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the most unwell ‘revolving door’ patients, the intention behind the orders was to improvetreatment adherence in the community. Little is known, however, about the clinical and socialoutcomes of CTOs. This paper reports from in-depth qualitative interviews with a purposivesample of 40 service users and 25 family carers from across England. Findings suggest thatparticipants have mixed views about CTOs, with some reporting that their views had changedover time. Many participants found it difficult to pinpoint the impact that the CTOs had on theirlives, and some felt they lacked information about what they could expect. Our findings add tothe currently limited understanding of CTOs and provide a new perspective on the impact andeffectiveness of this new treatment form by giving voice to the people whose lives it affects themost.Lives Less Restricted: Patients’ Views of Compulsory Community Treatment inScotlandGeorge Kappler, Mental Welfare Commission for Scotland, UK(George.kappler@mwcscot.org.uk)The Mental Welfare Commission for Scotland has an overall safeguarding role for people withmental disorders. We visit people subject to compulsory treatment to monitor the care theyreceive and to ensure their needs are met and their rights protected. The Mental Health (Care andTreatment) (Scotland) Act 2003 introduced compulsory community treatment in Scotland in2005. Many stakeholders had anxieties about this measure. They were concerned that morepeople would be subject to longer term compulsion and that community resources would beinsufficient to meet their needs. The Commission reviewed the cases of people who had beensubject to community compulsory treatment for two years or more. We met as many of thosepeople as possible to hear their views. We wanted to determine how the principles of the Actwere being applied. Most people thought the order had been of at least some benefit. Care andtreatment were generally good and focussed on wider measures to improve quality of life, notmerely ongoing medication. Lack of progress toward employment and lack of strategies towardsrevoking the orders were matters of concern.The Practitioner’s Experience of Community-Based Compulsory TreatmentOrders: A Scottish PerspectivePearse McCusker, Glasgow Caledonian University (pearse.mccusker@gcu.ac.uk)This session will present findings from a small-scale qualitative research project with MentalHealth Officers (MHOs) in Scotland, which will explore their experiences of using communitybasedcompulsory treatment orders in practice (CCTOs). In Scotland, CCTOs have been legallyavailable since 2005, yet there has been limited investigation into their use. MHOs areexperienced social workers with specific legal duties, which include making applications to the71