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Table 1 Stepping criteria

From: Developing stepped care treatment for depression (STEPS): study protocol for a pilot randomised controlled trial

Pre-treatment score Score at end of GSH Criteria Action Decision
Any 0-9 Patient is unambiguously below diagnostic cut-off Inform participant that treatment is ended as a consequence of them no longer meeting diagnostic criteria Discharge
19-27 10-12 Patient is within suggested diagnostic cut-off range and has made around 50% improvement Discuss with participant and suggest discharge due to good rate of progress Step up or discharge depending on participant’s wishes
<19 10-12 Patient is within suggested diagnostic cut-off range and has made less than 50% improvement Discuss with participant and suggest stepping up to increase progress further Step up or discharge depending on participant’s wishes
Any 13-27 Patient is unambiguously above diagnostic cut-off Offer CBT to participant Step up
  1. Criteria to determine if stepped care patients are discharged from treatment following guided self-help (GSH) or ‘step up’ to cognitive behaviour therapy (CBT).