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2 results

  • Chapter 2 - Legislation Relevant to the Management of Violence by Persons With Mental Disorders

  • from Section 1 - General Aspects of Management
  • Edited by Masum Khwaja, Imperial College of Science, Technology and Medicine, London, Peter Tyrer, Imperial College of Science, Technology and Medicine, London
  • Book:
    The Prevention and Management of Violence
    Published online:
    09 May 2023
    Print publication:
    11 May 2023, pp 15-24

  • Summary

    This chapter provides an overview of the legislative frameworks that are relevant to the management of violence by persons with mental disorders in the United Kingdom. Three jurisdictions apply (England and Wales, Scotland and Northern Ireland). Individual frameworks and their variants are not discussed in detail; rather, substantial differences relevant to the management of violence are highlighted. Core principles guiding routine medical practice of ‘consent’ and ‘do no harm’ remain relevant in the management of violence, and legislation provides a framework when coercion may be necessary to manage an acute violent act, the immediate risk of further violence or the longer-term risk of violence. Pertinent legislation is discussed, including the Human Rights Act 1998, and mental health and mental capacity acts. Deprivation of Liberty Safeguards (DoLS), which are soon to be replaced by the Liberty Protection Safeguard Scheme (LPS), community treatment orders (CTOs) and review of the Mental Health Act are also discussed.

  • Community treatment orders: international perspective

  • Georgios Mikellides, Artemis Stefani, Marianna Tantele
  • Journal:
    BJPsych International / Volume 16 / Issue 4 / November 2019
    Published online by Cambridge University Press:
    29 March 2019, pp. 83-86
    Print publication:
    November 2019
    • Article
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  • The use of community treatment orders (CTOs) is available in more than 70 jurisdictions around the world. Although CTOs are used extensively, their effectiveness remains doubtful. We comment on the existing evidence and focus on components that influence the outcomes of CTOs internationally. It is essential to identify factors that affect the delivery of CTOs, and mixed methodologies may improve our understanding regarding their efficiency.