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Community treatment orders are legal orders that prescribe that a patient must receive psychiatric treatment, even if it is against the patient's will, while the patient is to live in the community in "freedom".
Community treatment orders or CTO's are used to inject people with dopamine antagonistic neuroleptic antipsychotic agents for mood and cognition control, essentially acting as a chemical straigtjacked for patients who have to be often hospitalized.
CTO's erode the very idea of an autonomous person. To the self determined person, a CTO can be seen as hostile, which complicates not only patient doctor relationships but the treatment of the patient itself, as it can grow to become a subject matter of unresolving conflict due to the antagonistic stance the psychiatrist has toward a patient on a CTO who refuses to accept the treatment.
CTO's are prescribed to reduce the number of hospitalizations, the time to relapse, and the frequency of hospital visits. However neuroleptics have not been sufficiently well demonstrated to prevent relapse anymore than placebo long term, in fact, there is evidence strongly pointing to the contrary.
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