Objective: The aim of this paper is to outline the impact of Community Treatment Orders over a 20-year period on service delivery and clinical practice in Victoria.
Conclusions: Community Treatment Orders, as utilized in Victoria, have undermined optimal service delivery and supported paternalistic, reductionistic clinical practice. The psychiatric profession has failed to advocate adequately for better mental health resourcing and human rights protection of those subject to Community Treatment Orders.
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References
1.
Mental Health Review Board of Victoria. Annual Report 2005–2006Melbourne: Mental Health Review Board of Victoria, 2006.
2.
BurgessPBindmanJLeeseMHendersonCSzmuklerG. Do community treatment orders for mental illness reduce readmission to hospital? An epidemiological study. Social Psychiatry and Psychiatric Epidemiology2006; 41: 574–579.
3.
MuirheadDHarveyCIngramG. Effectiveness of community treatment orders for treatment of schizophrenia with oral or depot antipsychoic medication: Clinical outcomes. Australian and New Zealand Journal of Psychiatry2006; 40: 596–605.
4.
BrophyLMReeceJEMcDermottF. A cluster analysis of people on Community Treatment Orders in Victoria, Australia. International Journal of Law and Psychiatry2006; 29: 469–481.
5.
BrophyLRingD. The efficacy of involuntary treatment in the community: consumer and service provider perspectives. Social Work in Mental Health2004; 2: 157–174.
6.
GloverGArtsGBabuKS. Crisis resolution/home treatment teams and psychiatric admission rates in England. British Journal of Psychiatry2006; 189: 441–445.
7.
DelaneyS. An optimally rights recognising mental health tribunal – what can be learned from Australian jurisdictions. Psychiatry. Psychology and Law2003; 10: 71–84.
8.
CapdevielleDRitchieK. The long and the short of it: are shorter periods of hospitalisation beneficial?. British Journal of Psychiatry2008; 192: 164–165.
9.
LambertTSinghB. Psychotropic prescribing in community mental health clinics. International Journal of Neuropsychopharmacology2000; 3 (Suppl. 1)S123.
10.
CarrollA. Are violence risk assessment tools clinically useful?. Australian and New Zealand Journal of Psychiatry2007; 41: 301–307.
KiselySCampbellLA. Does compulsory or supervised community treatment reduce ‘revolving door’ care? Legislation is inconsistent with recent evidence. British Journal of Psychiatry2007; 191: 373–374.
13.
ZinklerMPriebeS. Detention of the mentally ill in Europe – a review. Acta Psychiatrica Scandinavica2002; 106: 3–8.
14.
CharlesworthH.A Bill of Rights: An end to our solitude. In:TimWrightTime for Change. Melbourne: Hardie Grant Books, 2006; 217–238.
