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Involuntary psychiatric treatment in the community: general practitioners and the implementation of community treatment orders

Citation

Light, E and Kerridge, I and Roebertson, M and Boyce, P and Carney, T and Rosen, A and Cleary, M and Hunt, G and O'Connor, N and Ryan, C, Involuntary psychiatric treatment in the community: general practitioners and the implementation of community treatment orders, Australian Family Physician, 44, (7) pp. 485-9. ISSN 0300-8495 (2015) [Refereed Article]

Abstract

BACKGROUND: There are no data about general practitioners' (GPs') involvement in involuntary psychiatric community treatment orders (CTOs). We examined stakeholder perspectives on the GP's role in this area.

METHODS: Semi-structured interviews were conducted around CTO experiences with 38 participants: patients, carers, clinicians and Mental Health Review Tribunal members. Data were analysed using established qualitative methodologies.

RESULTS: Sixteen participants specifically spoke about GPs. The analysis identified four themes in their accounts: GPs as 'instruments' of CTOs; GPs as primary caregivers within a CTO; GPs as 'outsiders'; and practical challenges for GPs. Within these themes, participants identified the value of GPs in the provision of care for people living with severe and persistent mental illness, the challenges of coercive processes and the dangers of GPs being isolated from them.

DISCUSSION: GPs play an important role in the implementation of CTOs. Failure to better integrate GPs in the care of people on CTOs appears to be a significant shortcoming of its implementation.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Cleary, M (Professor Michelle Cleary)
ID Code:107274
Year Published:2015
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2016-03-09
Last Modified:2016-03-09
Downloads:0

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