Curtis David
University College London.
Psychiatr Bull (2014). 2014 Feb;38(1):36-9. doi: 10.1192/pb.bp.113.044800.
In the Oxford Community Treatment Order Evaluation Trial (OCTET), patients were randomised either to be made subject to a community treatment order (CTO) or to be managed with Section 17 leave and discharge. No differences in outcome between the two groups were observed. Here it is argued that the patients studied were not those who might have benefited from a CTO and that the psychiatrists involved were unlikely to have used the provisions of a CTO assertively. Consideration of the lengths of time for which both Section 17 leave and CTOs were used supports the notion that CTOs were not used appropriately for a group of patients who might have benefited from them. Hence the results of this study should not be taken to provide any evidence as to the effectiveness or otherwise of CTOs.
在牛津社区治疗令评估试验（OCTET）中，患者被随机分为两组，一组接受社区治疗令（CTO），另一组采用第17条规定的请假和出院方式进行管理。两组之间未观察到结果差异。有人认为，所研究的患者并非可能从CTO中受益的患者，而且参与的精神科医生不太可能积极运用CTO的条款。对第17条规定的请假和CTO使用时长的考量支持了这样一种观点，即CTO未被适用于可能从中受益的一组患者。因此，本研究结果不应被视为提供了关于CTO有效性或其他方面的任何证据。
