Department of Psychiatry, ETZ Hospital (Elisabeth-TweeSteden Ziekenhuis), Hilvarenbeekseweg 60, Tilburg, 5022 GC, the Netherlands.
Vincent van Gogh for Mental Health, Venray, the Netherlands.
BMC Psychiatry. 2020 Feb 24;20(1):80. doi: 10.1186/s12888-020-02501-7.
Compulsory treatment in patients' homes (CTH) will be introduced in the new Dutch mental health legislation. The aim of this study is to identify the opinions of mental health workers in the Netherlands on compulsory community treatment (CCT), and particularly on compulsory treatment in the patients' home.
This is a mixed methods study, comprising a semi-structured interview and a survey. Forty mental health workers took part in the semi-structured interview about CCT and 20 of them, working in outpatient services, also completed a questionnaire about CTH. Descriptive analyses were performed of indicated (dis) advantages and problems of CCT and of mean scores on the CTH questionnaire.
Overall, the mental health workers seemed to have positive opinions on CCT. With respect to CTH, all mean scores were in the middle of the range, possibly indicating that clinicians were uncertain regarding safety issues and potential practical problems accompanying the use of CTH.
The majority of the participating mental health workers in this study had a positive attitude towards CCT, but they seemed relative uncertain about potential possibilities and problems of working with CTH.
新的荷兰精神卫生立法将引入患者家中的强制治疗（CTH）。本研究的目的是确定荷兰精神卫生工作者对强制性社区治疗（CCT）的意见，特别是对患者家中强制治疗的意见。
这是一项混合方法研究，包括半结构化访谈和问卷调查。40 名精神卫生工作者参加了关于 CCT 的半结构化访谈，其中 20 名在门诊服务工作的工作者还完成了关于 CTH 的问卷。对 CCT 的指示（不）优点和问题以及 CTH 问卷的平均得分进行了描述性分析。
总体而言，精神卫生工作者对 CCT 似乎持积极态度。关于 CTH，所有平均得分都处于范围的中间，这可能表明临床医生对使用 CTH 时的安全问题和潜在实际问题不确定。
在这项研究中，大多数参与的精神卫生工作者对 CCT 持积极态度，但他们对使用 CTH 的潜在可能性和问题似乎相对不确定。
