A community treatment order (CTO) is an order made by your responsible clinician to give you supervised treatment in the community. This means you can be treated in the community for your mental health problem, instead of going to hospital.
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What is a CTO used for?
A chief technology officer (CTO) is the highest technology executive position within a company and leads the technology or engineering department. They develop policies and procedures and use technology to enhance products and services that focus on external customers.
What is CTO order?
A community treatment order (CTO) is a tool to help patients comply with treatment while in the community. Its purpose is to break the cycle of involuntary hospitalization, decompensation, and re-hospitalization. The Mental Health Act sets out the criteria under which a CTO can be written.
What is a CTO Ontario?
A Community Treatment Order (CTO), is a provision under the Ontario Mental Health Act that allows a physician to mandate supervised treatment on a patient when they are discharged from hospital. The overall goal of CTOs is to prevent mental health deterioration due to medication non-compliance.
How long can a community treatment order last?
A CTO lasts 6 months from the date of the order. It can be renewed by your responsible clinician.
How do I get out of a CTO?
Cancel the CTO by refusing to follow the plan At any time you can tell your doctor that you plan to stop following your treatment plan. If you do, your doctor must review your condition within 72 hours to decide if you still need the CTO. The doctor will examine you before making a decision.
What is community treatment orders in mental health?
A Community Treatment Order is called a CTO for short. A CTO is a plan for you to get your mental health treatment in the community without having to stay in hospital. You must follow the rules in the plan. If you do not follow the rules you may need to go to hospital.
How long does CTO last?
The time periods for a CTO are the same as for detention under s3. It lasts initially for a maximum of six months, but can be renewed for a further six months and thereafter can be renewed for 12-month periods (s17C, s20A(3)).
When can a patient appeal to the Mental Health Tribunal?
You can apply once at any time in the first 6 months after sectioning. If your section is renewed, then you can apply once in the second 6 months, then once in every 12 month period. Your hearing should happen within 8 weeks of your application, or sooner if your case is urgent.
What happens if you breach a CTO?
If a person breaches the CTO, they may be taken to a mental health facility where they will undergo involuntary treatment and may be detained under s 58. If the individual is detained, within the following 3 months, the authorised medical officer must bring the person before the Tribunal to be reviewed under s 63.
Who can apply for a CTO?
These orders are made by the Mental Health Tribunal or a Court and once made, CTO’s are legally binding and may be enforced for up to twelve (12) months. Persons who can apply for a CTO are usually (but not always) doctors, a director of a community health centre or the primary care giver.
What is a community treatment order why are they controversial?
Community Treatment Orders are controversial: on one hand there are those who support CTOs on the grounds that it offers a less restrictive alternative to hospitals; on the other hand there are those who say that it is “coerced” treatment and it violates the patients’ rights.
How do I get a CTO in Ontario?
- a prior history of hospitalization;
- a community treatment plan for the person has been made;
- examination by a physician within the previous 72 hours before entering into the CTOs plan.
- ability of the person subject to the CTOs to comply with it;
Can you be forced to take medication on a CTO?
If you refuse your medication while on a community treatment order, your doctor cannot force you to take it. However, if your doctor believes that you may become unwell without taking the treatment, they can recall you back to hospital.
Can I refuse medication on a CTO?
In general you cannot legally be treated without your consent if you’re on a CTO: You can’t be given a condition that forces you to have treatment. You can’t be recalled to hospital just because you refuse treatment.
Can a patient on a CTO be admitted informally?
Clinicians are often unaware that patients who are subject to a CTO can be admitted to hospital informally (section 131 and Code of Practice 29.49). They can then be made subject to recall if that becomes necessary, without any variation in the above procedure.
What happens after a CTO recall?
Your CTO is revoked. If you are recalled to hospital and your CTO is revoked, the CTO will end and you will be placed back under your original section. This is because your responsible clinician thinks that you meet the criteria to be detained in hospital. See our page on recall to hospital for more information.
How many people are on community treatment orders?
About 5500 patients are subject to CTOs at any one time. Each year, ~4500 patients are made subject to a CTO each year and ~2500 are fully discharged, usually by the responsible clinician; fewer than half of CTO patients are recalled, and two-thirds of recalls end in revocation.
Do community treatment orders work?
Study finds that Community Treatment Orders do not reduce hospital readmission rates or stays. People who are in hospital on certain sections of the Mental Health Act can be discharged from hospital onto a Community Treatment Order (CTO).
Which of the following are grounds for recalling a CTO patient to hospital?
A patient may also be recalled to hospital if they break either of the two mandatory conditions which must be included in all CTOs – that is, by failing to make themselves available for medical examination to allow consideration of extension of the CTO or to enable a SOAD to complete a Part 4A certificate.
When can a CTO be revoked?
Your RC can keep you in hospital for up to 72 hours while they decide what to do. Your RC and AMHP will end your CTO if they decide to keep you in hospital for more than 72 hours. This is called revoking the CTO. They will put you back onto the section of the Mental Health Act you were on before you had your CTO.
Can you treat on a CTO recall?
You can be forced to have treatment if your responsible clinician thinks that you need it. Your responsible clinician can then decide to either release you back to the community on the CTO or decide that you need to stay in hospital. If you need to stay in hospital, your responsible clinician will revoke your CTO.
How many times can you appeal CTO?
You can choose to appeal to both groups or to just one of them. You can ask the Mental Health Act (MHA) Managers to review your CTO at least once within each period of six or twelve months.
Who attends Mental Health Tribunal?
The tribunal panel consists of three members; the judge, a psychiatrist and a third person who is a lay member and has an interest in mental health. On the day of the hearing the care team who provided the reports will attend the hearing to give evidence.
What do mental health tribunals review?
The Commission has a number of responsibilities under the Act that include: Appointing mental health tribunals to review the detention of involuntary patients and appointing a legal representative for each patient. Read more about mental health tribunals in our document on the rights of psychiatric patients.