Implementation of a Stepped Care Approach to Depression Services

  • Eric WolstenholmeEmail author
  • Douglas McKelvie


This chapter describes a novel approach to communicate and accelerate implementation of a stepped care approach to depression services in one region of England. The work was carried out in 2004 when guidelines for stepped care were first issued. It involved the development of a simulation model, combining the new guidelines with economic and resource allocation factors.


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  2. National Institute for Mental Health England, Regional. (2004b, December). Enhanced Services Specification for depression under the new GP contract—A commissioning guidebook.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Symmetric ScenariosEdinburghUK
  2. 2.Symmetric ScenariosEdinburghUK

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