“Life on Hold”: A Qualitative Study of Patient Experiences with Outpatient Commitment in Two Norwegian Counties

Stensrud, Bjørn; Høyer, Georg; Granerud, Arild; Landheim, Anne

doi:10.3109/01612840.2014.955933

Cited by 40 publications

(42 citation statements)

References 30 publications

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“…Stensrud, Høyer, Granerud, and Landheim (2015) found that OC patients had the same experience. Sjostrom, Zetterberg, and Markstrom (2011) pointed out that OC can encourage a medical understanding.…”

Section: Discussionmentioning

confidence: 77%

‘Responsible, but Still not a Real Treatment Partner’: A Qualitative Study of the Experiences of Relatives of Patients on Outpatient Commitment Orders

Stensrud

Høyer

Granerud

et al. 2015

Issues in Mental Health Nursing

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Section: Discussionmentioning

confidence: 77%

‘Responsible, but Still not a Real Treatment Partner’: A Qualitative Study of the Experiences of Relatives of Patients on Outpatient Commitment Orders

Stensrud

Høyer

Granerud

et al. 2015

Issues in Mental Health Nursing

Self Cite

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“…Many find some aspects of the order helpful, while other aspects restrict their lives in ways that can be highly problematic. [13][14][15][16][17][18] The highest priority for all 3 groups is usually to avoid hospital admission. 16 It is worth noting that the experienced advantages of CTO often are expressed by way of comparison with detention in hospital, not with receiving comprehensive community services voluntarily.…”

Section: Descriptive Studiesmentioning

confidence: 99%

Effectiveness of Community Treatment Orders: The International Evidence

Rugkåsa

2016

Can J Psychiatry

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Objective: Community treatment orders (CTOs) exist in more than 75 jurisdictions worldwide. This review outlines findings from the international literature on CTO effectiveness. Method: The article draws on 2 comprehensive systematic reviews of the literature published before 2013, then uses the same search terms to identify studies published between 2013 and 2015. The focus is on what the literature as a whole tells us about CTO effectiveness, with particular emphasis on the strength and weaknesses of different methodologies. Results:The results from more than 50 nonrandomized studies show mixed results. Some show benefits from CTOs while others show none on the most frequently reported outcomes of readmission, time in hospital, and community service use. Results from the 3 existing randomized controlled trials (RCTs) show no effect of CTOs on a wider range of outcome measures except that patients on CTOs are less likely than controls to be a victim of crime. Patients on CTOs are, however, likely to have their liberty restricted for significantly longer periods of time. Meta-analyses pooling patient data from RCTs and high quality nonrandomized studies also find no evidence of patient benefit, and systematic reviews come to the same conclusion. Conclusion: There is no evidence of patient benefit from current CTO outcome studies. This casts doubt over the usefulness and ethics of CTOs. To remove uncertainty, future research must be designed as RCTs. Abré géObjective : Les ordonnances de traitement en milieu communautaire (OTMC) existent dans plus de 75 administrations du monde entier. Cette revue présente les résultats de la littérature internationale sur l'efficacité des OTMC. Mé thode : L'article puise à deux revues systématiques complètes de la littérature publiée avant 2013, puis utilise les mêmes termes de recherche pour identifier les études publiées entre 2013 et 2015. L'accent est mis sur ce que la littérature dans son ensemble nous dit sur l'efficacité des OTMC, en insistant particulièrement sur les forces et faiblesses des différentes méthodologies.Ré sultats : Les résultats de plus de 50 études non randomisées étaient partagés. Certains montrent les avantages des OTMC alors que d'autres ne présentent aucun des résultats les plus fréquemment observés concernant: la réhospitalisation, le séjour à l'hôpital, et l'utilisation des services communautaires. Les résultats des trois essais randomisés contrô lés (ERC) existants n'indiquent aucun effet des OTMC sur ces mesures des résultats (ou une gamme plus vaste de mesures), excepté que les patients des OTMC sont moins susceptibles d'être victimes de criminalité. Les patients des OTMC sont toutefois susceptibles de se voir restreindre leur liberté pour des périodes de temps significativement plus longues. Les méta-analyses regroupant les données des patients des ERC, et les études non randomisées de grande qualité n'offrent pas non plus de preuves des avantages pour les patients, et les revues systématiques en viennent à la même conclusion.

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“…Other reasons or conditions for CTOs included the requirement to stay in specified accommodation [6, 43] and maintain contact with the mental health team [29, 48]. Consumer reports of CTO purpose varied with some unclear as to why they were on a CTO or what was being asked of them by services [23, 27], some perceiving they were on orders as a result of diagnosis or previous episodes, and reports of consumers and their mental health workers offering different requirements [23, 43, 49]. …”

Section: Core Components Of Case Managementmentioning

confidence: 99%

“…Some consumers reported frequent (daily) contact and support with an emotional focus, practical tasks and social engagement, with this type of support related to positive care experiences [49]. Others reported less frequent contact and dissatisfaction when the focus was primarily on medication [51].…”

Section: Core Components Of Case Managementmentioning

confidence: 99%

“…In summary, studies often stated CTOs facilitated access to mental health professionals and services, with easy access reported as benefits of CTOs by consumers and their carers [49] [41]. Increased access to accommodation services was also reported, with accommodation staff reporting that they felt more supported by mental health workers when CTOs were in place [39].…”

Section: Core Components Of Case Managementmentioning

confidence: 99%

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Care planning for consumers on community treatment orders: an integrative literature review

et al. 2016

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BackgroundCase management is the established model for care provision in mental health and is delivered within current care philosophies of person-centred and recovery-oriented care. The fact that people with a mental illness may be forced to receive care and treatment in the community poses challenges for clinicians aiming to engage in approaches that promote shared decision-making and self-determination. This review sought to gain an in-depth understanding of stakeholders’ perspectives and experiences of care planning for consumers’ on CTOs.MethodsAn integrative review method allowed for inclusion of a broad range of studies from diverse empirical sources. Systematic searches were conducted across six databases. Following appraisal, findings from included papers were coded into groups and presented against a framework of case management.ResultsForty-eight papers were included in the review. Empirical studies came from seven countries, with the majority reporting on qualitative methods. Many similarities were reported across studies. Positive gains from CTOs were usually associated with the nature of support received, highlighting the importance of the therapeutic relationship in care planning. Key gaps in care planning included a lack of connection between CTO, treatment and consumer goals and lack of implementation of focussed interventions.ConclusionsCurrent case management processes could be better utilised for consumers on CTOs, with exploration of how this could be achieved warranted. Workers need to be sensitive to the ‘control and care’ dynamic in the care planning relationship, with person-centred approaches requiring core and advanced practitioner and communication skills, including empathy and trust.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-1107-z) contains supplementary material, which is available to authorized users.

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“Life on Hold”: A Qualitative Study of Patient Experiences with Outpatient Commitment in Two Norwegian Counties

Cited by 40 publications

References 30 publications

‘Responsible, but Still not a Real Treatment Partner’: A Qualitative Study of the Experiences of Relatives of Patients on Outpatient Commitment Orders

‘Responsible, but Still not a Real Treatment Partner’: A Qualitative Study of the Experiences of Relatives of Patients on Outpatient Commitment Orders

Effectiveness of Community Treatment Orders: The International Evidence

Care planning for consumers on community treatment orders: an integrative literature review

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