Delivering stepped care: an analysis of implementation in routine practice
Richards, David; Bower, Peter; Pagel, C; et al.Weaver, A; Utley, M; Cape, J; Pilling, S; Lovell, Karina; Gilbody, Simon; Leibowitz, J; Owens, L; Paxton, R; Hennessy, Sue; Simpson, A; Gallivan, S; Tomson, D; Vasilakis, C
Date: 16 January 2012
Journal
Implementation Science
Publisher
BioMed Central
Publisher DOI
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Abstract
In the United Kingdom, clinical guidelines recommend that services for depression and anxiety should be structured around a stepped care model, where patients receive treatment at different 'steps,' with the intensity of treatment (i.e., the amount and type) increasing at each step if they fail to benefit at previous steps. There are ...
In the United Kingdom, clinical guidelines recommend that services for depression and anxiety should be structured around a stepped care model, where patients receive treatment at different 'steps,' with the intensity of treatment (i.e., the amount and type) increasing at each step if they fail to benefit at previous steps. There are very limited data available on the implementation of this model, particularly on the intensity of psychological treatment at each step. Our objective was to describe patient pathways through stepped care services and the impact of this on patient flow and management.
Institute of Health Research
Collections of Former Colleges
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