Mental Health Treatment Requirement (MHTR)

MHTRs are one of three treatment options available through the Community Sentence Treatment Requirement (CSTR) Framework. The other options are Drug Rehabilitation Requirements (DRRs) and Alcohol Treatment Requirements (ATRs). 

Primary Care Mental Health Treatment Requirements (MHTRs) support people whose mental health needs do not meet the threshold for secondary care services. The service helps divert people with mental health difficulties away from custody and towards appropriate treatment and support.

Our specialist team 

The service is delivered by a specialist mental health team, which includes: 

• Clinical Lead Psychologist
• Specialist Mental Health Practitioner
• Assistant Psychologist
• Research Assistant
• Peer Support Worker 

Who the service is for 

MHTRs are for adults aged 18 years and over who: 

• Have pleaded guilty or been found guilty after trial
• Have committed an offence suitable for a Community Order or Suspended Sentence Order
• Have mild to moderate mental health needs, such as:  
  • Depression or anxiety
  • Mental health needs alongside drug or alcohol use
  • Personality disorder
  • Neurodiversity
  • Trauma or abuse
  • Social or life difficulties
• Are willing to give consent and take part in assessment, treatment and information sharing 

The service is available to people who are registered with a GP in Nottingham City or Nottinghamshire County.

Aims of the service 

The main aim is to provide clear, timely and easy access to psychological treatment as part of a court-ordered community sentence. 

The service also aims to: 

• Improve health and wellbeing through evidence-based treatments
• Reduce reoffending by addressing mental health and social needs
• Offer an alternative to short prison sentences
• Support people to engage with services that meet their needs
• Provide quick assessments to support pre-sentence reports and early sentencing
• Help people access community and statutory services during and after their sentence