stepped care
Treatment approach beginning with least intensive intervention and progressing to higher levels as needed.
Full Definition
A systematic treatment delivery model that begins with the least intensive, most cost-effective intervention likely to be effective for an individual's level of need. If the initial intervention proves insufficient, treatment is systematically intensified or 'stepped up' to higher levels of care. In addiction treatment, this might progress from self-help resources to outpatient counseling, intensive outpatient treatment, and residential care. Stepped care aims to match treatment intensity to individual need while conserving resources and avoiding over-treatment.
Usage
Usage note: Hyphenate when used as an adjective. Distinguish from 'step-down care' which refers to transitioning to less intensive treatment.
In Context
- "The stepped care model allows patients to access higher levels of treatment if initial interventions are insufficient." — Treatment system description
- "Stepped care approaches have demonstrated cost-effectiveness in addiction treatment delivery." — Healthcare economics study