最新研究结果突显出,在社区进行强制性精神病治疗的效用仍然存在不确定性。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2024-07-30 DOI:10.1192/bjo.2024.718
Steve Kisely, Tessa Zirnsak, Chris Maylea, Claudia Bull, Lisa Brophy
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引用次数: 0

摘要

许多司法管辖区都引入了社区治疗令(CTO),有证据表明,随着时间的推移,社区治疗令的使用率越来越高,而且在边缘化人群中的使用率也不成比例。在国际上和同一国家内,社区治疗令的使用率也有很大差异,原因尚不清楚。因此,人们呼吁对此类立法进行重新评估。在英国,一个负责改革现行《精神健康法》的议会委员会建议废除 CTO,但刑事司法系统中的人除外。澳大利亚最近发表的两篇论文,以全州范围内的大型行政数据集为基础,得出了相互矛盾的结果,并对降低 CTO 的可取性得出了明显不同的结论。因此,关于 CTO 是否有效的争论仍悬而未决。澳大利亚以外的其他司法管辖区,如英格兰、苏格兰和加拿大,也有类似的临床医生主动下达的医嘱,这一点值得关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Latest findings highlight the continuing uncertainty over the utility of compulsory psychiatric treatment in the community.

Community treatment orders (CTOs) have been introduced in many jurisdictions with evidence of increasing use over time as well as a disproportionate use in marginalised populations. Rates of CTOs also vary widely, both internationally and within the same country, for reasons that are poorly understood. This is despite evidence for effectiveness being mixed and, as a result, there have been calls for a reappraisal of this type of legislation. In the UK, a parliamentary committee on reforming the existing Mental Health Act recommended abolishing CTOs other than for people in the criminal justice system. Two recent Australian papers based on large state-wide administrative data-sets give conflicting results and came to markedly different conclusions regarding the desirability of reducing CTO rates. The debate about the effectiveness of CTOs therefore remains unresolved. This is of concern beyond Australia, as other jurisdictions such as England, Scotland and Canada have similar clinician-initiated orders.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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