Stepped care model

As an Improving Access to Psychological Therapy (IAPT) service, we offer a range of options within a stepped care model.

A stepped care model means:

  • Whenever possible we offer low intensity courses of treatment in the first instance
  • This is because they are the easiest to access, most widely available, and least resource-intensive
  • Low intensity options include workshops, groups, and guided self-help using workbooks or online packages
  • Guided self-help includes one-to-one support, often in the form of weekly or fortnightly telephone contact
  • High intensity therapies usually involve weekly one-to-one sessions with a therapist who specialises in a particular form of therapy, e.g. cognitive behavioural therapy (CBT) or interpersonal psychotherapy (IPT)
  • You and your therapist will review your progress together, and may decide to step up your treatment (low to high intensity), or step it down (high to low intensity), or across (to another option at the same step), before you are ready to complete your treatment and be discharged.

Choosing the right therapy for you

This is something you will discuss with a therapist at your initial appointments, so you might like to read about the therapies we offer by clicking the links in our types of treatment section.