Purpose
People with serious mental illness from immigrant,
racialised and ethno- culturally diverse communities
experience greater coercion in mental health care. This
review aims to scope the literature and synthesise
findings relevant on the association between these
groups, and the use of Community Treatment Orders
(CTOs) and related forms of compulsory community
treatment.
Methods
Five electronic databases were searched to identify
relevant studies.Studies were included if they directly
examined the association betweenimmigrant, racialised
and ethno-culturally diverse communities andcommunity
treatment orders and related forms of treatment or
presented relevant data as part of a larger study.
Results
Of the 43 studies included nine studies focused directly
on associations between immigrant, racialised and ethno
culturally diverse communities and CTOs, while 34
studies presented relevant data related to immigrant,
racialised and ethno-culturally diverse communities and
CTOs albeit not the primary focus of the study. Most
studies were quantitative, with varied study designs. The majority of studies were from Australia and New
Zealand. followed by North America and the UK. Of the
nine studies focusing directly on ethnicity and CTOs,
results were mixed, and varied based on design,
population and jurisdiction.
Conclusion
The relationship between ethnicity, immigration status,
and CTOs iscomplex, with mixed findings across
jurisdictions. Most of theliterature comes from Australia
and New Zealand, were Indigenouspopulations were a
significant focus. The review highlights the need for more
qualitative and quantitative research, especially in
underrepresented ethnic groups and jurisdictions outside
of Australia and New Zealand.
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