| Contents |
Intro -- Foreword -- Preface -- Contents -- Chapter 1: We Need a Better System -- 1.1 System What System? -- 1.2 Neoliberalism in the Context of a Risk Paradigm -- 1.3 The Original Stepped Care Model -- 1.4 What Is Different About SC2.0? -- References -- Chapter 2: Open Access -- 2.1 The Professionalization of Everyday Life -- 2.2 The Real Reasons for Surging Demand -- 2.3 Investing Upstream -- 2.4 Starting Simple, Starting Strong -- 2.5 Capturing the Moment of Readiness -- 2.6 Open Access -- 2.7 Failing Forward -- 2.8 Informed Consent -- 2.9 Early Alignment -- 2.10 No Wrong Door |
| Contents |
4.5 Step 3: Family and Peer Support -- 4.6 Step 4: Workshops -- 4.7 Step 5: Guided Self-Help -- 4.8 Step 6: Intensive Group Programming -- 4.9 Step 7: Flexible Intensive Individual Programming -- 4.10 Step 8: Chronic Care and Specialist Consultation -- 4.11 Step 9: Acute Care, Systems Navigation, Case Management and Advocacy -- References -- Chapter 5: Navigating the System -- 5.1 Desire Pathways -- 5.2 Open Navigation -- 5.3 What Should Guide the Adjustment of Care? -- 5.4 Therapeutic Measurement -- 5.5 The Case of CK -- 5.6 The Case of TD -- 5.7 FIT for the Future: A Prototype -- References |
| Contents |
Chapter 6: Collaboration and Co-design -- 6.1 What about Boundaries? -- 6.2 Who Comes to the Table and When? -- 6.3 SC2.0 Distributive Design Cycle -- 6.4 Interprofessional Collaboration -- 6.5 Intersectoral Collaboration -- 6.6 Facilitating the Collaborative Aspiration -- 6.7 The Curse of Knowledge -- 6.8 Rushing to Solutions -- 6.9 Starting with Why -- References -- Chapter 7: Adapting for Unique Settings -- 7.1 Adaptation Stories and Processes -- 7.2 Case Study: Large Mid-Western Public University -- 7.2.1 Stage 1: Initial Consultation-Getting to Why and Wow |
| Contents |
7.2.2 Stage 2: Public Relations Crisis-People with Lived Experience Lash Out -- 7.2.3 Stage 3: Multi-Sectoral Consultations on the Need for Change and Inspiration -- 7.2.4 Stage 4: Identify the External Partnerships Their Resources and How to Operationalize Them -- 7.2.5 Stage 5: Identify Unmet Needs of Students and Adjust Existing Programming and Consider New Ones -- 7.2.6 Stage 6: Re-allocate Resources to Support Adjustments and Procure New Programs -- 7.3 Adaptations at Other Sites -- References -- Chapter 8: Towards a Paradigm Shift -- 8.1 SC2.0 Today -- 8.2 Synergy and Culture |
| Abstract |
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need. SC2.0 reimagines the original UK stepped care model by integrating a range of traditional and emerging online mental health programs systematically within the context of recovery principles and practice. SC2.0 prevents problems from escalating into serious conditions by systematizing shared responsibility for accessing care options at the right time, with the right people, in the right context. Program matching decisions in SC2.0 are also more flexible and client-centric: Rather than stepping only according to diagnosis or symptom severity, one or more options of varying intensity can be jointly selected based on client need, preference, functioning, and readiness for engaging in healing work. |
| General note | Description based upon print version of record. |
| General note | 8.3 Frugal Innovation |
| Bibliography note | References -- Chapter 3: Recovery Values and Principles -- 3.1 People with Lived Experience -- 3.2 Disease Model -- 3.3 The Recovery Movement -- 3.4 Recovery Values, Principles and Assumptions -- 3.5 Recovery in Practice -- 3.6 Research on Recovery -- 3.7 Neoliberal Critique -- 3.8 Staging Versus Recovery -- 3.9 The Ethics of SC2.0 -- 3.10 Perching and Nesting -- References -- Chapter 4: Expanding the Options Through Nine Steps -- 4.1 Recovery Step by Step -- 4.2 How Many Steps Should There Be? -- 4.3 Step 1: Watchful Waiting -- Informational Self-Directed -- 4.4 Step 2: Interactive Self-Directed |
| Bibliography note | Includes bibliographical references and index. |
| Issued in other form | Print version: Cornish, Peter Stepped Care 2. 0: a Paradigm Shift in Mental Health Cham : Springer,c2020 9783030480547 |
| ISBN | 9783030480554 (electronic bk.) |
| ISBN | 3030480550 (electronic bk.) |
| Standard identifier# |
10.1007/978-3-030-48 |
| Stock number | com.springer.onix.9783030480554 Springer Nature |
