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The importance of stepped-care protocols for the redesign of behavioral health care in patient-centered medical homes

Integrated Primary and Behavioral Care: Role in Medical Homes and Chronic Disease Management, Page: 97-114
2015
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Book Chapter Description

The demonstration of treatment efficacy under relatively idealized conditions (e.g., participants are randomly assigned to treatment, excluded for comorbid conditions, and paid to enhance retention) remains the appropriate starting point for the development of evidence-based psychological health-care systems. Once efficacy treatment has been established, other considerations can become more prominent. Common targets for subsequent research include treatment effectiveness (symptom improvement under more naturalistic conditions; E.g., Fleischhacker and Goodwin (World Psychiatry 8:23-27, 2009); Seligman (American Psychologist 50:965-974, 1995)) and dissemination efforts.

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