Abstract
The Community Treatment Order (CTO) was introduced by the Mental Health Act 2007, and from the start, it was controversial. There is evidence that even the principle of community compulsion was opposed by a majority of psychiatrists, and it was said that many would resign rather than implement CTOs. Happily, that prediction has not been realised. In fact, it seems that many psychiatrists, and more than one Approved Mental Health Professional (AMHP), have seized upon CTOs with something approaching alacrity.
Highlights
The Community Treatment Order (CTO) was introduced by the Mental Health Act 2007, and from the start, it was controversial
The Health and Social Care Information Centre [‘HSCIC’], October 2010, ‘In-patients formally detained in hospitals under the Mental Health Act 1983 and patients subject to supervised community treatment’, Annual Figures, England 2009/10, pages 4 & 13
It is clear that community compulsion existed long before the CTO
Summary
The Community Treatment Order (CTO) was introduced by the Mental Health Act 2007, and from the start, it was controversial. It seems that many psychiatrists, and more than one Approved Mental Health Professional (AMHP), have seized upon CTOs with something approaching alacrity. According to the Mental Health Minimum Dataset, between 1 April 2008 and 31 March 2009, there were about 32,600 detentions under the Mental Health Act.[5] That ‘headline’ figure is virtually the same as in the previous year, but it hides significantly different ethnic trends: while the proportion of detained patients in the ‘White’ census category fell, by 1.6 per cent, that of ‘Black/Black British’ patients rose, by 9.7 per cent. 3. The Health and Social Care Information Centre [‘HSCIC’], October 2010, ‘In-patients formally detained in hospitals under the Mental Health Act 1983 and patients subject to supervised community treatment’, Annual Figures, England 2009/10, pages 4 & 13. HSCIC, November 2009, Mental Health Bulletin: Third report from Mental Health Minimum Dataset annual returns, 2004-2009
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