The Stepped Care 2.0 (SC2.0) model for mental healthcare has been implemented in a range of post-secondary and government institutions across Canada and the United States. This model is designed to expand access and to provide a more effective service for those who use it. This includes seeing the system holistically and addressing concerns related to the appropriateness of the service. While many partners implementing the model have appreciated the access expansion elements of the model, the decolonizing aspect has not been as widely recognized. But in order for SC2.0 to have maximal impact, implementation must incorporate elements of Indigenous philosophical teachings and traditions. Building on Richard Katz’s work on “synergy,” I argue that successful implementation of SC2.0 requires a cultural shift on the part of clinicians toward a more synergistic approach to care, one that is less hierarchical, and which recognizes that effective care relies on equal collaboration between practitioners, clients, and communities.