Evidence map›Paper›PMID 42211427›Full record

ArticlePsychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law2026

Ensuring compulsory treatment is used as a last resort: a narrative review of the knowledge about Community Treatment Orders.

Chris Maylea, Tessa-May Zirnsak, Vrinda Edan, Paul Armitage, Hannah Robert, Lisa Brophy

Abstract read
In one paragraph

Article in Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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. Article
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  5. Review
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

6 authors.

Chris MayleaLa Trobe Law School, La Trobe University, Victoria, Australia.ORCID https://orcid.org/0000-0003-3688-0487
Tessa-May ZirnsakSocial Work & Social Policy, Department of Community & Clinical Health, La Trobe University, Victoria, Australia.ORCID https://orcid.org/0000-0001-5768-0594
Vrinda EdanCentre for Mental Health Nursing, Department of Nursing, School of Health Sciences, University of Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-2494-1895
Paul ArmitageSocial Work & Social Policy, Department of Community & Clinical Health, La Trobe University, Victoria, Australia.
Hannah RobertLa Trobe Law School, La Trobe University, Victoria, Australia.
Lisa BrophySocial Work & Social Policy, Department of Community & Clinical Health, La Trobe University, Victoria, Australia.ORCID https://orcid.org/0000-0001-6460-3490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community treatment orders (CTOs) have become a standard feature of contemporary mental health care worldwide, even though those placed under them typically perceive them as coercive. This review of the literature found that the evidence regarding the impact of CTOs is mixed and contested. Despite concerns about the overuse of CTOs, there were no examples found of projects that have aimed to achieve a reduction in the use of CTOs that have proved successful. Literature on attempts to reduce CTOs is largely grey literature and so lacks the evidence base that is present in literature on the efficacy of these orders. Our review found that changing attitudes, preparing services and staff for practice change, and supporting the implementation of innovative alternatives need to be addressed in working towards reduction in CTO use. Several sources highlighted that lived experience perspectives should have a key role in driving reform.

Indexed as

coercioncommunity treatment orderscompulsory community orderscompulsory treatmenthealth ethicsmental health lawpatient rights

Identifiers

PMID42211427
PMCPMC13215412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.