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Aims and method: To ascertain the views and experiences of psychiatrists in England and Wales regarding community treatment orders (CTOs).We mailed 1928 questionnaires to members of the Royal College of Psychiatrists. Results: In total, 566 usable surveys were returned, providing a 29% response rate. Respondents were generally positive about the introduction of the new powers, more so than in previous UK studies. They reported that their decision-making regarding compulsion was based largely on clinical grounds. Clinical implications: In the absence of research evidence or a professional consensus about the use of CTOs, multidisciplinary input in decision-making is essential. Further research and training are urgently needed. Declaration of interest: None.

Original publication




Journal article



Publication Date





328 - 333