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How shortcomings in the mental health system affect the use of involuntary community treatment orders


Light, EM and Robertson, MD and Boyce, P and Carney, T and Rosen, A and Cleary, M and Hunt, GE and O'Connor, N and Ryan, CJ and Kerridge, IH, How shortcomings in the mental health system affect the use of involuntary community treatment orders, Australian Health Review, 41, (3) pp. 351-356. ISSN 0156-5788 (2017) [Refereed Article]

Copyright Statement

Copyright 2017 AHHA.

DOI: doi:10.1071/AH16074


Objective: The aim of the present study was to examine stakeholder perspectives on how the operation of the mental health system affects the use of involuntary community treatment orders (CTOs).

Methods: A qualitative study was performed, consisting of semi-structured interviews about CTO experiences with 38 purposively selected participants in New South Wales (NSW), Australia. Participants included mental health consumers (n = 5), carers (n = 6), clinicians (n = 15) and members of the Mental Health Review Tribunal of NSW (n = 12). Data were analysed using established qualitative methodologies.

Results: Analysis of participant accounts about CTOs and their role within the mental health system identified two key themes, namely that: (1) CTOs are used to increase access to services; and (2) CTOs cannot remedy non-existent or inadequate services.

Conclusion: The findings of the present study indicate that deficiencies in health service structures and resourcing are a significant factor in CTO use. This raises questions about policy accountability for mental health services (both voluntary and involuntary), as well as about the usefulness of CTOs, justifications for CTO use and the legal criteria regulating CTO implementation.

Item Details

Item Type:Refereed Article
Keywords:mental health, involuntary community treatment orders
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:117142
Year Published:2017
Web of Science® Times Cited:9
Deposited By:Health Sciences
Deposited On:2017-06-01
Last Modified:2018-09-25

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