Abstract
Given the public health significance of depression and the limited resources available for providing evidence-based treatment, there is a need to develop effective models of care to reduce the personal and societal costs of the disorder. Within stepped care service provisions, all patients presenting with symptoms of depression generally are first offered the lowest intensity and least intrusive intervention deemed necessary following assessment and triage. Only when patients do not show improvement do they move to higher, more intensive levels of care. However, stepped care models also provide information to aid clinicians in decision making regarding selection of treatment strategies that are most appropriate for an individual patient. For some individuals, lower levels of care would never be appropriate or may not be preferred by the consumer. Thus, stepped interventions offer a variety of treatment options to match the intensity of the patient’s presenting problem as well as potential patient preference.
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Broten, L.A., Naugle, A.E., Kalata, A.H., Gaynor, S.T. (2011). Depression and a Stepped Care Model. In: Draper, C., O'Donohue, W. (eds) Stepped Care and e-Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6510-3_2
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