A global team of mental health system innovators.
Guiding the transformation of mental health systems.
Unique in concept and effective in implementation, Stepped Care Solutions is a not-for-profit mental health system consultancy group. We are dedicated to collaborating with organizations, communities and institutions to support their transformation in providing flexible and high-quality mental health and substance use services.
Our global team of consultants uses their leading clinical and practical health care expertise to support the co-design of innovative care models. By removing barriers to care experienced by many help seekers, and by organizing a wide range of therapeutic resources along a continuum, our approach maximizes access to culturally relevant care options.
To lead a global transformation of mental health care systems where mental health is universally accepted as part of health and wellbeing, and everyone has open access to stigma free, culturally appropriate resources, tools and supports that elevate their quality of life.
An Action Statement on Diversity, Equity and Inclusion (DEI)
SC2.0 is a transformative system model for organizing and delivering evidence-based and informed mental health and wellness programming in alignment with recovery principles. At the heart of this model is a proactive commitment to diversity, equity and inclusion that intentionally addresses injustices within current systems of care. The foundational design of SC2.0 puts into action social justice principles throughout its operations.
In contrast to the dominant one-size-fits-all approach to mental health and wellness, SC2.0 regards multiple and diverse care options as essential for an effective and responsive care system. This approach makes it possible for care to be reflective of those served and inclusive of race; ethnicity; sexual, affectional, intersex, and gender-expansive communities; socioeconomic status; language; national origin; religion; commitment; age; ability; and political perspective.
SC2.0 recognizes that social justice should drive an effective care system and recognizes the unjust privileging of the dominant colonial approach. SC2.0 is based on the principle that all individuals and communities have strengths and expertise and with information about mental health and recovery, individuals are able to make informed choices, and determine what best fits their needs and circumstances.
SC2.0 is based on an effective care system in which all people have access to care when and where it is needed. From this perspective, transformation of systems and continuous improvement means recognizing that there is no ideal solution; that trial-and-error leads to growth and change, thereby fostering a vibrant climate of collaboration and inclusiveness.
Guided by Our Principles
We are a mission-driven organization, guided in every facet of our work by our principles. Rooted in concepts of social justice, autonomy, open access, co-design and recovery-oriented practices, our principles guide the work we do, the systems we co-create and the ways in which we interact with each other, our implementing partners and the world.
- Social justice drives effective care system transformation and is an intervention in itself.
- Multiple and diverse care options are required as one approach will not work for everyone.
- All individuals and communities have strength and capacity.
- People engage with what they are ready to do. A gold standard intervention is that which best fits the service user at any given time.
- Professionals do not carry all the wisdom. People often know what is best for them.
- Mental health literacy is required for people to make informed decisions.
- An effective care system ensures people have access to care when and where it is needed.
- The whole is greater than the sum of the parts: The strength of the system relies on multilevel collaboration.
- Minimal interventions can produce powerful results.
- There is no ideal solution. Trial-and-error leads to growth and change.
Diversity of experience.
Our values are your values.
At Stepped Care Solutions, diversity is more than an aspiration. It’s a core value that has made us — and the systems we develop — better. Our team of facilitators, and trainers bring decades of experience in clinical practice and deep subject-matter expertise across a wide range of complementary disciplines to every collaboration and project.
Dr. AnnMarie Churchill
Interim President and Executive Director
St. John’s, Newfoundland and Labrador
AnnMarie brings over 30 years of direct clinical practice in community, hospital, research and post-secondary mental health systems. At Stepped Care Solutions, AnnMarie provides expertise and consultation on the clinical implementation of SC2.0 and supported the SC2.0 Demonstration Project in Newfoundland and Labrador, SC2.0 implementations in the Northwest Territories, Nova Scotia and post-secondary institutions across North America.
In addition to her roles as Interim President and Executive Director of Stepped Care Solutions, AnnMarie is a research fellow at Memorial University of Newfoundland on the CIHR grant to implement and evaluate the digitization of Stepped Care and is leading Stepped Care Solutions in their role as representative partner on Wellness Together Canada, the Government of Canada funded mental health response to COVID. AnnMarie is also the co-author of Person-Centered Diagnosis and Treatment in Mental Health: A model for empowering clients. (Ladd & Churchill, 2012).
- Anxiety assessment and treatment
- Trauma assessment and treatment
- Cognitive Behavioral Therapy
- Resilience Development
- SC2.0 Implementation
Vice President of Operations
Tracy Boswell began at SCS in March 2022. Prior to joining the team, she worked over 20 years in Higher Education Administration with a specific focus on Healthcare Administration, Health Education and Diversity Equity and Inclusion. Ms. Boswell received both her Masters in Public Health and her Masters in Business Administration from The George Washington University. She brings years of experience with personnel management, process improvement and efficiency, budgeting and program development.
Ms. Boswell loves to travel and is aiming to hit every continent at least once. She recently learned the wildly popular game of pickle ball and is looking for contenders on the court- can it be you?
Dr. Alexia Jaouich
Vice President, Program Development and Implementation
A strategic and empathic system change leader and psychologist with over 18 years of experience, Alexia offers expertise in implementing large-scale, evidence-based, innovative mental health programs at the organizational and systems level. Alexia served as the strategic lead on the development of SC2.0’s core components and implementation guide and continues to lead the effort to build implementation best practices into the SC2.0 model.
With a passion for and an expertise in Implementation Science, Alexia has provided training, coaching and consultation to individuals and organizations at the provincial, national and international level in the field’s best practices to achieve best possible outcomes for those we serve.
- Implementation Science
- System change
Vice President, Finance
An analytical and strategic thinker, Malini brings almost 30 years of accounting, finance and business experience to Stepped Care Solutions.
She received her Bachelor of Arts in Management from the University of Toronto in 1993. An entrepreneur at heart, Malini co-founded and managed a jewelry-packaging wholesale and distribution business in Canada right out of university. She ran this business for over 15 years growing it rapidly to over 400 customers in Canada, the US, West Indies and the UK. Ultimately expansion included the development of a manufacturing line of the main product in Canada. Malini divested her interest in the business in 2009 to pursue finance and operational management roles in larger organizations. Over the next 10 years, she successfully earned her accounting designations, CPA, CMA as well as an EMBA in Global Leadership. Her career progressed in various not-for-profit organizations and other private corporations as she accepted new and more challenging roles such as Director, CFO and COO. Malini has worked in a diverse set of industries including technology, charitable organizations, consumer packaged goods and the health sector.
Malini is a strong believer in the power of positive thinking and the impact of a glass-half full mindset on both her personal and professional life. An avid gardener, she tends to over 30 perennials and dozens of annuals every year. Her love for travel has taken her to over 15 countries thus far and she hopes to continue adding to the list every year.
Dr. Gillian Berry
Vice President of Culture and Diversity
Washington, District of Columbia
Gillian is a published author and a licensed clinical social worker in the District of Columbia and the State of Maryland, with over 35 years of experience as an educator and practitioner. She has overseen the counselling and psychological services at The George Washington University, leading a multi-disciplinary team of mental health professionals through the implementation of the SC2.0 approach into their service delivery.
As director of Clinical Social Work Services, Dr. Berry currently provides professional consultation, supervision, training and direct services for a variety of human services agencies such as child welfare and mental health agencies within the Washington D.C metropolitan area.
Her clinical interests have focused on providing short-term solution-focused services/therapy from an indigenous perspective. Dr. Berry adheres to the Open Access of care principles and offers one-at-a-time/walk-in single session counselling that is provided by SC2.0 services.
Vice President of Strategic Relations
When you ask Fraser Ratchford how we can achieve an equitable mental health system, he’ll tell you it comes down to one thing: reducing any and all barriers.
Currently residing in Toronto, Canada, Fraser has spent over 30 years in various settings of the health sector developing unique strategies through his out of the box approach to problem solving. On secondment from Canada Health Infoway, he has joined Stepped Care Solutions as Vice-President of Strategic Relations. Fraser brings a wealth of knowledge, fresh yet practical perspectives, and experience energetically leading teams towards a common goal to engage key stakeholders on mental health care system transformation.
A collaborator at heart and in practice, Fraser provides strategic guidance by putting individuals with lived experiences at the forefront, emphasizing the importance of listening to the ideas and stories of others to inform decisions. Grounded with a background in information technology and business and a breadth of experience in the digital health space, Fraser brings tremendous value in his people-first approach which will help position Stepped Care Solutions as global leaders and system innovators.
In addition to being a strategic visionary, Fraser is a world traveler and a foodie. A lover of the water, Fraser swims on a masters team and has previously competed in the FINA World Masters Championships.
Fraser holds a MHSc, Health Administration from the University of Toronto and a BMath Hons Co-op, Computer Science, Information Systems Option from the University of Waterloo.
Connect: [email protected]
Subject Matter Experts
Dr. Peter Cornish
Founder, Faculty and Senior Advisor
Since developing the Stepped Care 2.0© (SC2.0) methodology, Peter has provided mental health system consultation and on-site implementation training to over 150 organizations across North and South America. In addition to his role at Stepped Care Solutions, Peter is an honorary Research Professor at Memorial University, Co-Director of Student Mental Health (Strategic) at the University of California, Berkeley, where he established the Berkeley Center for Mental Health Innovation. He is collaborating with colleagues on a three-book series expanding on the SC2.0 methodology and is the author of Stepped Care 2.0: A Paradigm Shift in Mental Health.
He is a principal investigator for a $1.14M CIHR transitions-in-care, four-year research grant aimed at digitizing and evaluating SC2.0 across three Canadian provinces.
- Online mental health program development
- Stepped Care care co-design
- Mental health system innovation
- Interprofessional leadership and team development
- Inspiring system level diplomatic disruption
Dr. Terri-Lynn MacKay
SC2.0 Implementation Specialist
Terri-Lynn brings specific expertise in providing strategic direction, clinical oversight, leadership, and system transformation in the area of mental health and wellbeing. As the former Associate Director of Counselling Services at the University of British Columbia, she oversaw a team of Psychologists, Social Workers and Registered Clinical Counsellors in implementing Stepped Care service delivery.
She has been a faculty member in accredited programs at the University of Nevada, Las Vegas, the University of Manitoba and the University of British Columbia and has served as a consultant for government and private industry for over a decade, with a focus on providing social justice approaches to transformational system change. Her research has been published in journals such as Canadian Psychology, Neuropsychological, Computers in Human Behavior and International Gambling Studies.
- Mental health and wellbeing system transition
- Research of the Year Award from the National Council on Problem Gambling for her collaborative work with the field of economics.
Dr. Monte Bobele
Faculty and Subject Matter Expert, Single Session OAAT Counseling
A licensed psychologist and an AAMFT Clinical Fellow and Approved Supervisor, Monte consults with university counseling centers about implementing WI/SST services in a SC2.0 context for their student populations.
In 2011, he was awarded a Fulbright Specialist Grant to help develop a walk-in service in a university clinic in Mexico City; and has since consulted on the opening of two other walk-in clinics in Mexico. He has taught graduate courses in single-session therapy in the U.S., Canada, Mexico, and Australia, and has been deeply involved in developing programs designed to train culturally and linguistically competent psychologists to work with Spanish-speaking populations and has co-led several immersion programs in Mexico. Monte has also co-edited and published three books on therapy.
- Texas Psychological Association’s 2012 Outstanding Contribution to Education Award
- OLLU’s 2013 Fleming Award for Teaching Excellence
Dr. Heather Hair
Faculty and Subject Matter Expert, Single Session OAAT Counseling
St. John’s, Newfoundland and Labrador
For over 25 years, Heather has been providing skills training workshops, practice focused supervision and program consultation to providers of mental health, social, community and university services. Since joining the Stepped Care Solutions faculty, she has served as a teacher/trainer of Open Access of Care principles and skills in a one-at-a-time/walk-in single session counselling setting.
Heather is a Registered Marriage and Family Therapist with the Canadian Association for Marriage and Family Therapy, a Registered Social Worker and Interim Dean with the School of Social Work at Memorial University of Newfoundland.
- Effective, focused conversations with children, youth, adults and families
- Supervision and staff training
- Intersection of practice and social justice
- Social construction of knowledge and meaning
- Qualities of helping conversations that encourage hope, change and growth
Dr. Arnie Slive
Subject Matter Expert, Single Session OAAT Counseling
San Antonio, Texas
A licensed psychologist and AAMFT clinical fellow and approved supervisor, Arnie’s career interest is in developing strategies to make mental health increasingly accessible. While in Calgary, he was a founder of the Eastside Family Centre, a walk-in single-session counseling center, and was Clinical Director of Wood’s Homes. He is a past president of the Alberta Association of Marriage and Family Therapy and was a Fulbright Specialist teaching walk-in/single session services in Canada.
Arnie is also the co-editor of two books; When One Hour Is All You Have: Effective Counseling for Walk-in Clients and One At A Time: Single-Session Therapy By Walk-In Or Appointment.
- Family therapy
- Residential treatment
- Single session/walk-in therapy
- Divisional Contribution Award from the American Association for Marriage and Family Therapy (AAMFT)
- Innovative Services to Families Award from the Alberta Division of AAMFT
Faculty and Subject Matter Expert, Co-design
Marion is a clinical social worker and mental health and addictions leader who has worked in the community sector in various positions for nearly 30 years. In addition to her role with Stepped Care Solutions, Marion is the Chief Executive Officer of the Canadian Mental Health Association (CMHA) for Manitoba and Winnipeg. Just prior to joining Stepped Care Solutions, Marion served as the Executive Lead for Strategic Partnerships with the CMHA National Office, supporting partnerships with Indigenous organizations and communities. She is also the past president of the Canadian Association for Suicide Prevention (CASP) and was instrumental in establishing the mental health promotion and prevention team at the Winnipeg Regional Health Authority.
Marion currently serves on the Mental Health Promotion Expert Working Group for the International Union for Health Promotion (IUHP) and the Public Health Council Leaders with the International Institute for Mental Health Leadership (IIMHL).
- Social justice
- System transformation
Peer Support Development Lead
St. John’s, Newfoundland and Labrador
Currently, a Doctor of Education, specializing in mental health programming leadership in higher education, Janis has expertise in the provision of counselling services within the SC2.0 model, and has led the development and implementation of wellness and peer support programming in post-secondary and community settings.
In her role as Peer Support Lead, Janis has facilitated client and community focus groups for the SC2.0 E-Mental Health Demonstration project and worked as a Research Assistant for the Canadian Institute of Health Research grant to implement and evaluate Stepped Care. Recently, she was a project team member for the Digital Mental Health Tools: Resources to Support Mental Health Clinical Practice with the Centre for Addiction and Mental Health. She currently serves on the Recovery Guidelines Implementation Toolkit Steering Committee for the Mental Health Commission of Canada.
Janis is also the Newfoundland and Labrador Director for the Canadian Counselling and Psychotherapy Association (CCPA) National Board and an active member on the CCPA Advancement of Clinical Supervision committee.
In addition to our subject matter experts, we have a breadth of talent supporting the work of our organization on large projects, such as the Wellness Together Canada portal and other marquee projects. Stepped Care Solutions is a growing company employing more than 30 full and part-time staff.
Our team is ready to help you implement an innovative mental health system that will deliver accessible and effective mental health care to your community.