Cristin-resultat-ID: 1979633
Sist endret: 27. oktober 2022, 14:48
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry study

Bidragsytere:
  • Georg Høyer
  • Olav Nyttingnes
  • Jorun Rugkåsa
  • Ekaterina Sharashova
  • Tone Breines Simonsen
  • Anne Høye
  • mfl.

Tidsskrift

BJPsych Open
ISSN 2056-4724
e-ISSN 2056-4724
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Publisert online: 2022
Volum: 8
Sider: 1 - 7
Artikkelnummer: e22
Open Access

Importkilder

Scopus-ID: 2-s2.0-85123019170

Beskrivelse Beskrivelse

Tittel

Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry study

Sammendrag

Background In 2017, a capacity-based criterion was added to the Norwegian Mental Health Act, stating that those with capacity to consent to treatment cannot be subjected to involuntary care unless there is risk to themselves or others. This was expected to reduce incidence and prevalence rates, and the duration of episodes of involuntary care, in particular regarding community treatment orders (CTOs). Aims The aim was to investigate whether the capacity-based criterion had the expected impact on the use of CTOs. Method This retrospective case register study included two catchment areas serving 16% of the Norwegian population (aged ≥18). In total, 760 patients subject to 921 CTOs between 1 January 2015 and 31 December 2019 were included to compare the use of CTOs 2 years before and 2 years after the legal reform. Results CTO incidence rates and duration did not change after the reform, whereas prevalence rates were significantly reduced. This was explained by a sharp increase in termination of CTOs in the year of the reform, after which it reduced and settled on a slightly higher leven than before the reform. We found an unexpected significant increase in the use of involuntary treat- ment orders for patients on CTOs after the reform. Conclusions The expected impact on CTO use of introducing a capacity-based criterion in the Norwegian Mental Health Act was not confirmed by our study. Given the existing challenges related to defining and assessing decision-making capacity, studies examining the validity of capacity assessments and their impact on the use of coercion in clinical practice are urgently needed. Keywords Capacity-based mental health law; community treatment orders; compulsion; mental health legislation

Bidragsytere

Georg Høyer

  • Tilknyttet:
    Forfatter
    ved Psykisk helse- og rusklinikk ved Universitetssykehuset Nord-Norge HF
  • Tilknyttet:
    Forfatter
    ved Helsetjenesteforskning, forskningsgruppe ved UiT Norges arktiske universitet

Olav Nyttingnes

  • Tilknyttet:
    Forfatter
    ved Helsetjenesteforskning (HØKH) ved Akershus universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved FOU psykisk helsevern forskning ved Akershus universitetssykehus HF
Aktiv cristin-person

Jorun Rugkåsa

  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie- og helsevitenskap ved Universitetet i Sørøst-Norge
  • Tilknyttet:
    Forfatter
    ved Helsetjenesteforskning (HØKH) ved Akershus universitetssykehus HF
Aktiv cristin-person

Ekaterina Sharashova

  • Tilknyttet:
    Forfatter
    ved Undervisning ISM ved UiT Norges arktiske universitet

Tone Breines Simonsen

  • Tilknyttet:
    Forfatter
    ved Helsetjenesteforskning (HØKH) ved Akershus universitetssykehus HF
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