Compulsory community treatment and ethnicity: Findings from a culturally and linguistically diverse area of Queensland

Moss, Katherine; Wyder, Marianne; Braddock, Vivienne; Arroyo, David; Kisely, Steve

doi:10.1016/j.ijlp.2018.09.007

Cited by 13 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of concern, we found that Australians from CALD backgrounds were significantly more likely to be subject to an order mirroring studies from both Scotland and London (Bansal et al, 2014; Patel et al, 2011). This finding is also consistent with results that could not be included in the meta-analysis where patients who required an interpreter were almost three times more likely to be treated on a CTO than those who did not require an interpreter (Moss et al, 2018). In general, experiences of the mental health system for people from a CALD background can be very different.…”

Section: Discussionsupporting

confidence: 88%

“…In addition, those from a CALD or migrant background were nearly 40% more likely to be on an order. This was reflected in the findings from two individual studies that were not included in the meta-analysis where those who had a preferred language other than English were 66% more likely to be on a CTO (Kisely et al, 2020), while those who required an interpreter had nearly a threefold greater risk of placement (Moss et al, 2018). By contrast, Indigenous status was not associated with being on a CTO.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review and meta-analysis of predictors and outcomes of community treatment orders in Australia and New Zealand

Kisely

Dong

Maehashi

et al. 2020

Aust N Z J Psychiatry

Self Cite

View full text Add to dashboard Cite

Objectives: Australia and New Zealand have some of the highest rates of compulsory community treatment order use worldwide. There are also concerns that people from culturally and linguistically diverse backgrounds may have higher rates of community treatment orders. We therefore assessed the health service, clinical and psychosocial outcomes of compulsory community treatment and explored if culturally and linguistically diverse, indigenous status or other factors predicted community treatment orders. Methods: We searched the following databases from inception to January 2020: PubMed/Medline, Embase, CINAHL and PsycINFO. We included any study conducted in Australia or New Zealand that compared people on community treatment orders for severe mental illness with controls receiving voluntary psychiatric treatment. Two reviewers independently extracted data, assessing study quality using Joanna Briggs Institute scales. Results: A total of 31 publications from 12 studies met inclusion criteria, of which 24 publications could be included in a meta-analysis. Only one was from New Zealand. People who were male, single and not engaged in work, study or home duties were significantly more likely to be subject to a community treatment order. In addition, those from a culturally and linguistically diverse or migrant background were nearly 40% more likely to be on an order. Indigenous status was not associated with community treatment order use in Australia and there were no New Zealand data. Community treatment orders did not reduce readmission rates or bed-days at 12-month follow-up. There was evidence of increased benefit in the longer-term but only after a minimum of 2 years of use. Finally, people on community treatment orders had a lower mortality rate, possibly related to increased community contacts. Conclusion: People from culturally and linguistically diverse or migrant backgrounds are more likely to be placed on a community treatment order. However, the evidence for effectiveness remains inconclusive and limited to orders of at least 2 years’ duration. The restrictive nature of community treatment orders may not be outweighed by the inconclusive evidence for beneficial outcomes.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of predictors and outcomes of community treatment orders in Australia and New Zealand

Kisely

Dong

Maehashi

et al. 2020

Aust N Z J Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Evidence of injustice is pervasive in the current mental health system. The rates of compulsory treatment remain high across the world and recent evidence suggests that people who experience area-level deprivation [ 84 ] and people from culturally and linguistically diverse backgrounds are at risk [ 85 , 86 ]. Drivers for change include the United Nations Human Rights Council [ 1 ], the WHO [ 6 ], the UNCRPD [ 87 ], the increased awareness and emphasis on the social determinants and role of trauma in mental distress [ 51 ] and increased preparedness to challenge the dominance of the biomedical approach [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Engaging with Transformative Paradigms in Mental Health

Whitaker

Smith

Brasier

et al. 2021

IJERPH

View full text Add to dashboard Cite

When graduates of Australian social work courses embark on a career in mental health, the systems they enter are complex, fragmented and evolving. Emerging practitioners will commonly be confronted by the loneliness, social exclusion, poverty and prejudice experienced by people living with mental distress; however, social work practice may not be focused on these factors. Instead, in accordance with the dominant biomedical perspective, symptom and risk management may predominate. Frustration with the limitations evident in this approach has seen the United Nations call for the transformation of mental health service delivery. Recognising paradigmatic influences on mental health social work may lead to a more considered enactment of person centred, recovery and rights-based approaches. This paper compares and contrasts influences of neo-liberalism, critical theory, human rights and post-structuralism on mental health social work practice. In preparing social work practitioners to recognise the influence of, and work more creatively with, intersecting paradigms, social work educators strive to foster a transformative approach to mental health practice that straddles discourses.

show abstract

“…22 However, this may be explained by the fact that those born outside Australia included large numbers of people from the United Kingdom, Ireland and New Zealand and so may be an imperfect indicator of ethnicity. [23][24][25] In addition, a recent systematic review of studies in all age groups found no differences between Caucasian and African-Americans and a reduced odds of presentation in Hispanic Americans. 17 Explanations for an increased risk of an ED presentation for toothache, dental abscesses and caries in people with a psychiatric history are similar to those responsible for the excess of non-traumatic ED presentations in other socially disadvantaged or marginalised groups.…”

Section: Discussionmentioning

confidence: 99%

A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

Kisely

Lalloo

2021

Australian Dental Journal

Self Cite

View full text Add to dashboard Cite

Background: Attendances at emergency departments (EDs) for dental conditions are unnecessary and come at a significant cost to health services. Methods: A population-based record-linkage analysis of a retrospective cohort over 2 years across state-based facilities in Queensland. This was to determine if people with mental illness were more likely than the general population to attend EDs for a range of non-traumatic or avoidable dental conditions. Results: There were 1 381 428 individuals in the linked database, of whom 177 157 (13%) had a psychiatric history and 22 046 (1.5%) had one or more avoidable dental presentations. These were toothache (n = 9619), dental abscesses (n = 8449), caries (n = 1826), stomatitis (n = 1213) and gum disease (n = 939). After adjusting for confounders, psychiatric patients were significantly more likely to present with toothache, dental abscesses and caries but not stomatitis or gum disease. Depending on the dental outcome, other risk factors were male sex, lower income, rurality and Indigenous status. Conclusions: Given these findings, possible interventions should include an increased emphasis on assessing oral health in mental health or primary care, especially in non-metropolitan areas, as well as early dental referral. Service planning for this population should including easier navigation of dental services, availability outside normal office hours and free outreach dental clinics.

show abstract

Compulsory community treatment and ethnicity: Findings from a culturally and linguistically diverse area of Queensland

Cited by 13 publications

References 12 publications

A systematic review and meta-analysis of predictors and outcomes of community treatment orders in Australia and New Zealand

A systematic review and meta-analysis of predictors and outcomes of community treatment orders in Australia and New Zealand

Engaging with Transformative Paradigms in Mental Health

A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

Contact Info

Product

Resources

About