Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Stepped care: doing more with less?

G C Davison1

  • 1Department of Psychology, University of Southern California, Los Angeles 90089-1061, USA. gdaviso@rcf.usc.edu

Journal of Consulting and Clinical Psychology
|August 31, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

"Echo attributions" and other risks when publishing on novel therapies without peer review.

Journal of clinical psychology·2001
Same author

Conceptual and ethical issues in therapy for the psychological problems of gay men, lesbians, and bisexuals.

Journal of clinical psychology·2001
Same author

Articulated thoughts of maritally violent and nonviolent men during anger arousal.

Journal of consulting and clinical psychology·1998
Same author

Being bolder with the Boulder model: the challenge of education and training in empirically supported treatments.

Journal of consulting and clinical psychology·1998
Same author

Think-aloud approaches to cognitive assessment and the articulated thoughts in simulated situations paradigm.

Journal of consulting and clinical psychology·1998
Same author

An appraisal of rational-emotive therapy.

Journal of consulting and clinical psychology·1993
Same journal

(Computation of) the standardized mean difference in clinical trials should be standardized.

Journal of consulting and clinical psychology·2026
Same journal

Efficacy of a modified digital unified protocol targeting both positive and negative emotion regulation: A randomized clinical trial.

Journal of consulting and clinical psychology·2026
Same journal

Perceived changes in drinking are a mechanism of spillover effects from a brief alcohol intervention conducted in a college social network.

Journal of consulting and clinical psychology·2026
Same journal

Online versus telehealth delivery of a parenting program for postdeployed military families: Child internalizing and externalizing symptoms as moderators of response.

Journal of consulting and clinical psychology·2026
Same journal

Testing self-help interventions for adults with clinical perfectionism: A randomized controlled trial comparing online skills modules to a book.

Journal of consulting and clinical psychology·2026
Same journal

Testing child STEPS in school-based mental health care: Cluster-randomized controlled effectiveness trial in five school districts.

Journal of consulting and clinical psychology·2026
See all related articles

Stepped care models in mental health require careful consideration of research limitations and clinical realities. Integrating scientific evidence with clinical judgment is crucial for effective patient care and treatment optimization.

Area of Science:

  • Mental Health Services Research
  • Clinical Psychology
  • Psychiatry

Background:

  • Stepped care models are increasingly used in mental health, aiming for efficient and effective treatment delivery.
  • Challenges exist in aligning research methodologies, particularly randomized clinical trials (RCTs), with the complexities of clinical practice.
  • The balance between evidence-based treatments and clinical judgment in stepped care requires ongoing examination.

Purpose of the Study:

  • To discuss critical issues surrounding the implementation and evaluation of stepped care in mental health.
  • To explore the interplay between scientific research standards and clinical practice needs within stepped care frameworks.
  • To highlight the importance of basic and process research alongside efficacy studies.

Main Methods:

Related Experiment Videos

  • A critical analysis of existing literature and conceptual issues related to stepped care.
  • Examination of the limitations of Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnoses in randomized clinical trials (RCTs).
  • Discussion of the self-correcting nature of stepped care and its link to empirically supported treatments.

Main Results:

  • RCTs have limitations in evaluating clinical improvement and deterioration, and in assessing the effectiveness of low-intensity treatments.
  • Exaggerated claims of effectiveness and efficiency in stepped care can have unintended negative consequences.
  • The costs associated with both ineffective and effective psychotropic drug therapies, as well as ineffective psychosocial treatments, are significant.

Conclusions:

  • Synthesizing research and clinical practice is essential for optimizing stepped care models.
  • Clinical judgment remains a vital component in the application of stepped care, complementing empirical data.
  • A nuanced understanding of stepped care acknowledges its self-correcting potential and the need for continuous evaluation.