a Division of Mental Health and Substance Abuse , University Hospital of North Norway , Tromsø , Norway.
b Department of Community Medicine , The Arctic University of Norway , Tromsø , Norway , and.
J Ment Health. 2018 Apr;27(2):97-102. doi: 10.1080/09638237.2016.1207230. Epub 2016 Jul 27.
Community treatment orders (CTOs) are being increasingly used in Western countries. The scheme implies that mental health patients can live outside a hospital, but still be subject to coercive care to ensure compliance with their treatment. There is limited knowledge of how the scheme is practised.
To gain knowledge of how decision makers weigh and evaluate various considerations when making decisions on CTOs.
Qualitative in-depth interviews with decision makers responsible for CTOs in Norway.
Decision makers viewed CTOs as a useful scheme to ensure control, continuity and follow-up care in the treatment of outpatients with a history of poor treatment motivation. They had varied interest in and knowledge of the patient's life situation and how the scheme affects the patient's everyday life. Little attention was devoted to patient experiences of formal and informal coercion.
When deciding on CTOs, decision makers should pay more attention to the negative consequences that patients may experience. In many cases, decision makers are probably not aware of these coercive factors.
社区治疗令（CTO）在西方国家的应用日益增多。该方案意味着精神健康患者可以在医院外生活，但仍需接受强制性护理，以确保其遵守治疗方案。对于该方案的实施方式，我们知之甚少。
了解决策者在决定 CTO 时如何权衡和评估各种考虑因素。
对挪威负责 CTO 的决策者进行定性深入访谈。
决策者认为 CTO 是一种有用的方案，可以确保对治疗动机差的门诊患者进行控制、连续性和随访护理。他们对患者的生活状况和方案如何影响患者的日常生活有着不同的兴趣和了解。但很少关注患者对正式和非正式强制的体验。
在决定 CTO 时，决策者应更加关注患者可能经历的负面后果。在许多情况下，决策者可能没有意识到这些强制性因素。
