Supervised Community Treatment (SCT) was introduced in 2008 as part of the 2007 Mental Health Act Amendments, allowing Community Treatment Orders (CTOs) to be imposed in certain circumstances. Here, Drs Monnery and Belgamwar investigate whether the new CTOs have been applied within their Trust according to guidelines. They also examine the reasons behind the CTOs and their impact on admission to hospital. Copyright © 2011 John Wiley & Sons, Ltd.