Stepped care model of treatment for youth with anxiety is fourteen percent faster than traditional treatment services. This will help reduce the cost of mental health therapies and assure good outcomes.
The study published at the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP) compared traditional therapies with the new stepped-care therapy and found that standard, scientifically proven treatments for youth with anxiety usually require 15 to 20 hours of input from a mental health professional but the new stepped-care therapy can reduce therapy time by fourteen percent.
This study is the first to test a "stepped care" model of treatment delivery for children and adolescents with anxiety. While the idea of stepped care is not new, it has not been well tested and is yet to find its way routinely into mental health services. In traditional care, a child with anxiety is seen by a therapist on a regular basis over 10-20 weeks. In stepped care, the young person first begins using self-help to manage their own symptoms. Only when this doesn't work do they "step up" to treatment with a therapist. Higher intensity steps can be added if needed.
The authors point out that this study tested one model of stepped care within one local system, and the results might not apply in the same way across all societies. The findings highlight the potential value of stepping care for youth with anxiety, but further work is needed to test different combinations and models of stepping. "The possibility that we can identify ways of delivering treatment to help more clinically anxious youth within our existing workforce has tremendous implications for our health system and our economy," said Mary Lou Chatterton, PharmD, another study author.