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35,970 claims
The HWB and CCG should commission mental health services to deliver the treatment components of MHTRs.
In support of an MHTR, this will enable the HWB and CCG to commission the CMHT or local mental health delivery agencies to provide the services needed to deliver the mental health service components of these Community Orders.
Commissioning · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 21
Local protocols should be agreed to ensure appropriate risk management of offenders and clarity of roles in delivering the MHTR.
Local protocols should be agreed to ensure appropriate risk management of offenders and clarity of agreed roles and responsibilities of the health and criminal justice contributors in delivering the elements of the MHTR.
Operational · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 21
The MHTR is intended for offenders with low to medium mental health issues and uses ordinary community mental health service provision.
The MHTR is intended for offenders suffering low to medium mental health issues. As such the mental health services required are provided through ordinary community mental health service provision.
Policy · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 20
Local approved mental health professionals should be recognised by probation officers and courts as demonstrating sufficient skill to provide MH assessments.
Locally approved mental health professionals should be recognised by officers of probation and sentencers as demonstrating sufficient skill, training and competence to provide a mental health assessment of offenders for use by courts in sentencing
Policy · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 16
Probation providers should promote the treatment needs of offenders with mental health problems to local commissioners.
This will require that probation providers establish and maintain close working partnerships with local commissioners and providers of health and mental health services
Commissioning · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 15
CRC and NPS staff should engage with local commissioning processes to influence the availability of suitable mental health treatment for offenders.
Both organisations should ensure that appropriate information is gathered on the health needs of the offenders they are responsible for supervising to support this process.
Commissioning · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 15
Probation providers should collaborate with local commissioners to ensure the availability and accessibility of suitable mental health treatment for offenders.
Both organisations should ensure that appropriate information is gathered on the health needs of the offenders they are responsible for supervising to support this process.
Commissioning · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 15
Offender management staff should understand that the MHTR is a supportive Community Order aimed at reducing reoffending by addressing mental health issues.
The MHTR is intended as a supportive Community Order - it seeks to support an offender with their mental health issues in order to improve their prospects of reducing reoffending.
Policy · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 15
Probation services in Wales should prepare a collective memorandum of understanding with Local Health Boards to outline requirements and expectations for delivering MHTR.
In Wales, consideration should be given to the preparation of a collective ‘memorandum of understanding’ between probation services in Wales and each of the Local Health Boards which set out the requirements and expectations on each party in relation to the delivery of MHTR.
Policy · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 15
Local health agencies should engage with criminal justice partners to ensure access to mental health services for offenders.
Criminal justice agencies should seek to engage with local health commissioning arrangements to ensure access to mental health services which support the MHTR being made available to courts as a viable community sentence option
Operational · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 14
Probation providers must ensure that the proposed MHTR meets both the treatment needs of the individual and sentencing requirements.
Probation providers must ensure that the proposed MHTR meets the treatment needs of the individual offender and sentencing requirements of the court
Operational · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 14
Health and Wellbeing Boards should ensure that the needs of mentally ill offenders are taken into account in local health strategies.
HWBs should have a thorough understanding of local needs, including the cost of offending to health services as well as the needs of mentally ill offenders in their locality and must ensure that these are taken into account in Joint Strategic Needs Assessments
Strategic · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 14
Community Mental Health Teams should work with providers of probation services to align the provision of mental health services.
Community Mental Health teams work in partne rship with providers of probation services as well as mental health service providers, to ali gn the provision of mental health services and management in the community of those people who are subject to an MHTR
Operational · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 13
Health commissioners should ensure that offender mental health treatment is explicitly detailed in contracts.
Health commissioners should seek to ensure that offender mental health treatment is explicitly detailed in contracts
Commissioning · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 13
Consensual agreement between the defendant and the court is a condition for using an MHTR.
Consensual agreement between the defendant and the court is a condition of the use of an MHTR. This means the consent of the defendant to be treated for their mental health issues.
Policy · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 11
A range of mental health professionals can provide assessments for MHTRs, including community psychiatric nurses and forensic psychologists.
A range of suitable mental health professionals are available to the court to provide assessment. It is recommended that in place of the Section 12 medical practitioner that the court agrees to take advice or assessment from a suitably recognised (by the court) or qualified mental health practitioner.
Policy · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 9
An MHTR is intended for offenders with low to medium level mental health problems that are treatable in the community.
This will be dependent upon the recommendations of the mental health assessment. An MHTR cannot be made without the legally required assessment.
Policy · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 9
An MHTR can be imposed if the court is satisfied that treatment arrangements are in place and the offender agrees to undergo it.
Before making an MHTR, the court must be satisfied that: 1. The mental condition of the offender requires treatment and may be helped by treatment, but does not warrant making a hospital or guar dianship order (within the meaning of the Mental Health Act 1983) 2. Arrangements have been or can be made fo r the offender to receive treatment as specified in the order 3. The offender agrees to undergo treat ment for their mental health condition
Policy · Procedural statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 9
Effective MHTR delivery requires close multi-agency partnership working.
Delivery of an effective MHTR requires close multi-agency partnership working as part of an integrated delivery model.
Operational · Policy statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 9
The MHTR aims to improve mental health stability and reduce risk of harm.
Through engagement with professionals, AW was able to develop a good insight into how her mental health impacted on her offence and recognised the need to maintain this stability in order to reduce the risk of harm posed to her children in the future.
Strategic · Commitment statement · From Mental Health Treatment - Supporting Integrated Delivery guidance — Mental Health Treatment Requirement – A Guide to Integrated Delivery, page 8