Title |
Delivering stepped care: an analysis of implementation in routine practice
|
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Published in |
Implementation Science, January 2012
|
DOI | 10.1186/1748-5908-7-3 |
Pubmed ID | |
Authors |
David A Richards, Peter Bower, Christina Pagel, Alice Weaver, Martin Utley, John Cape, Steve Pilling, Karina Lovell, Simon Gilbody, Judy Leibowitz, Lilian Owens, Roger Paxton, Sue Hennessy, Angela Simpson, Steve Gallivan, David Tomson, Christos Vasilakis |
Abstract |
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 of this model, particularly on the intensity of psychological treatment at each step. Our objective was to describe patient pathways through stepped care services and the impact of this on patient flow and management. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 33% |
Canada | 1 | 17% |
United Kingdom | 1 | 17% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Scientists | 2 | 33% |
Members of the public | 2 | 33% |
Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 4 | 2% |
Australia | 1 | <1% |
Netherlands | 1 | <1% |
Sierra Leone | 1 | <1% |
United States | 1 | <1% |
Unknown | 207 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 37 | 17% |
Student > Master | 37 | 17% |
Student > Ph. D. Student | 32 | 15% |
Student > Bachelor | 19 | 9% |
Student > Doctoral Student | 16 | 7% |
Other | 43 | 20% |
Unknown | 31 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 85 | 40% |
Medicine and Dentistry | 32 | 15% |
Social Sciences | 17 | 8% |
Nursing and Health Professions | 13 | 6% |
Neuroscience | 4 | 2% |
Other | 17 | 8% |
Unknown | 47 | 22% |