Introduction

For people with a serious mental disorder, a community treatment order (CTO) is a legal response that requires them to undergo psychiatric treatment unwillingly under certain conditions. Qualitative studies have explored the perspectives of individuals involved in CTOs, including persons with lived experiences of a CTO, family members and mental health care providers, who are directly involved in these procedures. However, few studies have integrated their different perspectives.

Method

This descriptive and qualitative study aimed to explore the experience associated with a CTO in hospital and community settings among individuals with a history of CTO, relatives, and mental health care providers. Using a participatory research approach, individual semi-structured interviews were conducted with 35 participants. The data were reviewed using content analysis.

Results

Three themes and seven sub-themes were identified: 1) differential positions as a function of meaning conferred to CTOs; 2) a risk management tool; and 3) coping strategies used to deal with CTOs. Overall, relatives' and mental health care providers' perspectives tended to be in opposition to those who went under a CTO.

Conclusions

In a context of recovery-oriented care, more research is needed to reconcile the seemingly contradictory positions of individual with experiential knowledge and the legal leverage that deprives them of their fundamental right to autonomy.

中文翻译：

---

社区治疗令：利益相关者观点的定性研究

介绍

对于患有严重精神障碍的人来说，社区治疗令（CTO）是一种法律应对措施，要求他们在某些情况下不情愿地接受精神治疗。定性研究探讨了参与 CTO 的个人的观点，包括直接参与这些程序的有 CTO 生活经验的人、家庭成员和精神卫生保健提供者。然而，很少有研究整合他们的不同观点。

方法

这项描述性和定性研究旨在探讨有 CTO 病史的个人、亲属和精神卫生保健提供者在医院和社区环境中与 CTO 相关的经历。采用参与式研究方法，对 35 名参与者进行了单独的半结构化访谈。使用内容分析对数据进行审查。

结果

确定了三个主题和七个子主题：1）作为赋予 CTO 的意义的函数的不同立场；2）风险管理工具；3) 用于与 CTO 打交道的应对策略。总体而言，亲属和精神卫生保健提供者的观点往往与那些接受 CTO 治疗的人相反。

结论

在以康复为导向的护理背景下，需要更多的研究来调和个人看似矛盾的立场与经验知识以及剥夺他们基本自主权的法律杠杆。