Khurana, Vallabhi;
(2020)
The Use of Community Treatment Orders in Eating Disorder Services: Clinician and Patient Perspectives.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
Background: The Mental Health Act (MHA), (U.K.) was amended in 2007 to include Community Treatment Orders (CTOs). CTOs aim to provide supervised mental health treatment in the community as opposed to being detained in hospital. Aims: This study aims to explore the use, advantages and disadvantages of CTOs in Eating Disorder (ED) services. Method: Twelve semi-structured interviews with clinicians and patients were conducted about their experiences of CTOs. Their responses were analysed using a Thematic Analysis. Results: Ten key themes were identified. CTOs were described as safety nets and had the potential to be used therapeutically with the ‘right patient’. Advantages included supporting patients to remain in the community, providing patients with the permission to eat and being of value to family members. Disadvantages included patients feeling powerless, CTOs reinforcing dependency, increased workloads for professionals and clinicians being able to achieve similar outcomes without using the MHA. Lastly, clinicians and patients described difficulties and dilemmas associated with the weight condition on CTOs and the recall component. Conclusions: This study emphasises the importance of multidisciplinary team working, clinician training and patient selection when using CTOs in ED services. In particular, the clinical implications highlight how patient motivation and the interaction between ED symptomatology and CTO mechanisms need to be carefully considered. Further research is required on the impact of CTOs on the therapeutic relationship and the use of CTOs in supported accommodation settings.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | The Use of Community Treatment Orders in Eating Disorder Services: Clinician and Patient Perspectives |
| Event: | UCL |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2020. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10110999 |
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