BACKGROUND:Compulsory treatment in patients' homes (CTH) will be introduced in the new Dutch mental health legislation. The aim of this study is to identify the opinions of mental health workers in the Netherlands on compulsory community treatment (CCT), and particularly on compulsory treatment in the patients' home. METHODS:This is a mixed methods study, comprising a semi-structured interview and a survey. Forty mental health workers took part in the semi-structured interview about CCT and 20 of them, working in outpatient services, also completed a questionnaire about CTH. Descriptive analyses were performed of indicated (dis) advantages and problems of CCT and of mean scores on the CTH questionnaire. RESULTS:Overall, the mental health workers seemed to have positive opinions on CCT. With respect to CTH, all mean scores were in the middle of the range, possibly indicating that clinicians were uncertain regarding safety issues and potential practical problems accompanying the use of CTH. CONCLUSIONS:The majority of the participating mental health workers in this study had a positive attitude towards CCT, but they seemed relative uncertain about potential possibilities and problems of working with CTH.

译文

背景:荷兰新的精神卫生法规将引入对患者家中的强制治疗(CTH)。这项研究的目的是确定荷兰精神卫生工作者对强制性社区治疗(CCT),特别是对患者家中强制性治疗的意见。
方法:这是一项混合方法研究,包括半结构化访谈和调查。 40名精神卫生工作者参加了关于CCT的半结构化访谈,其中有20名在门诊工作,还完成了关于CTH的问卷调查。描述性分析对CCT的优点和存在的问题进行了描述性分析,并在CTH问卷上进行了平均评分。
结果:总体而言,精神卫生工作者似乎对CCT持积极态度。关于CTH,所有平均得分均在范围的中间,可能表明临床医生不确定使用CTH带来的安全性问题和潜在的实际问题。
结论:参与这项研究的大多数精神卫生工作者对CCT持积极态度,但是他们对于使用CTH的潜在可能性和问题似乎相对不确定。

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