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Stepped Care and e-Health
Practical Applications to Behavioral Disorders
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Main description:

Stepped care provides the least intrusive intervention to individuals seeking treatment by providing a range of treatment intensities. In the past two decades, computers and the internet have provided a new and efficient medium that lends well to adding steps in a stepped-care model. While there is ample evidence to support the positive effects of bibliotherapy or self-help books, computer-aided therapy (also known as e-health) has the potential to take these effects even further.

This volume will be of interest to practitioners and organizations attempting to serve rural and underserved communities. The book focuses on evidence-based treatment, making it consistent with quality improvement initiatives.


While there are many books on internet healthcare, there are no books on the stepped-care concept

Advances a practice model where consumers of the mental health field can attain the information and services they need without the difficulties associated with traditional means of access

Of special interest to practioners attempting to serve rural and underserved communities

Back cover:

Stepped Care and E-Health
Practical Applications to Behavioral Disorders

William T. O’Donohue and Crissa Draper, editors

The facts are simple enough: the need for therapy outstrips the supply of quality therapists. Not everyone who needs help has the time or money for treatment, or has access to a qualified practitioner. And in many cases, traditional therapy may not be appropriate or necessary.

Enter stepped care, which offers a range of interventions so clients can choose the most applicable, efficient and least intrusive methods, from educational information to self-help materials, from adjunctive treatment with minimal clinician involvement to traditional in-office therapy. Stepped Care and E-Health sets out a workable client-centered model that capitalizes on the availability and immediacy of innovative internet resources (e.g., web sites and e-books) so that individuals can receive quality care, in the most time- and cost-efficient manner, to match their stage of need and to give them choice. Chapters follow an easy-access format, with a brief discussion of each problem and details of an evidence-informed stepped care approach: description of each step, triage and assessment methods, online resources, and references. A wide range of clinical conditions is featured, including:

• Mood disorders.
• Substance abuse.
• Phobias.
• Obesity and eating disorders.
• Pediatric behavior problems.
• Sexual disorders and dysfunctions.
• Dementia.

As computers continue at the forefront of quality improvement in mental health service delivery, health psychologists, clinical psychologists, clinical social workers, and mental health organizations, especially those working with rural, minority, and other underserved communities, will find a practical source of expertise in Stepped Care and E-Health.


Chapter 1. Introduction
Chapter 2. Depression
Chapter 3. Anxiety
Chapter 4. Panic Disorder
Chapter 5. Post Traumatic Stress Disorder
Chapter 6. Social Phobia
Chapter 7. Substance Abuse
Chapter 8. Pediatric Obesity
Chapter 9. Chronic Disease Management
Chapter 10. Oppositional Defiant Disorder
Chapter 11. Autism
Chapter 12. Complicated Grief
Chapter 13. Sexual Disorders
Chapter 14. Managed Care


ISBN-13: 9781441965097
Publisher: Springer (Springer New York)
Publication date: October, 2010
Pages: 342
Weight: 1440g
Availability: POD
Subcategories: Public Health


William T. O’Donohue, Ph.D. is Professor in the Department of Psychology and Adjunct Professor in the Department of Psychiatry at the University of Nevada, Reno. From 1999 through 2005 he was Nicholas Cummings Professor of Organized Behavioral Healthcare Delivery at the same institution. In addition, he is Director of the Victims of Crimes Treatment Center and the Sexual Assault Prevention and Counseling Services at University of Nevada, Reno. He is a member of the Association for the Advancement of Behavior Therapy and since 1999 has served on the Advisory Board of the Cambridge Center for Behavioral Studies. His areas of specialization are mental health service delivery, forensic psychology, human sexuality (treatment of victims and offenders), management and administration, behavior therapy, and philosophy of psychology.

Crissa Draper is a graduate-student in the doctoral program in clinical psychology at the University of Nevada, Reno. She is a therapist and project coordinator for the Sexual Assault Prevention and Counseling Unit at the University of Nevada, and teaches a course "Introduction to Social Psychology." She is a member of American Psychological Association, Association for Behavior and Cognitive Therapy, Association for Behavior Analysis, International Society for Mental Health Online, and American Psychology-Law Association, and has coauthored numerous book chapters about web-based behavioral services and sexual disorders.

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