What is the stepped care approach?
Stepped Care is a way of providing and monitoring care and treatment. The aim is to provide you with the most effective, yet least resource intensive treatment for you. With this approach, you only ‘step up’ to more intensive/specialist services if it is considered the right thing to do clinically.
What is a stepped care intervention?
Stepped Care is a system of delivering and monitoring mental health treatment so that the most effective, yet least resource intensive treatment, is delivered first, only “stepping up” to intensive / specialist services as required and depending on the level of patient distress or need.
What is the stepped care model Why is it important and where do PWP’s fit into the model?
The aim of stepped care is to provide the least intrusive and most appropriate level of care to meet the needs of the person. The PWP workforce provides short-term, evidence-based treatments in line with NICE guidance to help people manage their symptoms.
Is Stepped care effective?
Two recent systematic reviews [9, 10] found considerable heterogeneity between studies on types of treatment, and method of step up. Both concluded that in general, stepped care can be seen as effective when compared with usual care.
Is the stepped care model effective?
Conclusions: Evidence suggested that stepped care interventions for depression are at least as effective as usual care. However, the clinical and organisational superiority of stepped care is yet to be scientifically verified. Differential benefits of stepped care may ultimately depend on service quality.
When was the stepped care model introduced?
2004
Since 2004, ‘stepped-care models’ have been adopted in several international evidence-based clinical guidelines to guide clinicians in the organisation of depression care.
WHO mental health stepped care model?
The Stepped Care model provides an approach to mental health support that is person-centred and supports people across the spectrum of needs. The Stepped Care model aims to ensure that people have streamlined access to the right services for their needs over time and as their needs change.
Where did the stepped care model come from?
Background. Since 2004, ‘stepped-care models’ have been adopted in several international evidence-based clinical guidelines to guide clinicians in the organisation of depression care. To enhance the adoption of this new treatment approach, a Quality Improvement Collaborative (QIC) was initiated in the Netherlands.
Is stepped care an efficient method of delivering psychological services?
Although psychological services might benefit from the adoption of the stepped care model, a substantial research agenda needs to be fulfilled before a judgement can be made as to whether stepped care might be an efficient method of delivering psychological services. Stepped care in psychological therapies: access, effectiveness and efficiency.
What are the potential implications of a progression stepped care model?
The potential implications are that with a progression stepped care model of service delivery, more patients can be treated with a lower intensity intervention, even with initial severe presentations, ensuring that only those that need high intensity CBT or equivalent are stepped up.
What are the benefits of stepped care?
The potential clinical and economic benefits of stepped care are dependent upon underlying assumptions of equivalence in terms of clinical outcomes, efficiency in terms of resource use and costs, and acceptability of ‘minimal interventions’ to patients and therapists. Illustrative studies of these issues are considered.
What is the Nice stepped care model?
The stepped care model [5] is an organising framework of treatment and intensity recommended by the National Institute for Health and Clinical Excellence (NICE). NICE is a Non Departmental Public Body (NDPB) which is responsible for producing guidelines and recommendations for treatment using well researched evidence.