TY - BOOK ID - 64916601 TI - Stepped Care 2.0: A Paradigm Shift in Mental Health PY - 2020 SN - 3030480550 3030480542 PB - Cham : Springer International Publishing : Imprint: Springer, DB - UniCat KW - Mental health services. KW - Behavioral health care KW - Mental health care KW - Psychiatric care KW - Psychiatric services KW - Medical care KW - Health psychology. KW - Behavioral therapy. KW - Psychotherapy. KW - Counseling. KW - Psychiatry. KW - Neuropsychology. KW - Health Psychology. KW - Behavioral Therapy. KW - Psychotherapy and Counseling. KW - Behavioral therapy KW - Behavior modification KW - Psychotherapy KW - Health psychology KW - Health psychology, Clinical KW - Psychology, Clinical health KW - Psychology, Health KW - Salutogenesis KW - Clinical psychology KW - Medicine and psychology KW - Neurophysiology KW - Psychophysiology KW - Mental health KW - Psychology, Pathological KW - Counselling KW - Helping behavior KW - Psychology, Applied KW - Clinical sociology KW - Interviewing KW - Personal coaching KW - Social case work KW - Psychagogy KW - Therapy (Psychotherapy) KW - Mental illness KW - Mental health counseling KW - Treatment UR - https://www.unicat.be/uniCat?func=search&query=sysid:64916601 AB - 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. . ER -