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- Title
Coercion and Community Treatment Orders (CTOs): One Step Forward, Two Steps Back?
- Authors
Mfoafo-M'Carthy, Magnus; Williams, Charmaine C.
- Abstract
The shift from hospital-based care to community-based programs for people with serious and persistent mental illnesses has led to the creation of numerous treatment programs, including the recent implementation of community treatment orders (CTOs). This form of mandated outpatient commitment is controversial because it is widely acknowledged to be a coercive intervention. Yet, there is little discussion about why this intervention is considered coercive and whether coercion is acceptable in the context of emerging commitments to recovery for people with serious and persistent mental illnesses. Moreover, there is a need to evaluate whether CTOs advance or undermine the interests of people who are diagnosed with mental illness. This paper seeks to contribute to a discussion of these issues by exploring coercion and its role in community mental health care, and how it may co-exist with recovery in the implementation of community treatment orders.
- Subjects
CANADA; INVOLUNTARY treatment; COMMUNITY mental health services; REHABILITATION of people with mental illness; MENTAL health laws; MENTAL illness treatment; CONTROL (Psychology); HEALTH services accessibility; MATHEMATICAL models; HEALTH policy; MENTAL illness; PSYCHOTHERAPY patients; THEORY; INVOLUNTARY hospitalization
- Publication
Canadian Journal of Community Mental Health, 2010, Vol 29, Issue 1, p69
- ISSN
0713-3936
- Publication type
Article
- DOI
10.7870/cjcmh-2010-0006