Author:
Bainbridge E.,Byrne F.,Hallahan B.,McDonald C.
Abstract
IntroductionWe present the case of a 27-year-old man with a background diagnosis of treatment resistant schizophrenia and absent insight who for the last 3 years has been residing in a high support residential setting on approved leave under the Mental Health Act (MHA) 2001. The case demonstrates how this man achieved clinical stability in the community with the assistance of long-term involuntary admission under the MHA 2001, in contrast to the previous years of his illness in which he had suffered multiple relapses of his psychotic illness with ssociated distress, poor self-care and repeated in-patient re-admissions. We discuss the equivalent use of community treatment orders in other jurisdictions and how the judicious use of approved leave under the MHA 2001 may be used as an alternative in Ireland where community treatment orders are not currently available.MethodCase Report.ConclusionThe case report highlights how the use of long-term approved leave under the MHA2001 may be used as alternative in Ireland to mimic CTOs for certain difficult to treat patients with psychotic illness who would benefit from ongoing treatment, but lack capacity to engage in such treatment due to persistent symptoms and lack of insight.
Publisher
Cambridge University Press (CUP)
Subject
History and Philosophy of Science,Psychiatry and Mental health,Applied Psychology
Reference21 articles.
1. Involuntary treatment in the community: role of community treatment orders
2. Do we need community treatment orders in Ireland?
3. Compulsory psychiatric treatment in the community. I. A controlled study of compulsory community treatment with extended leave under the Mental Health Act: special characteristics of patients treated and impact of treatment;Sensky;British Journal of Psychiatry,1991
4. Community treatment orders
5. How Mental Health Clinicians View Community Treatment Orders: A National New Zealand Survey
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