Clinical Care Coordination Program

Work with GPs and other health professionals to deliver an organised approach to mental health support.

Clinical Care Coordinators work with you and your GP to plan and access the right support for your wellbeing.

Together, we find the right level of care at the right time to help you get better, and work towards recovery.

We coordinate with all the people involved in your care to get you the right service, this can include:

  • Clinicians
  • Health care providers
  • Carers
  • Family members
  • Other significant persons.

By organising the referrals to services, Clinical Care Coordination improves how your support services work together.

Clinical Care Coordination is especially helpful for people who have complex mental and physical health care needs.

Working with a Clinical Care Coordinator

In this program, you will work with a Clinical Care Coordinator. Our staff are mental health clinicians who will work alongside you and your GP to develop an individual care plan and connect with the right services.

How the program works

Over three months, this short-term service supports you to:

  • Develop a coordinated care plan
  • Monitor your general health needs, like weight and blood pressure
  • Work with services that provide long-term support
  • Access one-to-one counselling sessions.

Determine your needs

To get started, the Clinical Care Coordinator will first do a comprehensive assessment of your needs.

Plan what is best for you

Working together, you, your GP, and the Clinical Care Coordinator then plan what services will most help you and how to access them.

Connect with the right services

Once you have a plan, the Clinical Care Coordinator will make referrals for you to the services on your plan.

Everyone works together

Once you have connected with the right services, the Clinical Care Coordinator will follow up with you and your service providers to make sure the services are effective.

How to access the program

To access this program, you must be aged over 18 years and have a diagnosis of a severe and complex mental illness.

Referrals can be made by GPs, allied health workers, family members or carers, with your permission. You can also self-refer.

You do not need a mental health treatment plan to make a referral; the Clinical Care Coordination team can assist you to obtain one.



Experienced mental health clinicians

Meet our team providing evidence-based and recovery-focused support