Psychological self-help interventions: delivering self-help for individuals, featuring Step-by-Step and Doing What Matters in Times of Stress: web annex: Step-by-Step: a self-help intervention for depression

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World Health Organization

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136 p.
Expanding access to evidence-based mental health care remains a critical global health priority, particularly in settings where specialist services are limited. This web annex describes the content and practical application of a structured psychological self-help intervention designed to support individuals experiencing depression and related distress. It complements a broader guidance document by detailing the Step-by-Step programme, illustrating how low-intensity, scalable approaches can be delivered through structured modules, narrative-based content and behavioural techniques. The annex outlines the full intervention through user stories, guided instruction and a sequence of modules, exercises and implementation considerations. It presents core components such as stress management, behavioural activation, self-compassion and social connection, supported by tools including grounding, breathing exercises, gratitude lists and mood tracking. Additional sections describe user engagement processes, the role of a guiding facilitator, and practical steps for adaptation to diverse cultural and delivery contexts. Intended for programme implementers, trainers and non-specialist helpers, the document functions as a practical resource to support contextual adaptation, implementation and integration of the intervention within health and community systems addressing common mental health conditions.

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