Heun Reinhard, Dave Subodh, Rowlands Paul
Derbyshire Healthcare NHS Foundation Trust, Derby, UK.
BJPsych Bull. 2016 Jun;40(3):115-8. doi: 10.1192/pb.bp.115.052373.
This editorial discusses the pros and cons of community treatment orders (CTOs) from the perspective of community general adult psychiatry. There is little scientific evidence supporting the application of CTOs. Preconditions of a CTO to work are likely to be met by few patients. The time for the application of a CTO may be better spent for patient-centred care until there is sufficient new and robust evidence that identifies the patients that might profit.
这篇社论从社区普通成人精神病学的角度讨论了社区治疗令(CTO)的利弊。几乎没有科学证据支持社区治疗令的应用。很少有患者可能满足社区治疗令生效的前提条件。在有足够新的有力证据确定哪些患者可能从中受益之前,将社区治疗令的应用时间更好地用于以患者为中心的护理可能更为合适。