Self‐help Treatments and Stepped Care

Abstract

Self-help (SH) has the potential to empower patients and may be offered ahead of, or instead of, referring onto traditional therapist-directed treatments (TDT) in a so-called stepped-care model of delivery (SC). This chapter presents an overview of what is known about the efficacy of SH and SC for intervening with anxiety disorders. It reports some factors found to influence effectiveness, and describes patients' and professionals' views. One study that canvassed professionals' perceptions of the implementation of the SC model was conducted alongside a trial. While professionals reported that it gave them more options to offer and the self-confidence to do so, some expressed mistrust of the SH materials and reported that the infrastructure they felt was necessary for running the SC model. Further development of SH should follow guidelines for developing complex interventions and examining issues associated with acceptability and usability alongside experimental designs to examine outcome.

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