Seattle University Collaborative Projects - International Academy of ...

173. Understanding and Improving Use of Community TreatmentOrdersThe Challenges of Applying Recovery Theory to Involuntary TreatmentMarianne Wyder, University of Queensland at Brisbane (m.wyder@uq.edu.au)Personal recovery has emerged as central concept for mental health and has now been explicitlyadopted as the guiding principle for the provision of mental services in Australia andinternationally. Personal recovery includes internal conditions such as empowerment, selfdetermination,hope, healing and connection, and external conditions such as human rights, apositive culture of healing, and recovery oriented services. Involuntary admissions, at face value,are a distinct contradiction to the concept of recovery, as mental health crises that lead to thelegal provision of involuntary treatment would appear to challenge the very principles ofrecovery. Involuntary treatment can, by definition, be a denial of agency and citizenship, adestruction of hope as well as a reinforcement of stigma associated with a mental illness. Yetinvoluntary treatment can also be a point from which the recovery journey can gain direction andmomentum. This paper presents the findings from a qualitative study investigating theexperiences of involuntary mental health admissions from the perspectives of Consumers, Carersand Health Care Professionals. This paper will focus on the key aspects of the recovery modelthat are relevant to involuntary mental health admissions. It will also seek to reconcile theperspectives of Consumers, their Carers and Health Care Professionals.Achieving Reciprocity for People on Community Treatment OrdersLisa Brophy, The University of Melbourne (lbrophy@mindaustralia.org.au;lbrophy@unimelb.edu.au)It is estimated that one in four people accessing clinical community based mental health servicesin Victoria, Australia, are on a Community Treatment Order (CTO). Concerns about CTOsinclude the potential for over use, increased reliance on coercion and for people to appear to belanguishing on these orders for many years. In the author’s experience, across multiple projectsinvestigating the experience of the implementation of CTOs, there is consistent evidence tosuggest that many people on CTOs do not gain access to the level of service delivery that it maybe argued is required both to justify a CTO and also to achieve positive outcomes. Current lawreform in Victoria is attempting to address these issues but previous attempts at law reform havetended to be unsuccessful. The introduction of statutory treatment plans appears not to have metthe aim of having more consistent evidence that people on CTOs have been collaborativelyengaged in treatment planning and goal setting. It is also apparent that many people on CTOs arenot gaining access to recovery orientated services and psychosocial interventions. Thus itappears that in many cases the principle of reciprocity, the right to adequately resourced care in405