Delivering stepped care: an analysis of implementation in routine practice

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Delivering stepped care: an analysis of implementation in routine practice

BACKGROUND 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 ...

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Stepped care vs. matched care for mood and anxiety disorders: a randomized trial in routine practice.

OBJECTIVE The effectiveness of two versions of stepped care [with either brief therapy (BT) or cognitive behavioural therapy (CBT) as a first step] is studied in comparison with the traditional matched care approach (CAU) for patients with mood and anxiety disorders. METHOD A randomized trial was performed in routine mental health care in 12 settings, including 702 patients. Patients were int...

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Delivering stepped care for depression in general practice: results of a survey amongst general practitioners in the Netherlands.

BACKGROUND Revised guidelines for depression recommend a stepped care approach. Little is known about the implementation of the stepped care model by general practitioners (GPs) in daily practice. OBJECTIVES To evaluate the performance of Dutch GPs in their general practice regarding important elements of the stepped care model (identification, severity assessment and stepped care treatment a...

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ژورنال

عنوان ژورنال: Implementation Science

سال: 2012

ISSN: 1748-5908

DOI: 10.1186/1748-5908-7-3