The principle of “least burden” Effective low intensity

Stepped care is best seen as the product of two simple principles:1. The principle of “least burden” Effective low intensity interventions are offered to patients first, and high intensity interventions offered only to patients who are at risk to self or others, have a history of treatment failure, or do not improve from initial treatment2. The principle of “scheduled review” This is required so that patients can “step up” to more intensive interventions, or change to another intervention within the same step, if they fail to meet consensus criteria for improvement or recovery.

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