Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced

In this paper, we use a constructed scenario to illustrate making a compulsory community treatment order in the New Zealand context. Drawing on publicly available documentation, we outline the existing mental health law framework that produces community treatment orders and emerging complex problems...

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Main Authors: Alison Schneller, Katey Thom, Peter Adams
Format: Article
Language:English
Published: MDPI AG 2018-08-01
Series:Laws
Subjects:
Online Access:http://www.mdpi.com/2075-471X/7/3/30
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author Alison Schneller
Katey Thom
Peter Adams
author_facet Alison Schneller
Katey Thom
Peter Adams
author_sort Alison Schneller
collection DOAJ
description In this paper, we use a constructed scenario to illustrate making a compulsory community treatment order in the New Zealand context. Drawing on publicly available documentation, we outline the existing mental health law framework that produces community treatment orders and emerging complex problems of their high, increasing and disproportionate use. We provide examples of human rights, indigenous and clinical effectiveness research that appear to be destabilising the existing mental health law framework. We argue assemblage theory (Deleuze & Guattari) is a useful theoretical tool to unpack the making and continued use of compulsory community treatment orders in the context of complex destabilising and stabilising influences. This is followed by an outline of the concept of assemblage with reference to the constructed scenario, focusing on processes, practices, places, types of knowledge, roles, documents and how they connect to produce certain effects that both enable and constrain participants’ actions. In the New Zealand context, we examine the potential for assemblage theory to generate new ways of thinking about compulsory mental health treatment in community settings by challenging perceived limitations and revealing opportunities for participants to act otherwise. We conclude with a proposal for further research shaped by this theory that explores the making of actual community treatment orders to reveal where there is potential to change existing relations towards more positive effects for participants.
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spelling doaj.art-6c8d7c2e49d3425daef1ec2260a6fcd42022-12-22T03:45:26ZengMDPI AGLaws2075-471X2018-08-01733010.3390/laws7030030laws7030030Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are ProducedAlison Schneller0Katey Thom1Peter Adams2Faculty of Medical and Health Sciences, The University of Auckland, Auckland 1142, New ZealandFaculty of Medical and Health Sciences, The University of Auckland, Auckland 1142, New ZealandFaculty of Medical and Health Sciences, The University of Auckland, Auckland 1142, New ZealandIn this paper, we use a constructed scenario to illustrate making a compulsory community treatment order in the New Zealand context. Drawing on publicly available documentation, we outline the existing mental health law framework that produces community treatment orders and emerging complex problems of their high, increasing and disproportionate use. We provide examples of human rights, indigenous and clinical effectiveness research that appear to be destabilising the existing mental health law framework. We argue assemblage theory (Deleuze & Guattari) is a useful theoretical tool to unpack the making and continued use of compulsory community treatment orders in the context of complex destabilising and stabilising influences. This is followed by an outline of the concept of assemblage with reference to the constructed scenario, focusing on processes, practices, places, types of knowledge, roles, documents and how they connect to produce certain effects that both enable and constrain participants’ actions. In the New Zealand context, we examine the potential for assemblage theory to generate new ways of thinking about compulsory mental health treatment in community settings by challenging perceived limitations and revealing opportunities for participants to act otherwise. We conclude with a proposal for further research shaped by this theory that explores the making of actual community treatment orders to reveal where there is potential to change existing relations towards more positive effects for participants.http://www.mdpi.com/2075-471X/7/3/30community mental healthcompulsory treatment orderassemblage theorymental health lawsocial policyhuman rights
spellingShingle Alison Schneller
Katey Thom
Peter Adams
Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
Laws
community mental health
compulsory treatment order
assemblage theory
mental health law
social policy
human rights
title Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
title_full Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
title_fullStr Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
title_full_unstemmed Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
title_short Towards Changing Compulsory Community Mental Health Treatment in New Zealand: Shining Light on How Community Treatment Orders Are Produced
title_sort towards changing compulsory community mental health treatment in new zealand shining light on how community treatment orders are produced
topic community mental health
compulsory treatment order
assemblage theory
mental health law
social policy
human rights
url http://www.mdpi.com/2075-471X/7/3/30
work_keys_str_mv AT alisonschneller towardschangingcompulsorycommunitymentalhealthtreatmentinnewzealandshininglightonhowcommunitytreatmentordersareproduced
AT kateythom towardschangingcompulsorycommunitymentalhealthtreatmentinnewzealandshininglightonhowcommunitytreatmentordersareproduced
AT peteradams towardschangingcompulsorycommunitymentalhealthtreatmentinnewzealandshininglightonhowcommunitytreatmentordersareproduced