Response: Implementing Motivational Stepped Care
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چکیده
منابع مشابه
Response : Implementing Motivational Stepped Care
The changing methadone population Chris Farentinos: The methadone population has changed. Today we are treating a jobless, skill-less population that is much more difficult to treat than the patients of decades past. Still, I am not sure I really see any difference in the effectiveness of methadone today compared to 10 years ago. I think you have one-third of people who will benefit, stay on me...
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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. METHODS Alongside the QIC, an intervention study using a controlled before-and-a...
متن کاملStepped care: doing more with less?
Several issues concerning stepped care are discussed: the constraints of using Diagnostic and Statistical Manual of Mental Disorders diagnoses in randomized clinical trials (RCTs), the importance of basic and process research, the unintended negative effects of exaggerated claims of effectiveness and efficiency, the limits of RCTs in evaluating improvement and deterioration, the self-correcting...
متن کاملStepped care in the treatment of trichotillomania.
OBJECTIVE There are effective treatments of trichotillomania (TTM), but access to expert providers is limited. This study tested a stepped care model aimed at improving access. METHOD Participants were 60 (95% women, 75% Caucasian, 2% Hispanic) adults (M = 33.18 years) with TTM. They were randomly assigned to immediate versus waitlist (WL) conditions for Step 1 (10 weeks of web-based self-hel...
متن کاملStepped care and mental health technologies
Stepped care is increasingly seen as an appropriate model for efficient and cost-effective provision of needs-based mental healthcare services, and is now recommended by bodies such as the National Institute for Clinical Excellence. In this paper we examine how the stepped care model can provide a useful framework for thinking about new mental health technologies. Consideration of each level an...
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ژورنال
عنوان ژورنال: Science & Practice Perspectives
سال: 2002
ISSN: 1930-4307,1930-4315
DOI: 10.1151/spp021147