In 2008/09, the Algonquin College Counselling Services team began using LEAN tools to inform improvements to the service delivery, with great effect. In 2017/18, as the numbers of students presenting at Counselling Services continued to rise, the decision was made to implement the Stepped Care 2.0 model at the College. This presentation reviews changes made over the 10 years and outlines the spectacular results that have followed.