Impact of a progressive stepped care approach in an improving access to psychological therapies service: An observational study.

ABSTRACT: England's national Improving Access to Psychological Therapies (IAPT) programme advocates stepped care as its organizational delivery of psychological therapies to common mental health problems. There is limited evidence regarding the efficacy of stepped care as a service delivery model, heterogeneity of definition and differences in model implementation in both research and routine practice, hence outcome comparison in terms of effectiveness of model is difficult. Despite sound evidence of the efficacy of low intensity interventions there appears to be a perpetuation of the notion that severity and complexity should only be treated by a high intensity intervention through the continuation of a stratified care model. Yet no psychotherapy treatment is found to be more superior to another, a

SUBMITTER: Boyd L 

PROVIDER: S-EPMC6456251 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature