Evidence map›Paper›PMID 24927948›Full record

ArticleSocial psychiatry and psychiatric epidemiology2014

Patient, psychiatrist and family carer experiences of community treatment orders: qualitative study.

Krysia Canvin, Jorun Rugkåsa, Julia Sinclair, Tom Burns

Abstract read
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. 'Traumatic to Say the Least; It Still Affects Me': Consumer Perspectives on Community Treatment Orders in Australia.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  2. Article
  3. Review
  4. Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. An exploration of perceived coercion into psychological assessment and treatment within a low secure forensic mental health service.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2020
    Article
  9. Article
  10. Article
  11. Trust and Community Treatment Orders.Frontiers in psychiatry · 2019
    Article
  12. Article
  13. How clinicians make decisions about CTOs in ACT: a qualitative study.International journal of mental health systems · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Review
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Krysia CanvinDepartment of Psychiatry, University of Oxford, Warneford Hospital, Oxford, OX3 7JX, UK, Krysia.canvin@psych.ox.ac.uk.
Jorun Rugkåsa
Julia Sinclair
Tom Burns

Funding

Department of Health RP-PG-0606-1006
6 · The paper itself

Abstract

purposeCurrent literature on personal experiences of community treatment orders (CTO) is limited. This paper examines participants' experiences of the mechanisms via which the CTO was designed to work: the conditions that form part of the order and the power of recall. We also report an emergent dimension, legal clout and participants' impressions of CTO effectiveness. This paper will contribute to a fuller picture of how the law is implemented and how CTOs operate in practice.

methodsIn-depth qualitative interviews were conducted with a purposive sample of 26 patients, 25 psychiatrists and 24 family carers about their experiences and views of CTOs. Data were analysed using the constant comparative method.

resultsAll three sample groups perceived the chief purpose of CTOs to be medication enforcement and that its legal clout was central to achieving medication adherence. Understanding of how the inbuilt mechanisms of the CTO work varied considerably: participants expressed uncertainty regarding the enforceability of discretionary conditions and the criteria for recall. We found mixed evidence regarding whether recall simplified responses to relapse or risk. The range of experiences and views identified within each group suggests that there is no single definitive experience or view of CTOs.

conclusionsThe (perceived) focus of the CTO on medication adherence combined with the variations in understanding within and across groups might not only have consequences for how CTOs are viewed and subsequently experienced, but also for broader goals in patient care and patient and carer involvement.

Indexed as

Attitude of Health PersonnelAttitude to HealthCommunity Mental Health ServicesPsychiatryCaregiversFemaleHumansMaleMedication AdherencePatientsPhysiciansQualitative ResearchTreatment OutcomeUncertainty

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.