Community treatment orders and associations with readmission rates and duration of psychiatric hospital admission: a controlled electronic case register study.

BMJ Open
Wikus BarkhuizenRashmi Patel

Abstract

Limited evidence is available regarding the effect of community treatment orders (CTOs) on mortality and readmission to psychiatric hospital. We compared clinical outcomes between patients placed on CTOs to a control group of patients discharged to voluntary community mental healthcare. An observational study using deidentified electronic health record data from inpatients receiving mental healthcare in South London using the Clinical Record Interactive Search (CRIS) system. Data from patients discharged between November 2008 and May 2014 from compulsory inpatient treatment under the Mental Health Act were analysed. 830 participants discharged on a CTO (mean age 40 years; 63% male) and 3659 control participants discharged without a CTO (mean age 42 years; 53% male). The number of days spent in the community until readmission, the number of days spent in inpatient care in the 2 years prior to and the 2 years following the index admission and mortality. The mean duration of a CTO was 3.2 years. Patients receiving care from forensic psychiatry services were five times more likely and patients receiving a long-acting injectable antipsychotic were twice as likely to be placed on a CTO. There was a significant association between CTO...Continue Reading

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Citations

Sep 15, 2020·The Australian and New Zealand Journal of Psychiatry·Steve KiselyDan Siskind
Mar 26, 2021·BMJ : British Medical Journal·Alison BeckTil Wykes

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Software Mentioned

STATA
Clinical Record Interactive Search ( CRIS )
SLaM BRC CRIS
CRIS

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