ArticleSocial psychiatry and psychiatric epidemiology2016
"Care or control?": a qualitative study of staff experiences with outpatient commitment orders.
Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Community Treatment Orders in Australia in the Context of International Literature: A Narrative Review of Consumers, Families and Health Professionals' Perspectives.International journal of mental health nursing · 2025Review
- Use of compulsory community treatment in mental healthcare: An integrative review of stakeholders' opinions.Frontiers in psychiatry · 2022Review
- Community treatment orders and care planning: How is engagement and decision-making enacted?Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Responsibilities with conflicting priorities: a qualitative study of ACT providers' experiences with community treatment orders.BMC health services research · 2018Article
- How clinicians make decisions about CTOs in ACT: a qualitative study.International journal of mental health systems · 2018Article
- Patient Commitment to Cardiac Rehabilitation: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOutpatient commitment orders are being increasingly used in many countries to ensure follow-up care of people with psychotic disorders after discharge from hospital. Several studies have examined outpatient commitment in relation to use of health care services, but there have been fewer studies of health professionals' experiences with the scheme. The purpose of this study was to examine health professionals' experiences with patients subject to outpatient commitment.
methodsThis was a focus group study using a descriptive and exploratory approach. The study was based on three focus group interviews with a total of 22 participants. Data were analysed using qualitative content analysis.
resultsThe study showed that health professionals had a positive attitude towards outpatient commitment and considered it necessary for patients with psychosis who lacked insight and did not collaborate on treatment. At the same time their attention to patients' lack of insight could lead to a paternalistic approach more than measures to enhance patient autonomy. This challenged their therapeutic relationship with the patient.
conclusionHealth professionals found it difficult to combine control with therapeutic care, but gave greater emphasis to patients' need for treatment and continuity of care than to their autonomy. This dilemma indicates a need to discuss whether increased attention to patients' autonomy rather than insight into their illness would improve treatment cooperation and reduce the use of coercion.
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