Community treatment orders: background and implications of the OCTET trial

Author:

Burns Tom,Molodynski Andrew

Abstract

SummaryCommunity treatment orders (CTOs) were introduced into the UK despite unconvincing international evidence for their effectiveness. The Oxford Community Treatment Order Evaluation Trial (OCTET) is a multisite randomised controlled trial of 333 patients with psychosis conducted in the UK. It confirms an absence of any obvious benefit in reducing relapse despite significant curtailment of liberty. Community mental health teams need to seriously consider whether they should continue using CTOs or shift their clinical focus to strengthening the working alliance.

Publisher

Cambridge University Press (CUP)

Subject

General Medicine

Reference12 articles.

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3. Maughan D , Molodynski A , Rugkåsa J , Burns T. Community treatment orders: a systematic review of clinical outcomes. Soc Psychiatry Psychiatr Epidemiol 2013; 18 Oct, epub ahead of print.

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