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  • Can Epidemiological Studies Assist in the Evaluation of Community Treatment Orders? – the experience of Western Australia and Nova Scotia

    Author(s)
    Kisely, Stephen
    Campbell, Leslie Anne
    Preston, Neil J
    Xiao, Jianguo
    Griffith University Author(s)
    Kisely, Steve R.
    Year published
    2006
    Metadata
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    Abstract
    Epidemiological studies using administrative databases have several advantages over other methodologies in studying the effectiveness of compulsory community treatment such as community treatment orders (CTOs). We compared patients placed on CTOs in Western Australia with controls drawn from both within the jurisdiction and from another without this measure (Nova Scotia). Although in different countries, the mental health services in both jurisdictions share common characteristics. Notably, we were able to control for forensic history in our comparison within Western Australia. We analysed predictors of admission and number ...
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    Epidemiological studies using administrative databases have several advantages over other methodologies in studying the effectiveness of compulsory community treatment such as community treatment orders (CTOs). We compared patients placed on CTOs in Western Australia with controls drawn from both within the jurisdiction and from another without this measure (Nova Scotia). Although in different countries, the mental health services in both jurisdictions share common characteristics. Notably, we were able to control for forensic history in our comparison within Western Australia. We analysed predictors of admission and number of bed-days using multiple, logistic or Cox regression as appropriate. Of the 274 subjects placed on a CTO, we were able to find controls for up to 96% (n = 265). CTO placement was not associated with reduced admissions or mean bed-days, although there was a threshold effect with a reduced risk of inpatient stays exceeding 100 days. Outpatient contacts were significantly greater for the CTO group. However, we do not know whether the intensity of treatment, or its compulsory nature, effected outcome.
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    Journal Title
    International Journal of Law and Psychiatry
    Volume
    29
    Issue
    6
    DOI
    https://doi.org/10.1016/j.ijlp.2006.01.006
    Subject
    Law not elsewhere classified
    Psychology
    Law
    Publication URI
    http://hdl.handle.net/10072/29127
    Collection
    • Journal articles

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