CTOs extend coercion into the community. ... Coercion will be used as an alternative to providing adequate service. People should not be coerced to accept services when there are others willing to accept, but who cannot access, them. People often refuse medications because of side effects or other bona fide reasons.

Why are community treatment orders controversial?

The use of community treatment orders and other forms of mandatory outpatient treatment has been controversial. The debate on the appropriateness of compulsory treatment in the community addresses a volatile mix of clinical, social policy, legal, and philosophical issues.

Are CTOs effective?

CTOs have been used more than expected, with significant variations between people and places. There is conflicting evidence about the effectiveness of SCT; studies based on randomised controlled trials (RCTs) have suggested few positive impacts, while those employing observational designs have been more favourable.