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STEPS: going beyond the tip of the iceberg. A multi-level, multi-purpose approach to common mental health problems
- Authors:
- WHITE Jim, et al
- Journal article citation:
- Journal of Public Mental Health, 7(1), August 2008, pp.42-50.
- Publisher:
- Emerald
STEPS is a primary care mental health team that has attempted to develop a very high volume multi-level, multi-purpose service for those with mild to moderate problems. The service attempts to overcome many of the limitations of more traditional services. Whilst community mental health teams provide service to those with moderate to severe mental health problems, the remit of the primary care mental health teams (PCMHTs) is to provide care to adults (16 years onwards) with mild to moderate mental health difficulties. This paper describes the services contained within the six level model (individual therapy, group approaches, single contacts, non face-to-face work, working with others and population level work). It provides different levels of treatments such as individual therapy, groupwork and self-help approaches according to different needs.
CBT and the challenge of primary care: developing effective, efficient, equitable, acceptable and accessible services for common mental health problems
- Author:
- WHITE Jim
- Journal article citation:
- Journal of Public Mental Health, 7(1), August 2008, pp.32-41.
- Publisher:
- Emerald
Recent guidelines suggest that cognitive behavioural therapy has a pivotal role to play in the treatment of common mental health problems. There is a danger that we ask for 'more of the same' instead of looking at all the current limitations preventing individuals from accessing appropriate help. This paper suggests that progress in primary care mental health has been much more limited than mental health workers and, in particular, researchers often acknowledge. It looks at the major obstacles barring the way to the development of services that could meet the needs of the very large number of people in our communities with common mental health problems.