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Table 2 Stepped care algorithm for depression

From: Integrated mental health care and vocational rehabilitation to improve return to work rates for people on sick leave because of depression and anxiety (the Danish IBBIS trial): study protocol for a randomized controlled trial

Diagnosis and level

Initial treatment

Mild depression

• Psychoeducation

Moderate depression

Either

• Cognitive behavioral therapy (CBT)

or

• Pharmacological treatment and psychoeducation

Severe depression

Both

• Cognitive behavioral therapy (CBT)

and

• Pharmacological treatment

Severe depression with complication

Referral to secondary sector