Community treatment orders: effectiveness, understanding and impact

Wednesday 12 February 2014, 12.00PM to 1pm

Findings and research in progress examining the effectiveness of CTOs in the UK

Presented by:  Dr Jorun Rugkåsa, Dr Krysia Canvin  & Francis Vergunst (University of Oxford)


Community Treatment Orders: Do they work? How are they understood by patients and practitioners? And, how do they impact on patients?

Mental health legislation in around 70 different jurisdictions permits patients to be placed on Community Treatment Orders (CTOs), obliging them to adhere to treatment in the community. The rationale is usually to prevent relapse or provide a less restrictive alternative to hospital for 'revolving-door' patients with severe and enduring mental illness. Despite their widespread use, the evidence for their effectiveness is limited. The Oxford Community Treatment Order Evaluation Trial (OCTET) was designed to test the CTO regime introduced in England & Wales in 2008. The RCT was supplemented by an extensive qualitative arm which explored patient, consultant and family carer experiences. Additionally, further analyses of the RCT dataset are underway.

In three interlinked presentations, we will present findings and research in progress from the OCTET programme of work. Jorun Rugkåsa will present an up-to-date review of the evidence for the effectiveness of CTOs (including OCTET) and OCTET’s main findings, and discuss the implications of these and the wider current evidence base for the future of CTOs. Krysia Canvin will present findings from the qualitative arm. She will juxtapose consultants’ and patients’ interpretations of the CTO’s powers to consider the implications for patients’ experiences and the predictability of CTOs. Francis Vergunst will present his ongoing DPhil research in which he is exploring the effect of CTOs on patients’ longer-term social outcomes by assessing patients’ social inclusion, social networks, and capabilities/quality of life.

See also: International Centre for Mental Health Social Research - ENews and Events

Location: NEW VENUE: D/N/056 Derwent College Nucleus