Community can be organized at any time (up to

Community
Treatment Orders involves a legal order through which the patients are
compelled to accept medical care including therapy, rehabilitation, coping and
controlling classes, psychotherapy or any other health services while  staying in public. It is also notable that the
Community Treatment Order (CTO) accounts in serving the patients who experience
the psychiatric treatment plans which are mostly created by the patient’s
health facility. The Community Treatment Order needs patients to observe all the
necessary terms and conditions of the provided order; thus, if not allowed,
they would need to be instructed to the psychiatric health institution where
the 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 a
period of more than one subsequent period. Typically, the debate on the
necessity of the CTOs in public has led to volatile clinical, social, legal as
well as philosophical reactions as there are different questions raised and
needs to be answered before identifying common ground.

Section
7 of the Canadian Charter Rights of Freedom (Mental Health Legislation),
asserts that the human life, freedom as well as security are essential
principles of justice. Nonetheless, ethical issues come up since these rights
of individuals are generally compromised with the forceful dedication along
with the acceptance that the psychiatric patients have to comply with Community
Treatment Orders (Canadian Civil Liberties Association, 2015).

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In
recent times, there have been ethical controversies surrounding the integration
of the Community Treatment Orders together with other types of the outpatient
treatment laws and policies. This is a true reflection that there exist
unsuitable and unstable political, philosophical as well as medical concerns
regarding the appropriate mandatory health care in the public or the community.
The option of the involuntary Community Treatment Orders is said to be forcing
the treatment amongst people who are seeking the health care services; thereby
taking away the rights and liberty of having an option. In other words, the
Community Treatment Orders place the independence of the patient at risk
(O’Reilly, 2004).

Many
have argued that the effective treatment takes away the liberty of people to
decline the psychiatric treatment of various illnesses. Specifically, these
debates have contended that the CTOs is meant to bring an end to the
involuntary medical attention. The integration of the Community Treatment
Orders has indeed led to different perceptions and viewpoints. First and
foremost, since the CTOs are involuntary, it goes against the tradition of not
forcing the treatment of any individual in the society. It intensifies the
forceful and aggressive actions against members of the community. Additionally,
the practice of CTOs promotes the struggle of advocating and defending the
rights of the patients within the society; hence ignoring other essential and
likely health care services which could be more optimal in the treatment of
patients in the community. Thirdly, we are all aware that the run-off
inpatients, as well as wait-times in the community health care institutions,
have since become a prime issue, and with the implementation of Community
Treatment Orders, health facilities will be extremely packed with the
non-adherent patients. Subsequently, this will reinforce the long waiting times
in the Accidents and Emergency Departments as well as cause the in-patient beds
to be engaged more regularly, hence delay and disruption of the provision of
quality health services for other patients in the facility (Hutt et al., 2013).

On
the other hand, the supporters of the Community Treatment Orders claim that
when individuals suffering from the psychological disturbances are provided
with the required freedom, they could become sidelined from receiving the
essential treatment needed to improve their health conditions. Despite the fact
that the idea is accurate to some extent, it is also evident that there is much
riskier negative impact linked to it. This is because when patients are
involuntarily examined or treated for the indicated period chosen by the
psychiatrists, the patients are needed to take consistent doses of
antipsychotic treatments. This can, therefore, result in severe long-term or
even the short-term injurious impacts.

Community
Treatment Orders have proved to lower the number of victimized patients of
abuse. It is a kind of epistemic violence as it entails ignoring a person’s
notion with the mind that the individual is too sick to make a decision. The
integration of Community Treatment Orders is increasing at a significant level.
However, it is argued that the outcome of the Community Treatment Orders is not
in a position to validate the various challenges which are compiled on the
autonomy of the patient. This is because, despite intimidated CTOs make people
feel more secure and safe, and it is factual that the practice violates the
rights of those individuals who are going through psychiatric disparities. This
is enhanced by the fact that they are not provided the required liberty as well
as the freedom to select what type of treatment together with other health care
services they would like to receive (Andrew et al., 2013).

In
a nutshell, the Community Treatment Orders have no capacity of reducing the
rate of hospital re-admission of the psychiatric patients. Besides, there no
much evidence to prove that the compulsory orders such as the CTOs have
attained its designed medical objectives, which was to reduce
re-hospitalization as well as improvement of the attention towards medication
along with other medical services. However, to enhance the community-based psychiatric
services, the medical providers should organize for the frequent testing of
patients as this could help them in getting adequate and relevant patient
information which could also help in designing their treatment plans. 

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