Psychological stepped care for anxious adolescents in community mental health services: a pilot effectiveness trial

Viviana M. Wuthrich*, Ronald M. Rapee, Lauren McLellan, Ann Wignall, Tess Jagiello, Melissa Norberg, Jessica Belcher

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Stepped-care (SC) interventions for treating adolescent anxiety have been shown to reduce therapy time and societal costs with similar therapeutic outcomes to best practice when applied in university clinics. This pilot study examined clinical- and cost-effectiveness of SC in two community mental health services. Fifty-three anxious adolescents (aged 12-18 years) were randomly allocated to SC or treatment as usual (TAU). Adolescent- and clinician-rated symptom severity and quality of life collected over time indicated SC used significantly less therapy time, with similar benefits in clinical effectiveness, waiting time and quality adjusted life years. Significant barriers limited engagement with early therapy steps.

Original languageEnglish
Article number114066
Pages (from-to)1-4
Number of pages4
JournalPsychiatry Research
Volume303
DOIs
Publication statusPublished - Sep 2021

Keywords

  • anxiety
  • stepped care
  • youth

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