Abstract

This paper examines the clinical effectiveness of Community Treatment Orders (CTOs) in two London mental health service areas: Carshalton & Wallington (C&W) and Sutton & Cheam (S&C). Using patient data from May 2025, it evaluates the impact of CTOs on medication adherence, crisis readmission, and risk management. Findings indicate that CTOs contribute to greater stability, reduced hospitalisation, and improved engagement, though outcomes differ by population complexity. In C&W, CTOs supported adherence and relapse prevention among a stable psychosis cohort, while in S&C they were crucial for managing dual-diagnosis and forensic patients, underscoring their context-dependent value in community psychiatry.