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Quality Measures Database

Detailed Results


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Stepped Psychotherapy Care Overall Rank: 122
Stepped care for delivery of psychological therapy (i.e., the skill of the therapist/availability of supervision matched with the patient’s motivation and the complexity of their illness).
Domain : Psychotherapy
The treatment of mental or emotional problems using psychological techniques (e.g., cognitive behavioural therapy, or talking therapy).
Additional Domain(s) : Competence
Rationale
This principle is relatively weakly supported by research evidence, possibly for methodological reasons, but achieved a strong expert consensus. Many therapies in the NHS are necessarily delivered by novice therapists or those with minimal training. The clinical consensus was that, while not necessarily problematic for straightforward presentations, it is safer practice for people in severe and complex difficulties and with greater risk of self-harm to be treated by therapists who are more skillful.
Primary Reference
Department of Health, British Psychological Society Centre for Outcomes Research and Effectiveness. (2001).Treatment Choice in Psychological Therapies and Counselling: Evidence based clinical practice guideline. London, United Kingdom: Author.
Retrieved July 31, 2006 from World Wide Web: http://www.dh.gov.uk/assetRoot/04/05/82/45/04058245.pdf
Level of Evidence
IV: Evidence based on individual expert opinion.

Summarized CommentsAdd Comment
  • * Relevant for emotional problems or the less severe disorders - does not work for schizophrenia without medication.
  • Stepped care is not a widely known concept.
Variation in Results
Ratings-based Rank
Relevance 105
Actionability 146
Overall Importance 112
 
Stakeholder Rank
Academics 121
Clinicians 110
Consumers 125
Decision Makers 130
 
Special Group Rank
First Nations 129
Rural Areas 136
Federal Stakeholders 134
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
141 125 132 62 135 80 147 145 121 129 52 146 132
 
Overall Rank

      

122


SA14e (B1371)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.36 0.43 1.25 0.89 9.72 12.71 30.95 29.93 13.77
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
1.25 2.18 3.76 3.37 20.43 18.58 26.76 14.88 8.8
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
7.61 62.1 30.29
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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The views expressed herein do not necessarily represent the official policies of Health Canada