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 access to flexible, high-quality programming.

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, this approach maximizes access to culturally relevant care options.

Our Vision 

To lead a global transformation of mental health care systems.

Our Mission 

We inspire and guide a new way of building mental health care systems, one that prioritizes open access and flexible care.

Our Values 

Through co-design, our values are your values.


Diversity in people, programming and processes are key to a synergistic, sustainable care system. It takes a village to maximize wellness. Synergy through co-design is essential for ensuring care is accessible to all people, regardless of background, financial means and life circumstances.

Open Collaboration

To work collaboratively with other thought leaders and our clients to co-design, create and refine the approach that works best for their system.

Adapting and Learning

To be lifelong learners and respectful partners, eager to adapt our existing models to incorporate new knowledge and insights.

Compassion and Empathy

To create mental health care systems that honor the dignity and worth of the people they are designed to serve.

Diplomatic Disruption

A willingness to disrupt traditional systems — including our own — in our relentless pursuit to provide better solutions to the challenges facing mental health care systems. Through co-design and partnerships, this disruption is collaborative.


As a not-for-profit social enterprise, we value advances in mental health systems that make a measurable impact on whole populations.

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 consultants, facilitators, strategic counsel 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 innovation.

Executive Team

Dr. Peter Cornish

Founder and President

Berkeley, California

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 position as President of Stepped Care Solutions, Peter is an honorary Research Professor at Memorial University, Director of Counseling and Psychological Services at the University of California, Berkeley, and is currently collaborating with colleagues on a three-book series expanding on the SC2.0 methodology.

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
  • Stepped Care treatments
  • Mental health service innovations
  • Interprofessional team functioning

Dr. AnnMarie Churchill

Executive Director

St. John’s, Newfoundland and Labrador

AnnMarie brings over 25 years of direct clinical practice in community, hospital, research and post-secondary mental health systems. At Stepped Care Solutions, AnnMarie has worked as the lead clinical trainer and consultant on the SC2.0 Demonstration Project in Newfoundland and Labrador, as well as SC2.0 implementations in the Northwest Territories, Nova Scotia and post-secondary institutions across North America.

In addition to her role as Executive Director of Stepped Care Solutions, AnnMarie is a clinical consultant on the Canadian Institute of Health Research grant to implement and evaluate the digitization of Stepped Care, a research fellow in SC2.0 at Memorial University of Newfoundland and is leading Stepped Care Solutions in their role as representative partner on the Government of Canada’s mental health response to COVID through the Wellness Together Canada portal. AnnMarie is also the co-author of three books.


  • Anxiety treatment
  • Trauma assessment and treatment
  • SC2.0 Implementation Guide (Co-author)

Dr. Alexia Jaouich

Vice President, Program Development and Implementation

Toronto, Ontario

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

Ajay Pande

Vice President, Business Development

St. John’s, Newfoundland and Labrador

Ajay joined Stepped Care Solutions in an official capacity in late 2020, after spending several years providing invaluable insights and advice on commercialization and technology adoption to the team. Prior to joining Stepped Care Solutions, he spent 20 years within the telecommunications sector and was previously the Global Head of Business Development for the Digital Experience software business within Nokia. He led a diverse global team dedicated to empowering Nokia’s customers with the latest in software applications and innovations to offer a better digital experience along every step of the customer journey.

Ajay has also been a board member for several industry associations and is a former Board Chair for TechNL (formerly Newfoundland Association of Technology & Innovation), representing a $1.6 billion-dollar tech sector within Atlantic Canada.


  • Strategic visioning and planning
  • Market development

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.

Fraser Ratchford

Vice President of Strategic Relations

Toronto, Ontario

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 computer science 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: fraser.ratchford@steppedcaresolutions.com 



Dr. Terri-Lynn MacKay

SC2.0 Implementation Specialist

Winnipeg, Manitoba

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

Austin, Texas

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
  • Adolescence
  • 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

Marion Cooper

Faculty and Subject Matter Expert, Co-design

Winnipeg, Manitoba

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).


  • Recovery
  • Social justice
  • System transformation
  • Co-design
  • Innovation

Janis Campbell

Peer Support Development Lead

St. John’s, Newfoundland and Labrador

Currently a Doctor of Education candidate, 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 consultants, 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.

Universal principles.
Unique systems of care.


We know that there is no ‘one-size-fits-all’ when it comes to mental health care systems. Which is why every system we help design and implement is the outcome of a fully collaborative process between your institutional stakeholders and our team of handpicked experts. From initial discussions, through to implementation and system refinement, we draw upon your institutional knowledge and insights to reshape your existing mental health care programs to align with the principles of SC2.0.

Innovative care.
Innovatively implemented.


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.