04/05/2022
How much do we understand the Stepped Care for People with General Anxiety Disorder
A stepped-care model is used to organize the provision of services and to help people with GAD, their families, carers and practitioners to choose the most effective interventions.
The stepped-care model
STEP 1: All known and suspected presentations of GAD: Identification and assessment; education about GAD and treatment options; active monitoring.
STEP 2: Diagnosed GAD that has not improved after education and active monitoring in primary care: Low-intensity psychological interventions refer to interventions that do not rely on specialists and are modified, brief evidence-based therapies including guided self-help or e-mental health) individual non-facilitated self-help, individual guided self-help, and psychoeducational groups.
STEP 3: GAD with an inadequate response to step 2 interventions or marked functional impairment: Choice of a high-intensity psychological intervention (CBT/applied relaxation) or a drug treatment.
STEP 4: Complex treatment-refractory GAD and very marked functional impairment, such as self-neglect or a high risk of self-harm: Highly specialist treatment, such as complex drug and/or psychological treatment regimens; input from multi-agency teams, crisis services, day hospitals or inpatient care.
https://trainingtale.org/course/diploma-in-nurse-prescribing/module-04-coping-with-generalised-anxiety-disorder-and-panic-disorder-in-adults/