The Community Treatment Orders ( Cto )

1116 WordsMay 11, 20175 Pages
The introduction of Community Treatment Orders (CTO) has raised much debate around the issue of whether this is an ethical practice or not. This debate calls for a number of questions to be answered. For starters, can unethical practice be justified if it is for the greater good? More specifically, should the elimination of individuals’ rights be accepted if success is to be achieved from these programs. In order to gain insight into answering these questions, Community Treatment Orders need to be defined first. According to the “Mental Health Act”, a Community Treatment Order sets out terms under which a person must accept psychiatric drugs, therapy, and other services while living in the community (Mental Health Act 2007). CTO’s include…show more content…
By doing so, they are given the opportunity for social inclusion and to be part of a community (Lawson-Smith et al, 2008). In addition, the fact that they are still in operation today supports the idea that change is needed in society. From a political perspective, they are enforced by governments in order to help those who are most vulnerable, to remedy discrimination, and protect the general public (Russell, 2011). As wholehearted as these goals may be in theory, the fact remains that the intended results are not being achieved and civil liberties are being infringed upon. Those opposing the use of CTO’s are influenced by three reasons to support their position. The first reason deals with the current evidence base. For starters, international research literature has found no strong evidence on the positive or negative effects of CTO’s on three key outcomes. These outcomes are “hospital readmissions, length of hospital stay, and ‘patients’ quality of life” (Lawton-Smith et al, 2008) Furthermore, a 36-month study of 198 “patients” concluded that CTO’s do not prevent relapse and readmission of psychiatric inmates with severe and enduring “mental illnesses”. The study showed that results were in line with the current national use (Rugkasa, Yeeles, Koshiaris, & Burns, 2016). Analysis of these results shows that there is no compelling reason for CTO’s to continue to exists, given the lack of improvement that they provide. The use of CTO’s is
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