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Care, Education Treatment Reviews (CETR)

CETRs are focused on those children and young people who either have been, or may be about to be admitted to a specialist mental health / learning disability hospital either in the NHS or in the independent sector.

CETRs bring together those responsible for commissioning and providing services (this will include nurses, social workers, education, commissioners and other health, education and social care professionals alongside strategic commissioners where appropriate) with independent clinical opinion and the lived experience of children and young people and families from diverse communities with learning disabilities, autism or both.

CETRs are driven by the NHS but the involvement of local authorities and education services in the CETR process and its outcomes is integral to improving care, education and treatment for children and young people with learning disabilities, autism or both and their families.

The Personal Principles of Care and Treatment Reviews

At its core the CETR has a set of principles based around the word PERSONAL which the CETR panel should always uphold. Panel members each have an equal role in making sure these principles are followed:

1. Child and Young Person centred and family centred

2. Evidence based

3. Rights led

4. Seeing the whole person

5. Open, independent and challenging

6. Nothing about us without us

7. Action focused

8. Living life in the Community

A family survival guide has been developed and is available on the Bringing us Together website.

What does the Survival Guide contain information on:

  • All about CTRs
  • Who does What
  • What makes a good CTR
  • Treatment Pathways / Tools
  • Medication (including STOMP)
  • Crisis Planning
  • Requesting a CTR
  • Preparing for the CTR
  • Surviving the CTR
  • After the CTR
  • Disagreements and escalation of concerns
  • Other helpful resources


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