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Stepped care

At Thinkaction, we offer mental health services based on a stepped care treatment programme according to the severity of the condition.

Step 1: Recognition of difficulties, referral and assessment

When people recognise that they are having difficulties wth their mental health they can refer themselves to one of our Thinkaction services. GPs can also make referrals and some people will prefer to speak with their GP in the first instance. If we think we can help, we will then offer an assessment appointment to build up a good picture of someone’s difficulties and understand what they are hoping to get from therapy.

All therapy options will be discussed so that people can decide on the best possible treatment pathway to suit their needs. The treatments we offer are highly effective and delivered by our team of trained professional staff. Because everyone is different, we offer our services in a variety of ways, face-to-face, over the phone and online, whatever works best for the individual.

Step 2: Low intensity mental health advice work

Step 2 treatments are for people with mild to moderate mental health difficulties such as depression, panic disorder, social phobia and obsessive compulsive disorder (OCD).

Treatments include:

  • Guided self-help
  • Behavioural activation
  • Cognitive restructuring
  • Medication support
  • Exposure therapy
  • Problem solving
  • Managing panic
  • Sleep hygiene
  • Exercise
  • Courses and groups
  • Telephone sessions
  • Face-to-face sessions
  • Signposting

Step 3: High intensity interventions

Step 3 treatments are for people with mild to moderate and severe mental health difficulties such as anxiety and depression, panic disorder, post traumatic stress disorder (PTSD) and OCD.

Treatments include:

Step 4: Interventions for severe mental health problems

Step 4 treatments are for people with the most severe mental health difficulties and are not provided by Thinkaction services. We support people to access more intensive help at Step 4 when Step 2 or Step 3 therapy has not been effective or where people are showing signs of psychosis or other mental illness or where people may be feeling suicidal or at high risk of harming themselves. In these cases, we provide a referral to the Community Mental Health Team or Crisis Response Team.