Division of Biology, Medicine & Health, School of Health Sciences, University of Manchester, Oxford Road, M13 9PL, Manchester, UK.
Atherleigh Park Hospital, Greater Manchester Mental Health NHS Foundation Trust, Atherleigh Way, WN7 1YN, Leigh, UK.
Community Ment Health J. 2023 Aug;59(6):1172-1180. doi: 10.1007/s10597-023-01100-6. Epub 2023 Mar 26.
Access 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 < 0.001) and GAD-7 scores (β = - 1.5, p < 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.
危机解决和家庭治疗小组（CRHTT）的人员获得心理干预的机会有限。危机工具箱（CTB）是一种基于技能的干预措施，旨在通过灵活的交付方式增加可及性。本研究旨在评估 CTB 的临床效果。采用回顾性服务评估，对 2020 年 11 月至 2021 年 2 月期间使用 CTB 的 399 名参与者进行了评估。在三个时间点记录了包括患者健康问卷（PHQ-9）和广泛性焦虑量表（GAD-7）在内的会话措施。总体而言，使用 CTB 的参与者的 PHQ-9（β = -1.6，p < 0.001）和 GAD-7 评分（β = -1.5，p < 0.001）呈显著下降趋势。根据年龄、诊断和神经多样性，特定趋势的幅度和方向有所不同。CTB 可以帮助减轻经历危机的人的抑郁和焦虑。现在需要进行随机对照试验来测试其可接受性、可行性和有效性。
