Ontario Structured Psychotherapy

The Ontario Structured Psychotherapy (OSP) Program offers structured Cognitive Behavioural Therapy (CBT) by a trained therapist . The program operates a stepped care model, providing the level of care that best meets an individual’s needs. OSP is a coordinated provincial program that is supported by the Ministry of Health.

OSP is dedicated to increasing access to CBT for those experiencing mild to moderate depression, anxiety, and anxiety-related conditions within our community and the Ontario West region.

Goals & Objectives

OSP’s vision is to make publicly-funded, evidence-based psychotherapy and related approaches available to all Ontarians with mild to moderate depression, anxiety, and anxiety-related conditions.  The primary goals of OSP are to provide high quality service that is effective, efficient, equitable, client centred and accessible.


Services will reflect the needs of the populations we serve in communities across Ontario. This includes ensuring that all Ontarians, including the program’s priority populations, which are groups at higher risk of poor mental health outcomes, or who experience barriers to accessing care, are able to access the program. OSP priority populations include (but are not limited to):

  • people without access to healthcare benefits and those on a low income
  • people who are Black, Indigenous and other people of colour
  • Francophones
  • people who identify as 2SLGBTQ+
  • people living with disabilities
  • people living in remote areas

Is This Program For Me? 

  • Adults 18 years and older
  • Experiencing anxiety or depression concerns
  • Residing within the Thames Valley Region (OHT West) 
  • Ready to engage in treatment voluntarily
For more information about eligibility, view the OSP Information Sheet

What We Offer 

OSP provides support for adults with mild to moderate depression, anxiety, and anxiety-related concerns, including:

  • Depression and low mood
  • Generalized anxiety and worry
  • Social anxiety and performance fears
  • Unexpected panic attacks and agoraphobic fears
  • Health anxiety
  • Obsessive-Compulsive concerns
  • Post-traumatic stress
  • Specific fears
  • Other anxiety and stress related problems (e.g. work stress, test anxiety)

How Do I Get An Appointment? 

Referral Process:
Contact us at:
905-387-8361 or OSPwest@stjoes.ca

Who can make a referral?

We accept self-referrals as well as referrals from any type of health care provider.
Self referrals are available here

Services Available

  • Structured short-term support focused on a particular problem or goal
  • Progress monitoring
  • Measurement based care
  • Individual counselling
  • Clinical consultations
  • Stepped care

Community Partnership

OSP West is a joint endeavour between St. Joseph’s Health Care London and St. Joseph’s Healthcare Hamilton.
For more information, visit their websites: 



This program is available at all CMHA TVAMHS sites.