Mental Health Act 2014 – Treatment Orders flowchart

Registered medical practitioner (RMP) or mental health

practitioner (MHP) examines person to determine whether
assessment order criteria apply.

Do the criteria for assessment RMP or MHP provides services and/or

Taken to inpatient service within order apply to the person?
No
refers the person to other services.
72hrs, assessment orders of 24hrs
starts once they arrive at centre Yes

Inpatient Assessment Order (IAO): Community Assessment Order (CAO):

RMP or MHP makes IAO if assessment cannot
occur in the community.
Person transported to Designated Mental Health
Service (DMHS). AP must examine the person as
soon as practicable, but not more than 24 hours
after person received at DMHS.
RMP or MHP may vary the AO.
May only vary a Community AO
to Inpatient AO if satisfied
assessment cannot occur in the
community.
RMP or MHP makes CAO if assessment can occur in
the community. Arrangements made for person to
be examined by AP.
AP must examine the person as soon as practicable,
but not more than 24 hours following the making of
the Order.

Option to extend assessment period by 24

hours + 24 hours (to a maximum of 72 Do the treatment criteria apply to the No AP revokes the AO
hours) to enable full assessment and person?
diagnosis to be made.
Yes

Community Temporary Treatment AP may vary the TTO. Inpatient Temporary Treatment Order
Order (TTO) AP may only vary a Community TTO to Inpatient (TTO)
AP makes CTTO. Duration is 28 days TTO if satisfied treatment cannot occur in the AP makes ITTO. Duration is 28 days
unless revoked earlier community. unless revoked earlier

Application for Revocation Mental Health Tribunal

The patient or other specified
people may apply to the Tribunal
for revocation of a TTO or TO at
any time.
1. Tribunal must conduct a hearing before the TTO expires
to decide whether to make a Treatment Order (TO);
or
2. Tribunal must hear and determine an Application for
Revocation as soon as practicable.

Do the treatment criteria apply to the No

person? Tribunal revokes TO

Yes

Inpatient Treatment Order Community Treatment Order

(ITO)
Tribunal may make ITO for a
maximum of 6 months for adults
& maximum of 3 months for
people under 18 years.
AP may vary the TO. (CTO)
Tribunal may make CTO for a
AP may only vary a CTO to an ITO if satisfied maximum of 12 months for
treatment cannot occur in the community. adults & maximum of 3 months
for people under 18 years.

AP examines person before TO expires to

decide whether a further TO is necessary
NOTE: If the setting of a patient’s
Treatment Order is changed from
community to inpatient and the person Do the treatment criteria apply to the No AP revokes TO
remains as an inpatient for 28 days, the person?
Tribunal must conduct a hearing to
decide whether to make a further TO or
Yes
revoke the Order.

Mental Health Tribunal

1. AP makes application to Mental Health Tribunal for a further TO.
2. Application must be made at least 10 business days before the existing
TO is due to expire.
3. Tribunal must hear and determine the Application for Treatment
Order before the existing TO expires.

Do the treatment criteria apply to the No Tribunal revokes TO

person?

Yes

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