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

Not Applicable

Completed

• Conditions: severe mental illness; Mental Health - Schizophrenia; Mental Health - Psychosis and personality disorders; Public Health - Health service research

• Registration Number: ACTRN12620000333910
• Lead Sponsor: Prof Steve Kisely

Brief Summary

People from culturally and linguistically diverse or migrant backgrounds are more likely to be placed on a community treatment order. However, the evidence for effectiveness remains inconclusive and limited to orders of at least 2 years’ duration. The restrictive nature of community treatment orders may not be outweighed by the inconclusive evidence for beneficial outcomes.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-03-10
• Study Completion: 2020-04-15
• Last Update Posted: 21 July 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 218034

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.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Admission to hospital for a psychiatric condition [At least 12 months and up to no more than 10 years from entry into the study.];Bed-days spent in hospital for psychiatric illness[At least 12 months and up to no more than 10 years from entry into the study ];The number of clinical encounters with mental health clinicians as an outpatient or in a community setting[At least 12 months and up to no more than 10 years from entry into the study ]

Secondary Outcome Measures

Name	Time	Method
Psychiatric symptoms as measured by a standardised psychiatric instrument such as the Health of the Nation Outcome Scales[At least 12 months and up to no more than 10 years from entry into the study ];Compliance with psychiatric treatment in terms of taking psychotropic medication as directed. [At least 12 months and up to no more than 10 years from entry into the study.];Employment as defined by full or part-time work or study<br>[At least 12 months and up to no more than 10 years from entry into the study.];Contacts with the criminal justice system as defined by any arrest, conviction or imprisonment [At least 12 months and up to no more than 10 years from entry into the study.]