Applications and appeals to the Tribunal

The Tribunal decides applications from Mental Health Officers (“MHOs”) for compulsory treatment orders (”CTOs”) in relation to individuals. After a CTO has been made, it can only be varied by the Tribunal. A CTO can be extended without variation by a responsible medical officer (“RMO”). A CTO must be reviewed periodically by the Tribunal. Patients and Named Persons can apply to the Tribunal for a CTO to be revoked or varied.

Compulsion orders (“COs”) are made by courts. A first extension of a CO can only be granted by the Tribunal. After that, the rules for COs are almost identical to those for CTOs.

Short term detention certificates are granted by RMOs. They can be appealed to the Tribunal. 

The Tribunal also deals with applications and appeals relating to restricted patients (patients on a compulsion order plus restriction order, or a hospital direction or transfer for treatment direction). These types of orders are sometimes grouped under the heading “CORO”.

There are also specific aspects of ongoing compulsory care and treatment where an application or an appeal can be made to the Tribunal.  

In this section you can find:

Compulsory Treatment Order (CTO) and compulsion order (CO) applications, extensions, variations and references

Civil and CORO applications by patients and named persons

Appeals to the tribunal

Motions to the Tribunal

Curators ad litem

Guidance on applications and appeals