Stepped Care

Stepped Care ApproachStepped Care Approach

Stepped Care Approach

A stepped approach for the treatment of depression within primary care
Step One Early IdentificationStep One Early Identification

Step One Early Identification

Action: Screening and Assessment
Step Two Mild DistressStep Two Mild Distress

Step Two Mild Distress

Action: Active Monitoring
Step Three Moderate To Severe DistressStep Three Moderate To Severe Distress

Step Three Moderate To Severe Distress

Action: More Intensive Intervention and Close Monitoring
Step Four Recurrent, Atypical & High RiskStep Four Recurrent, Atypical & High Risk

Step Four Recurrent, Atypical & High Risk

Action: Risk Management, Complex Psychological Intervention



Celia James
Address: PO Box 12556, Thorndon, Wellington
Specialises in eating disorders, general mental health, attachment and relationship issues

Amy Munsterman
Contact: 027 479 4993,
Address: Room 117, 32 Salamanca Rd, Kelburn, Wellington
Amy is a registered psychotherapist & counsellor who works from a strength-based framework with individuals 16 + who may be struggling with depression, anxiety, substance abuse, grief, interpersonal difficulties or identity issues, just to name a few. Her primary therapeutic modality is Acceptance & Commitment Therapy, and she draws on cognitive-behavioural, motivational and problem-solving strategies, as well as a psychodynamic model to promote lasting change. She is happy to work with a range of cultures and considers herself an ally in the LGBT community.

Victoria Smith, Psychotherapist
Contact: 04 472 5503,
Address: Level 3, 1 Thorndon Quay, Thorndon, Wellington
Specialises in child and family work, childhood anxiety disorders, child sleep disorders, family dissolution, reconstituted families, couple work.