Projects: CTO

Community Treatment Orders: A course for CTO Coordinators and Physicians

 

This free, online, self-directed course is designed for community treatment order (CTO) coordinators, physicians and others in Ontario who are involved with CTOs. 

Register for the course here and follow the prompts to create a Moodle account and sign up for the course. To see the course flyer, click here.

CTOs are issued by physicians as a way to ensure that people with serious mental health conditions remain well in the community. They outline the treatment, care, and supervision that a person will receive. CTOs last for six months, and include a comprehensive treatment plan, which outlines aspects like medication, medical appointments, services, and community supports.1

The goal of this course is to increase knowledge and awareness of CTOs for CTO coordinators, physicians and others in Ontario. The course consists of five interactive modules that include learning activities, videos, and case studies on the following topic areas:

  • Legislation related to CTOs
  • The CTO process
  • Community Treatment Plan content
  • Past Consent and Capacity Board and court decisions
  • Tracking CTOs across the province

 

The course takes approximately three hours to complete, and you can choose to complete the whole course or only certain modules. If you complete the entire course, you will receive a letter of completion or a letter of accreditation.

Royal College of Physicians and Surgeons of Canada – Section 1. This course is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by Continuing Professional Development, Faculty of Medicine, University of Toronto. If applicable, you may claim a maximum of 6 hours (credits are automatically calculated).

In-person knowledge exchange event!

All CTO coordinators and physicians who complete the online course are invited to attend this FREE in-person knowledge exchange event, happening on July 15, 2019 in Toronto. To register for the event, you first have to complete the online course and then you will receive a registration link in your email. Travel costs and accommodations will be covered. For more information about the event see this flyer.

 

The event will build off of the knowledge gained in the course, and is a great opportunity to connect with others involved with CTOs across Ontario to:

  • Learn more about the current evidence on CTOs.
  • Discuss key topics with subject matter experts, like when to end a CTO, enforcing CTOs, and issuing CTOs for youth and First Nations, Inuit and Métis clients.
  • Hear more about the lived experience of CTOs and being a substitute decision maker.

 

Royal College of Physicians and Surgeons of Canada – Section 1

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by Continuing Professional Development, Faculty of Medicine, University of Toronto. You may claim a maximum of 5.5 hours (credits are automatically calculated).

 

This event will also mark the launch of the CTO community of practice (CoP). During the event, participants will help determine the best structure of this CoP (either online or in person) to allow CTO coordinators and physicians to stay connected with subject matter experts and each other.

 

group of people talking around a conference table

CTO 'Ask the Expert webinar with Kendra Naidoo, CAMH Legal Counsel' 

This webinar session is taking place on Friday October 18, 2019. It is only open to those registered for the course. For more information, sign up for the course here.

 

Project partners

The development of this course was supported by the Ontario Ministry of Health and Long-Term Care, an advisory committee and subject matter experts. The advisory committee members include:

  • Dr. Branka Agic, Director, Knowledge Exchange, Provincial System Support Program, Centre for Addiction and Mental Health
  • Kim Delarosbel, CTO Coordinator, North Bay Regional Health Centre
  • Krishni Ganesan, Policy Advisor, Policy, Accountability and Provincial Partnerships Branch, MOHLTC
  • Dr. Tom Hastings, Psychiatrist
  • Kendra Naidoo, Legal Counsel, CAMH
  • Dr. Arash Nakhost, Psychiatrist, St. Michael's Hospital
  • Lora Patton, Vice Chair, Consent and Capacity Board
  • Cathy Plyley, Community Treatment Order Consultant, St. Joseph's Healthcare
  • Emily Schact, CTO Coordinator, Grand River Hospital
  • Ruth Stoddart, Senior Policy Advisor, Policy, Accountability and Provincial Partnerships Branch, MOHLTC 

 

The views expressed do not necessarily represent the views of MOHLTC.

 

1. Psychiatric Patient Advocate Office. (2016). Available here. Accessed November 14, 2018.