Cost-effectiveness of Community Treatment Orders (CTOs): Economic evaluation of the OCTET study
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.
- Simon J, Mayer S, Laszewska A, Yeeles K, Burns T, Gray A. Cost and quality-of-life impacts of community treatment orders (CTOs) for patients with psychosis: Economic evaluation of the OCTET trial. Soc Psychiatry Psychiatr Epidemiol. 2021 Jan;56(1):85-95. DOI: 10.1007/s00127-020-01919-4
- Simon J in cooperation with the OCTET Collaborative Group: Burns T, Rugkåsa J, Yeeles K, Catty J (2016): Coercion in mental health: A trial of the effectiveness of community treatment orders and an investigation of informal coercion in community mental health care. Programme Grants Appl Res, 4(21).
- Simon J, Gray A, Mayer S, Łaszewska A, Rugkasa J, Yeeles K, Burns T (2015) Cost-effectiveness of Community Treatment Orders (CTOs): Economic Evaluation of the OCTET Study. Journal of Mental Health Policy and Economics, 18 (S1):S36.