Community treatment orders (CTOs) in Canada require people with mental illness to comply with a treatment plan that generally requires them to attend regular, specified appointments to receive medication, counselling, and education.
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What is a community treatment order SA?
A Community Treatment Order is a legal way of providing treatment to a person with a mental illness when they are unable to agree to treatment and may not be safe. A Community Treatment Order can only be made when there are no less restrictive ways of ensuring that a person gets appropriate treatment.
What is a community treatment order UK?
Overview. If you’ve been detained in hospital, you might be told you can leave by a Community Treatment Order (CTO). But a CTO gives your psychiatrist the power to recall you to hospital if necessary for your safety or the safety of others.
What is order treatment?
A Treatment Order is an Order made by the Mental Health Tribunal enabling a person to be given treatment for mental illness, without the person’s informed consent. A Treatment Order may: require you to be given specified treatment. require you to be treated at a particular place, such as a hospital or community mental.
What is the criteria for a community treatment order?
- You are suffering from a mental disorder for which you need to receive medical treatment.
- You need to receive this medical treatment for your health or safety, or for the protection of others.
- You can receive this treatment without needing to be detained in 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)).
Who can put you on a CTO?
A 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 staying in hospital. But your responsible clinician can return you to hospital and give you immediate treatment if necessary.
How do you get out of a CTO?
- the Director of the mental health facility revokes the CTO;
- the person successfully appeals to the Supreme Court; or.
- the Tribunal revokes the CTO; or.
- the Tribunal orders that it has no effect.
Are community treatment orders effective?
RCTs are considered the gold standard for evidence of effectiveness of clinical treatment or interventions because randomising treatment is the most powerful method of reducing the biases that might influence other types of study. Three RCTs of CTOs have been conducted; two in the USA and one in England.
How long can a community treatment order last?
How long will my community treatment order last? Your first community treatment order (CTO) can last up to 6 months. Your responsible clinician (RC) will review your CTO and decide to discharge you or extend it. Your CTO can be extended for a further 6 months and then for 1 year at a time.
Why are community treatment orders used?
Community treatment orders (CTOs) were established with the aim of providing treatment to patients under supervision and outside a hospital setting, even involuntarily.
WHO issues community treatment order?
Your doctor should give you a chance to say what you think should or shouldn’t be in the plan. If you have a SDM, the doctor should ask that person what they think. A CTO lasts for 6 months. Your doctor can renew or re-issue your CTO for another 6 months if they think you still need it.
What is a CPO in mental health?
Key facts. Á A Community Treatment Order means you get. your treatment in your community.
How many conditions can be attached to a community treatment order?
What conditions can be attached to a CTO? Every community treatment order (CTO) will have these two conditions: If your responsible clinician asks to see you about renewing your CTO, you must make yourself available to meet them.
When can a patient on a community treatment order be recalled to hospital?
CTO patients can be recalled to hospital for up to 72 hours if they need to be assessed or to receive treatment for a mental disorder in hospital and there would be risk of harm to themselves or others or if this is considered the appropriate response to breaking one of the mandatory conditions.
What happens when a CTO expires?
When does a CTO come to an end? to the MHRT; or • The Tribunal revokes the CTO. making of the order; or • Relevant information not available when the order was made has become available.
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.
Does a patient need to consent to a CTO?
An Approved Mental Health Professional (AMHP) must decide whether to agree with the patient’s RC that the patient meets the criteria for CTO, and (if so) whether CTO is appropriate.
What are the grounds for recalling a CTO patient to hospital?
You can be recalled to any hospital from a community treatment order (CTO) if your responsible clinician thinks you meet these criteria: You need medical treatment in hospital for your mental disorder. There would be risk of harm to your health or safety, or to others, if you are not recalled.
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.
How do you end a community treatment order?
- Your CTO expires.
- Your CTO is revoked.
- Your responsible clinician discharges you.
- You apply to the Mental Health Tribunal to be discharged.
- A hospital managers’ hearing discharges you.
- Your nearest relative uses their right to discharge you.
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.
Does a CTO patient have to be recalled to an inpatient hospital bed?
Recall from a CTO must be to a hospital, but we can find no explicit requirement that recall is to an inpatient bed, so theoretically a patient could be recalled to a hospital to receive outpatient care.
What are the benefits of CTOs?
The idea is that a period on CTOs would help patients achieve stability and engage in treatment, while also reducing risks to them and their community. CTOs may also provide a less restrictive alternative to hospitals.
Why are CTOs so 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.