Community Treatment Orders for Psychiatric Patients: The Emperor With No Clothes
How does society protect some of its most vulnerable and disadvantaged patients while respecting individual autonomy? This is the dilemma facing many Canadian jurisdictions as they consider the extension of compulsory treatment to community settings. Canada is not unique but part of a trend to enforce outpatient treatment in many jurisdictions, including Australia, New Zealand, the United States, and the European Union. What is the basis for this enthusiasm? Certainly, research published in this journal has endorsed the measure to varying degrees, as does the position paper of the Canadian Psychiatric Association. We wonder whether this confidence is misplaced, and we critically examine several troubling aspects of the literature on CTOs.
The Canadian Journal of Psychiatry
Clinical Sciences not elsewhere classified