Burns Tom, Molodynski Andrew
Department of Psychiatry, Warneford Hospital, Oxford.
Psychiatr Bull (2014). 2014 Feb;38(1):3-5. doi: 10.1192/pb.bp.113.044628.
Community 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.
尽管国际上缺乏令人信服的证据证明社区治疗令（CTO）的有效性，但它仍被引入了英国。牛津社区治疗令评估试验（OCTET）是在英国对333名精神病患者进行的多中心随机对照试验。该试验证实，尽管患者的自由受到了大幅限制，但在减少复发方面并没有明显的益处。社区心理健康团队需要认真考虑他们是否应该继续使用社区治疗令，还是将临床重点转向加强工作联盟。
