The DOI matches its Crossref record; 65 of the 66 references it cites were found in a registry or an index.
Stepped care in psychological therapies: access, effectiveness and efficiency: Narrative literature review
Open accessAbstract
Background: There is a significant gap between the demand for psychological therapy services and the available supply. One proposal to overcome this problem is to increase efficiency of provision through the adoption of briefer ‘minimal interventions' within stepped care models. Aims: To examine the theoretical underpinnings of stepped care, together with the practicalities of the adoption of this system of care. Method: Narrative literature review. Results: The potential clinical and economic benefits of stepped care are dependent upon underlying assumptions of equivalence in terms of clinical outcomes, efficiency in terms of resource use and costs, and acceptability of ‘minimal interventions' to patients and therapists. Illustrative studies of these issues are considered. Conclusions: Although psychological services might benefit from the adoption of the stepped care model, a substantial research agenda needs to be fulfilled before a judgement can be made as to whether stepped care might be an efficient method of delivering psychological services.
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“but usually offered on an individual basis (Bower and Gilbody, 2005).”
From Do depressed and anxious men do groups? What works and what are the barriers to help seeking? (2014) · cites this paper as Bower and Gilbody, 2005
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“Therefore, treatment costs tend to be higher compared to primary care (Spijker et al., 2013) in combination with long waiting lists due to treatment duration and limited financial resources (Bower and Gilbody, 2005, Lovell and Richards, 2000).”
From Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care (2016) · cites this paper as Bower and Gilbody, 2005
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“Finally, the fact that few participants had previously consulted suggests that online interventions are attractive for first time consultations; they may demystify treatment and act as a stepping stone toward other more intensive intervention modalities (Bower and Gilbody, 2005).”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Bower and Gilbody, 2005
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Cites
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770
Unützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405
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Eliason, S. R., & Lipsey, M. W. (1991) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2072167 · Cited by 1,038
National Collaborating Centre for Mental Health
Veale, D. M. (2006) · Research Portal (King's College London) · Cited by 941
Design Sensitivity: Statistical Power for Experimental Research.
Lachenbruch, P. A., & Lipsey, M. W. (1990) · Journal of the American Statistical Association · doi:10.2307/2289636 · Cited by 781
Gilbody, S., Whitty, P., Grimshaw, J., & Thomas, R. (2003) · JAMA · doi:10.1001/jama.289.23.3145 · Cited by 749
Self-citationStepped Collaborative Care for Primary Care Patients With Persistent Symptoms of Depression
Katon, W. J., Korff, M. V., Lin, E., Simon, G., Walker, E., Unützer, J., Bush, T. M., Russo, J. E., & Ludman, E. J. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.12.1109 · Cited by 658
Using significance tests to evaluate equivalence between two experimental groups.
Rogers, J. L., Howard, K. I., & Vessey, J. T. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.113.3.553 · Cited by 568
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., Tylee, A., Marks, I., & Gray, J. A. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.185.1.46 · Cited by 516 · cited 1×
“…where a number of less intensive treatments (or ‘minimal interventions’) have been developed, for example brief therapies (Scott et al, 1997), group treatments (Dowrick et al, 2000) and self-help approaches such as bibliotherapy (Cuijpers, 1997) and computerised treatments (Proudfoot et al, 2004).”
BackgroundAraya, R., Rojas, G., Fritsch, R., Gaete, J., Rojas, M., Simon, G., & Peters, T. J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)12825-5 · Cited by 450
Flagged first, then by citations
1 of the 66 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- 2003, Depression – Core Interventions in the Management of Depression in Primary and Secondary Care (National Clinical Practice Guideline – Draft for Consultation)
- 2001, Treatment Choice in Psychological Therapies and Counselling: Evidence Based Clinical Practice Guideline
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Items 1,001–1,001 of 1,001
Christensen, J., Winkel, B. G., Kirkeskov, L., Folke, F., Winther‐Jensen, M., Eckhardt-Bentsen, C., Kjærgaard, J., Hassager, C., & Wagner, M. K. (2024) · Figshare · doi:10.6084/m9.figshare.26675567
Metadata
- Authors
- Bower, P., & Gilbody, S.
- Affiliations
- University of Manchester (GB)
- University of Leeds (GB)
- Corresponding author
- Bower, Peter
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2005-01
- Volume
- 186
- Issue
- 1
- Pages
- 11-17
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2160548159
- Cited by
- 1,084
- References
- 66
- Citations by year
- 2026: 76 · 2025: 61 · 2024: 71 · 2023: 72 · 2022: 73 · 2021: 62 · 2020: 68 · 2019: 63 · 2018: 65 · 2017: 51 · 2016: 62 · 2015: 55 · 2014: 48 · 2013: 45 · 2012: 54
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- stepped care, psychotherapy, minimal intervention, brief intervention, access to mental health care, service supply and demand, treatment efficiency, cost-effectiveness, treatment acceptability, resource utilization (health care)
- MeSH terms
- Mental Disorders, Humans, Patient Acceptance of Health Care, Psychotherapy, Treatment Outcome
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