Читать книгу Low-intensity CBT Skills and Interventions - Группа авторов - Страница 148
Clinical Practice Principles of the Stepped Care Model Informing Key Decision-Making Stages (Bower & Gilbody, 2005; Richards et al. 2010)
ОглавлениеOffer the least restrictive, evidence-based intervention to patients in the first instance (see Clinical Decisions 1, 2 & 3 sections of this chapter).
Ensure clinical decision-making supports self-correction within the stepped care model, including stepping a patient up, down or discharging them (see Clinical Decision 4 section of this chapter).
Risk is managed effectively and with the immediacy required as informed by risk management decision-making protocols during assessment and guided self-help (GSH) sessions (Chapters 2 and 3).
Alongside clinicians, patients and policymakers, within the IAPT programme the case management supervisor also plays a fundamental role in clinical decision-making (Chapter 9; Turpin and Wheeler, 2011). Clinical skills supervision provides an additional space where LICBT practitioners can bring questions regarding clinical decision-making. This further enhances fidelity (Waller, 2009) to appropriate guidance informing service delivery (NCCMH, 2018).
