Community treatment orders: A qualitative study of stakeholder perspectives.

Autor: Goulet MH; Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada; Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada. Electronic address: marie-helene.goulet@umontreal.ca., Lessard-Deschênes C; Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada; Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada., Pariseau-Legault P; Department of Nursing Sciences, Université du Québec en Outaouais, Gatineau, Quebec, Canada., Breton R; Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, Quebec, Canada., Crocker AG; Department of Psychiatry & Addictions and School of Criminology, Université de Montréal, Montreal, Quebec, Canada; Institut National de Psychiatrie Légale Philippe-Pinel Research Center, Montreal, Quebec, Canada.
Jazyk: angličtina
Zdroj: International journal of law and psychiatry [Int J Law Psychiatry] 2023 Jul-Aug; Vol. 89, pp. 101901. Date of Electronic Publication: 2023 Jun 08.
DOI: 10.1016/j.ijlp.2023.101901
Abstrakt: Introduction: For people with a serious mental disorder, a community treatment order (CTO) is a legal response that requires them to undergo psychiatric treatment unwillingly under certain conditions. Qualitative studies have explored the perspectives of individuals involved in CTOs, including persons with lived experiences of a CTO, family members and mental health care providers, who are directly involved in these procedures. However, few studies have integrated their different perspectives.
Method: This descriptive and qualitative study aimed to explore the experience associated with a CTO in hospital and community settings among individuals with a history of CTO, relatives, and mental health care providers. Using a participatory research approach, individual semi-structured interviews were conducted with 35 participants. The data were reviewed using content analysis.
Results: Three themes and seven sub-themes were identified: 1) differential positions as a function of meaning conferred to CTOs; 2) a risk management tool; and 3) coping strategies used to deal with CTOs. Overall, relatives' and mental health care providers' perspectives tended to be in opposition to those who went under a CTO.
Conclusions: In a context of recovery-oriented care, more research is needed to reconcile the seemingly contradictory positions of individual with experiential knowledge and the legal leverage that deprives them of their fundamental right to autonomy.
Competing Interests: Declaration of Competing Interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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