Database of New Zealand mental health research
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Status
Completed 14 September 2006
Created
24 September 2009
Last updated
25 September 2009
Dilemmas for clinicians in use of community treatment orders
Investigator(s) / AuthorsRichard Mullen, John Dawson, Anita Gibbs
| Principal contact | |
|---|---|
| Name | Dr Richard Mullen |
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Email address is not available; please contact keadmin@tepou.co.nz for more information. |
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| The research | |
| Summary | Clinicians who treat patients using Community Treatment Orders (CTOs) face many potential dilemmas in their relations with involuntary outpatients and the exercise of their powers. We compare the dilemmas identified in the literature with those reported by responsible clinicians in New Zealand (NZ). |
| Objectives | Clinicians who treat patients using Community Treatment Orders (CTOs) face many potential dilemmas in their relations with involuntary outpatients and the exercise of their powers. |
| Study design | We compare the dilemmas identified in the literature with those reported by responsible clinicians in New Zealand (NZ). |
| Methods | Qualitative |
| Results | These clinicians experienced a number of well-known dilemmas, such as determining the right moment for a person's discharge from a CTO, but they seemed less troubled by some other difficulties than might be expected, usually because they considered involuntary outpatient treatment the best option for the patient or the best way to manage the risks involved. Further dilemmas were identified by the NZ clinicians that have not been widely discussed, concerning the proper scope of clinical authority over patients under CTOs and the decision to revoke involuntary outpatient status. |
| Conclusions | In conclusion some suggestions are made as to how clinicians might best manage the dilemmas involved. |
| Key Descriptors | Clinical Practice |
| Disciplines | Multi disciplinary |
| Settings | Outpatient |
| Diagnostic Categories | Other, Psychotic Disorders |
| Populations | General Population |
| Other Keywords | Community treatment orders, clinicians, mental health care |
| Ethics approval | Yes |
| Academic led | Yes |
| Service led | No |
| How were service users involved | No involvement |
| Publication in peer review journal | Yes |
| Supporting information | |
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Page last updated: 7 November 2008