Managing therapeutic treatment orders

Follow this procedure when managing a therapeutic treatment order (TTO) or both a TTO and a therapeutic treatment placement order (TTPO).

Document ID number 1034, version 3, 27 September 2018.


See Therapeutic treatment reports and orders - advice for additional information.

Child protection is responsible for the management of TTOs and TTPOs. Regular contact with the child, family and the sexually abusive behaviours treatment service (SABTS) provider is required to monitor compliance with, and effectiveness of, the order. A TTPO is subject to case planning responsibilities (ss. 166 – 169, CYFA).

Collaboration is the key to maximising the opportunity to address the child’s therapeutic needs during assessment and treatment. SABTS work with the child, their family and the child’s social support network, and provide regular feedback to child protection about treatment progress.

A child may be the subject of a protection order concurrently with a TTO, or with both a TTO and TTPO.

See Therapeutic treatment resources for decision trees, tip sheets and report templates. See Case planning - advice for additional information.


Case practitioner tasks

  • Convene regular meetings between the child, their family, the SABTS provider, and out-of-home care provider where relevant, to promote a cohesive service response, and share information as required. See Information sharing in child protection practice. 
  • Ensure expectations about meetings and reports are negotiated and understood at the outset by all so the child, their family and service providers are aware of their responsibilities under the TTO/TTPO.
  • Consult with the principal practitioner regarding any concerns or escalating behaviour during treatment.
  • If circumstances change during the order and order conditions require revision, apply to the Children’s Court to vary, add or substitute conditions of the TTO/TTPO.

TTOs/TTPOs cannot be breached.

  • Review the TTO/TTPO prior to expiry. If required, apply to the Children’s Court to extend the TTO/TTPO for a further period of up to 12 months. A TTO/TTPO can only be extended once.

If the child turns 15 during the first 12 months of the TTO/TTPO, the TTO/TTPO can still be extended.

The Court can only extend the order/s if it is satisfied that the child is still in need of therapeutic treatment and therapeutic treatment is available for the child.

There is NO requirement for child protection to seek advice from the Therapeutic Treatment Board (TTB) regarding extending a TTO/TTPO.

  • If review of the TTO/TTPO determines that the TTO/TTPO is no longer appropriate, and criminal proceedings have been adjourned pending completion of the TTO/TTPO, seek advice from the board on the revocation of the order before applying to the Court to revoke the order.

SABTS tasks

  • Provide quarterly progress reports to child protection about the child’s treatment.
  • Alert child protection to any emerging concerns as they arise.