Skip to main content Deutsch


Department of Health Economics (DHE)

Cost-effectiveness of Community Treatment Orders (CTOs): Economic evaluation of the OCTET study

Date: 2013-2015
Funding: UK NIHR PGfAR
Collaborator(s): Department of Psychiatry, University of Oxford, UK
Information: Judit Simon (co-PI), Susanne Mayer, Agata Łaszewska

In 2008, community treatment orders (CTO) for psychiatric patients became available in England and Wales following international examples. It was hypothesized that CTOs may result in superior health outcomes in terms of reduced hospital admissions and consequently may lead to significant cost savings. However, the additional coercion posed on patients might have a negative impact on their quality of life and their freedom of choice. The objective of this study was to assess the trade-off between the potentially conflicting impacts of CTOs in comparison to Section 17 leave. The DHE team conducted a prospective within-trial economic evaluation alongside the UK OCTET Trial.