Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis

  • Sarah L. KopelovichEmail author
  • Eric Strachan
  • Harry Sivec
  • Valerie Kreider
Original Paper


Cognitive behavioral therapy for schizophrenia spectrum disorders is an evidence-based treatment that is recommended by United States schizophrenia treatment guidelines. Based on recent estimates, only 0.3% of individuals with a primary psychotic disorder are able to access this treatment in the United States. Stepped care interventions have shown promise as an applied treatment delivery model in other settings and for other psychotherapeutic interventions. The current paper describes how the stepped care model can be applied to CBT for psychosis in the US to increase access to the intervention in community mental health settings by leveraging the multidisciplinary team.


Cognitive behavioral therapy for psychosis Schizophrenia spectrum disorders Stepped care Community mental health agencies 



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Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesUniversity of Washington School of MedicineSeattleUSA
  2. 2.Best Practices in Schizophrenia Treatment (BeST) CenterNortheast Ohio Medical UniversityRootstownUSA

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