At present, one of the key variables determining who gets low intensity and high intensity psychological therapy is initial severity of depression. However, the thresholds used in decision making vary and are largely based on epidemiological studies and accumulated clinical experience rather than https://www.canadagoosemontreal.nu high quality evidence of the empirical relationship between initial severity and outcome in low intensity interventions. This is critical, as the proportion of patients with depression receiving low intensity interventions as a first intervention varies in practice, but is a key driver of the effectiveness of stepped care and patient experience in depression services.7
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