What Do the OCTET Outpatient Committal Trials Really Tell Us?


Andy Owen and Loopinder Sood of the NHS Partnership Trust argue in a commentary in The Lancet Psychiatry that community treatment orders aren’t as ineffective as a study in the journal showed.

“We suggest that OCTET cannot claim to have disproved the effectiveness of CTOs,” write Owen and Sood. “(W)e question the original conclusions and associated calls for a moratorium on their use.”

In their own commentary, the authors of the original article state that, “OCTET’s results have proved a disappointment to those who had high hopes for the introduction of CTOs and that includes us, the research team. A vigorous critical response has helped us to clarify several key issues that were inevitably condensed in the Lancet Article.”

Owen, Andy, and Loopinder Sood. “OCTET Does Not Prove Community Treatment Orders Are Ineffective.” The Lancet Psychiatry 2, no. 5 (May 2015): 373–75. doi:10.1016/S2215-0366(15)00116-9. (Full text with free registration)

Burns, Tom, Jorun Rugkåsa, and Andrew Molodynski. “In Defence of OCTET.” The Lancet Psychiatry 2, no. 5 (May 2015): 375–76. doi:10.1016/S2215-0366(15)00120-0. (Full text with free registration)


  1. I have to register to read it ?
    Search = Temporary E-mail Copy then Paste then Check mail…
    Mr Phony Name, you have successfully registered!

    So what were these CTO people thinking ? They never noticed that complaint patients usually got worse after exposure to psychiatry but they somehow assumed psychiatry would work on non complaint ones if they forced them ?

    The mental health system itself is insane, they keep doing the same thing expecting different results.

    One of their favorite excuses when their drugging method fails: Everyone’s chemistry is different. Well not really if you consider everyone exposed to their method gets chronically disabled with drugs.

    I would still be miserable, sick and popping a horrible mix of pills and if I listened to them.

    I am not an anomaly, I don’t see hardly anyone else getting better after being exposed to psychiatry. Almost always the same crap, the first pills making them worse then those results used as proof they really need more psychiatry and stronger pills in combination.

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