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


E-therapy is an effective tool you can use at your own pace on your own time. Most of the programmes are free, but may require a health professional to prescribe them. Some even offer the option of having feedback from a health professional. The following online programmes offer education and tools you can apply to improve your well-being. To find out more, click on one of the links below:

  • Beating the Blues – most widely used online programme for treatment of depression
  • National Depression Initiative – John Kirwan’s site – The Journal (includes helpline: 0800 420 202)
  • The Lowdown – for young people dealing with depression (includes text 5626 for help)
  • Mood Gym – CBT skills for depression
  • Anxiety Online – E-therapy for anxiety
  • SPARX - a self-help computer programme for young people with symptoms of depression