Psychiatric Bulletin (2000) 24: 75. doi: 10.1192/pb.24.2.75-a
© 2000 The Royal College of Psychiatrists
Psychiatric Bulletin (2000) 24: 75
© 2000 The Royal College of Psychiatrists
Community Treatment Orders
Andrew Al-Adwani, Locum Consultant Psychiatrist
Department of Psychiatry, Scunthorpe General Hospital, Cliff Gardens,
Scunthorpe, North Lincolnshire DN15 7BH
Sir: I think Professor Burns (Psychiatric Bulletin, November 1999,
23, 647-648) is quite right to point out that most psychiatrists can
think of a handful of patients who would truly benefit from a
Community Treatment Order (CTO). The criticism though that Moncrieff &
Smyth are posing the wrong question (Psychiatric Bulletin, November
1999, 23, 644-646) "How can psychiatry control antisocial
behaviour?" is slightly unfair. The genesis of the currently proposed
reforms can be traced back to Frank Dobson's widely publicised comments on the
Michael Stone case, that community care had failed because psychiatrists had
not been using their power to treat people in the community. Of course
psychiatry possessed no such power at the time of Mr Dobson's ill-informed
comments, but Mr Dobson never retracted this statement and the government has
gone on to propose CTOs. College caveats aside, it is, therefore, correct to
view the CTO as the Government's attempt to hold psychiatrists accountable for
the behaviour of dangerous people who have had contact with psychiatric
services.