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Stepped Care

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Prior to development of the IAPT programme it became apparent that achieving long-term ambitions to transform mental healthcare and meet epidemic level demands for treatment would require a fundamental change in the organisation of mental health treatment (Richards, 2010a). The change was to develop a mental health stepped care delivery model enabling service delivery to be least restrictive (Bower and Gilbody, 2005; van Straten et al., 2015). Lower demands would be placed on patients in terms of costs and personal inconvenience and on service providers through the utilisation of a different workforce at Steps 2 and 3 of the stepped care model (Richards, 2010a). Rather than relying solely on high-intensity Step 3 face-to-face psychological therapists, the revolution in service delivery spearheaded the evolution of a new Step 2 LICBT psychological therapies practitioner workforce.

Low-intensity CBT Skills and Interventions

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