Stroud Julia, Banks Laura, Doughty Karolina
School of Applied Social Science, University of Brighton , Brighton , UK.
J Ment Health. 2015 Apr;24(2):88-92. doi: 10.3109/09638237.2014.998809. Epub 2015 Feb 2.
The effectiveness of Community Treatment Orders (CTOs) has been examined previously. However, few studies have explored the significance of service user and practitioner understandings.
The study explored the experiences of service users, practitioners and nearest relatives, to identify key factors and good practice in relation to CTOs.
A study of CTOs in a mental health NHS Trust in Southern England, including 72 semi-structured interviews, analysed thematically.
CTOs were perceived as helpful in certain circumstances for the "right" service user. Factors influencing effectiveness included recognition of the containing elements of the CTO, a respect for its legal authority and an acceptance of conditions.
The perceptions of service users have an important role in determining the value and potential effectiveness of CTOs. A consideration of these issues should be integral to the process of assessing whether a CTO is appropriate in individual cases.
此前已对社区治疗令(CTO)的有效性进行过研究。然而,很少有研究探讨服务使用者和从业者理解的重要性。
本研究探讨了服务使用者、从业者和近亲的经历,以确定与社区治疗令相关的关键因素和良好做法。
对英格兰南部一家国民保健服务信托基金的社区治疗令进行研究,包括72次半结构化访谈,并进行主题分析。
在某些情况下,社区治疗令被认为对“合适的”服务使用者有帮助。影响有效性的因素包括对社区治疗令约束性要素的认可、对其法律权威的尊重以及对条件的接受。
服务使用者的看法在决定社区治疗令的价值和潜在有效性方面具有重要作用。在评估社区治疗令在个别案例中是否合适的过程中,应综合考虑这些问题。