HOME > Services > Mental Health > Supervised Community Treatment (Community Treatment Orders)

Supervised Community Treatment (Community Treatment Orders)

    Many thanks for representing me during those times.. thanks for being there.

    Client testimonial about Paul Harbison - Mental Health

    Just to say many thanks for your help and support before and during my tribunal. It was a pleasure to meet you.

    Client testimonial about Mike Bishop - Mental Health

    I just wanted to say what a privilege & a pleasure it has been to work with you on some of our shared allocations, & thank you for all your support & advice, which has been much appreciated.

    Client testimonial about Mike Bishop - Mental Health

    Just a note to sincerely thank you for yesterday. Without you I am sure my mother-in-law would still be subject to the Section.

    Client testimonial about Mike Bishop - Mental Health

    This is quite a complex situation that causes significant stress & anxiety to my friend, I am helping her cope with the situation and to get a better understanding of the process. We really appreciate your service and promptness, and wish to thank you very much for your professionalism.

    Client testimonial about Kathryn Smales - Mental Health

    Thank you for today. My reputation means everything so trying your hardest means everything to me.

    Client testimonial about Paul Harbison - Mental Health

    Thank you for being there for me. Please accept my sincere thanks! Best Wishes.

    Client testimonial about Mike Bishop - Mental Health

    Thank you for helping me out- I really appreciate it. You know something? I've always trusted you right from day one... you helped me out when everyone else ignored me. I like you and respect you.

    Client testimonial about Mike Bishop - Mental Health

    I am writing to say thank you so much for helping my daughter to obtain a discharge from her Section 2 of the Mental Health Act. I know it gave her great strength and hope at a time in her life when everything was extremely stressful and traumatic for her. Thank you once again for all your help.

    Client testimonial about Mike Bishop - Mental Health

    Thank you for your letter. I was thrilled at the outcome of the tribunal, your client has spoke very highly of you and the expertise you offer, so I would like to thank you for helping one of our very special and valued volunteers.

    Client testimonial about Mike Bishop - Mental Health

    The case was articulated with great clarity and skill by Mrs. Silburn (to whom we are very grateful)

    Client testimonial about Emma Silburn - Mental Health

    May I thank you so much. Your kindness is very much appreciated.

    Client testimonial about Mike Bishop - Mental Health

    I can’t thank you enough for representing me at the Tribunal Hearing. Without that positive outcome I feel certain I could still be back in … lacking any impetus for change or renewal. I too enjoyed our meetings and remain optimistic that we shall not meet in relation to such circumstances again.

    Client testimonial about Mike Bishop - Mental Health

    It was wonderful to meet you on the day and I still have not found enough words to say Thank you for all you are doing for my son.

    Client testimonial about Mike Bishop - Mental Health

    Emma has commendable humane qualities that should be admired. She is a bright talented solicitor who is clearly dedicated to her job and believes in doing the best for her client…which quite frankly I find exceptional.

    Client testimonial about Emma Silburn - Mental Health

    She believed in me and stood by me, even when times were difficult and I was beginning to buckle under the pressure she offered me strong shoulders.

    Client testimonial about Emma Silburn - Mental Health

    Just wanted to say a quick thank you for the great work you did for my brother and especially the way you treated him with such dignity and respect.

    Client testimonial about Mike Bishop - Mental Health

    We have been on a long journey, with quite a way to go. But we are thrilled with the recent result. Thank you so much for giving us so much help and support. We're thrilled.

    Client testimonial about Mike Bishop - Mental Health

    She made me feel a valued human being, preserved my dignity and that I was not just another case. She has a commendable understanding of mental health (MH) and if there were more people like Emma to represent those who suffer from a MH illness the world would be a more humane place.

    Client testimonial about Emma Silburn - Mental Health

    You are always so gentle and kind, and take care to explain things in great detail for me to understand.

    Client testimonial about Mike Bishop - Mental Health

    Just a short note to say how much I appreciated you kind letter, following the Tribunal, which left me feeling very low. Your support, understanding, and professionalism made the nightmare of being in that 'institution' and that situation bearable.

    Client testimonial about Mike Bishop - Mental Health

    Thank you for representing me. I am delighted with the outcome. I greatly appreciate the time and effort of going through with me. Please will you pass on my sincere gratitude to your colleague Emma for her dedicated approach to my case as well.

    Client testimonial about Mike Bishop and Emma Silburn- Mental Health

    Thank you for your representation and best wishes, I found everyone I encountered at David Gray to be exceptional and will continue to recommend David Gray to friends in the future.

    Client testimonial about Emma Silburn - Mental Health

A community treatment order (CTO) also known as supervised community treatment is a legal framework for ensuring that certain people receive compulsory care and treatment in the community.    

A CTO can only be made if you are detained under certain sections of the Mental Health Act.  In order to make you subject to one, your Responsible Clinician in hospital and someone known as an Approved Mental Health Professional (AMHP) have to agree that certain legal criteria are met.  Only if they both agree can the order be made.

All CTOs have mandatory conditions.  They are:

  1. That you must meet with your Responsible Clinician for him/her to examine you if they wish to extent the CTO, and
  2. That you meet with a Second Opinion Appointed Doctor if they need to meet you to review your treatment.

Most CTO’s will also have discretionary conditions.  These are individually tailored to your case.  They can only be added if they are necessary or appropriate to give you medical treatment, prevent a risk of harm to your health or safety, or to protect other people.  Discretionary conditions may include things such as where you live, medication you must take and avoiding drugs/alcohol among other things.

The CTO lasts initially for up to 6 months and is renewable for 6 months in the first instance and then for periods of 1 year thereafter.  Every time your Responsible Clinician wishes to renew the CTO you will automatically be given a Hospital Managers Hearing.  The panel at that hearing is independent and have the power to discharge the CTO if they do not agree you should be subject to it.  We can advise you and attend those hearings with you.

If you are unhappy with being subject to a CTO you can appeal against it to a Mental Health Tribunal and the Hospital Managers.  We can represent you at those hearings too.

All CTO’s carry a power to recall you to hospital in certain circumstances.  If you are recalled to hospital you can be there for up to 72 hours. If it is felt you need to be in hospital for longer than that then the CTO can be revoked which means you become subject to whichever section you were on when you were last in hospital (i.e. 3, 37 etc).

It is possible for you to be discharged from the CTO by your Responsible Clinician, your Nearest Relative, the Hospital Managers, and the Tribunal.

For further help and advice concerning Supervised Community Treatment contact our Newcastle or South Shields offices and speak to one of our experienced team.

The team specialising in this area of work

  • Partner
  • Solicitor
  • Solicitor
  • Solicitor