Compulsory community and involuntary outpatient treatment for people with severe mental disorders

Schizophrenia Bulletin
Steve Kisely, Leslie Anne Campbell

Abstract

There is controversy as to whether compulsory community treatment (CCT) for people with severe mental illness (SMI) reduces health service use or improves clinical outcome and social functioning. To examine the effectiveness of CCT for people with SMI. We searched the Cochrane Schizophrenia Group's Trials Register and Science Citation Index (2003, 2008, 2012, and 2013). We obtained all references of identified studies and contacted authors where necessary. All relevant randomized controlled clinical trials (RCTs) of CCT compared with standard care for people with SMI (mainly schizophrenia and schizophrenia-like disorders, bipolar disorder, or depression with psychotic features). Standard care could be voluntary treatment in the community or another preexisting form of compulsory community treatment such as supervised discharge. We found 3 trials with a total of 752 people. Two trials compared a form of CCT called 'Outpatient Commitment' (OPC) versus standard voluntary care, whereas the third compared Community Treatment Orders with intermittent supervised discharge. CCT was no more likely to result in better service use, social functioning, mental state, or quality of life compared with either standard voluntary or supervised c...Continue Reading

Citations

Jun 10, 2016·BJPsych Bulletin·Reinhard HeunPaul Rowlands
Nov 26, 2013·International Journal of Law and Psychiatry·Rigmor R Diseth, Per A Høglend
Jan 24, 2012·European Psychiatry : the Journal of the Association of European Psychiatrists·W GaebelUNKNOWN European Psychiatric Association
May 12, 2012·Psychiatry Research·Anastasia TheodoridouMatthias Jäger
Nov 3, 2017·Community Mental Health Journal·N J StomskiP Brennan
Jul 26, 2019·CNS Spectrums·Martin T StrassnigPhilip D Harvey

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