Exact(1)
Effectiveness studies such as STAR-D [ 2] and Randomized Trial Investigating SSRI Treatment (ARTIST) [ 26] demonstrate that most patients' MDD does not remit with initial SSRI treatment, and that the need for second-stage or higher steps of care represent the norm rather than the exception.
Similar(59)
Those were high steps of respect.
Practical implementation is the critical step in establishing higher standards of care for individual patients.
Non-responders may be "stepped up" at week 4 to receive MET and again at week 12 for a higher level of care (e.g. intensive outpatient program).
Once they deteriorate, they require a higher level of care.
Items associated with high quality of care at each step of the multidisciplinary management of patients admitted due to falls were identified.
High frequencies of co-occurring disorders, equity of access for affected individuals and potential clashes between services in priorities and procedures, suggest that a stepped model of care by a single service may often be required.
The finding that services that have an overall higher step-up rate also have an overall higher reliable recovery rate suggests that it is important that services make full use of their stepped care system and encourage patients to continue from low to high intensity work, if appropriate.
3. Higher costs and unaffordability of care.
As the available information is growing from step 1 to step 3, it is justified to value health care services the higher the more steps of this sequence were completed.
A requirement for the provision of stepped care is the availability of a range of low and high intensity interventions, provided by the GP or in collaboration with other primary or secondary mental health care professionals.
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