Community Treatment Order (CTO) Program

Introduction

Introduction

The Community Treatment Order Program is committed to timely and responsive systems of referral, assessment and service delivery to all requests for a Community Treatment Order.

The Community Treatment Order Program consists of a Community Treatment Order Coordinator and a Community Treatment Order Case Manager. The Coordinator works under the direction of the North Bay Regional Health Centre while the Case Manager is employed by Nipissing Mental Health Housing and Support Services providing a collaborative link between hospital and community. The Community Treatment Order team provides service to the districts of Nipissing, Temiskaming and the northeast section of Muskoka/Parry Sound.

The team is responsible for the education, promotion, implementation and ongoing management of Community Treatment Orders so that the individual, psychiatrists/physicians and community partners are able to identify needs and understand the services, which are available.

It is a legal tool or mechanism for people with a severe and persistent mental illness to receive treatment/care and supervision in the community as outlined in the amendments to the Mental Health Act in December 2000 by Bill 68. The process is consent based by the individual or their substitute decision maker (if applicable). The team is committed to a client-centered approach helping each individual to attain and maintain community-based services that are less restrictive than hospitalization. Treatment, care and supervision is outlined in a comprehensive Community Treatment Plan which is developed collaboratively by the individual, substitute decision maker (if applicable), psychiatrist/physician and community supports.

The Community Treatment Order is time limited being 6 months in duration with a possible renewal period of another 6 months as long as certain criteria are met.

Criteria

  • Individuals with serious mental illness and who have a history of repeated hospitalizations and who meet the criteria in the Mental Health Act (MHA).
  • A CTO is not court ordered. A physician may issue or renew a community treatment order using the criteria set out in 33.1(4) of the Mental Health Act.

If you have an emergency after hours, please call the North Bay Regional Health Centre Crisis Intervention (toll free/open 24h) 1-800-352-1141

CTO Program Pathway

Referral Source

Referral Source

Referrals are received from the CTO Coordinator via the North Bay Regional Health Centre.

The Referral is Already Determined Appropriate

The Referral is Already Determined Appropriate

The CTO Case Manager,
the applicant, and any other participant listed on the CTO (i.e SDM, Physician etc.) will meet to review the CTO plan and will then determine the level of community follow up required and agreed to by the applicant.