Table 1 Stepping criteria

Any

0-9

Patient is unambiguously below diagnostic cut-off

Inform participant that treatment is ended as a consequence of them no longer meeting diagnostic criteria

Discharge

19-27

10-12

Patient is within suggested diagnostic cut-off range and has made around 50% improvement

Discuss with participant and suggest discharge due to good rate of progress

Step up or discharge depending on participant’s wishes

<19

10-12

Patient is within suggested diagnostic cut-off range and has made less than 50% improvement

Discuss with participant and suggest stepping up to increase progress further

Step up or discharge depending on participant’s wishes

Any

13-27

Patient is unambiguously above diagnostic cut-off

Offer CBT to participant

Step up