Is stepped care an effective model for the delivery of treatment for depression and anxiety?

The aim of this review was to examine the efficacy of stepped care for the treatment of adults with depression or anxiety disorders. In consultation with the Department of Veteran’s Affairs (DVA) a number of focal conditions were identified and the evidence to support the use of stepped care in the treatment of these was reviewed. This was an iterative process between ACPMH and DVA to capture the conditions of most relevance to DVA. The conditions initially identified were depressive disorders and anxiety disorders (i.e. GAD and posttraumatic stress disorder (PTSD)); however, an initial search of the literature suggested that other anxiety disorders such as OCD might also be considered, as well as anxiety disorders and symptoms thereof taken together.