You can't be issued a CTO - voluntary or involuntary - if a physician isn't monitoring your case. So reverse engineer this for a second - an absolute discharge does not disclude medical intervention when needed, which means that the discharge is granted provided the patent complies with ongoing medical monitoring where needed.
For the umpteenth time, an AD is not 'patient walks out and disappears into the aether." It's granted with a plan to continue compliance of psychiatric and medical assistance. It's not black and white, especially in high profile cases where that is taken into consideration from the Review Board.
Remember, the Review Board for Li included a lawyer, a psychiatrist and a member of the public. That decision to grant isn't made lightly and is done with absolute diligence to ensure the patient doesn't relapse.
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