ArticleEarly intervention in psychiatry2022
Scoping review of stepped care interventions for mental health and substance use service delivery to youth and young adults.
Article in Early intervention in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed.
- Using FRAME to characterize provider-identified adaptations to a stepped care intervention for adolescents and youth living with HIV in Kenya: a mixed methods approach.Journal of the International AIDS Society · 2024Trial
- Treating Adjustment Disorders in Children and Adolescents: At the Intersection of Prevention and Psychopathology.Clinical child and family psychology review · 2026Review
- A Stepped Care, Peer-Delivered Intervention to Improve Substance Use and HIV Medication Adherence in Primary Care in South Africa (ProjectJMIR research protocols · 2026Article
- Rehabilitation orientation in psychiatric outpatient consultations for severe mental illness: A qualitative study from southern India.Indian journal of psychiatry · 2026Article
- Cost-Effectiveness of Stepped Care Versus Stratified Care for Pediatric Anxiety Disorders: A Pilot Evaluation in Routine Care.Child psychiatry and human development · 2026Article
- Comprehensive Model for Mental health Access and service use (CoMMA): A process model for technology-enhanced mental healthcare.Internet interventions · 2026Review
- Application of the RE-AIM framework to evaluate a stepped care intervention for adolescents and youth living with HIV in Kenya: a mixed methods approach.Implementation science communications · 2026Article
- Feasibility of a Stepped-Care Intervention for Those at Clinical High Risk for Psychosis in the United States.Early intervention in psychiatry · 2026Article
- Human dignity education and artmaking: addressing student and teacher wellness together.Frontiers in health services · 2026Article
- Psychiatry without thresholds: Ethical and clinical lessons from low-triage systems.Global mental health (Cambridge, England) · 2026Review
- Identification of Patterns of Hospitalizations in Child and Adolescent Mental Health Service.The journal of behavioral health services & research · 2025Article
- The Complexity of the Emergency Department as Seen by People With Psychosocial Disability and an NDIS Plan and the Clinicians Caring for Them.Emergency medicine Australasia : EMA · 2025Article
- Caring for carers of people with advanced cancer at hospital discharge (CARENET): A single-arm open label feasibility trial.Palliative & supportive care · 2025Article
- A stepped care approach to mental health in Singapore: challenges and opportunities.BMC global and public health · 2025Review
- Stepped Care Versus Stratified Care for Youth with Anxiety Disorders: a Pilot Randomized Controlled Trial.Child psychiatry and human development · 2025Article
- Proposed Standards for Implementing Stepped Care Models in Child and Youth Mental Health Service Systems: Results of a Pan-Canadian Delphi Study.Early intervention in psychiatry · 2025Article
- Article
- Article
- Delays in treatment initiation for posttraumatic stress disorder in the Canadian Armed Forces: A scoping review.Journal of military, veteran and family health · 2024Review
- Brazilian Scale for Evaluation of Mental Health Care Needs: Additional Evidence.Revista de saude publica · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsMany young people with mental health and/or substance use concerns do not have access to timely, appropriate, and effective services. Within this context, stepped care models (SCMs) have emerged as a guiding framework for care delivery, inspiring service innovations across the globe. However, substantial gaps remain in the evidence for SCMs as a strategy to address the current systemic challenges in delivering services for young people. This scoping review aims to identify where these gaps in evidence exist, and the next steps for addressing them.
methodsA scoping review was conducted involving both peer-reviewed and grey literature. Eligible studies explored SCMs implemented in the various health care settings accessed by young people aged 12-24 seeking treatment for mental health and substance use challenges. After screening titles and abstracts, two reviewers examined full-text articles and extracted data to create a descriptive summary of the models.
resultsOf the 656 studies that were retrieved, 51 studies were included and grouped by study team for a final yield of 43 studies. Almost half of the studies were focused on the adult population (i.e., 18 and over), and most did not specify interventions for young people. Among the SCMs, substantial variability was found in almost every aspect of the models.
conclusionsConsidering the current body of evidence, there is an urgent need for a consensus position on the definition, implementation, and outcome measures required for rigorously assessing the utility of SCMs for young people.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.