• Aust Fam Physician · Jul 2015

    Involuntary psychiatric treatment in the community: general practitioners and the implementation of community treatment orders.

    • Edwina Light, Ian Kerridge, Michael Robertson, Philip Boyce, Terry Carney, Alan Rosen, Michelle Cleary, Glenn Hunt, Nick O'Connor, and Christopher Ryan.
    • GradCert Bioethics, BA Comms, PhD candidate, Centre for Values, Ethics and the Law in Medicine, University of Sydney, NSW.
    • Aust Fam Physician. 2015 Jul 1; 44 (7): 485489485-9.

    BackgroundThere are no data about general practitioners' (GPs') involvement in involuntary psychiatric community treatment orders (CTOs). We examined stakeholder perspectives on the GP's role in this area.MethodsSemi-structured interviews were conducted around CTO experiences with 38 participants: patients, carers, clinicians and Mental Health Review Tribunal members. Data were analysed using established qualitative methodologies.ResultsSixteen participants specifically spoke about GPs. The analysis identified four themes in their accounts: GPs as 'instruments' of CTOs; GPs as primary caregivers within a CTO; GPs as 'outsiders'; and practical challenges for GPs. Within these themes, participants identified the value of GPs in the provision of care for people living with severe and persistent mental illness, the challenges of coercive processes and the dangers of GPs being isolated from them.DiscussionGPs play an important role in the implementation of CTOs. Failure to better integrate GPs in the care of people on CTOs appears to be a significant shortcoming of its implementation.

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