Stepped care 2.0 : the power of conundrums / Peter Cornish, Gillian, Berry, editors.
Cornish, Peter, editor.; Berry, Gillian, editor.
2023
RA790.5 .S74 2023
Available Online

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Title Stepped care 2.0 : the power of conundrums / Peter Cornish, Gillian, Berry, editors.
ISBN 9783031452062 (electronic bk.)
3031452062 (electronic bk.)
3031452054
9783031452055
DOI https://doi.org/10.1007/978-3-031-45206-2
Published Cham, Switzerland : Springer, [2023]
Language English
Description 1 online resource
Other Standard Identifiers 10.1007/978-3-031-45206-2 doi
Call Number RA790.5 .S74 2023
Dewey Decimal Classification 362.2
Summary Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the risk paradigm and SC2.0, the models one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.
Access Note Access limited to authorized users.
Source of Description Description based on online resource; title from digital title page (viewed on December 12, 2023).
Added Author Cornish, Peter, editor.
Berry, Gillian, editor.
Available in Other Form Print version: 9783031452055
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Intro
Foreword
Preface
Origin Story
Reference
Acknowledgments
A Note on the Text
Contents
Contributor Biographies
Part I: Stepped Care 2.0: A Paradigm Shift in Mental Health
Chapter 1: We Need a Better System
1.1 System? What System?
1.2 Neoliberalism in the Context of a Risk Paradigm
1.3 The Original Stepped Care Model
1.4 What Is Different About SC2.0?
References
Chapter 2: Open Access
2.1 The Professionalization of Everyday Life
2.2 The Real Reasons for Surging Demand
2.3 Investing Upstream
2.4 Starting Simple, Starting Strong

2.5 Capturing the Moment of Readiness
2.6 Open Access
2.7 Failing Forward
2.8 Informed Consent
2.9 Early Alignment
2.10 No Wrong Door
References
Chapter 3: Recovery Values and Principles
3.1 People with Lived Experience
3.2 Disease Model
3.3 The Recovery Movement
3.4 Recovery Values, Principles, and Assumptions
3.5 Recovery in Practice
3.6 Research on Recovery
3.7 Neoliberal Critique
3.8 Stratified Versus Recovery
3.9 The Ethics of SC2.0
3.10 Perching and Nesting
References
Chapter 4: Expanding the Options Through Nine Steps

4.1 Recovery Step by Step
4.2 How Many Steps Should There Be?
4.3 Step 1: Watchful Waiting
Informational Self-Directed
4.4 Step 2: Interactive Self-Directed
4.5 Step 3: Family and Peer Support
4.6 Step 4: Workshops
4.7 Step 5: Guided Self-Help
4.8 Step 6: Intensive Group Programming
4.9 Step 7: Flexible Intensive Individual Programming
4.10 Step 8: Chronic Care and Specialist Consultation
4.11 Step 9: Acute Care, Systems Navigation, Case Management, and Advocacy
References
Chapter 5: Navigating the System
5.1 Desire Pathways
5.2 Open Navigation

5.3 What Should Guide the Adjustment of Care?
5.4 Therapeutic Measurement
5.5 The Case of CK
5.6 The Case of TD
5.7 FIT for the Future: A Prototype
References
Chapter 6: Collaboration and Co-design
6.1 What About Boundaries?
6.2 Who Comes to the Table and When?
6.3 SC2.0 Distributive Design Cycle
6.4 Interprofessional Collaboration
6.5 Intersectoral Collaboration
6.6 Facilitating the Collaborative Aspiration
6.7 The Curse of Knowledge
6.8 Rushing to Solutions
6.9 Starting with Why
References
Chapter 7: Adapting for Unique Settings

7.1 Adaptation Stories and Processes
7.2 Case Study: Large Mid-Western Public University
7.2.1 Stage 1: Initial Consultation-Getting to Why and Wow
7.2.2 Stage 2: Public Relations Crisis-People with Lived Experience Lash Out
7.2.3 Stage 3: Multi-sectoral Consultations on the Need for Change and Inspiration
7.2.4 Stage 4: Identify the External Partnerships, Their Resources, and How to Operationalize Them
7.2.5 Stage 5: Identify Unmet Needs of Students and Adjust Existing Programming and Consider New Ones

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