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How do patients with anorexia and their carers experience Community Treatment Orders?

Mihaljevic, Kim; (2020) How do patients with anorexia and their carers experience Community Treatment Orders? Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Aims: Community Treatment Orders (CTOs) are used in eating disorder populations to enforce engagement in treatment in the community. Research into CTOs has been limited to psychosis populations, and as such there is no research to guide its use in eating disorders. This paper aimed to investigate how patients and carers experience CTOs and consider how anorexia can impact on a patient’s ability to adhere to and engage with the CTO. Method: Semi-structured interviews were conducted with six patients and four carers. Transcripts were analysed using Interpretive Phenomenological Analysis. Patient and carer groups were analysed separately to allow for a comparison of their experiences. Results: The analysis yielded three over-arching themes for each group. Patients and carers both reported the theme of experiencing the CTO as a framework whose implementation depended on professionals. Patients discussed their ambivalence to treatment and the challenge of managing the competing demands of their anorexia and the CTO. Carers spoke about how they felt the CTO was necessary but not sufficient for recovery, and the impact of the CTO on their relationship with the patient. Conclusions: Patients and carers felt that the CTO was a necessity for patient wellbeing and highlighted the relationship with professionals as important to motivate engagement with the CTO. However, the CTO was perceived as a challenge by all patients due to the competing demands of the anorexia. Future research should focus on further understanding how CTOs are used by professionals, and the role they play in a patient’s recovery.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: How do patients with anorexia and their carers experience Community Treatment Orders?
Event: UCL (University College London)
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/10112131
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