The Case for Evidence-Based Stepped Care as Part of a Reformed Delivery System
Healthcare is in crisis in the United States (Cummings and O’Donohue, 2008). Most view healthcare as too costly, of uneven quality, difficult to access, and inefficient. Behavioral healthcare is no different. Practitioners often charge 10–20 times the minimum wage (and sometimes argue that even this price is insufficient) and provide assessment and therapies of unknown quality or those that are obviously deficient (e.g., Rorschach, rebirthing, drum circles) (Lilienfeld et al., 2008). Waits for child psychiatrists can be from months to half a year, and services are unevenly distributed geographically.
KeywordsConsumer Preference Individual Therapy Watchful Waiting Chronic Disease Management Mental Health Field
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