A systematic review and meta-analysis of predictors and outcomes of compulsory community treatment for severe mental illness in Australia and New Zealand

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12620000333910

Enrollment

218034

Registered

2020-03-10

Start date

2020-01-09

Completion date

2020-04-15

Last updated

2021-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

There is conflicting and equivocal evidence for the efficacy of compulsory community treatment (CCT) within Australia and overseas. In addition, although people from Indigenous or culturally and linguistically diverse backgrounds are over-represented in terms of incarceration and compulsory admissions to hospital, little is known about whether this also applies to compulsory community treatment. A previous review of compulsory community treatment worldwide did include some studies from Australia but had several limitations. Firstly it did not include several more recent studies and secondly, it only presented analyses of unadjusted data. In non-randomised studies such as cohort, case control and cross-sectional studies it is important to adjust for potential confounders to adjust for the possibility that people on compulsory community treatment may differ in important ways from voluntary controls. In addition, the review only considered admissions, bed-dsay and community contacts and did not consider other outcomes such as clinical features. Finally, it did not consider predictors of compulsory community treatment placement. This systematic review and meta-analysis therefore aims to assess predictors of CCT placement and whether people from Indigenous or culturally and linguistically diverse backgrounds are more likely to be on compulsory community treatment in Australia and New Zealand, as well as assess the subsequent effect on a range of health service, clinical and psychosocial outcomes.

Interventions

Community treatment orders for compulsory psychiatric treatment. These require people with mental disorders to reside at a specified place, and to attend specified treatment programs that include psychoeducation and rehabilitation. Orders can also enforce medication.

Eligibility

Sex/Gender

All

Healthy volunteers

Inclusion criteria

Inclusion criteria will be any randomised controlled trial or quasi experimental study conducted in Australia or New Zealand that compares people on compulsory community treatment for severe mental illness who are subject to civil commitment. with controls receiving voluntary psychiatric treatment.

Exclusion criteria

We will exclude studies of compulsory treatment in the community for drug or alcohol dependence and community treatments for mentally or behaviourally disordered offenders, as well as any design that does not compare people on a community treatment order with with controls receiving voluntary psychiatric treatment.

Outcome results