A compulsory treatment order (CTO) allows for
a person to be treated for their mental illness.
The CTO will set out a number of conditions that you will need
to comply with. These conditions will depend on whether you
have to stay in hospital or are in the community.
Your Mental Health Officer will make an application for a CTO to
the Mental Health Tribunal. The application must include two
medical reports, an MHO report and a proposed care plan. You
and your named person should be informed if an application for a
CTO is to be made.
The Mental Health Tribunal decides whether a CTO is to be
granted. The Tribunal is made up of three people - a lawyer,
a psychiatrist and another person with relevant skills and
experience, e.g. a nurse, social worker or someone with personal
experience of mental disorder. You have the right to make your
views heard by the Tribunal.
The CTO can last up to six months. It can be extended for
a further six months and then for periods of 12 months at a
You can be given medical treatment while on a CTO if the
Tribunal agree to it or in an emergency. Your RMO must follow
the safeguards outlined in Part 16 of the Mental Health Act when
giving you treatment.
You have the right to an independent advocate. This is someone
who helps you say what you think about your treatment. Your mental
health officer should let you know how to get help from an
If a compulsory treatment order is made, you, or your named
person, can apply to the Mental Health Tribunal for it to be
removed, once the order has been in force for three months. Your
RMO should keep the need for the order under constant review and
can revoke it if you no longer need to be subject to the order.
The Scottish Government has produced guides on the Mental Health
Act which we recommend to service users and their carers.