Clinical Lead Mental Health Treatment Requirement (MHTR) Manual

Research output: Book/ReportGuide or Manual


This resource is aimed at Clinical Leads to support the development of Mental Health Treatment Requirement (MHTR) pathways, processes and protocols across England and Wales. Clinical Leads may wish to share this document with Primary Care MHTR Practitioners within the local site.

This document should be reviewed in conjunction with the Community Sentence Treatment Requirement Operating Framework and is supplemented by Primary Care MHTR Practitioner Manual.

This document has been reviewed by the CSTR Chairs, Clinical Leads and Primary Care Practitioners. It has been circulated to the national CSTR programme board who has in turn shared it with partner agencies (inc. NHS England and NHS Improvement, and Her Majesty’s Prison and Probation Service) for review and wider comments. Finally, it has also been reviewed by the NHSE/I clinical reference group.

Within the resource, you will find the following information with supporting template documentation being provided in the appendices:

•Overview of Mental Health Treatment Requirements;
•Information to inform the design and development of the MHTR intervention;
•Overview of the role of the Clinical Lead.
Original languageEnglish
PublisherInstitute of Public Safety, Crime and Justice
Commissioning bodyInstitute for Public Safety Crime and Justice
Number of pages35
Publication statusAccepted/In press - 24 Sep 2020


  • Mental health
  • Mental health treatment


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