Delivering stepped care: an analysis of implementation in routine practice
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.
addresses: Mood Disorders Centre, University of Exeter, Exeter, EX4 4QG, UK. D.firstname.lastname@example.org
notes: PMCID: PMC3283464
types: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't
© 2012 Richards et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Vol. 7, article 3
Place of publication