Principles in action: youth-centric services in the context of SC2.0

Stepped Care Solutions

Youth deserve support for their mental health when and how they are most comfortable to receive it. Stepped Care 2.0 (SC2.0) is a principle based, transformative framework for organizing mental health and addiction services into a flexible system of care with open access to a range of resources and services. The model reduces barriers and stigma and focuses on the strengths of youth, their support systems, families, and communities. SC2.0 provides a variety of care options as one approach wont work for everyone. By prioritizing choice and readiness and providing information about the options available to them, young people can try resources and services that appeal to them and discover what is most helpful for their immediate questions and concerns. This presentation will include an overview of SC2.0 and experiences with implementation in a youth-oriented context.


Maggie Inrig
Maggie is a social worker with experience in clinical, leadership and system change in the field of child, youth and adult mental health. She brings expertise in implementation science, and in working collaboratively with staff, organizations and systems to undergo complex change to better serve people. Maggie joined Stepped Care Solutions in July 2021, and supports various aspects of implementation, as well as supporting the daily operations of Wellness Together Canada. Maggie is also a Sessional Instructor with the School of Social Work at McMaster University. 

Alexia Jaouich
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.

Paula Galenzoski
Paula Galenzoski is the Program Manager for Youth Hubs Alberta, stewarded by CMHA Alberta Division. She and her team provide implementation coaching and support for 11 integrated youth service hubs across the province. Facilitating social innovation, systems transformation, and community building are the big dreams of the Implementation Support Team. In keeping with her passion for community collaboration, community building, and education, she is serving her third term as Trustee with Fort McMurray Catholic School Division. Previously Paula worked with the Government of Alberta in disaster recovery, a role that came to be following her family's evacuation in the 2016 Horse River Wildfire. Through these experiences, she realized her keen interest in social networks and community collaboration. She holds a Bachelor's Degree in Criminology and Psychology from Simon Fraser University, and spent 15 years practicing as a registered massage therapist. Her interests and experience are broad and diverse. She lives in Fort McMurray, Alberta with two teenage boys, husband, and their bulldog Piper. 

Ronald Goguen
Ron Goguen is a Project Manager with the Health Department of the Government of New Brunswick, focusing primarily on initiatives relating to Youth Integrated services. With more than 15 years of experience, Ron is well-versed in all aspects of project management and the various methodologies, process improvement and organizational change management in both the private and public sectors. Certifications include the Project Management Professional and Prosci Change Management Practitioner. Improving youth outcomes remains his driving force to ensuring youth and community voice are the nucleus of planning and implementation. 

Alexa Bol

Key Takeaways

  • Stepped care 2.0 is a framework for the transformation of care to organize and deliver health services
  • The goal is to increase open access to care for all people
  • There are 10 core principles on how it looks in practice
  • The focus is on open access
  • Elements that were labelled important: Connections with schools, adopting the recovery approach, government collaboration, everyone using a common treatment plan, implementation of community-based multidisciplinary teams
  • Addition elements that required further work if we were to develop a complete continuum of supports and services: leverage community services, sequencing services, implementation of a pathway concept, community first nations engagement, integrating all the systems together
  • These are areas that need improvement: Empowering youth and families, provision of same-day access

Key Learning Objectives (defined by presenters)

  1. To encourage people to think about alternative approaches to organizing and delivering mental health services and supports to increase open access and informed-choice
  2. To develop a deeper understanding of what an open access system means and how it can benefit youth, their families, and the people in their lives
  3. To explore the full continuum of care and the value of lower intensity services

Key Themes

  1. Research and evaluation

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