People in Bedfordshire can find mental health support through an audio guide
The guides have been written by clinical psychologists and are available to download in print or listen to as an audio file, reports Bedfordshire News.Dr Judy Baxter, Clinical Director with BCCG and...
- 10 Sep
Police officers in Dorset to receive mental health training
The partnership with the University comes as part of the county’s Mental Health Street Triage Project. It is hoped to equip officers with improved knowledge and skills to assess members of the...
- 09 Sep
People in Peterborough can refer themselves for mental health services
Through a drive to offer support to more people and ease pressure on doctors, people living in Peterborough can self-refer themselves to mental health services, reports Peterborough Today.Dr Adrian...
- 08 Sep
The first mental health centre for men
The site has been set up by Alex Eaton, whose dad took his own life and has suffered with mental health problems himself, in Burton upon Trent, reports BBC Newsbeat.Mr Eaton said: "We are the only...
- 07 Sep
NHS trust told no mental health beds available
Dr Bohdan Solomka has said that on Sunday a lack of beds were applied across the NHS and among private providers, reports the BBC. The director of the Norfolk and Suffolk NHS Foundation Trusts...
- 07 Sep
Over 16,000 mental health referrals for young people have been rejected
Between July last year and June this year, data from the NHS has found that Child and Adolescent Mental Health Services rejected 5,396 referrals, reports STV News.Over the last three years 16,565...
- 04 Sep
New mental health centre to open in Ardwick
Plans to build a new £6m treatment and recovery centre in Manchester have been revealed. It will be built in Ardwick and be run by Alternative Futures Group, reports the Manchester Evening...
- 03 Sep
Research finds more chance of re-offending if mental health issues are present
Research has found that ex-prisoners with mental health problems and drug and alcohol misuse are more likely to commit violent offences after release than other former prisoners, reports the...
- 02 Sep
Drop in the number of people with mental health issues held in cells
Recent figures have found that the Crisis Care Concordat has seen over 10,000 people receive care from mental health nurses with the support from police officers, reports the Burton Mail.Figures have...
- 02 Sep
Mental health social work scheme accepting applications
100 places are now available for applicants who have a 2:1 or above undergraduate degree and can demonstrate attributes such as resilience and empathy, reports Community Care.The Think Ahead...
How to fund Housing Support and Social Care Services "Alot of information in a short time, good for me because I travelled a long way. So I feel the journey was worthwhile." C.T - People First Dorset