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Table 1 Criteria for systematic treatment indication and description of responsible care providers for each step

From: Effectiveness and cost-effectiveness of a guideline-based stepped care model for patients with depression: study protocol of a cluster-randomized controlled trial in routine care

Severity of the depressive disorder

Step in the SCM

Intervention

Responsible care provider

Mild depressive disorder, duration: up to two weeks

1

Watchful waiting (active monitoring) for 2 weeks

GP

Mild depressive disorder, duration: over two weeks

2.a or 2.b

Bibliotherapy or Internet-based self-help program

GP

Mild to moderate depressive disorder, duration: over two weeks

2 plus

Telephone-based psychotherapy

Psychotherapist

Moderate depressive disorder

3.a or 3.b

Psychotherapy or pharmacotherapy

Psychotherapist or psychiatrist/GP

Severe depressive disorder without/ with suicidality

4

Combination therapy: psycho- and pharmacotherapy (inpatient or outpatient setting)

Psychotherapist and psychiatrist; clinic