Care planning for consumers on community treatment orders: an integrative literature review

BMC Psychiatry

Research Article

Alan Simpson¹  Sharon Lawn²  Eimear Muir-Cochrane³  Suzanne Dawson³ 

[1] School of Health Sciences, Nursing, City University London, London, UK;School of Medicine, Flinders University, Adelaide, Australia;School of Nursing & Midwifery, Flinders University, GPO Box 2100, 5001, Adelaide, Australia;

关键词: Community Mental Health;    Community Treatment Orders;    Case Management;    Care Planning;   

DOI  :  10.1186/s12888-016-1107-z

 received in 2016-03-18, accepted in 2016-11-01,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundCase management is the established model for care provision in mental health and is delivered within current care philosophies of person-centred and recovery-oriented care. The fact that people with a mental illness may be forced to receive care and treatment in the community poses challenges for clinicians aiming to engage in approaches that promote shared decision-making and self-determination. This review sought to gain an in-depth understanding of stakeholders’ perspectives and experiences of care planning for consumers’ on CTOs.MethodsAn integrative review method allowed for inclusion of a broad range of studies from diverse empirical sources. Systematic searches were conducted across six databases. Following appraisal, findings from included papers were coded into groups and presented against a framework of case management.ResultsForty-eight papers were included in the review. Empirical studies came from seven countries, with the majority reporting on qualitative methods. Many similarities were reported across studies. Positive gains from CTOs were usually associated with the nature of support received, highlighting the importance of the therapeutic relationship in care planning. Key gaps in care planning included a lack of connection between CTO, treatment and consumer goals and lack of implementation of focussed interventions.ConclusionsCurrent case management processes could be better utilised for consumers on CTOs, with exploration of how this could be achieved warranted. Workers need to be sensitive to the ‘control and care’ dynamic in the care planning relationship, with person-centred approaches requiring core and advanced practitioner and communication skills, including empathy and trust.

【 授权许可】

CC BY   
© The Author(s). 2016