care

(redirected from stepped care)
Also found in: Dictionary, Thesaurus, Medical, Legal.

CARE

(Cooperative for Assistance and Relief Everywhere), nonprofit, nonsectarian federation of agencies devoted to channeling relief and self-help materials to needy people in foreign countries. Organized in the United States (1945) to help war-ravaged Europe, CARE soon expanded its program to include developing nations in Asia, Africa, and Latin America. Famous for its "CARE packages" of food and other necessities, CARE in now also involved in population, health care, land management, and small economic activity. It is now an international organization with 10 member countries and headquarters in Brussels.

care

  1. the work involved in supporting people who, because of physical frailty chronic illness or other forms of incapacity and disability, are incapable of leading an autonomous existence.
  2. other kinds of carework, e.g. in child-rearing (see CHILD CARE) and DOMESTIC LABOUR. This should be distinguished from care in sense 1.
Care in sense 1 operates over a wide range of social relations. A clear dividing line can be drawn between formal and informal care (see Abrams, 1978) as it exists in contemporary industrial societies. Formal care refers to services provided by agents of organization (statutory, voluntary and/or private) to people within clearly defined categories of need. Informal care is personally directed towards certain people who have a social relationship with their carer - usually a family member, and most often a spouse (Parker, 1993), or female relative.

Feminist sociologists (see also FEMINISM) have had a major impact on the understanding of care and caring relationships. They have argued that caring is ‘a gendered concept’ and that women constitute the majority of carers both informally, in the private sphere, and as low-paid care workers (‘care assistants’) in the formal sector (Finch and Groves, 1982; Ungerson, 1987; Lewis and Meredith, 1988). Studies of caring have examined the complex reasons why women care and the particular problems and difficulties they face. Social policies involving decarceration and COMMUNITY CARE, the decline of neighbour-hood and COMMUNITY associated with increasing SOCIAL (and geographical) MOBILITY, have placed an increasing burden on individual women carers. There is some evidence that women are reluctant to enter caring relationships with female relatives but lack viable alternatives (Cotterill, 1994). Recent research using data from the 1980 British General Household Survey has also pointed to the significant contribution made by male carers, particularly men who care for their wives (Arber and Gilbert, 1989).

care, custody, and control

Describes a standard exclusion in liability insurance policies. Under this exclusion, the liability insurance does not apply to damage to property in the care or custody of the insured, or to damage to property over which the insured is for any purpose exercising physical control.

CARE

agency devoted to channeling relief to needy people abroad. [Am. Hist.: NCE, 456]

care

in (or into) care Social welfare made the legal responsibility of a local authority by order of a court
References in periodicals archive ?
At the end of the study period, the researchers found that patients who received integrated stepped care fared better overall.
A stepped care model is justified by its low costs and breadth of impact.
An example of a stepped-care approach could be watchful waiting (problems identified and discussed), guided self-help (course based on CBT), PST (delivered by trained and supervised social workers and psychologists) and finally referral to a GP.2 Stepped care is low intensity and cost effective and can be fairly easily implemented in low vision rehabilitation care because of ease of accessibility.
In a stepped care approach to treatment, examining clinical significance can be particularly useful because it signals when clients have achieved clinically significant change in their status and no longer require treatment, or whether a step up in treatment is needed.
Stepped care involves assessing a person's needs to provide the right treatment at the right time, and 'stepping up' this treatment should it need to increase in intensity.
Implementation of a stepped care approach to pain care in the VA.
Cost-effectiveness of a stepped care intervention to prevent depression and anxiety in late life: randomised trial.
Redesign of Stepped Care Services South of Tyne - Move on/Relapse Prevention Services.
Cognitive behavioural therapy (CBT) is an evidence-based psychological intervention and the Department of Health (DH) in England is committed to increasing patient access to cognitive behavioural interventions using a stepped care model to organise services (National Institute for Health and Care Excellence (NICE), 2011).
But the rest were "low responders," whose initial improvement leveled off and even slightly regressed in the later sessions, indicating to the researchers that Internet CBT for anxiety and depression "may be better suited as an initial step within a stepped care model for treatment."
A second study examined two approaches to weight loss to determine which produced longer-term results, and found that a "stepped care" method (STEP) led to a more "clinically meaningful" weight loss than standard behavioral methods (SWBI)--and was less expensive over the long term.
The new guidance includes a new stepped care pathway to show how emergency departments, GPs and the criminal justice system can work better together to identify those people who show signs of mental ill health and provide them with information about relevant support services.