Practitioner Perspectives About Managing Community Treatment Orders (CTOs) in England and the Importance of Social Influences

Philip Haynes; Julia Stroud

doi:10.1007/s10597-022-00974-2

Practitioner Perspectives About Managing Community Treatment Orders (CTOs) in England and the Importance of Social Influences

Research output: Contribution to journal › Article › peer-review

Abstract

Previous research in England has suggested a medical acceptance of Community Treatment Order (CTO) coercion, but none have explored the importance of social influences on practitioner decision making. A sample of 181 practitioners with Mental Health Act responsibilities completed an online survey. They recorded their perspectives about the influence of medical and social items. Sixteen questionnaire items were subdivided into three operational aspects: discharge, renewal, and recall. Medical item averages scored significantly higher as influences than social items (medical items mean = 4.43; social items mean = 3.58; t = - 19.38, p = 0.001). The influence of separate medical and social factors was evidenced by exploratory factor analysis when related to discharge and renewal, but not for recall, where items divided into factors that resembled 'risk' and 'disengagement'. Participants' scores showed no statistically significant difference for a practitioner's professional allegiance. The findings demonstrate that social influences are a homogeneous influence on managing CTOs, in addition to the higher scoring influence of medical factors. [Abstract copyright: © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.]

Original language	English
Pages (from-to)	1584-1591
Number of pages	8
Journal	Community Mental Health Journal
Volume	58
Issue number	8
DOIs	https://doi.org/10.1007/s10597-022-00974-2
Publication status	Published - 21 Apr 2022

Bibliographical note

Funding Information:
This article presents independent research funded by the NIHR School for Social Care Research. (Ref. No. C088/T15-011/UBJS-P84.) The views expressed in this article are those of the authors and not necessarily those of the NIHR School for Social Care Research or the Department of Health and Social Care, NIHR or NHS. The authors consider that they have no conflicts of interest to declare.

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Community treatment orders
Practitioner perspectives
Social factors

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10.1007/s10597-022-00974-2

PDH JCMH April 2022 final accepted versionAccepted author manuscript, 287 KB

Cite this

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title = "Practitioner Perspectives About Managing Community Treatment Orders (CTOs) in England and the Importance of Social Influences",

abstract = "Previous research in England has suggested a medical acceptance of Community Treatment Order (CTO) coercion, but none have explored the importance of social influences on practitioner decision making. A sample of 181 practitioners with Mental Health Act responsibilities completed an online survey. They recorded their perspectives about the influence of medical and social items. Sixteen questionnaire items were subdivided into three operational aspects: discharge, renewal, and recall. Medical item averages scored significantly higher as influences than social items (medical items mean = 4.43; social items mean = 3.58; t = - 19.38, p = 0.001). The influence of separate medical and social factors was evidenced by exploratory factor analysis when related to discharge and renewal, but not for recall, where items divided into factors that resembled 'risk' and 'disengagement'. Participants' scores showed no statistically significant difference for a practitioner's professional allegiance. The findings demonstrate that social influences are a homogeneous influence on managing CTOs, in addition to the higher scoring influence of medical factors. [Abstract copyright: {\textcopyright} 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.]",

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N2 - Previous research in England has suggested a medical acceptance of Community Treatment Order (CTO) coercion, but none have explored the importance of social influences on practitioner decision making. A sample of 181 practitioners with Mental Health Act responsibilities completed an online survey. They recorded their perspectives about the influence of medical and social items. Sixteen questionnaire items were subdivided into three operational aspects: discharge, renewal, and recall. Medical item averages scored significantly higher as influences than social items (medical items mean = 4.43; social items mean = 3.58; t = - 19.38, p = 0.001). The influence of separate medical and social factors was evidenced by exploratory factor analysis when related to discharge and renewal, but not for recall, where items divided into factors that resembled 'risk' and 'disengagement'. Participants' scores showed no statistically significant difference for a practitioner's professional allegiance. The findings demonstrate that social influences are a homogeneous influence on managing CTOs, in addition to the higher scoring influence of medical factors. [Abstract copyright: © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.]

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Practitioner Perspectives About Managing Community Treatment Orders (CTOs) in England and the Importance of Social Influences

Abstract

Bibliographical note

Keywords

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