Community Treatment Orders and social factors

complex journeys in the mental health system

Phil Haynes, Julia Stroud

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Community Treatment Orders (CTOs) have developed rapidly in England and Wales to become a substantial legal intervention. Mixed methods were used to analyse CTOs as one intervention in a complex mental health system and its relationship with social factors. CTOs are used more than expected, with a high number of revocations and renewals. Less than half of CTOs are discharged on time. Service users experience multiple social disadvantages and isolation. They value the stability of a relationship with a care coordinator, but are ambivalent about medication, and can have negative feelings about coercion. Those experiencing recovery tend to initiate social activities, but have poor engagement in care plans, tribunals and reviews. CTOs reduce compulsory hospitalisation, but give rise to human rights issues in the community. Without major social investment to support those with chronic mental health conditions, CTOs may remain the best compromise to balance the demands and requirements of legal and health policy.
Original languageEnglish
Article number1
Pages (from-to)1-26
JournalJournal of Social Welfare and Family Law
DOIs
Publication statusPublished - 4 Sep 2019

Fingerprint

Mental Health
Therapeutics
Coercion
Social Isolation
Wales
Health Policy
England
Emotions
Hospitalization

Keywords

  • Community Treatment Order
  • Complexity Theory
  • Social Factors
  • User Perspectives

Cite this

@article{86ba82937866417a83f9852d40dc67a4,
title = "Community Treatment Orders and social factors: complex journeys in the mental health system",
abstract = "Community Treatment Orders (CTOs) have developed rapidly in England and Wales to become a substantial legal intervention. Mixed methods were used to analyse CTOs as one intervention in a complex mental health system and its relationship with social factors. CTOs are used more than expected, with a high number of revocations and renewals. Less than half of CTOs are discharged on time. Service users experience multiple social disadvantages and isolation. They value the stability of a relationship with a care coordinator, but are ambivalent about medication, and can have negative feelings about coercion. Those experiencing recovery tend to initiate social activities, but have poor engagement in care plans, tribunals and reviews. CTOs reduce compulsory hospitalisation, but give rise to human rights issues in the community. Without major social investment to support those with chronic mental health conditions, CTOs may remain the best compromise to balance the demands and requirements of legal and health policy.",
keywords = "Community Treatment Order, Complexity Theory, Social Factors, User Perspectives",
author = "Phil Haynes and Julia Stroud",
year = "2019",
month = "9",
day = "4",
doi = "10.1080/09649069.2019.1663017",
language = "English",
pages = "1--26",
journal = "Journal of Social Welfare and Family Law",
issn = "0964-9069",

}

Community Treatment Orders and social factors : complex journeys in the mental health system. / Haynes, Phil; Stroud, Julia.

In: Journal of Social Welfare and Family Law, 04.09.2019, p. 1-26.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Community Treatment Orders and social factors

T2 - complex journeys in the mental health system

AU - Haynes, Phil

AU - Stroud, Julia

PY - 2019/9/4

Y1 - 2019/9/4

N2 - Community Treatment Orders (CTOs) have developed rapidly in England and Wales to become a substantial legal intervention. Mixed methods were used to analyse CTOs as one intervention in a complex mental health system and its relationship with social factors. CTOs are used more than expected, with a high number of revocations and renewals. Less than half of CTOs are discharged on time. Service users experience multiple social disadvantages and isolation. They value the stability of a relationship with a care coordinator, but are ambivalent about medication, and can have negative feelings about coercion. Those experiencing recovery tend to initiate social activities, but have poor engagement in care plans, tribunals and reviews. CTOs reduce compulsory hospitalisation, but give rise to human rights issues in the community. Without major social investment to support those with chronic mental health conditions, CTOs may remain the best compromise to balance the demands and requirements of legal and health policy.

AB - Community Treatment Orders (CTOs) have developed rapidly in England and Wales to become a substantial legal intervention. Mixed methods were used to analyse CTOs as one intervention in a complex mental health system and its relationship with social factors. CTOs are used more than expected, with a high number of revocations and renewals. Less than half of CTOs are discharged on time. Service users experience multiple social disadvantages and isolation. They value the stability of a relationship with a care coordinator, but are ambivalent about medication, and can have negative feelings about coercion. Those experiencing recovery tend to initiate social activities, but have poor engagement in care plans, tribunals and reviews. CTOs reduce compulsory hospitalisation, but give rise to human rights issues in the community. Without major social investment to support those with chronic mental health conditions, CTOs may remain the best compromise to balance the demands and requirements of legal and health policy.

KW - Community Treatment Order

KW - Complexity Theory

KW - Social Factors

KW - User Perspectives

U2 - 10.1080/09649069.2019.1663017

DO - 10.1080/09649069.2019.1663017

M3 - Article

SP - 1

EP - 26

JO - Journal of Social Welfare and Family Law

JF - Journal of Social Welfare and Family Law

SN - 0964-9069

M1 - 1

ER -