Stepped Care

Stepped Care is a system of delivering and monitoring treatments, so that the most effective yet least resource intensive, treatment is delivered to patients first, only ‘stepping up’ the intensity of care or coordinating specialist services as clinically required. Our company firmly believes in care plans for people with complex needs, these programmes focus on providing teams and treatment in clients’ homes and communities.

“Having the right service in the right place, at the right time, delivered by the right person.”

Stepped Care has 2 Principles:

    1. Treatment should always have the best chance of delivering positive outcomes while burdening the patient as little as possible.
    2. Scheduled reviews, to detect and act on non-improvement, must be in place to enable stepping up to more intensive treatments, stepping down where a less intensive treatment becomes appropriate and stepping out when an alternative treatment or no treatment become appropriate.

This stepped care model can be found with other healthcare systems, with our care model you have the security of having all services coordinated for you by one manager, who effectively organizes and directs your personal care team, after said care plan is agreed.

STEP 1  Prevention and Promotion

This step involves receiving support from friends and family, self-help groups, employment and occupational advice; national and local mental health organisations, online and telephone helplines, advice agencies, welfare rights, housing, an carer support; prior to receiving an assessment from your general practitioner or approaching health or social services. This first step combines a series of facilitated conversations in which the person, or those who know them well, actively participates to explore the management of their health and well-being within the context of their whole life and family situation.

STEP 2  Primary Care Recognition

This step involves a primary mental health care provider offering careful evaluation of GP assessment and mobilising resources from STEP 1; guided self-help, CBT, and brief psychological interventions. Effective signposting helps in finding the correct fit for your needs.

STEP 3  Assessment and Interventions

STEP 3 involves a mental health assessment, social support, physical health checks; medicine review continues and additional signposting to/mobilising resources of STEP 1; computerised CBT; social prescribing; caseworker support; and possible medication assessment.

STEP 4  Secondary and Specialist Services

Here you may receive comprehensive specialist assessment, care coordination, risk/relapse plans, home and/or crisis treatment, early intervention, assertive outreach, medication reassessment, psychosocial interventions, and/or crisis accommodation. *Mental Health Act. footnote

STEP 5  Specialist Services

This step involves a range of assessment and treatment with in-patient services; working with high-risk, complex patients requiring specialist interventions and a high level of care coordination as well as risk-relapse management.