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T. , Carter, L.-A. , DeBank, G. , Johnstone, M. , Fox, K. , & Veakins, D. (2023) . Clinical Effects of the ‘Crisis Toolbox’(CTB): A Brief, Skills Based, Intervention Delivered in a Crisis Resolution and Home Treatment Team. Community Mental Health Journal, 1-9 . [https://doi.org/10.1007/s10597-023-01100-6](https://doi.org/10.1007/s10597-023-01100-6)  \nPublished in:  \nCommunity Mental Health Journal  \nCiting this paper  \nPlease note that where the full-text provided on Manchester Research Explorer is the Author Accepted Manuscript or Proof version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version.  \nGeneral rights  \nCopyright and moral rights for the publications made accessible in the Research Explorer are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.  \nTakedown policy  \nIf you believe that this document breaches copyright please refer to the University of Manchester’s Takedown Procedures [[http://man.ac.uk/04Y6Bo](http://man.ac.uk/04Y6Bo)] or [contact openresearch@manchester.ac.uk](contact openresearch@manchester.ac.uk) providing relevant details, so  \nwe can investigate your claim.  \nDownload date:05 . Sep. 2026  \nCommunity Mental Health Journal  \n[https://doi.org/10.1007/s10597-023-01](https://doi.org/10.1007/s10597-023-01)100-6  \nClinical Effects of the ‘Crisis Toolbox’(CTB): A Brief, Skills Based, Intervention Delivered in a Crisis Resolution and Home Treatment Team  \nLee D. Mulligan1 · SandraT. Neil2 · Lesley‑Anne Carter3 · Georgia DeBank2 · Megan Johnstone2 · Katie Fox2 · Dominic Veakins2  \nReceived: 14 December 2022 / Accepted: 13 February 2023 © The Author(s) 2023  \nAbstract  \nAccess to psychological interventions for people under Crisis Resolution and Home Treatment Teams (CRHTTs) is limited. The Crisis Toolbox (CTB) is a skills-based intervention designed to increase access using flexible methods of delivery. This study aimed to evaluate the clinical effects of the CTB. A retrospective service evaluation of 399 participants who accessed the CTB between November 2020 and February 2021 was employed. Sessional measures comprising the Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Scale (GAD-7) were recorded across three time points. Overall, there were significantly decreasing trends in PHQ-9 (β = − 1.6, p \u003C 0.001) and GAD-7 scores (β = − 1.5, p \u003C 0.001) in participants who accessed the CTB. The magnitude and direction of specific trends differed according to age, diagnosis, and neurodiversity. The CTB could help reduce depression and anxiety in people experiencing crisis. Randomised controlled trials are now required to test its acceptability, feasibility, and effectiveness.  \nKeywords Adult mental health · Crisis resolution home treatment · Brief psychological interventions · Telephone interventions · Service evaluation.  \nIntroduction  \nThe last twenty years has seen significant National Health Service (NHS) transformation for people experiencing mental health crisis. Since the publication of the National Service Framework (NSF) for Mental Health [Department of Health (DoH), 1999], the NHS Plan (DoH, 2000) and Mental Health Policy Implementation Guide (MHPIG) (DoH, 2001), there has been significant importance placed on the development of accessible, community-based, acute care services. Consequently, Crisis Resolution Home Treatment  \n* Lee D. Mulligan [lee.mulligan@manchester.ac.uk](lee.mulligan@man","cbCaibRGGju3VxDt","https://ap.wps.com/l/cbCaibRGGju3VxDt","pdf",853722,"English","# Abstract\n# Introduction\n## Crisis Resolution Home Treatment Teams (CRHTTs)\n## Role of clinical psychologists","[{\"question\":\"What problem does the Crisis Toolbox (CTB) address for CRHTTs?\",\"answer\":\"The document states that access to psychological interventions for people under Crisis Resolution and Home Treatment Teams (CRHTTs) is limited. CTB is designed to increase access using flexible delivery methods.\"},{\"question\":\"How was the clinical impact of CTB evaluated in this study?\",\"answer\":\"A retrospective service evaluation assessed 399 participants who accessed CTB between November 2020 and February 2021. PHQ-9 and GAD-7 were recorded across three time points.\"},{\"question\":\"What were the main clinical findings from CTB access?\",\"answer\":\"Participants who accessed CTB showed significantly decreasing trends in PHQ-9 and GAD-7 scores. The magnitude and direction of specific trends varied by age, diagnosis, and neurodiversity.\"}]","Clinical Effects of the ‘Crisis Toolbox’ (CTB) - A Brief Skills-Based Intervention Delivered in a Crisis Resolution and Home Treatment Team | PDF",25]