ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2018
Coercion in Outpatients under Community Treatment Orders: A Matched Comparison Study.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transition of Mental Health Services from Institutional to Community-Based Care Abroad and Its Context for Slovenia-Advantages and Risks.International journal of environmental research and public health · 2025Pooled it
- Ensuring compulsory treatment is used as a last resort: a narrative review of the knowledge about Community Treatment Orders.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study.Community mental health journal · 2025Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Beyond Diagnosis and Comorbidities-A Scoping Review of the Best Tools to Measure Complexity for Populations with Mental Illness.Diagnostics (Basel, Switzerland) · 2024Article
- Factors associated with perceived coercion in adults receiving psychiatric care: a scoping review protocol.BMJ open · 2022Article
- Community Treatment Order Outcomes in Quebec: A Unique Jurisdiction.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Service Users' Knowledge and Views on Outpatients' Compulsory Community Treatment Orders: A Cross-Sectional Matched Comparison Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
- The Community Treatment Order (CTO) - An Altruistic Overreach in Patient Care in Psychiatry.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSince the deinstitutionalization of psychiatric services around the world, the scope of outpatient psychiatric care has also increased to better support treatment access and adherence. For those with serious mental illness who may lack insight into their own illness, available interventions include coercive community practices such as mandated community treatment orders (CTOs). This paper examines the perceptions of coercion among service users treated with a CTO.
methodWe used a cross-sectional comparative design where service users treated under a CTO were matched to a comparison group of voluntary psychiatric outpatients. Both groups were receiving intensive community mental health services (
resultsThe level of coercion reported by service users treated under a CTO was significantly higher than that in the comparison group. However, in adjusted analyses, service users' perception of coercion, irrespective of their CTO status, was directly correlated with their previous experience with probation and inversely correlated with the sense of procedural justice in their treatment.
conclusionsEvaluation of psychiatric service users' experiences of coercion should consider their past and current involvement with other types of coercive measures, particularly history of probation. Clinicians may be able to minimize these experiences of coercion by incorporating procedural justice principles into their practice.
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