CommunityTreatment Orders involves a legal order through which the patients arecompelled to accept medical care including therapy, rehabilitation, coping andcontrolling classes, psychotherapy or any other health services while staying in public. It is also notable that theCommunity Treatment Order (CTO) accounts in serving the patients who experiencethe psychiatric treatment plans which are mostly created by the patient’shealth facility. The Community Treatment Order needs patients to observe all thenecessary terms and conditions of the provided order; thus, if not allowed,they would need to be instructed to the psychiatric health institution wherethe fundamental health care and treatment would be the implemented. Similarly,the Community Treatment Order can be organized at any time (up to 12 months).This, therefore, implies that the patients shall have to follow the CTO for aperiod of more than one subsequent period. Typically, the debate on thenecessity of the CTOs in public has led to volatile clinical, social, legal aswell as philosophical reactions as there are different questions raised andneeds to be answered before identifying common ground. Section7 of the Canadian Charter Rights of Freedom (Mental Health Legislation),asserts that the human life, freedom as well as security are essentialprinciples of justice.
Nonetheless, ethical issues come up since these rightsof individuals are generally compromised with the forceful dedication alongwith the acceptance that the psychiatric patients have to comply with CommunityTreatment Orders (Canadian Civil Liberties Association, 2015). Inrecent times, there have been ethical controversies surrounding the integrationof the Community Treatment Orders together with other types of the outpatienttreatment laws and policies. This is a true reflection that there existunsuitable and unstable political, philosophical as well as medical concernsregarding the appropriate mandatory health care in the public or the community.
The option of the involuntary Community Treatment Orders is said to be forcingthe treatment amongst people who are seeking the health care services; therebytaking away the rights and liberty of having an option. In other words, theCommunity Treatment Orders place the independence of the patient at risk(O’Reilly, 2004). Manyhave argued that the effective treatment takes away the liberty of people todecline the psychiatric treatment of various illnesses.
Specifically, thesedebates have contended that the CTOs is meant to bring an end to theinvoluntary medical attention. The integration of the Community TreatmentOrders has indeed led to different perceptions and viewpoints. First andforemost, since the CTOs are involuntary, it goes against the tradition of notforcing the treatment of any individual in the society. It intensifies theforceful and aggressive actions against members of the community. Additionally,the practice of CTOs promotes the struggle of advocating and defending therights of the patients within the society; hence ignoring other essential andlikely health care services which could be more optimal in the treatment ofpatients in the community.
Thirdly, we are all aware that the run-offinpatients, as well as wait-times in the community health care institutions,have since become a prime issue, and with the implementation of CommunityTreatment Orders, health facilities will be extremely packed with thenon-adherent patients. Subsequently, this will reinforce the long waiting timesin the Accidents and Emergency Departments as well as cause the in-patient bedsto be engaged more regularly, hence delay and disruption of the provision ofquality health services for other patients in the facility (Hutt et al., 2013).Onthe other hand, the supporters of the Community Treatment Orders claim thatwhen individuals suffering from the psychological disturbances are providedwith the required freedom, they could become sidelined from receiving theessential treatment needed to improve their health conditions. Despite the factthat the idea is accurate to some extent, it is also evident that there is muchriskier negative impact linked to it.
This is because when patients areinvoluntarily examined or treated for the indicated period chosen by thepsychiatrists, the patients are needed to take consistent doses ofantipsychotic treatments. This can, therefore, result in severe long-term oreven the short-term injurious impacts. CommunityTreatment Orders have proved to lower the number of victimized patients ofabuse. It is a kind of epistemic violence as it entails ignoring a person’snotion with the mind that the individual is too sick to make a decision. Theintegration of Community Treatment Orders is increasing at a significant level.However, it is argued that the outcome of the Community Treatment Orders is notin a position to validate the various challenges which are compiled on theautonomy of the patient.
This is because, despite intimidated CTOs make peoplefeel more secure and safe, and it is factual that the practice violates therights of those individuals who are going through psychiatric disparities. Thisis enhanced by the fact that they are not provided the required liberty as wellas the freedom to select what type of treatment together with other health careservices they would like to receive (Andrew et al., 2013). Ina nutshell, the Community Treatment Orders have no capacity of reducing therate of hospital re-admission of the psychiatric patients. Besides, there nomuch evidence to prove that the compulsory orders such as the CTOs haveattained its designed medical objectives, which was to reducere-hospitalization as well as improvement of the attention towards medicationalong with other medical services.
However, to enhance the community-based psychiatricservices, the medical providers should organize for the frequent testing ofpatients as this could help them in getting adequate and relevant patientinformation which could also help in designing their treatment plans.