A client appeared before the Mental Health Review Board of Victoria in 2009 to reduce or end a CTO that included weekly injections of Depo Provera, an anti-libidinal medication because they were causing severe osteoporosis, a side effect of long term use of this treatment. There was no dispute that he was eight times more likely to suffer a fracture in his lumbar spine than an average person of his age. However, the Board found that the adverse effects of the treatment were not sufficiently severe.306 Despite the Board ordering the authorised psychiatrist to revise the client’s treatment, the forcible medication remains virtually unchanged.307
