TY - JOUR
T1 - Naturalistic outcomes of patients discharged from a community treatment order
T2 - QA project
AU - Dhawan, Manpreet Kaur
AU - Ganapathy, Ramanathan
AU - Sankaranarayanan, Anoop
AU - Maldonado, Ricardo
PY - 2025/2
Y1 - 2025/2
N2 - Objective: To study outcomes for patients after they are discharged from Community treatment orders (CTO) including rate of relapse, median time to relapse and to identify the risk factors associated with relapse. Method: The study population included patients discharged from CTO from July 2017 to December 2021, managed by a major metropolitan* case management team (CMT). The data were collected from electronic medical records (EMR). Descriptive analysis was conducted to study the sample characteristics. Logistic regression using univariate and multivariate analysis was performed to examine the associations between factors related to relapse. Results: A total of 128 patients were studied. The relapse rate was 27.4% with median time to relapse of 72 days. Poor insight, poor treatment compliance, duration of CTO and number of CMT contacts were significantly associated with relapse while substance use, psychiatric comorbidities and psychosocial factors were not. Conclusions: The findings suggest that people who relapsed had poor insight and poor medication adherence, had CTO for a longer period and had frequent contact from CMT even after discharge from CTO.
AB - Objective: To study outcomes for patients after they are discharged from Community treatment orders (CTO) including rate of relapse, median time to relapse and to identify the risk factors associated with relapse. Method: The study population included patients discharged from CTO from July 2017 to December 2021, managed by a major metropolitan* case management team (CMT). The data were collected from electronic medical records (EMR). Descriptive analysis was conducted to study the sample characteristics. Logistic regression using univariate and multivariate analysis was performed to examine the associations between factors related to relapse. Results: A total of 128 patients were studied. The relapse rate was 27.4% with median time to relapse of 72 days. Poor insight, poor treatment compliance, duration of CTO and number of CMT contacts were significantly associated with relapse while substance use, psychiatric comorbidities and psychosocial factors were not. Conclusions: The findings suggest that people who relapsed had poor insight and poor medication adherence, had CTO for a longer period and had frequent contact from CMT even after discharge from CTO.
KW - Community treatment order
KW - discharge from cto
KW - predictors of relapse
KW - relapse after CTO discharge
UR - http://www.scopus.com/inward/record.url?scp=85205346550&partnerID=8YFLogxK
UR - https://go.openathens.net/redirector/westernsydney.edu.au?url=https://doi.org/10.1177/10398562241286669
U2 - 10.1177/10398562241286669
DO - 10.1177/10398562241286669
M3 - Article
C2 - 39331791
AN - SCOPUS:85205346550
SN - 1039-8562
VL - 33
SP - 140
EP - 143
JO - Australasian Psychiatry: Bulletin of the Royal Australian and New Zealand College of Psychiatrists
JF - Australasian Psychiatry: Bulletin of the Royal Australian and New Zealand College of Psychiatrists
IS - 1
ER -