Читать книгу Low-intensity CBT Skills and Interventions - Группа авторов - Страница 17

The core characteristics associated with stepped care implemented within the IAPT programme (Richards, 2010a) are:

 The mental health psychological practitioner workforce supporting evidence-based low-intensity CBT at Step 2 and therapies workforce delivering evidence-based high-intensity psychological therapies at Step 3

 Assessment is undertaken at Step 2 unless knowledge of the mental health difficulty at referral suggests it is unlikely to be consistent with NICE Guidelines for Step 2 treatment

 The pivotal role of NICE guidelines to inform evidence-based clinical decision-making regarding selection of the appropriate step for the treatment of common mental health problems

 As determined by NICE, patients receive the least restrictive evidence-based psychological therapy to promote recovery

 Outcome measures are systematically taken at every session to inform ongoing treatment decisions and support self-correction whereby patients not responding adequately will be supported to step up to a NICE evidence-based high-intensity treatment

 Stepped care models should accommodate stepping down where a less intensive treatment becomes appropriate.