Stepped Care 2.0: casi di studio nella trasformazione dei sistemi di salute mentale

Author/s Peter Cornish, Alexia Jaouich, Gillian Berry
Publishing Year 2024 Issue 2024/1
Language English Pages 24 P. 57-80 File size 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.

Keywords: stepped care, recovery, equity, system transformation, men- tal health reform, access.

  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:// 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