title: Compulsory psychiatric treatment in the community. I. A controlled study of compulsory community treatment with extended leave under the Mental Health Act: special characteristics of patients treated and impact of treatment.
abstract: Following in-patient psychiatric treatment under Section 3 of the Mental Health Act, some patients have in the past remained on Section after discharge, and subsequently the Section has been renewed while the patient remained 'on leave'. People treated thus with 'extended leave' probably resemble closely those who would be placed on a community treatment order if this were available. A group of these extended-leave patients was compared with a control group, matched for age, sex and diagnosis, selected by consultant psychiatrists as not requiring treatment using a community treatment order. The two groups showed very few differences, but the extended-leave patients more commonly had a history of recent dangerousness and non-compliance with psychiatric treatment. Use of extended leave improved treatment compliance, reduced time spent in hospital, and reduced levels of dangerousness.
authors.affiliation: Department of Psychiatry, Charing Cross and Westminster Medical School.
authors.forename: T
authors.initials: T
authors.lastname: Sensky
authors.forename: T
authors.initials: T
authors.lastname: Hughes
authors.forename: S
authors.initials: S
authors.lastname: Hirsch
mesh_terms: D016022:Case-Control Studies; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence*; D003617:Dangerous Behavior; D004739:England; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000331:legislation & jurisprudence*; D008134:Long-Term Care / Q000331:legislation & jurisprudence / Q000523:psychology; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010349:Patient Compliance / Q000523:psychology*; D011619:Psychotropic Drugs / Q000008:administration & dosage; D012189:Retrospective Studies; D014852:Wales
chemical_list: D011619:Psychotropic Drugs