社区治疗令：在英格兰使用的头五年分析。
Community treatment orders: an analysis of the first five years of use in England.
机构信息
Tees Esk and Wear Valleys National Health Service (NHS) Foundation Trust,Darlington.
Northumberland Tyne and Wear NHS Foundation Trust,Newcastle.
出版信息
Br J Psychiatry. 2018 Mar;212(3):175-179. doi: 10.1192/bjp.2017.51. Epub 2018 Feb 14.
BACKGROUND
Community treatment orders (CTOs) were introduced in England in 2008. Aims To measure the rate of CTO use in England during the first 5 years following introduction.
METHOD
The number of involuntary detentions and CTOs in National Health Service (NHS) hospital trusts was collected between 2009 and 2014. Rates of CTO use and the ratio of CTOs to detentions on admission were calculated, and how these varied between trusts.
RESULTS
The number of new CTOs each year ranged between 3834 and 4647. The number subject to a CTO per 100 000 population increased from 6.4 in 2009/10 to 10.0 in 2013/14. There was variation between NHS trusts in the use of CTOs when compared with the number of involuntary detentions CONCLUSIONS: The number of patients on CTOs increased year on year. Those on forensic sections were more likely to be discharged on a CTO than those on civil sections. There was considerable variation in the pattern of use between hospitals. Declaration of interest None.
背景
社区治疗令（CTO）于 2008 年在英格兰推出。目的：在引入后的头 5 年里，衡量英格兰 CTO 使用的速度。
方法
在 2009 年至 2014 年间，收集了国民保健服务（NHS）医院信托机构中非自愿拘留和 CTO 的数量。计算了 CTO 使用的比率和入院时 CTO 与拘留的比率，并计算了信托机构之间的差异。
结果
每年新 CTO 的数量在 3834 至 4647 之间。每 10 万人中接受 CTO 的人数从 2009/10 年的 6.4 人增加到 2013/14 年的 10.0 人。与非自愿拘留人数相比，NHS 信托机构在 CTO 使用方面存在差异。
结论
接受 CTO 的患者人数逐年增加。在法医科接受治疗的患者比在民事科接受治疗的患者更有可能获得 CTO 出院。医院之间的使用模式存在相当大的差异。
声明利益
无。
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