Stepped Care Model

Question 1

Designed to provide the least intensive treatment to the client first
And aims to deliver evidence based psychological interventions in accordance with NICE guidelines

Answer 1

IAPT manual (2018)

Question 2

Progress is monitored throughout therapy to decide of the client needs stepping up, down, or out
Prevents over-reliance on medication to treat common mental health disorders
Greater choice of intervention offered to the client

Answer 2

Franx, Oud, Lange & Grol (2012)

Question 3

Stepped care is better than care as usual at reducing anxiety symptoms but not depressive symptoms

Answer 3

Ho, Yeung, Ng & Chan (2016) systematic review and meta-analysis

Question 4

Cost effective model

Over half of completers recovered regardless of whether or not they were stepped up/down

Answer 4

Radhakrishnan et al. (2013)

Question 5

More treatments completers and recovery rates in the progressive rather than stratified model for clients scoring severe on the PHQ-9

Answer 5

Boyd, Baker & Reilly (2019) retrospective cohort analysis