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HomeWhat We DoAccess to Quality Mental Health CareStepped Care 2.0

Stepped Care 2.0

Stepped Care 2.0 – What is it?

Stepped Care 2.0© (SC2.0) is a transformative model for organizing and delivering evidence-informed mental health and substance use services. The approach it uses is

  • person centred
  • strengths based
  • recovery oriented.

What SC2.0 provides:

  • timely and flexible access
  • diverse options
  • formal and informal mental health and substance use supports

It is designed to provide the services that best meet people’s needs and preferences.

To learn more about the SC2.0 model, including its core components, nine-step framework, and how it differs from other models of care, read Stepped Care 2.0: What Makes it Different?

What service users say…

  • Before Stepped Care 2.0, “It was like waiting to get access to a backhoe when all you need is a shovel.” — Person with lived experience
  • ~80 per cent reported that e-mental health tools met at least some of their needs “I feel like a new person. The program has helped me moving forward. The only thing that I tried in the last seven years that actually worked for me. I still have a ways to go, but I will get there. I have hope and happiness back and something to look forward to.” — Service user

What providers say…

  • SC2.0 is evidence based and effective in helping their practices evolve.
  • SC2.0 has increased their comfort and familiarity with online care options.
  • “Key features are rapid access, compassionate and professional response, and the ability to take the time a patient needs. I have had around 25 consecutive positive patient experiences with Doorways, the walk-in service, so far, and I distribute the care frequently with a strong endorsement. The service is the most practical and timely face-to-face publicly funded mental health service I have seen. It’s been needed for many years, and it is now a key part of my mental health toolkit for my patients.” — General practice physician  

Our Work

SC2.0 was first implemented in Canada at Memorial University. After its successful scale-up in our Newfoundland and Labrador Demonstration Project, we are now guiding SC2.0 implementation in other provinces and territories, in partnership with founder Dr. Peter Cornish and the team at Stepped Care Solutions. Together, we provide support on implementation, stakeholder engagement, training and consultation, program management, evaluation, knowledge exchange, and communications. This partnership has led to shared benefits and tangible results, both for providers and the people accessing care.

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northwest territories map

A summary of Partnering Together for Person- and Family-Centric Care: The Northwest Territories Stepped Care 2.0 Final Report.

We all have different needs when it comes to mental wellness. If people have access to a diverse range of service options, they are more likely to get the right care at the right time for their own needs and preferences. This a foundation of the Stepped Care 2.0© (SC2.0) approach to service delivery.

This report describes the results to date and lessons learned of a two-year e-mental health initiative to adapt the Stepped Care 2.0 model to the Nova Scotia context, made possible through a partnership with Nova Scotia Health’s Mental Health and Addictions Program, the MHCC, Stepped Care Solutions and other partners.

People problem solving a problem

Visual snapshot of what SC2.0 is and its impact on service users, providers and provinces and territories who are implementing the model.

People solving a puzzle

Further details on the background and benefits of the model, including its values, guiding principles, and nine steps. 

A one-page snapshot describing how SC2.0 works in the SC2.0 Newfoundland and Labrador Demonstration Project and how it benefits service users and providers.

A report on the outcomes of an 18-month project in Newfoundland and Labrador to implement SC2.0 at 15 mental health and addition clinics and 2 primary care clinics across the province,  including its key contribution to the reduction of wait times by 68 per cent. It was made possible through our partnership with Memorial University of Newfoundland, the Government of Newfoundland and Labrador, its four regional health authorities, and CHANNAL.

News Releases

PEI icon

11 16 2022

Health PEI has entered into an agreement to support the implementation of the evidenced-based Stepped Care 2.0© (SC2.0) model with the Mental Health Commission of Canada (MHCC); …

10 15 2020

In an effort to improve access to mental health and addictions programs, Nova Scotia Health is collaborating with the MHCC to launch Stepped Care 2.0…

08 11 2020

The Government of the Northwest Territories is collaborating with the MHCC on a mental health project to reduce wait times and improve services by providing care to residents when and where they need it…