Service users' perceptions of Community Treatment Orders and their impact on interpersonal relationships.

Patkas, I. (2012) Service users' perceptions of Community Treatment Orders and their impact on interpersonal relationships. D.Clin.Psychol. thesis, Canterbury Christ Church University.

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Section A is a review of the literature on Community Treatment Orders (CTOs) in the context of their recent introduction in England and Wales. A critical review of the literature in relation to CTOs’ effectiveness is presented, followed by available evidence on service users’ perceptions of CTOs. Consideration of ethical issues that surround compulsory community treatment is also offered. The review highlights gaps in the literature regarding CTOs’ impact on service users’ interpersonal relationships and on how service users who are based in the UK perceive CTOs. Further qualitative research is recommended.
Section B describes a qualitative study investigating male service users’ perceptions of their CTOs and the impact of this intervention on their interpersonal relationships. Grounded Theory was used to analyse interview data from 15 participants. Five higher-order categories and 15 categories were identified which contributed to a preliminary model of how service users develop their CTO perceptions. The factors that appeared to influence participants’ perceptions of their CTOs were: i) past and present social living conditions, ii) view of self in relation to mental health, iii) view of the CTO service, i.e. view of medication and mental health professionals. Finally, the model showed that CTOs had a limited or no impact on participants’ views of their relationships with their families, friends, partners and local communities. Results are discussed with reference to potentially relevant psychological theories. Clinical implications, including raising professionals’ awareness about the impact of coercion on the therapeutic relationship, and directions for future research are also presented.
Section C is a critical appraisal of the study presented in Section B. It provides reflective responses to four questions in relation to the following areas: research skills acquired through conducting the study; what improvements could be made if repeating the study; clinical implications; and directions for future research.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: mental health care, community treatment orders, mental health service users, interpersonal relationships, grounded theory
Subjects: H Social Sciences > HM Sociology > HM1001 Social psychology > HM1106 Interpersonal relations. Social behavior
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0790 Mental health services. Mental illness prevention
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0512 Psychopathology. Mental disorders
Divisions: pre Nov-2014 > Faculty of Social and Applied Sciences > Applied Psychology
Depositing User: Mrs Kathy Chaney
Date Deposited: 29 Oct 2012 15:57
Last Modified: 03 Jun 2018 12:38

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Last edited: 29/06/2016 12:23:00