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Assessing the effectiveness of compulsory community treatment 

Assessing the effectiveness of compulsory community treatment
Chapter:
Assessing the effectiveness of compulsory community treatment
Author(s):

Steve Kisely

DOI:
10.1093/med/9780198788065.003.0005
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date: 18 October 2021

This chapter initially considers methodological issues that arise in assessing the effectiveness of compulsory community treatment. It then reviews the evidence from uncontrolled, controlled, and randomized studies of various types of intervention. Although uncontrolled studies suggest some reduction in health service use following compulsory community treatment, this is not generally confirmed in studies with matched or randomized controls. Although proponents of compulsory community treatment argue that it is less coercive than the alternatives of compulsory admission to hospital or arrest, research findings suggest that it remains an unproven way of reducing either procedure. Even where changes in outcome have been shown, such as decreased criminal victimization, it is not clear whether these are due to the legislative framework or to a greater intensity of contact.

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