Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales
| Autor: | Mike J. Crawford, Stephen Cooper, Angela Etherington, Rahil Sanatinia, Krysia Zalewska, Alan Quirk, Emily Maynard, Kirsten Barnicot, Harry Lei |
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| Rok vydání: | 2019 |
| Předmět: |
RM
medicine.medical_specialty Younger age Mental Health Act Community treatment order DETENTION community care PATIENT mental health act Secondary analysis SCHIZOPHRENIA ETHNIC VARIATIONS Medicine psychosis UK Quality of care National audit Male gender Psychiatry Science & Technology business.industry KD PATHWAYS Physical health SERVICES Mental health EXPERIENCES Psychiatry and Mental health Family medicine RC0321 business Life Sciences & Biomedicine MENTAL-HEALTH |
| Zdroj: | BJPsych Bulletin. 43:227-235 |
| ISSN: | 2056-4708 2056-4694 |
| DOI: | 10.1192/bjb.2019.23 |
| Popis: | Aims and methodWe conducted a secondary analysis of data from the National Audit of Psychosis to identify factors associated with use of community treatment orders (CTOs) and assess the quality of care that people on CTOs receive.ResultsBetween 1.1 and 20.2% of patients in each trust were being treated on a CTO. Male gender, younger age, greater use of in-patient services, coexisting substance misuse and problems with cognition predicted use of CTOs. Patients on CTOs were more likely to be screened for physical health, have a current care plan, be given contact details for crisis support, and be offered cognitive–behavioural therapy.Clinical implicationsCTOs appear to be used as a framework for delivering higher-quality care to people with more complex needs. High levels of variation in the use of CTOs indicate a need for better evidence about the effects of this approach to patient care. |
| Databáze: | OpenAIRE |
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