Interventions that can be efficiently and effectively delivered to a larger number of people are needed to address the large, unmet need for mental health services. Stepped-care models have the potential to address this need and provide benefit to a significant number of patients while managing provider burden. The present study sought to clarify providers’ current use of, beliefs about, and training in stepped care practices, as well as barriers to its use. Providers generally agreed with the model and believed in the effectiveness of lower intensity methods. While the majority endorsed engaging in multiple stepped practices, few reported explicitly working within a stepped-care model. Participants who received formal training in a greater number of lower intensity methods endorsed more stepped practices. Barriers included patient-level, provider-level, and organizational-level variables. Overall, the results indicate that providers are not using stepped practices in a structured way that maximizes benefit while minimizing burden.
","abstract_html":"<p>Interventions that can be efficiently and effectively delivered to a larger number of people are needed to address the large, unmet need for mental health services. Stepped-care models have the potential to address this need and provide benefit to a significant number of patients while managing provider burden. The present study sought to clarify providers’ current use of, beliefs about, and training in stepped care practices, as well as barriers to its use. Providers generally agreed with the model and believed in the effectiveness of lower intensity methods. While the majority endorsed engaging in multiple stepped practices, few reported explicitly working within a stepped-care model. Participants who received formal training in a greater number of lower intensity methods endorsed more stepped practices. Barriers included patient-level, provider-level, and organizational-level variables. Overall, the results indicate that providers are not using stepped practices in a structured way that maximizes benefit while minimizing burden.</p>","abstract_has_math":false,"creators":["Lucy, Caroline"],"institution":null,"degree_name":"Master of Science (MS)","degree_level":"Open Access Thesis","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Eamonn Arble, Ph.D.","Alexandros Maragakis, Ph.D.","Thomas Waltz, Ph.D."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-01-01T08:00:00Z","date_published":"2023-01-01T08:00:00Z","updated_at":"2026-07-24T02:17:53Z","subjects":["lower-intensity methods","measurement-based care","stepped-care model","training","Clinical Psychology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://commons.emich.edu/theses/1274","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Eamonn Arble, Ph.D.","Alexandros Maragakis, Ph.D.","Thomas Waltz, Ph.D."]},{"key":"dc:creator","label":"Author","values":["Lucy, Caroline"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2025-01-31T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["lower-intensity methods","measurement-based care","stepped-care model","training","Clinical Psychology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://commons.emich.edu/theses/1274"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Interventions that can be efficiently and effectively delivered to a larger number of people are needed to address the large, unmet need for mental health services. Stepped-care models have the potential to address this need and provide benefit to a significant number of patients while managing provider burden. The present study sought to clarify providers’ current use of, beliefs about, and training in stepped care practices, as well as barriers to its use. Providers generally agreed with the model and believed in the effectiveness of lower intensity methods. While the majority endorsed engaging in multiple stepped practices, few reported explicitly working within a stepped-care model. Participants who received formal training in a greater number of lower intensity methods endorsed more stepped practices. Barriers included patient-level, provider-level, and organizational-level variables. Overall, the results indicate that providers are not using stepped practices in a structured way that maximizes benefit while minimizing burden.
"]},{"key":"dc:title","label":"Title","values":["Stepping in the right direction? Exploring mental health providers’ beliefs about, training in, and use of stepped-care practices"]}]}],"canonical_facts":{"dc:contributor":["Eamonn Arble, Ph.D.","Alexandros Maragakis, Ph.D.","Thomas Waltz, Ph.D."],"dc:creator":["Lucy, Caroline"],"dc:date.available":["2025-01-31T08:00:00Z"],"dc:description.abstract":["Interventions that can be efficiently and effectively delivered to a larger number of people are needed to address the large, unmet need for mental health services. Stepped-care models have the potential to address this need and provide benefit to a significant number of patients while managing provider burden. The present study sought to clarify providers’ current use of, beliefs about, and training in stepped care practices, as well as barriers to its use. Providers generally agreed with the model and believed in the effectiveness of lower intensity methods. While the majority endorsed engaging in multiple stepped practices, few reported explicitly working within a stepped-care model. Participants who received formal training in a greater number of lower intensity methods endorsed more stepped practices. Barriers included patient-level, provider-level, and organizational-level variables. Overall, the results indicate that providers are not using stepped practices in a structured way that maximizes benefit while minimizing burden.
"],"dc:identifier":["https://commons.emich.edu/theses/1274"],"dc:subject":["lower-intensity methods","measurement-based care","stepped-care model","training","Clinical Psychology"],"dc:title":["Stepping in the right direction? Exploring mental health providers’ beliefs about, training in, and use of stepped-care practices"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Master of Science (MS)"]},"updated_at":"2026-07-24T02:17:53Z"}