ArticleBJPsych bulletin2016
Community treatment orders and reduced time in hospital: a nationwide study, 2007-2012.
Article in BJPsych bulletin, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Compulsory community treatment to reduce readmission to hospital and increase engagement with community care in people with mental illness: a systematic review and meta-analysis.The lancet. Psychiatry · 2018Pooled it
- Compulsory community and involuntary outpatient treatment for people with severe mental disorders.The Cochrane database of systematic reviews · 2017Pooled it
- Compulsory Community Treatment Orders in New Zealand and the provision of care: An examination of national databases and predictors of outcome.The Lancet regional health. Western Pacific · 2021Article
- Hospital Utilization Outcomes Following Assignment to Outpatient Commitment.Administration and policy in mental health · 2021Review
- Community Treatment Orders and Other Forms of Mandatory Outpatient Treatment.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
- Community treatment orders in England: review of usage from national data.BJPsych bulletin · 2018Article
- Community treatment orders in England: review of usage from national data.BJPsych bulletin · 2018Article
- Effectiveness of Community Treatment Orders: The International Evidence.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Review
- The utility of outpatient civil commitment: Investigating the evidence.International journal of law and psychiatryReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims and method Community treatment orders (CTOs) were introduced in Scotland in 2005, but are controversial owing to a lack of supportive randomised evidence. The non-randomised studies provide mixed results on their efficacy and utility. We aimed to examine hospital bed day usage across Scotland both before and after CTOs were initiated in a national cohort of patients, spanning 5 years. Results In total, 1558 individuals who were subject to a CTO between 2007 and 2012, of whom 63% were male, were included. After CTO initiation the number of hospital bed days fell, on average, from 66 to 39 per annum per patient. Those with a longer psychiatric history appeared to benefit more from a CTO, in terms of reduced time in hospital. Clinical implications Our data offer cautious support for the use of CTOs in routine practice, in terms of reducing time spent in psychiatric hospital. This finding is balanced by the more rigorous randomised studies which do not find any benefit to CTOs.
Identifiers
What OpenQuestion holds
Registered trials
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.