Community treatment orders increase community care and delay readmission while in force: Results from a large population-based study

The Australian and New Zealand Journal of Psychiatry
Anthony HarrisGrant Sara

Abstract

There is debate about the effectiveness of community treatment orders in the management of people with a severe mental illness. While some case-control studies suggest community treatment orders reduce hospital readmissions, three randomised controlled trials find no effects. These randomised controlled trials measure outcomes over a longer period than the community treatment order duration and assess the combined effectiveness of community treatment orders both during and after the intervention. This study examines the effectiveness of community treatment orders in a large population-based sample, restricting observation to the period under a community treatment order. All persons ( n = 5548) receiving a community treatment order in New South Wales, Australia, over the period 2004-2009 were identified. Controls were matched using a propensity score based on demographic, clinical and prior care variables. A baseline period equal to each case's duration of treatment was constructed. Treatment effects were compared using zero-inflated negative binomial regression, adjusting for demographics, clinical characteristics and pre-community treatment order care. Compared to matched controls, people on community treatment orders were les...Continue Reading

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Citations

Aug 10, 2018·The Australian and New Zealand Journal of Psychiatry·Christopher James Ryan
Nov 20, 2018·The Australian and New Zealand Journal of Psychiatry·Ruth VineMatthew J Spittal
Nov 24, 2018·The Australian and New Zealand Journal of Psychiatry·Shuichi SuetaniSteve Kisely
Jun 28, 2019·Frontiers in Psychiatry·Lisa BrophyHelen Herrman
Feb 24, 2020·Administration and Policy in Mental Health·Phyllis Solomon, Ryan Petros
Sep 29, 2019·The Australian and New Zealand Journal of Psychiatry·Steve KiselyDan Siskind
Sep 15, 2020·The Australian and New Zealand Journal of Psychiatry·Steve KiselyDan Siskind
Feb 4, 2021·Administration and Policy in Mental Health·Steven P Segal
Aug 4, 2021·The Australian and New Zealand Journal of Psychiatry·Shuichi SuetaniDan Siskind

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