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Be Part of Research - Trial Details - Mental health treatment requirements

Mental health treatment requirements

Not Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Secondary care mental health treatment requirements


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Many people who attend court have severe and complex mental health problems. They often find it difficult to access treatment. They can face stigma, homelessness, financial and substance problems. A prison sentence can make these problems worse and does not help their mental health.
A Mental Health Treatment Requirement (MHTR) can be given instead of a short prison sentence by courts in England and Wales if the person agrees. It means that they must attend for treatment of their mental health problem as part of a community sentence. Secondary MHTRs (SC-MHTR) are for people who need specialist mental health care. Until now, courts have ordered very few SC-MHTRs. The NHS has given money to three courts in England, called ‘proof-of-concept’ sites, to investigate whether more people could benefit from SC-MHTRs. They think that this could improve their mental health and reduce the number of people with severe mental health problems going to prison. The NHS would like to see an increase in SC-MHTRs across the country and needs to learn the best way to go about this. There is no research evidence about how to increase use of SC-MHTRs. We also do not know if they affect health, or if they can work for different people and in different places.
This study will examine how people use SC-MHTRs at the proof-of-concept sites and at a Welsh site. The researchers want to know if SC-MHTRs are working, who for, how and why. This will let them tell the NHS the best way to introduce them across the country. They also aim to develop a way to measure their effect on health and on NHS costs across the country in future.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Feb 2025 31 Jul 2026

The researchers will get information in three ways:
1. Review documents about people’s expectations about SC-MHTRs
2. Hold interviews with people who designed the SC-MHTR, staff, patients, and their families
3. Examine NHS records that describe patients on SC-MHTRs and SC-MHTR numbers
They will use this information to:
1. Find out how SC-MHTRs are being delivered
2. Explain how SC-MHTRs work (or do not work) for which patients and in what circumstances
3. Tell the NHS about the best way to increase SC-MHTRs across the country and overcome problems
4. Design a way to evaluate a future national SC-MHTR programme.


Adult patients aged 18 years and over who are under an SC-MHTR, carers of patients under an SC-MHTR, commissioners, policymakers and staff involved in the creation and implementation of SC-MHTRs.

You can take part if:



You may not be able to take part if:


Patients:1. Aged 17 years and under2. Lacking the capacity to provide informed consent to participate3. Not recommended for, under, or recently (within 3 months) under an SC-MHTR4. Considered by staff not safe to interview due to their current risk assessment

Carers:1. Aged 17 years and under2. Lacking the capacity to provide informed consent to participate3. Not a family member or informal caregiver of someone recommended for, under, or recently (within 3 months) under an SC-MHTR

Professionals:1. Aged 17 years and under2. Do not have a working knowledge of how SC-MHTRs operate


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • South London and Maudsley NHS Foundation Trust
    Bethlem Royal Hospital Monks Orchard Road
    Beckenham
    BR3 3BX
  • Central and North West London NHS Foundation Trust
    Trust Headquarters 350 Euston Road Regents PLACE
    London
    NW1 3AX
  • North East London NHS Foundation Trust
    West Wing C E M E Centre Marsh Way
    Rainham
    RM13 8GQ
  • Oxleas NHS Foundation Trust
    Pinewood House Pinewood PLACE
    Dartford
    DA2 7WG
  • Tavistock and Portman NHS Foundation Trust
    The Tavistock Centre 120 Belsize Lane
    London
    NW3 5BA
  • East London NHS Foundation Trust
    Robert Dolan House 9 Alie Street
    London
    E1 8DE
  • Gloucestershire Health and Care NHS Foundation Trust
    Edward Jenner Court 1010 Pioneer Avenue Gloucester Business Park
    Gloucester
    GL3 4AW
  • West London NHS Trust
    1 Armstrong Way
    Southall
    UB2 4SD
  • Midlands Partnership NHS Foundation Trust
    Trust Headquarters St Georges Hospital Corporation Street
    Stafford
    ST16 3SR
  • Camden and Islington NHS Foundation Trust
    St Pancras Hospital 4 St Pancras Way
    London
    NW1 0PE
  • Swansea Bay University Local Health Board
    Tonna Hospital Tonna Uchaf Tonna
    Neath
    SA11 3LX
  • Barnet, Enfield and Haringey Mental Health NHS Trust
    Trust Headquarters St Ann's Hospital St Ann's Road
    London
    N15 3TH
  • South West London and St Georges Mental Health NHS Trust
    Trinity Building, Springfield University Hospital, 15 Springfield Drive
    London
    SW17 0YF

There is no direct benefit to research participants, but participants taking part in interviews/workshops may benefit from being part of the research process and contributing to the evaluation of SC-MHTRs. For example, being able to discuss their experiences and 'be heard' may have a positive effect on participants.
The study involves the discussion of sensitive topics. There will be a safeguarding protocol in place to minimise the risk of participant distress.


The study is sponsored by Lancashire and South Cumbria NHS Foundation Trust and funded by National Institute for Health and Care Research - Health and Social Care Delivery Research Programme.




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Read full details for Trial ID: ISRCTN12201122

Or CPMS 64720

Last updated 26 November 2024

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