• How clinicians make decisions about CTOs in ACT: a qualitative study 

      Stuen, Hanne Kilen; Landheim, Anne; Rugkåsa, Jorun; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-09-22)
      <p><i>Background</i> - The first 12 Norwegian assertive community treatment (ACT) teams were piloted from 2009 to 2011. Of the 338 patients included during the teams’ first year of operation, 38% were subject to community treatment orders (CTOs). In Norway as in many other Western countries, the use of CTOs is relatively high despite lack of robust evidence for their effectiveness. The purpose of ...
    • Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry study 

      Høyer, Georg; Nyttingnes, Olav; Rugkåsa, Jorun; Sharasova, Ekaterina; Simonsen, Tone Breines; Høye, Anne; Riley, Henriette (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-07)
      Background<p> <p>In 2017, a capacity-based criterion was added to the Norwegian Mental Health Act, stating that those with capacity to consent to treatment cannot be subjected to involuntary care unless there is risk to themselves or others. This was expected to reduce incidence and prevalence rates, and the duration of episodes of involuntary care, in particular regarding community treatment orders ...
    • Increased influence and collaboration: A qualitative study of patients' experiences of community treatment orders within an assertive community treatment setting 

      Stuen, Hanne Kilen; Rugkåsa, Jorun; Landheim, Anne; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-23)
      <p><i>Background - </i>Since 2009, 14 assertive community treatment (ACT) teams have started up in Norway. Over 30 % of the patients treated by the ACT teams were subject to community treatment orders (CTOs) at intake. CTOs are legal mechanisms to secure treatment adherence for patients with severe mental illness. Little is known about patients’ views and experiences of CTOs within an ACT ...
    • Out-patient commitment order use in Norway: incidence and prevalence rates, duration and use of mental health services from the Norwegian Outpatient Commitment Study 

      Riley, Henriette; Sharashova, Ekaterina; Rugkåsa, Jorun; Nyttingnes, Olav; Christensen, Tore Buer; Austegard, Ann-Torunn Andersen; Løvsletten, Anna Maria; Lau, Bjørn; Høyer, Georg (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-09-02)
      <i>Background</i> - Norway authorised out-patient commitment in 1961, but there is a lack of representative and complete data on the use of out-patient commitment orders.<p> <p><i>Aims</i> - To establish the incidence and prevalence rates on the use of out-patient commitment in Norway, and how these vary across service areas. Further, to study variations in out-patient commitment across ...
    • Responsibilities with conflicting priorities: A qualitative study of ACT providers’ experiences with community treatment orders 

      Stuen, Hanne Kilen; Landheim, Anne; Rugkåsa, Jorun; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-04-18)
      <p><i>Background - </i>Patients with severe mental illness may be subjected to Community Treatment Orders (CTOs) in order to secure that the patients adhere to treatment. Few studies have investigated the use of CTOs within an Assertive Community Treatment (ACT) setting, and little is known about how the tension between the patients’ autonomy and the clinicians’ responsibility to act in the patients’ ...