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Team-based stepped care in integrated delivery settings
  1. Cassandra Snipes1,
  2. Alexandros Maragakis2 and
  3. William O’Donohue1
  1. 1.Department of Psychology, University of Nevada, Reno, 1664 N. Virginia Street, Mail Stop 298, Reno, NV, USA 89557
  2. 2.Department of Psychiatry, University of Maryland School of Medicine, 701 W. Pratt Street, 3rd Floor, Baltimore, MD 21201
  1. Corresponding Author: Cassandra Snipes Department of Psychology, University of Nevada, Reno, 1664 N. Virginia Street, Mail Stop 298, Reno, NV, USA 89557 E-mail: snipes.cassandra{at}gmail.com

Abstract

Fragmented health care delivery is recognized as increasingly problematic. Integrated care has been advanced as a reform that will improve quality of care and lower costs. Despite the application of integrated care systems in the United States, there has been a limited amount of empirical work explicating the most effective health care pathways. Stepped care has been proposed as a framework by which to implement coordinated team-based care and has gained preliminary empirical support. In this manuscript a rationale for team-based stepped care is presented, tools for implementation are provided, and future research directions are suggested.

  • Integrated care
  • team-based care
  • behavioral health in primary care

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