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Moving beyond randomized controlled trials in the evaluation of compulsory community treatment
Authors:Craig Duncan  Scott Weich  Graham Moon  Liz Twigg  Sarah‐Jane Fenton  Kamaldeep Bhui  Alastair Canaway  David Crepaz‐Keay  Patrick Keown  Jason Madan  Orla McBride  Helen Parsons  Swaran Singh
Abstract:Compulsory community treatment for people with severe mental illness remains controversial due to conflicting research evidence. Recently, there have been challenges to the conventional view that trial‐based evidence should take precedence. This paper adds to these challenges in three ways. First, it emphasizes the need for critiques of trials to engage with conceptual and not just technical issues. Second, it develops a critique of trials centred on both how we can have knowledge and what it is we can have knowledge of. Third, it uses this critique to develop a research strategy that capitalizes on the information in large‐scale datasets.
Keywords:clinical effectiveness  compulsory community treatment  mental health policy  randomized controlled trials  realist evaluation
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