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Explains what a community treatment order is, how it affects you and how you can change or end it.
Other conditions can be added, but they will depend on your particular circumstances.
Examples of other conditions include:
Any conditions that are added to your CTO must be agreed with your approved mental health professional. The conditions must also be necessary or appropriate to make sure you get medical treatment, prevent risk to your health and safety or protect other people
It's important to know that any conditions that are added must take your views into consideration. This means that you should be involved in planning your discharge, deciding your conditions, and be given help to be able to follow them. This will help make sure that you are happy to follow your conditions.
A condition would be unlawful if it restricts your freedom more than if you were sectioned.
Eloise is being discharged onto a CTO with a condition that she must attend cognitive behaviour therapy at the local day centre.
The care team must therefore make sure that she is able to get to the day centre, for example, making sure that it is in walking distance, or she can apply for a bus pass so that she can get the bus.
It would be unreasonable for them to expect Eloise to pay for a taxi every day if there are no buses.
You can ask your responsible clinician to change the conditions by writing or speaking to them, and telling them the reasons why you want to change the conditions. Any changes to your conditions will be recorded on this form in England or this form in Wales.
If your responsible clinician doesn’t want to change the conditions, you can take these steps:
If you don’t follow the conditions, your responsible clinician may:
You cannot be recalled just because you don't agree to medical treatment. As long as you have capacity to consent to treatment, you can only be given treatment if you consent to it. But there are different rules if you are recalled to hospital or do not have capacity. (See our page on recall to hospital to find out more.)
Marco is on a CTO with a condition that he goes to hospital to take his medication. He has been suffering from side effects from the medication so he doesn't want to take it anymore.
Marco's responsible clinician can't recall him just because he refuses to take the medication. But if Marco doesn't take his medication, he may become unwell, and in this situation his responsible clinician may choose to recall him.
Instead, Marco goes to the hospital and speaks to his responsible clinician about changing his medication.
Certain decisions, such as applying for someone who is sectioned to go onto a community treatment order (CTO), can only be taken by the responsible clinician.
All responsible clinicians must be approved clinicians. They do not have to be a doctor, but in practice many of them are.See our full list of legal terms.
This is an independent doctor appointed by the Care Quality Commission in England or by the Healthcare Inspectorate Wales. You need his or her approval to be given or continue to be given certain forms of medical treatment under the Mental Health Act 1983.
See our pages on consent to treatment for more information.See our full list of legal terms.
AMHPs are mental health professionals who have been approved by a local social services authority to carry out duties under the Mental Health Act. They are responsible for coordinating your assessment and admission to hospital if you are sectioned.
They may be:
This is a type of court procedure where a judge reviews a public authority’s decision, policy, practice, act or failure to act, and decides whether it is lawful or not.
If it is not lawful, the court may cancel the decision or action (‘quash’ it), and require the public authority to reconsider it, lawfully. The court can order the authority to do or not do something.See our full list of legal terms.
You must meet both criteria.See our full list of legal terms.
'Capacity' means the ability to understand information and make decisions about your life. Sometimes it can also mean the ability to communicate decisions about your life.
For example, if you do not understand the information and are unable to make a decision about your treatment, you are said to 'lack capacity' to make decisions about your treatment.
See our pages on the Mental Capacity Act for more information.See our full list of legal terms.
This information was published in December 2017. We will revise it in 2019.
References are available on request. If you would like to reproduce any of this information, see our page on permissions and licensing.