Stepped Care 2.0: Case Studies in Mental Health Systems Transformation

Titolo Rivista RIVISTA SPERIMENTALE DI FRENIATRIA
Autori/Curatori Peter Cornish, Alexia Jaouich, Gillian Berry
Anno di pubblicazione 2024 Fascicolo 2024/1
Lingua Inglese Numero pagine 24 P. 57-80 Dimensione file 807 KB
DOI 10.3280/RSF2024-001006
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This article describes a story-in-progress of large-scale eq- uity-based mental health innovation underway in various North American contexts. It introduces Stepped Care 2.0 (SC2.0), a new mental health system transformation framework. Drawing on five case studies, it illustrates how the ten SC2.0 guiding principles and nine core components are improving access to recovery-oriented, trauma-informed care at both clinic and popula- tion levels. The SC2.0 framework establishes processes for developing infra- structure to support equity-based quality assurance and continuous improve- ment. The article concludes with a summary of lessons learned, identifying factors that facilitated successful implementation, as well as some unresolved challenges.

Il contributo descrive un percorso di innovazione nella salute mentale basato sull’equità, che attualmente sta prendendo piede in vari contesti nordamericani. Presenta Stepped Care 2.0 (SC2.0), un nuovo modello trasfor- mativo dei servizi di salute mentale. Basandosi su cinque studi di caso, illustra come i dieci principi guida e le nove componenti principali di SC2.0 stiano mi- gliorando l’accesso alle cure in modalità orientate alla recovery e informate sul trauma, sia al livello dell’ambito clinico sia a livello di comunità. Il paradigma SC2.0 stabilisce processi per lo sviluppo di infrastrutture a supporto dell’assicurazione e miglioramento continuo della qualità basate sull’equità. L’articolo si conclude con un riassunto delle lezioni apprese, identificando i fattori che hanno facilitato il successo del modello, e indica alcune sfide aperte.

Keywords:stepped care, recovery, equità, trasformazione di sistemi, riforma della salute mentale, accesso

  1. Echo-Hawk H. Indigenous communities and evidence building. Psycho- active Drugs. 2011; 43(4): 269-75. DOI: 10.1080/02791072.2011.628920
  2. Braun K, Brownel C, Ka’opua L, Kim B, Mokuau N. Research on In- digenous elders: from positivistic to decolonizing methodologies. The Gerontologist. 2014; 54(1): 127-6.
  3. Davidson B. Storytelling and evidence-based policy: lessons from the grey literature. Palgrave Communications. 2017; 3: 1-10.
  4. Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness, and efficiency: narrative literature review. The British Journal of Psychiatry. 2005;186:11-7.
  5. Kopta S, Lowry J. Psychometric evaluation of the Behavioral Health Questionnaire-20: a brief instrument for assessing global mental health and the three phases of psychotherapy outcome. Psychotherapy Re- search. 2002; 12(4): 413-26.
  6. Kopta S, Owen J, Budge S. Measuring psychotherapy outcomes with the Behavioral Health Measure-20: efficient and comprehensive. Psy- chotherapy. 2015; 52(4): 442-8.
  7. Young J. Putting single session thinking to work: conceptual, practical, training, and implementation ideas. Australian & New Zealand Journal of Family Therapy. 2020; 41(3): 231-48.
  8. Hymmen P, Stalker C, Cait C. The case for single-session therapy: does the empirical evidence support the increased prevalence of this ser- vice delivery model? Journal of Mental Health. 2013; 22(1): 60-71. DOI: 10.3109/09638237.2012.670880
  9. addictions Apcomha. Towards recovery: a vision for a renewed mental health and addictions system. St John’s2017.
  10. Cornish P. Stepped Care 2.0: A Paradigm Shift in Mental Health. Cham: Springer; 2020.
  11. Directors AoUaCCC, editor Building connections, creating purpose, de- signing the future. 65th Annual AUCCCD Conference; 2014; Chicago.
  12. Schuwirth L, Findyartini A. Never waste a good crisis: resilient health professions education. The Asia Pacific Scholar. 2021; 6(3): 1-4. DOI: 10.29060/TAPS.2021-6-3/EV6N3
  13. Reetz D, Bershad C, LeVines P, Whitlock M. The Association for Univer- sity and College Counseling Center Directors Annual Survey: Reporting Perido September 1, 2015 through August 31, 2016 Indianapolis: Associ- ation of University and College Counseling Center Directors, 2016.
  14. Canada MHCo. What is Stepped Care 2.0? Ottawa: Mental Health Commission of Canada, 2021.
  15. Cornish P, Berry G, Benton S, Barros-Gomes P, Johnson D, Ginsburg R, et al. Meeting the mental health needs of today’s college student: reinventing services through Stepped Care 2.0. Psychological Services. 2017; 14(4): 428-42.
  16. Cornish P, Berry G, editors. Stepped Care 2.0: The Power of Conun- drums. Cham: Springer; 2023.
  17. Smith L. Decolonizing Methodologies: Research and Indigenous Peo- ples 3rd ed. Chicago: Zed Books; 2021.
  18. Katz R, Murphy-Shigematsu S. Synergy, Healing and Empowerment: Insights from Cultural Diversity. Calgary: Brush Education; 2012.
  19. Kosorok M, Laber E. Precision medicine. Annual Review of Statis- tics and its Application. 2019;6:263-86.
  20. Bailey R, Erekson D, Cattani K, Jensen D, Simpson D, Klundt J, et al. Adapting stepped care: changes to service delivery format in the con- text of high demand. Psychological Services. 2022; 19(3): 494-501.
  21. Jaouich A, Carey S, Saxton K, Rash J, Brown J. Adaptability and fi- delity: exploring the relationship between the two when implementing SC2.0. In: Cornish P, Berry G, editors. Stepped Care 20: The Power of Conundrums. Cham: Springer; 2023.
  22. Carey S, Jaouich A, Churchill A, Cornish P, Impey D, Kim M. Stepped Care 2.0 revised implementation guide. Ottawa: 2021.
  23. Canada MHCo. Stepped Care 2.0: E-mental Health Demonstration Project. Ottawa: Mental Health Commission of Canada, 2019.
  24. Moores L, Button P. APNL Psychologist Feedback: Changes to Provi- sion of Provincial Mental Health Services. St. John’s: Association of Psychology Newfoundland and Labrador, 2021.
  25. Cornish P, Churchill A, Hair H. Open-access single-session therapy in the context of Stepped Care 2.0. Journal of Systemic Therapies. 2020; 39(3): 21-33.
  26. Canada MHCo. Partnering Together for Person-and-Family Centric Care: The Northwest Territories Stepped Care 2.0 Final Report. Otta- wa: Mental Health Commission of Canada, 2023.
  27. Harris-Lane L, Keeler-Villa N, Bol A, Burke K, Churchill A, Cornish P, et al. Implementing One-at-a-Time Therapy in community addiction and mental health centres: a retrospective exploration of the implemen- tation process and initial outcomes. BMC Health Services Research. 2023; 23(1).
  28. Canada MHCo. Toward Recovery & Well-Being: A Framework for a Mental Health Strategy for Canada. Ottawa: Mental Health Commis- sion of Canada, 2009.
  29. Ralph R, Corrigan P, editors. Recovery in Mental Illness: Broadening our Understanding of Wellness: American Psychological Association; 2005.
  30. Slade M. Personal Recovery and Mental Illness: A Guide for Mental Health Professionals. Cambridge: Cambridge University Press; 2009.
  31. Basnet S, Chaiton M. Effectiveness of the Wellness Together Cana- da Portal as a digital mental health intervention in Canada: protocol for a randomized controlled trial. JMIR research protocols. 2024; 13, e48703. DOI: 10.2196/48703
  32. Health Canada announces transition of mental health resources from Wellness Together Canada [Internet]. 2024. Available from: https:// www.canada.ca/en/health-canada/news/2024/02/health-canada-an- nounces-transition-of-mental-health-resources-from-wellness-togeth- er-canada.html.
  33. Martin D, Miller A, Quesnel-Vallee A, Caron N, Vissandjee B, Marchil- don G. Canada’s universal health-care system: achieving its potential. Lancet. 2018; 391(10131): 1718-35. DOI: 10.1016/S0140-6736(18)30181-8
  34. Béland D, Marchildon G, Medrano A, Rocco P. COVID-19, federalism, and health care financing in Canada, the United States, and Mexico. Journal of Comparative Policy Analysis: Research and Practice. 2021; 23(2): 143-56. DOI: 10.1080/13876988.2020.1848353
  35. Leader T. It’s Not About Us: The Secret to Transforming the Mental Health and Addiction System in Canada. Halifax: Cathydia; 2016.

Peter Cornish, Alexia Jaouich, Gillian Berry, Stepped Care 2.0: Case Studies in Mental Health Systems Transformation in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2024, pp 57-80, DOI: 10.3280/RSF2024-001006