What is a CTO in mental health?

What is a CTO in mental health?

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.

What is a CTO recall?

Recalled. This means that you can be returned to hospital. It applies to you if you’re on section 17 leave, on a community treatment order (CTO) or have been conditionally discharged from hospital.

What happens if you breach a CTO?

A mentally ill person taken to a facility following breach of a CTO may be assessed and given treatment in accordance with the order by force if necessary. The person may be detained in the hospital for the remaining period of the order or until discharged from the facility.

How long does a CTO last?

How long does a CTO last? A CTO lasts 6 months from the date of the order, but it can be renewed. Your responsible clinician will decide whether to renew your CTO. An approved mental health professional will also need to approve this before the CTO can be renewed.

Can you appeal a 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. A hearing with them should take place within four weeks.

What is the Mental Health Act NSW?

Mental Health Act 2007 (NSW) deals with the care and treatment of persons with severe mental illness in NSW: it establishes the system of public mental health care and provides for the licensing of private mental health facilities in NSW.

Can I appeal a CTO?

Who can revoke a CTO?

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. An AMHP must agree with your RC before they can revoke your CTO.

How long can you be detained under mental act?

How long can you be detained under section 2? Up to 28 days. The section can’t normally be extended or renewed. But you may be assessed before the end of the 28 days to see if sectioning under section 3 is needed.

When does a CTO expire?

A CTO lasts 6 months from the date of the order, and can be renewed by your responsible clinician. If you want to be discharged from your CTO, you can apply to the Mental Health Tribunal. While you are on a CTO, you have the right to get support from someone called an independent mental health advocate (IMHA).

You can get a community treatment order (CTO) if you have been in hospital under the Mental Health Act. Your responsible clinician can arrange it. A CTO means you will have supervised treatment when you leave hospital. They can keep you in hospital for up to 72 hours while they decide what should happen next.

What are the 2 statutory conditions for CTO?

Every CTO will have these two conditions: You must make yourself available to see your responsible clinician if your CTO is going to be renewed. You must see the second opinion appointed doctor if you are asked to.

Why are ctos so controversial?

The use of community treatment orders and other forms of mandatory outpatient treatment has been controversial. The debate on the appropriateness of compulsory treatment in the community addresses a volatile mix of clinical, social policy, legal, and philosophical issues.

Who is eligible for CTO?

Criteria for a community Treatment Order future, and • if you will get support from family, friends or carers. A responsible clinician (RC) and an approved mental health professional (AMHP) must both agree to make a CTO. An AMHP and RC can only put you on a CTO when you are still in hospital on a section 3 or 37.

What are the conditions of a CTO?

A CTO means that you have to keep to certain conditions in the community. An example of a condition could be where you take your medication. Your responsible clinician (RC) will write down your conditions for you. Your RC can make you come back to hospital if you do not follow the conditions of your CTO.

How do I get out of CTO?

to cancel a CTO. Patients have the right to appeal the decision of the Review Panel to the Court of Queen’s Bench. The MHA has provisions regarding how to apply to a review panel, who may apply, notice of hearings, and further information on decisions and appeals.

What do you need to know about the Mental Health Tribunal?

The tribunal will ask for reports from your psychiatrist, and from the team that provides your care in the community. The supervising hospital must satisfy the tribunal that: medical treatment is necessary for your health and safety or the protection of others it’s necessary for your psychiatrist to have the power to recall you to hospital

When does a CTO for mental health end?

A CTO can be made for a period of up to 12 months and ends on the date stated on the order, or if no date is specified, 12 months after the order was made. If you are applying for a further CTO, a hearing should be held before the current order ends to ensure continuity of care.

When does the tribunal have to make a CTO?

CTOs can be made for any period of time up to twelve months. It is possible for a person to have more than one consecutive CTO. When may the Tribunal make a CTO? The Tribunal may make a CTO: for a person who is not in a mental health facility. A CTO may be made in the following circumstances and may replace an existing order (s51 (5)):

Can a tribunal consider a community treatment order?

The Tribunal can also consider whether you should continue to be subject to a Community Treatment Order (CTO) or Guardianship Order.