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Variation in the use of compulsory community treatment orders between district health boards in New Zealand

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From Māori Health Review Issue 104
Authors:
  • Lees M et al.
Summary:

Compulsory community treatment order (CTO) use is higher in Māori, young adults and in areas of socioeconomic deprivation, according to a study of national databases from 2009 to 2018. The annualised CTO rate for New Zealand was 95.5 per 100,000 population over the study period. However, CTO rates ranged from 53 to 184 per 100,000 population across district health boards, and adjustment for sociodemographic factors could not explain this variation. CTO rates were more than three times higher for Māori than Caucasian individuals, and were also higher in males and young adults. The CTO rate increased with socioeconomic deprivation severity.

Comment:
Reference: Australas Psychiatry. 2023;31(3):349-352.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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