stepped care
A treatment delivery model providing the least intensive intervention first, with progression to more intensive levels based on client response and needs.
Full Definition
Stepped care is a systematic treatment approach that begins with the least intensive, most cost-effective intervention that is likely to be effective, with systematic movement to more intensive interventions for clients who do not respond adequately. In addiction treatment, this might begin with brief intervention or outpatient counseling, progressing through intensive outpatient, partial hospitalization, and residential treatment as needed. The model emphasizes efficient resource utilization while ensuring clients receive appropriate levels of care. Stepped care differs from traditional matched care by actively monitoring response and adjusting intensity rather than providing fixed treatment episodes.
Usage
Usage note: Hyphenate as 'stepped-care' when used as an adjective (stepped-care model) but not as a noun (stepped care).
In Context
- "The clinic implemented a stepped care approach, beginning with weekly outpatient sessions before considering more intensive options." — Program implementation plan
- "Stepped care models can improve treatment efficiency by avoiding over-treatment while ensuring adequate intensity for those who need it." — Healthcare policy document