scholarly journals Community treatment orders and care planning: How is engagement and decision‐making enacted?

2021 ◽  
Author(s):  
Suzanne Dawson ◽  
Eimear Muir‐Cochrane ◽  
Alan Simpson ◽  
Sharon Lawn
Keyword(s):  
Decision Making ◽  
Community Treatment ◽  
Care Planning ◽  
Community Treatment Orders

scholarly journals Do Community Treatment Orders in Psychiatry Stand Up to Principalism: Considerations Reflected through the Prism of the Convention on the Rights of Persons with Disabilities

2019 ◽  
Vol 47 (1) ◽  
pp. 126-133 ◽  
Author(s):  
Giles Newton-Howes
Keyword(s):  
Decision Making ◽  
Psychiatric Treatment ◽  
Community Treatment ◽  
Psychiatric Practice ◽  
Individual Autonomy ◽  
Ethical Considerations ◽  
Community Treatment Orders ◽  
Persons With Disabilities ◽  
Medical Interventions ◽  
Modern Context

Compulsory psychiatric treatment is the norm in many Western countries, despite the increasingly individualistic and autonomous approach to medical interventions. Community Treatment Orders (CTOs) are the singular best example of this, requiring community patients to accept a variety of interventions, both pharmacological and social, despite their explicit wish not to do so. The epidemiological, medical/treatment and legal intricacies of CTOs have been examined in detail, however the ethical considerations are less commonly considered. Principlism, the normative ethical code based on the principles of autonomy, beneficence, non-maleficence and justice, underpins modern medical ethics. Conflict exists between patient centred commentary that reflects individual autonomy in decision making and the need for supported decision making, as described in the Convention on the Rights of Persons with Disabilities (CRPD) and the increasing use of such coercive measures, which undermines this principle. What appears to have been lost is the analysis of whether CTOs, or any coercive measure in psychiatric practice measures up against these ethical principles. We consider whether CTOs, as an exemplar of coercive psychiatric practice, measures up against the tenets of principalism in the modern context in order to further this debate.

scholarly journals Care planning for consumers on community treatment orders: an integrative literature review

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Suzanne Dawson ◽  
Sharon Lawn ◽  
Alan Simpson ◽  
Eimear Muir-Cochrane
Keyword(s):  
Literature Review ◽  
Community Treatment ◽  
Care Planning ◽  
Community Treatment Orders

scholarly journals Community Treatment Orders and Supported Decision-Making

2019 ◽  
Vol 10 ◽  
Author(s):  
Lisa Brophy ◽  
Renata Kokanovic ◽  
Jacinthe Flore ◽  
Bernadette McSherry ◽  
Helen Herrman
Keyword(s):  
Decision Making ◽  
Community Treatment ◽  
Community Treatment Orders

scholarly journals The use of community treatment orders in competent patients is not justified

2017 ◽  
Vol 210 (5) ◽  
pp. 311-312 ◽  
Author(s):  
Giles Newton-Howes ◽  
Christopher James Ryan
Keyword(s):  
Decision Making ◽  
Human Rights ◽  
Empirical Evidence ◽  
Community Treatment ◽  
Necessary Condition ◽  
Community Treatment Orders ◽  
Decision Making Capacity

SummaryEmpirical evidence for the effectiveness of community treatment orders (CTOs) is at best mixed. We examine CTOs through the prism of human rights and discrimination, bearing the evidence in mind, and argue that a necessary condition for their use is that a person lacks decision-making capacity.

scholarly journals Community treatment orders in England and Wales: national survey of clinicians' views and use

2011 ◽  
Vol 35 (9) ◽  
pp. 328-333 ◽  
Author(s):  
Catherine Manning ◽  
Andrew Molodynski ◽  
Jorun Rugkåsa ◽  
John Dawson ◽  
Tom Burns
Keyword(s):  
Decision Making ◽  
National Survey ◽  
Royal College ◽  
Research Evidence ◽  
Response Rate ◽  
Community Treatment ◽  
Clinical Implications ◽  
Community Treatment Orders ◽  
England And Wales ◽  
And Training

Aims and methodTo ascertain the views and experiences of psychiatrists in England and Wales regarding community treatment orders (CTOs). We mailed 1928 questionnaires to members of the Royal College of Psychiatrists.ResultsIn total, 566 usable surveys were returned, providing a 29% response rate. Respondents were generally positive about the introduction of the new powers, more so than in previous UK studies. They reported that their decision-making regarding compulsion was based largely on clinical grounds.Clinical implicationsIn the absence of research evidence or a professional consensus about the use of CTOs, multidisciplinary input in decision-making is essential. Further research and training are urgently needed.

Risk versus recovery: Care planning with individuals on community treatment orders

2021 ◽  
Author(s):  
Suzanne Dawson ◽  
Eimear Muir‐Cochrane ◽  
Alan Simpson ◽  
Sharon Lawn
Keyword(s):  
Community Treatment ◽  
Care Planning ◽  
Community Treatment Orders

Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision-Making—The PREPARE Trial

2020 ◽  
Author(s):  
Rebecca Sudore ◽  
Dean Schillinger ◽  
Aiesha Volow ◽  
Ying Shi ◽  
John Boscardin ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Advance Care Planning ◽  
Medical Decision Making ◽  
Medical Decision ◽  
Care Planning ◽  
Spanish Speaking ◽  
Advance Care
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