Map of commissioned services - All Services

South Burnett Region

RHealth

Current Program	Health Service Navigators
Communities Serviced	Services the Goondiwindi, Southern Downs, Western Downs, South Burnett, Cherbourg and Somerset regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact Simone Xouris on 07 4638 1377 or email services@rhealth.com.au or fax 07 4151 0794
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. Referrals can be made starting from 01 September 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

RHealth

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Southern Downs, Cherbourg and South Burnett regions.
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	Contact Simone Xouris by Phone: 07 4638 1377, Email: services@rhealth.com.au or Fax: 074151 0794
Website	Click to visit site
Referral Pathway	Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Burnett Allied Care

Current Program	Low Intensity Mental Health
Communities Serviced	Kingaroy
Services Offered	The Resilience and Health Group Program is a six-week program designed for people having difficulty managing stress and at risk of, or suffering low levels, of depression and anxiety. This program focuses on lifestyle factors that impact mental health such as sleep, diet and exercise. Information and support for participants in the program is provided by a physiotherapist, dietician and psychologist.
Eligibility Criteria	Resident to the area meeting Group Criteria as outlined below: • Year 11 & 12 Students • Parents of children with high needs • General Community View criterialess
Referral Contact	For referrals, please call 0458 525 787 or email burnettalliedcare@gmail.com
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Lives Lived Well

Current Program	Low Intensity Mental Health
Communities Serviced	Cherbourg Region, Goondiwindi Region, Lockyer Valley Region, Somerset Region, South Burnett Region, Southern Downs Region, Western Downs Region
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@liveslivedwell.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

HealthWISE

Current Program	Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Ipswich Region, Boonah Area, Somerset Region, South Burnett (including Cherbourg) Region
Services Offered	Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services provide free, culturally appropriate mental health services to Aboriginal and Torres Strait Islander people in the Darling Downs and West Moreton region.
Eligibility Criteria	Indigenous people residing in the area, with a mild to moderate mental illness. Self-referral, referral through Aboriginal Health Worker, Allied Health Practitioner or via General Practitioner. View criterialess
Referral Contact	For referrals, please phone the HealthWISE toll free number on 1800 931 540 or email mentalhealth@healthwisenenw.com.au
Website	Click to visit site
Referral Pathway	Self-referrals can be made direct to the service provider for assessment and a GP led mental health treatment plan for the client where clinically appropriate. For GPs and other service providers wanting to refer, fax the HealthWISE Referral Form to HealthWISE Coordinated Referral Network using 1300 452 059 or via Medical Objects.

Lady Bjelke-Peterson Community Hospital

Current Program	Aged Care and Chronic Disease
Communities Serviced	Kingaroy within a 30km radius of the CBD
Services Offered	Wound care management will be provided by registered nurses from the Lady Bjelke-Peterson Hospital. Wound care treatment, including dressings, will be provided in the most appropriate setting at no cost to the patient. Nursing staff will work in conjunction with the patient's GP through a referral process for wound care management.
Eligibility Criteria	The patient needs to be referred to the wound care program by a medical practitioner due to the acuity and level of complexity of care with the patient requiring additional resources over and above what is usual for community care services. The patient is unable to access any alternative means to receive treatment through their own resources, DVA, MBS or private health insurance. View criterialess
Referral Contact	For referrals, please call Michelle Garrett on 07 4162 1444 or email admissions@lbpch.com.au
Referral Pathway	Referral from GP

Lady Bjelke-Peterson Community Hospital

Current Program	Aged Care and Chronic Disease.
Communities Serviced	Kingaroy within a 30km radius of the CBD
Services Offered	Palliative Care After Hours - support, advice and outreach to the residents of Kingaroy and surrounds. This service will provide support to patients who require palliative care who wish to remain in their own home. Palliative care nurses will provide support, symptom management, After Hours care planning, outreach to home services and advice in the After Hours period while working closely with the patient's GP to provide support to patients and their carers. The palliative care service will be provided at no cost to the patient.
Eligibility Criteria	Provided for individuals who are not able to access any alternative means to receive palliative treatment through their own resources, DVA, MBS or private health insurance. View criterialess
Referral Contact	For referrals, please call Michelle Garrett on 07 4162 1444 or email admissions@lbpch.com.au
Referral Pathway	Referral from GP

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

Healthy Lifestyles Australia

Current Program	CD (Chronic Disease)
Communities Serviced	Blackbutt
Services Offered	Dietetics Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0438 143 812
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Lainie Nicholson

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies
Communities Serviced	Services the South Burnett region, specifically Kingaroy, Murgon and Blackbutt
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Lainie Nicholson on 0411 024 834 or email lainienicholson@gmail.com
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Lives Lived Well

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba, Chinchilla, Dalby, Tara, Gatton, Kingaroy and Warwick.
Services Offered	Alcohol and other drugs counsellors provide non-residential rehabilitation services. Specific services include - Case management; Counselling, Group therapy; Relapse prevention; Support group sessions; and Referral pathways.
Eligibility Criteria	All members of the community are eligible. View criterialess
Referral Contact	For referrals, please call 1300 727 957
Website	Click to visit site
Referral Pathway	Self referral, GP

Nadine Hinchliff Therapy Services

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Kingaroy with some outreach to Nanango. Telephone and telehealth outreach services are also offered within the South Burnett.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Nadine Hinccliff on 0408 369 103 or email nadine.hinchliff@gmail.com or fax 07 4163 5014
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Nadine Hinchcliff Therapy Services

Current Program	CD (Chronic Disease)
Communities Serviced	Kingaroy, Nanango, Blackbutt, Murgon
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Sandra Langton Physiotherapy

Current Program	CD (Chronic Disease)
Communities Serviced	Kingaroy
Services Offered	Physiotherapy Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	07 4162 5940
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

South Burnett Podiatry

Current Program	CD (Chronic Disease)
Communities Serviced	Kingaroy
Services Offered	Podiatry Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	07 4162 7633
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Vital Health Qld

Current Program	CD (Chronic Disease)
Communities Serviced	Murgon
Services Offered	Podiatry Service
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0427 224 322
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Culturally appropriate drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Western Downs Region

RHealth

Current Program	Health Service Navigators
Communities Serviced	Services the Goondiwindi, Southern Downs, Western Downs, South Burnett, Cherbourg and Somerset regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact Simone Xouris on 07 4638 1377 or email services@rhealth.com.au or fax 07 4151 0794
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. Referrals can be made starting from 01 September 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mi Mind Centre

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Toowoomba, Ipswich, Goondiwindi, Lockyer Valley, Scenic Rim, Somerset and Western Downs regions
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	For referrals to the Mi Mind Centre, please call 07 4613 0922 or email office@mi-mindtrust.com.au or fax 07 4613 0944. For referrals to Our House Our Haven, please contact 0416 826 203 or email info@ohoh.org,au or fax 07 3496 1753
Referral Pathway	For people residing in the Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley, this service is delivered by Mi Mind Centre. Mi Mind Centre have linked with Our House Our Haven, Ipswich to deliver services to Ipswich, Scenic Rim and Somerset. Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Heather Lindsley

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Dalby
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, contact Heather Lindsley on 0473 491 022 or email hlindsley@bigpond.com
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Helen Druce

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Chinchilla and Miles
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Helen Druce on 07 4665 5618 or 0427 974 761 or email helen@creativeholisticcounselling.com.au
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Rural Sky

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Goondiwindi region with outreach services provided to Inglewood.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Katherine Johnstone and Suzie Collins on 0475 391 260 (Kath) or 0438 711 500 (Suzie) or email referral@ruralsky.com.au
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Blue Care

Current Program	Aged Care and Chronic Disease
Communities Serviced	Dalby within a 40km radius of the CBD
Services Offered	Wound Care – In Hours. This service will be provided in the most appropriate setting. Blue are staff will work in conjunction with the patient's GP through a referral process for wound care management. Blue Care nurses will provide wound care treatment as medically required at no cost to the patient. To find out more about this service, click here.
Eligibility Criteria	The patient needs to be referred to the wound care program by a medical practitioner due to the acuity and level of complexity of care with the patient requiring additional resources over and above what is usual for community care services. The patient is unable to access any alternative means to receive treatment through their own resources, DVA, MBS or private health insurance. View criterialess
Referral Contact	For referrals, please call Anne Ryan on 07 4636 7982 or Janelle Macdonald on 07 4636 7981 or 0427 585 454
Referral Pathway	Referral from GP

Darling Downs Hospital and Health Service

Current Program	Darling Downs Hospital and Health Service (DDHHS) Acute Geriatric Evaluation Service (AGES)
Communities Serviced	All Residential Aged Care Facilities (RACF) within the Darling Downs region.
Services Offered	The DDHHS Acute Geriatric Evaluation Service (AGES) will enable improvements in access, efficiency, effectiveness of after-hours care in RACFs by: Working with GPs and practice managers to identify opportunities for collaborative improvements to improve the health outcomes of RACF residents. Developing decision making tools with AGES medical officers, Nurse Navigators, GPs, RACFs, QAS, and Emergency Departments and to support the introduction of Clinical Pathways into RACFs. Offering education for RACF staff around the care pathways and ISBAR to enable effective clinical handover of residents by face to face delivery of education by Nurse Navigators connected to the AGES team. Providing targeted collaborative education in early recognition, escalation and assessment of a deteriorating resident and an awareness of the options for facility based acute care, by the AGES team, with the consent of the GP as the primary health provider. Providing access to after-hours Nurse Navigator assistance. Weekdays till 22:00, and weekends – directly from 10:00 to 18:00, and by a designated after- hours phone contact service, and medical officer after hours. Facilitating the use of Statement of Choices, and My Health Record as means of sharing of information and improving care coordination. Facilitating collaboration to reduce polypharmacy, with geriatrician review and consultation with GP care provider.
Eligibility Criteria	This service is available to Residential Aged Care Facilities in the Darling Downs region View criterialess
Referral Contact	Project Contact: Donna Fitch, Nurse Navigator Aged Care - Acute Geriatric Evaluation Service, DDHHS \| Email donna.fitch@health.qld.gov.au

Better Movement Clinic

Current Program	Chronic Disease - Chronic Disease Care Coordination
Communities Serviced	Dalby
Services Offered	A health professional who will assist people with chronic disease to manage their health conditions through education, support and facilitate engagement with health services.
Eligibility Criteria	Have 2 or more chronic diseases NB: this service is not diabetes specific View criterialess
Referral Contact	John Dennehy via phone (07) 4662 2855
Website	Click to visit site
Referral Pathway	Refer directly to the provider on their referral form.

Lives Lived Well

Current Program	Low Intensity Mental Health
Communities Serviced	Cherbourg Region, Goondiwindi Region, Lockyer Valley Region, Somerset Region, South Burnett Region, Southern Downs Region, Western Downs Region
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@liveslivedwell.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Goolburri Aboriginal Health

Current Program	Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Goondiwindi Region, Southern Downs Region, Western Downs Region
Services Offered	Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services provide free, culturally appropriate mental health services to Aboriginal and Torres Strait Islander people in the Darling Downs and West Moreton region.
Eligibility Criteria	Aboriginal and Torres Strait Islander residents of the area, aged 18 and over. View criterialess
Referral Contact	For referrals, please call 07 4632 0338 or email wadec@goolburri.org.au
Referral Pathway	Self-referrals can be made direct to the service provider for assessment and a GP led mental health treatment plan for the client where clinically appropriate. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

Goondir

Current Program	Integrated Team Care (ITC)
Communities Serviced	All communities in Western Downs Region
Services Offered	Care Coordinator is to assist Aboriginal and or Torres Strait Islander people diagnosed with diabetes, chronic respiratory disease, chronic renal disease and cancer in meeting the requirements of their treatment
Eligibility Criteria	To be eligible clients must: Identify they Aboriginal and Torres Strait Islander and they have a Chronic Disease; 715 Health Assessment; Current GP Management Plan; Review every 12 months; and Referred on to Care Coordinator in local area. View criterialess
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/upl...

Barry Sheehan

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Jandowae
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, contact Barry Sheehan 0417 752 768 or email barry@barrysheehan.com.au
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Lives Lived Well

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba, Chinchilla, Dalby, Tara, Gatton, Kingaroy and Warwick.
Services Offered	Alcohol and other drugs counsellors provide non-residential rehabilitation services. Specific services include - Case management; Counselling, Group therapy; Relapse prevention; Support group sessions; and Referral pathways.
Eligibility Criteria	All members of the community are eligible. View criterialess
Referral Contact	For referrals, please call 1300 727 957
Website	Click to visit site
Referral Pathway	Self referral, GP

Mindware Psychology

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Toowoomba region and accepts referrals from across the Darling Downs region.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client. Mindware Psychology specialises in children aged 0 – 12.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Veronica McKeon on 07 4646 4953 or 0426 294 015 or email contact@mindwarepsychology.com.au or fax 07 4646 2452
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Vital Health Qld

Current Program	CD (Chronic Disease)
Communities Serviced	Chinchilla and Tara
Services Offered	Exercise Physiology / Dietetics
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0427 224 322
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Vital Health Qld

Current Program	CD (Chronic Disease)
Communities Serviced	Miles and Taroom
Services Offered	Exercise Physiology / Dietetics
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0427 224 322
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Culturally appropriate drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Somerset Region

RHealth

Current Program	Health Service Navigators
Communities Serviced	Services the Goondiwindi, Southern Downs, Western Downs, South Burnett, Cherbourg and Somerset regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact Simone Xouris on 07 4638 1377 or email services@rhealth.com.au or fax 07 4151 0794
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. Referrals can be made starting from 01 September 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mi Mind Centre

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Toowoomba, Ipswich, Goondiwindi, Lockyer Valley, Scenic Rim, Somerset and Western Downs regions
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	For referrals to the Mi Mind Centre, please call 07 4613 0922 or email office@mi-mindtrust.com.au or fax 07 4613 0944. For referrals to Our House Our Haven, please contact 0416 826 203 or email info@ohoh.org,au or fax 07 3496 1753
Referral Pathway	For people residing in the Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley, this service is delivered by Mi Mind Centre. Mi Mind Centre have linked with Our House Our Haven, Ipswich to deliver services to Ipswich, Scenic Rim and Somerset. Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Therapy Pro

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Lockyer Valley, Scenic Rim and Somerset regions including outreach services within these regions.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Lara Strohfeldt on 1300 004 414 or email info@therapypro.com.au
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Neami National

Current Program	Low Intensity Mental Health
Communities Serviced	Ipswich Region, Lockyer Valley Region, Scenic Rim, Boonah Area, Somerset Region,
Services Offered	The Optimal Health Program is an eight-session self-development program promoting hope, growth and partnership. By the end of this program, individuals will have covered: Strategies to optimise and maintain mental health and wellbeing An understanding of stress, vulnerability, strengths and strategies The identification of collaborative partners and support network A plan to maintain mental health, manage stress and periods of illness Tools to manage effective change. All participants receive their own workbook and fortnightly one-on-one coaching session.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call Fiona Terry on 07 3375 7333 or 0434 33 5207 or email fiona.terry@neaminational.org.au
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Lives Lived Well

Current Program	Low Intensity Mental Health
Communities Serviced	Cherbourg Region, Goondiwindi Region, Lockyer Valley Region, Somerset Region, South Burnett Region, Southern Downs Region, Western Downs Region
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@liveslivedwell.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

HealthWISE

Current Program	Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Ipswich Region, Boonah Area, Somerset Region, South Burnett (including Cherbourg) Region
Services Offered	Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services provide free, culturally appropriate mental health services to Aboriginal and Torres Strait Islander people in the Darling Downs and West Moreton region.
Eligibility Criteria	Indigenous people residing in the area, with a mild to moderate mental illness. Self-referral, referral through Aboriginal Health Worker, Allied Health Practitioner or via General Practitioner. View criterialess
Referral Contact	For referrals, please phone the HealthWISE toll free number on 1800 931 540 or email mentalhealth@healthwisenenw.com.au
Website	Click to visit site
Referral Pathway	Self-referrals can be made direct to the service provider for assessment and a GP led mental health treatment plan for the client where clinically appropriate. For GPs and other service providers wanting to refer, fax the HealthWISE Referral Form to HealthWISE Coordinated Referral Network using 1300 452 059 or via Medical Objects.

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

The Institute for Urban Indigenous Health

Current Program	ITC - Kambu
Communities Serviced	Laidley, Ipswich, Goodna, Somerset, Lockyer and Pt Boonah
Services Offered	Care Coordinator is to assist Aboriginal and or Torres Strait Islander people diagnosed with diabetes, chronic respiratory disease, chronic renal disease and cancer in meeting the requirements of their treatment.
Eligibility Criteria	To be eligible clients must: Identify they Aboriginal and Torres Strait Islander and they have a Chronic Disease; 715 Health Assessment; Current GP Management Plan; Review every 12 months; and Referred on to Care Coordinator in local area. View criterialess
Referral Pathway	https://www.ddwmphn.com.au/uploads/publications/Referral-Forms/PHN-1707026-ITC-Referral-Form_CCSS.rtf

EACH

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Boonah, Esk, Gatton, Goodna, Ipswich, Laidley and Lowood
Services Offered	Drug and alcohol counselling, case management and relapse prevention services. Specific services include - Case management; Counselling; Early and brief interventions; Relapse prevention; and Referrals to relevant service providers.
Eligibility Criteria	People aged 16 years and older in need of evidence-based drug and alcohol treatment services and their family. View criterialess
Referral Contact	For referrals, please call 1300 003 224
Website	Click to visit site
Referral Pathway	Self-referral, GP

Healthy Lifestyles Australia

Current Program	CD (Chronic Disease)
Communities Serviced	Fernvale, Lowood, Esk
Services Offered	Dietetics Service / Exercise Physiology.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0438 143 812
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Ipswich Foot and Ankle Clinic

Current Program	CD (Chronic Disease)
Communities Serviced	Fernvale, Lowood
Services Offered	Podiatry Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	07 3282 7907
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Ted Noffs

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	West Moreton Region
Services Offered	Drug and alcohol counselling services to young people 12 - 25 in the West Moreton region.
Eligibility Criteria	12 - 25 years of age Living in the West Moreton Region. View criterialess
Referral Contact	For referrals, please call 1800 753 300
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Culturally appropriate drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Toowoomba Region

Neami National

Current Program	Health Service Navigators
Communities Serviced	Services the Toowoomba, Ipswich, Lockyer Valley and Scenic Rim regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact navigator@neaminational.org.au
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. The program is currently in the establishment phase; however, general enquiries are welcome via email. Referrals can be made starting from 19 November 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

TOMNET (The Older Mens Network)

Current Program	Low Intensity Mental Health
Communities Serviced	Toowoomba region
Services Offered	TOMNET (The Older Mens Network) offers specialised support services and peer programs for men over 50, especially those at risk. This service includes up to twelve face to face or telephone sessions to help men manage anxiety and depression. The service aims to support men at risk plan a positive and meaningful retirement, facilitate engagement with community and health services, and positive ageing education.
Eligibility Criteria	Men aged 50 and over living in the Toowoomba region View criterialess
Referral Contact	For referrals, please call 07 4638 9080 or email admin@tomnet.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral or community service organisations. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mi Mind Centre

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Toowoomba, Ipswich, Goondiwindi, Lockyer Valley, Scenic Rim, Somerset and Western Downs regions
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	For referrals to the Mi Mind Centre, please call 07 4613 0922 or email office@mi-mindtrust.com.au or fax 07 4613 0944. For referrals to Our House Our Haven, please contact 0416 826 203 or email info@ohoh.org,au or fax 07 3496 1753
Referral Pathway	For people residing in the Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley, this service is delivered by Mi Mind Centre. Mi Mind Centre have linked with Our House Our Haven, Ipswich to deliver services to Ipswich, Scenic Rim and Somerset. Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Blue Care

Current Program	Aged Care and Chronic Disease
Communities Serviced	Toowoomba within a 40km radius of the CBD
Services Offered	Palliative Care - In Hours and After Hours. Support, advice and outreach to the residents of Toowoomba and surrounds. This Service will provide support to patients who require palliative care who wish to remain in their own home. Palliative care nurses will provide support, symptom management, after hours care planning, outreach to home services and advice in the after hours period while working closely with the patients GP to provide support to patients and their carers. The palliative care service will be provided at no cost to the patient. To find out more about this service, click here.
Eligibility Criteria	Provided for individuals who are not able to access any alternative means to receive palliative treatment through their own resources, DVA, MBS or private health insurance. View criterialess
Referral Contact	For referrals, please call Anne Ryan on 07 4636 7982 or Janelle Macdonald on 07 4636 7981 or 0427 585 454
Referral Pathway	Referral from GP

Darling Downs Hospital and Health Service

Current Program	Darling Downs Hospital and Health Service (DDHHS) Acute Geriatric Evaluation Service (AGES)
Communities Serviced	All Residential Aged Care Facilities (RACF) within the Darling Downs region.
Services Offered	The DDHHS Acute Geriatric Evaluation Service (AGES) will enable improvements in access, efficiency, effectiveness of after-hours care in RACFs by: Working with GPs and practice managers to identify opportunities for collaborative improvements to improve the health outcomes of RACF residents. Developing decision making tools with AGES medical officers, Nurse Navigators, GPs, RACFs, QAS, and Emergency Departments and to support the introduction of Clinical Pathways into RACFs. Offering education for RACF staff around the care pathways and ISBAR to enable effective clinical handover of residents by face to face delivery of education by Nurse Navigators connected to the AGES team. Providing targeted collaborative education in early recognition, escalation and assessment of a deteriorating resident and an awareness of the options for facility based acute care, by the AGES team, with the consent of the GP as the primary health provider. Providing access to after-hours Nurse Navigator assistance. Weekdays till 22:00, and weekends – directly from 10:00 to 18:00, and by a designated after- hours phone contact service, and medical officer after hours. Facilitating the use of Statement of Choices, and My Health Record as means of sharing of information and improving care coordination. Facilitating collaboration to reduce polypharmacy, with geriatrician review and consultation with GP care provider.
Eligibility Criteria	This service is available to Residential Aged Care Facilities in the Darling Downs region View criterialess
Referral Contact	Project Contact: Donna Fitch, Nurse Navigator Aged Care - Acute Geriatric Evaluation Service, DDHHS \| Email donna.fitch@health.qld.gov.au

Centre for Healthy Living

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the towns of Clifton, Allora, Killarney, Warwick, Stanthorpe, Inglewood, Wallangarra and the rural populations around these centres.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referral, please contact Gordana Sloss on 07 4661 3340 or email WMReferrals@artius.com.au or fax 07 4667 4333
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

AH Diabetes

Current Program	Chronic Disease - Care Coordination.
Communities Serviced	Toowoomba
Services Offered	A health professional who will assist people with chronic disease to manage their health conditions through education, support and facilitate engagement with health services.
Eligibility Criteria	Have 2 or more chronic diseases NB: this service is not diabetes specific View criterialess
Referral Contact	Lyne McCleary via phone (07) 4646 2530
Website	Click to visit site
Referral Pathway	Refer directly to the provider on their referral form.

Carbal Medical Services

Current Program	Low Intensity Mental Health
Communities Serviced	Toowoomba and Warwick
Services Offered	The Strong Mind, Strong Spirit program is a culturally appropriate support program designed to reach out to those with or at risk of mental illness, their family and community. The program is facilitated by Aboriginal Mental Health Workers and is delivered in a group setting with one-on-one counselling offered if required. There are at least two group sessions per week in both Toowoomba and Warwick including a women’s and men’s group.
Eligibility Criteria	Aboriginal and Torres Strait Islander residents of the area, aged 18 and over. View criterialess
Referral Contact	For referrals, please contact Richard Turnball (Toowoomba) on0436 023 592 or email rturnball@carbal.com.au or contact Darleen Oliver (Warwick) on 0436 023 592 or email doliver@carbal.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mental Illness Fellowship Queensland (MIFQ)

Current Program	Low Intensity Mental Health
Communities Serviced	Toowoomba Region, Ipswich Region, Boonah Area
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@mifq.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Carbal Medical Services

Current Program	Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Toowoomba Region
Services Offered	Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services provide free, culturally appropriate mental health services to Aboriginal and Torres Strait Islander people in the Darling Downs and West Moreton region.
Eligibility Criteria	Aboriginal and Torres Strait Islander residents of the area, aged 18 and over. View criterialess
Referral Contact	Contact Richard Turnball (Toowoomba) via Phone: 0436 023 592 and Email: rturnball@carbal.com.au or contact Darleen Oliver (Warwick) via Phone: 0436 023 592 and Email: doliver@carbal.com.au
Website	Click to visit site
Referral Pathway	Self-referrals can be made direct to the service provider for assessment and a GP led mental health treatment plan for the client where clinically appropriate. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Lifeline Darling Downs and South West

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Toowoomba
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client. Lifeline Darling Downs and South West delivers Targeted Psychological Therapies through their Creative Coping Group Therapy Program (a modified version of Dialectical Behaviour Therapy). This involves group therapy to support people with moderate mental health illness.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Sarah Owens on 1300 991 443 or 0448 003 159 or email sowens@lifelinedarlingdowns.org.au or fax 07 4699 1610
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Richmond Fellowship Queensland

Current Program	Low Intensity Mental Health
Communities Serviced	Ipswich and Toowoomba
Services Offered	The New Sensations program offers a one-day workshop followed by up to four one-hour individual therapy sessions. The workshop will introduces participants to Sensory Modulation and the individual sessions tailor strategies to meet an individuals needs. Sensory Modulation can be described simply as improving the way someone feels or functions by using their senses. Sensory Modulation can help people to self-regulate when facing challenging moods, emotions, thoughts and feelings, especially when talking or thinking may be difficult. Participants learn strategies to improve their mood, manage their stress, feel more calm and relaxed or more alert and focused, and more motivated to get things done. Sensory items will be provided to explore in the group and some small items will be provided to take home.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call Anneliese Russell on 0456 600 123 or email newsensations@rfq.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

Alexandra Bryant

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies
Communities Serviced	Services Toowoomba with some outreach within the Darling Downs region.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client. Alexandra specialises in children aged 0 – 12.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please call Alex Bryant on 07 4637 9045 or 0438 840 782 or email alexbryant@bigpond.com or fax 07 4642 1410
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Carbal Medical Services

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba and Warwick
Services Offered	Drug and alcohol counsellors provide culturally appropriate individualised and coordinated non-residential alcohol and other drug counselling, withdrawal management, advice and assessment to Aboriginal and Torres Strait Islander people in Toowoomba and Warwick. Specific services include - early and brief intervention; withdrawal management; culturally appropriate psychotherapy; case management; crisis and relapse prevention; individual and group therapeutic and cultural activities; discharge planning and aftercare; and referral pathways to relevant service providers.
Eligibility Criteria	Aboriginal and Torres Strait Island people who are in need of non-residential alcohol and other drug counselling, withdrawal management, advice and assessment services. View criterialess
Referral Contact	For referrals, please call 07 4639 7400
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Carbal Medical Services

Current Program	Integrated Team Care (ITC)
Communities Serviced	All communities across the Toowoomba Regional Council Area and the Southern Downs Regional Council Area.
Services Offered	Care Coordinator is to assist Aboriginal and or Torres Strait Islander people diagnosed with diabetes, chronic respiratory disease, chronic renal disease and cancer in meeting the requirements of their treatment.
Eligibility Criteria	To be eligible clients must: Identify they Aboriginal and Torres Strait Islander and they have a Chronic Disease; 715 Health Assessment; Current GP Management Plan; Review every 12 months; and Referred on to Care Coordinator in local area. View criterialess
Referral Pathway	https://www.ddwmphn.com.au/uploads/publications/Referral-Forms/PHN-1707026-ITC-Referral-Form_CCSS.rtf

Gillian Bensley

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Allora, Clifton and Inglewood
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please call Gillian Bensley on 0417 618 211 or email gillian.bensley@bigpond.com
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Goolburri Aboriginal Health

Current Program	Community Care Coordinator
Communities Serviced	Toowoomba
Services Offered	Community Care Coordinator to deliver perinatal and postnatal care within the Region.
Eligibility Criteria	This service will be provided to Aboriginal and/or Torres Strait Islander women pregnant with or with small children referred by the Service Provider staff. View criterialess
Referral Contact	07 4638 8607

Headspace Toowoomba

Current Program	Headspace
Communities Serviced	Toowoomba
Services Offered	headspace Toowoomba offers early intervention services to young people aged 12 to 25 in one youth friendly location. Our services includes mental, physical and sexual health, drug and alcohol support, vocational and educational assistance as well as Community engagement activities. You do not need a formal referral to get in touch.
Eligibility Criteria	Young people can access the service who may experiencing the following: are feeling down, stressed or can't stop worrying; haven't felt like yourself for a long time; can't deal with school or finding it difficult to concentrate; are feeling sick or worried about their health; want to cut down on your drinking or drug use; want to talk about sexuality, identity or relationships; are having difficulties with friendships; have sexual health issues or want to find out about contraception; are being bullied, hurt or harassed; are worried about work, study or finances; or are having trouble at home. View criterialess
Referral Contact	07 4639 9000
Website	Click to visit site
Referral Pathway	headspace.toowoomba@unitedsynergies.com.au

Health on Herries

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies
Communities Serviced	Services Toowoomba and Pittsworth
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please call Dr Sharon Wilkinson or Alan Bartlett via Phone 07 4637 9931 or email enquiries@drsharonwilkinson.com.au or alan_bartlett1@optusnet.com.au or fax 07 4638 2789
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Healthy Lifestyles Australia

Current Program	CD (Chronic Disease)
Communities Serviced	Toowoomba
Services Offered	Dietetics / Exercise Physiology
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0438 143 812
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Illuminable Minds

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Toowoomba
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Nadja Jones on 0459 606 717 or email nadjajones@me.com
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Jessie Apted

Current Program	CD (Chronic Disease)
Communities Serviced	Crows Nest, Highfields and Pittsworth
Services Offered	Dietician and Credentialed Diabetes Educator
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	07 4632 8012
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Lives Lived Well

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba, Chinchilla, Dalby, Tara, Gatton, Kingaroy and Warwick.
Services Offered	Alcohol and other drugs counsellors provide non-residential rehabilitation services. Specific services include - Case management; Counselling, Group therapy; Relapse prevention; Support group sessions; and Referral pathways.
Eligibility Criteria	All members of the community are eligible. View criterialess
Referral Contact	For referrals, please call 1300 727 957
Website	Click to visit site
Referral Pathway	Self referral, GP

Lumsden Psychology

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services Toowoomba and Oakey
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Marguerite Lumsden on 0427 647 847 or email therapy@myapollo.com.au
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Margot Hawker Consultant Dietitian

Current Program	CD (Chronic Disease)
Communities Serviced	Goondiwindi and Millmerran
Services Offered	Dietetics Service
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0427 457 146
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

MDA

Current Program	Refugee Health
Communities Serviced	Toowoomba
Services Offered	Refugee Health Nurses will facilitate access to refugee health assessment services as well as ongoing health care management by General Practices, assisting a smoother transition to the Australian healthcare system.
Eligibility Criteria	Refugee View criterialess
Referral Contact	07 4632 1466
Website	Click to visit site
Referral Pathway	https://mdaltd.org.au/

MetroCare

Current Program	After Hours - Youth Outreach Program
Communities Serviced	Toowoomba
Services Offered	MetroCare's Street Crew operates every Thursday night between 6 & 11pm in the Toowoomba CBD, primarily on Dent St out the front of Grand Central to support young people aged 12 to 24 years to improve health outcomes. They deliver health promotion to improve awareness including relevant health services, a consumer-lead "accidental counselling" and a referral service to other health and community services in the Toowoomba area.
Eligibility Criteria	Young people under 25 years of age can access the service. View criterialess
Referral Contact	07 4631 5822
Website	Click to visit site
Referral Pathway	Self-referral

Mindware Psychology

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Toowoomba region and accepts referrals from across the Darling Downs region.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client. Mindware Psychology specialises in children aged 0 – 12.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Veronica McKeon on 07 4646 4953 or 0426 294 015 or email contact@mindwarepsychology.com.au or fax 07 4646 2452
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba
Services Offered	A case worker and drug and alcohol counsellor provide support to people aged 16 and above to receive drug and alcohol counselling, group support, education and referrals.
Eligibility Criteria	People aged 16 years and older in need of evidence-based drug and alcohol treatment services and their family. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Toowoomba Hospice

Current Program	After Hours
Communities Serviced	Toowoomba
Services Offered	Palliative Care
Eligibility Criteria	Hospice care is provided to anyone with a life-limiting health condition, who their doctor believes to be in the end-stage of their illness, needing a level of care that cannot be safely provided at home, or if the client does not wish to die at home. Clients may be referred to the Hospice by themselves, their families and friends, their GP, Community Service Providers and other hospitals. For more information about referring a client please contact our Director of Nursing. View criterialess
Referral Contact	07 4659 8500
Website	Click to visit site

Toowoomba Hospice

Current Program	More Allied Health Program
Communities Serviced	Toowoomba
Services Offered	Palliative Clinical Care Nursing
Eligibility Criteria	To be eligible to access the palliative care service client must: * be 18 years or older; * be unable to access these services through MBS funding or privately; * require more allied health assistance or hospice services; * reside in the catchment of the Service Provider; and * must have a GP Management Plan and an individual treatment plan. View criterialess
Website	Click to visit site

Toowoomba Podiatry Clinic

Current Program	CD (Chronic Disease)
Communities Serviced	Pittsworth and Clifton
Services Offered	Podiatry Service
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	07 4632 1100
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

True Relationships and Reproductive Health (Family Planning Queensland)

Current Program	More Allied Health Program (MAHP)
Communities Serviced	Toowoomba
Services Offered	Youth Sexual Health Nurse offers individualised support and advice to young people on sexual health.
Eligibility Criteria	Young people under 25 years of age can access the service. View criterialess
Referral Contact	07 4632 8166
Website	Click to visit site
Referral Pathway	https://www.true.org.au

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Culturally appropriate drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Lockyer Valley Region

Neami National

Current Program	Health Service Navigators
Communities Serviced	Services the Toowoomba, Ipswich, Lockyer Valley and Scenic Rim regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact navigator@neaminational.org.au
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. The program is currently in the establishment phase; however, general enquiries are welcome via email. Referrals can be made starting from 19 November 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mi Mind Centre

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Toowoomba, Ipswich, Goondiwindi, Lockyer Valley, Scenic Rim, Somerset and Western Downs regions
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	For referrals to the Mi Mind Centre, please call 07 4613 0922 or email office@mi-mindtrust.com.au or fax 07 4613 0944. For referrals to Our House Our Haven, please contact 0416 826 203 or email info@ohoh.org,au or fax 07 3496 1753
Referral Pathway	For people residing in the Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley, this service is delivered by Mi Mind Centre. Mi Mind Centre have linked with Our House Our Haven, Ipswich to deliver services to Ipswich, Scenic Rim and Somerset. Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Therapy Pro

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Lockyer Valley, Scenic Rim and Somerset regions including outreach services within these regions.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Lara Strohfeldt on 1300 004 414 or email info@therapypro.com.au
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

CiMAS

Current Program	Aged Care and Chronic Disease
Communities Serviced	All Residential Aged Care Facilities (RACF) in the Lockyer Valley and Ipswich region
Services Offered	Palliative Care in Residential Aged Care Facilities (RACF) – In Hours and After Hours. The nurse practitioner and registered nurse will work closely with the resident, the resident's GP, family members and facility staff to complete a comprehensive care plan. The outreach palliative care program provides planning, support, advice and palliative nursing care assistance to residents using a holistic approach involving family members and the RACF staff. Services will be provided for residents meeting eligibility criteria to receive palliative care and end of life care in their RACF, which will remove the need for the patient to be moved into alternative care. This will reduce the need to access an emergency response for non-acute situations with minimal disruption to the resident. To find our more about this service, click here.
Eligibility Criteria	The patient must be a resident of a Residential Aged Care Facility in the Ipswich and Lockyer Valley LGA with complex care needs. View criterialess
Referral Contact	For referrals, please call Lan Lewis, Director of CiMAS, on 0456 709 235 or email llewis@cimas.net.au

Neami National

Current Program	Low Intensity Mental Health
Communities Serviced	Ipswich Region, Lockyer Valley Region, Scenic Rim, Boonah Area, Somerset Region,
Services Offered	The Optimal Health Program is an eight-session self-development program promoting hope, growth and partnership. By the end of this program, individuals will have covered: Strategies to optimise and maintain mental health and wellbeing An understanding of stress, vulnerability, strengths and strategies The identification of collaborative partners and support network A plan to maintain mental health, manage stress and periods of illness Tools to manage effective change. All participants receive their own workbook and fortnightly one-on-one coaching session.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call Fiona Terry on 07 3375 7333 or 0434 33 5207 or email fiona.terry@neaminational.org.au
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Lives Lived Well

Current Program	Low Intensity Mental Health
Communities Serviced	Cherbourg Region, Goondiwindi Region, Lockyer Valley Region, Somerset Region, South Burnett Region, Southern Downs Region, Western Downs Region
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@liveslivedwell.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

Ann Marie Moorhouse Podiatry

Current Program	CD (Chronic Disease)
Communities Serviced	Gatton
Services Offered	Podiatry Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0438 044 164
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Artius Health

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies
Communities Serviced	Services the Ipswich and Lockyer Valley regions
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Shayne Dearling on 1300 278 487 or email WMReferrals@artius.com.au
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

The Institute for Urban Indigenous Health

Current Program	ITC - Kambu
Communities Serviced	Laidley, Ipswich, Goodna, Somerset, Lockyer and Pt Boonah
Services Offered	Care Coordinator is to assist Aboriginal and or Torres Strait Islander people diagnosed with diabetes, chronic respiratory disease, chronic renal disease and cancer in meeting the requirements of their treatment.
Eligibility Criteria	To be eligible clients must: Identify they Aboriginal and Torres Strait Islander and they have a Chronic Disease; 715 Health Assessment; Current GP Management Plan; Review every 12 months; and Referred on to Care Coordinator in local area. View criterialess
Referral Pathway	https://www.ddwmphn.com.au/uploads/publications/Referral-Forms/PHN-1707026-ITC-Referral-Form_CCSS.rtf

EACH

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Boonah, Esk, Gatton, Goodna, Ipswich, Laidley and Lowood
Services Offered	Drug and alcohol counselling, case management and relapse prevention services. Specific services include - Case management; Counselling; Early and brief interventions; Relapse prevention; and Referrals to relevant service providers.
Eligibility Criteria	People aged 16 years and older in need of evidence-based drug and alcohol treatment services and their family. View criterialess
Referral Contact	For referrals, please call 1300 003 224
Website	Click to visit site
Referral Pathway	Self-referral, GP

Healthy Lifestyles Australia

Current Program	CD (Chronic Disease)
Communities Serviced	Gatton
Services Offered	Dietetics Service.
Eligibility Criteria	To be eligible patients must utilise all other funding options prior to using Chronic Disease Program. To be eligible for any of the CDM items, a patient must have a chronic or terminal medical condition. This is one that has been or is likely to be present for six months or longer and includes but is not limited to asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke. * Please complete the Chronic Disease Referral via the link. View criterialess
Referral Contact	0438 143 812
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/referral-forms

Lives Lived Well

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Toowoomba, Chinchilla, Dalby, Tara, Gatton, Kingaroy and Warwick.
Services Offered	Alcohol and other drugs counsellors provide non-residential rehabilitation services. Specific services include - Case management; Counselling, Group therapy; Relapse prevention; Support group sessions; and Referral pathways.
Eligibility Criteria	All members of the community are eligible. View criterialess
Referral Contact	For referrals, please call 1300 727 957
Website	Click to visit site
Referral Pathway	Self referral, GP

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Ted Noffs

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	West Moreton Region
Services Offered	Drug and alcohol counselling services to young people 12 - 25 in the West Moreton region.
Eligibility Criteria	12 - 25 years of age Living in the West Moreton Region. View criterialess
Referral Contact	For referrals, please call 1800 753 300
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Culturally appropriate drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Ipswich Region

Neami National

Current Program	Health Service Navigators
Communities Serviced	Services the Toowoomba, Ipswich, Lockyer Valley and Scenic Rim regions
Services Offered	Health Service Navigators assist GPs, service providers, consumers and carers to navigate the services available under stepped care in our region. The Health Service Navigators role is to: Coordinate linkages to supports and services for patients and consumers; Map and identify mental health service needs and gaps in communities at the local level; and Provide information where appropriate for services offered by the PHN under Primary Mental Health Care and information for consumers on other PHN programs and supports as necessary.
Eligibility Criteria	All patients and clients across all levels of stepped care View criterialess
Referral Contact	For referrals, please contact navigator@neaminational.org.au
Website	Click to visit site
Referral Pathway	Anyone can refer to the Health Service Navigators, including GPs, service providers, clients and patients, and family members and carers. The program is currently in the establishment phase; however, general enquiries are welcome via email. Referrals can be made starting from 19 November 2018. Self-referrals can be made direct to the providers. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Rural and Remote Mental Health

Current Program	Low Intensity Mental Health
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the region.
Services Offered	Rural Minds – This is a community mental health literacy program with a primary production focus. SafeTALK – Suicide awareness training. Eligible to everyone in the community and includes school based services. Rural Minds Train the Presenter – This is a one day training program to equip people to be able to deliver the Rural Mind program in their community. Eligible to any community members who are willing to improve the mental health literacy of their communities. Applied Suicide Intervention Skills Training – This is a 2 day suicide identification & intervention training program. Small community grants program for anti-stigma activities. – These are community based education and anti-stigmas activities – Eligibility involves an open tender process for community organisations or individuals who would like to support running these activities.
Eligibility Criteria	18+ year olds living in the Toowoomba, Ipswich, Southern Downs, South Burnett, Cherbourg, Western Downs, Somerset, Scenic Rim, Lockyer Valley and Goondiwindi regions. SafeTALK is open to 16+ year olds. View criterialess
Referral Contact	For referrals, please contact Debbie Smith on 0428 983 011 or email debbiesmith@rrmh.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Mi Mind Centre

Current Program	Complex and Severe - Mental Health Nurse Program
Communities Serviced	Communities in the Toowoomba, Ipswich, Goondiwindi, Lockyer Valley, Scenic Rim, Somerset and Western Downs regions
Services Offered	Mental Health Nurse Care is for people who are diagnosed with a severe and complex mental illness in the Darling Downs and West Moreton region who are currently being managed in the primary care setting via a General Practitioner and/or Psychiatrist. People who are deemed eligible will receive mental health nurse services through a clinic setting or outreach model including clinical coordination of services by a mental health nurse. Mental Health Nurse Care will be delivered through: • face-to-face sessions • telephone or online to individuals either in private or general practice settings • community locations or via home visits (where risk assessed as safe and appropriate)
Eligibility Criteria	12 to 64 years who: have a Metal Health Treatment Plan are diagnosed with a severe and complex mental illness have mental health issues that are significantly impacting on their social, personal and work life are at risk of being admitted to hospital in the future if clinical care coordination is not provided, or has already had at least one admission due to their mental health in the past 12 months are assessed as needing clinical care coordination for their ongoing treatment and management of their mental health for an extended episode of care are currently under the care of a General Practitioner or psychiatrist for mental health care or will be linked with one as part of the program A Mental Health Treatment Plan is mandatory for referral to this service. View criterialess
Referral Contact	For referrals to the Mi Mind Centre, please call 07 4613 0922 or email office@mi-mindtrust.com.au or fax 07 4613 0944. For referrals to Our House Our Haven, please contact 0416 826 203 or email info@ohoh.org,au or fax 07 3496 1753
Referral Pathway	For people residing in the Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley, this service is delivered by Mi Mind Centre. Mi Mind Centre have linked with Our House Our Haven, Ipswich to deliver services to Ipswich, Scenic Rim and Somerset. Referrals will be accepted from General Practitioners and psychiatrists only. A Mental Health Treatment Plan is mandatory for referral to this service. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

Therapy Pro

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies.
Communities Serviced	Services the Lockyer Valley, Scenic Rim and Somerset regions including outreach services within these regions.
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Lara Strohfeldt on 1300 004 414 or email info@therapypro.com.au
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

CiMAS

Current Program	Aged Care and Chronic Disease
Communities Serviced	All Residential Aged Care Facilities (RACF) in the Lockyer Valley and Ipswich region
Services Offered	Palliative Care in Residential Aged Care Facilities (RACF) – In Hours and After Hours. The nurse practitioner and registered nurse will work closely with the resident, the resident's GP, family members and facility staff to complete a comprehensive care plan. The outreach palliative care program provides planning, support, advice and palliative nursing care assistance to residents using a holistic approach involving family members and the RACF staff. Services will be provided for residents meeting eligibility criteria to receive palliative care and end of life care in their RACF, which will remove the need for the patient to be moved into alternative care. This will reduce the need to access an emergency response for non-acute situations with minimal disruption to the resident. To find our more about this service, click here.
Eligibility Criteria	The patient must be a resident of a Residential Aged Care Facility in the Ipswich and Lockyer Valley LGA with complex care needs. View criterialess
Referral Contact	For referrals, please call Lan Lewis, Director of CiMAS, on 0456 709 235 or email llewis@cimas.net.au

West Moreton Hospital and Health Service

Current Program	West Moreton Hospital and Health Service (WMHHS) Residential Aged Care Facilities (RACF) After Hours’ Care Initiative
Communities Serviced	Selected Residential Aged Care Facilities (RACF) within the West Moreton region.
Services Offered	The WMHHS research project will demonstrate improvements in access, efficiency, effectiveness of after-hours care in RACFs by: Developing and implementing strategies to support after-hours’ care in selected RACFs. Empower RACF staff to provide safe, evidenced based care by aiding decision making prior to transfers of residents to emergency departments in the after-hours’ period . Provide resources to enhance clinical assessment, assist with care planning, and promote early intervention to prevent clinical escalation. Collaborate with Ipswich Hospital Emergency Department, Geriatricians, Queensland Ambulance, and general practices to ensure evidence based information is integrated into project resources. Integrate existing resources such as MyHealthRecord and West Moreton Digital Hospital into the project.
Eligibility Criteria	This service is available to Residential Aged Care Facilities in the West Moreton Region View criterialess
Referral Contact	Project Contact: Carol Hope \| Email: wm_serviceimprovement@health.qld.gov.au

West Moreton Hospital and Health Service

Current Program	West Moreton Hospital and Health Service (WMHHS) Residential Aged Care Facilities (RACF) After Hours’ Care Initiative
Communities Serviced	Selected Residential Aged Care Facilities (RACF) within the West Moreton region.
Services Offered	The WMHHS research project will demonstrate improvements in access, efficiency, effectiveness of after-hours care in RACFs by: Developing and implementing strategies to support after-hours’ care in selected RACFs. Empower RACF staff to provide safe, evidenced based care by aiding decision making prior to transfers of residents to emergency departments in the after-hours’ period . Provide resources to enhance clinical assessment, assist with care planning, and promote early intervention to prevent clinical escalation. Collaborate with Ipswich Hospital Emergency Department, Geriatricians, Queensland Ambulance, and general practices to ensure evidence based information is integrated into project resources. Integrate existing resources such as MyHealthRecord and West Moreton Digital Hospital into the project.
Eligibility Criteria	This service is available to Residential Aged Care Facilities in the West Moreton Region View criterialess
Referral Contact	Project Contact: Carol Hope \| Email wm_serviceimprovement@health.qld.gov.au

Mental Illness Fellowship Queensland (MIFQ)

Current Program	Low Intensity Mental Health
Communities Serviced	Toowoomba Region, Ipswich Region, Boonah Area
Services Offered	The NewAccess Program is a free service developed by beyondblue that provides support in the form of a specially trained coach. Over six private sessions, individuals have access to a coach who will help them to set practical and effective goals, giving them the skills to manage the pressures of life so that they can get back to feeling their best. The NewAccess program is offered over the phone or face to face.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call 1300 971 309 or email newaccess@mifq.org.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Neami National

Current Program	Low Intensity Mental Health
Communities Serviced	Ipswich Region, Lockyer Valley Region, Scenic Rim, Boonah Area, Somerset Region,
Services Offered	The Optimal Health Program is an eight-session self-development program promoting hope, growth and partnership. By the end of this program, individuals will have covered: Strategies to optimise and maintain mental health and wellbeing An understanding of stress, vulnerability, strengths and strategies The identification of collaborative partners and support network A plan to maintain mental health, manage stress and periods of illness Tools to manage effective change. All participants receive their own workbook and fortnightly one-on-one coaching session.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call Fiona Terry on 07 3375 7333 or 0434 33 5207 or email fiona.terry@neaminational.org.au
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

HealthWISE

Current Program	Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Ipswich Region, Boonah Area, Somerset Region, South Burnett (including Cherbourg) Region
Services Offered	Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services provide free, culturally appropriate mental health services to Aboriginal and Torres Strait Islander people in the Darling Downs and West Moreton region.
Eligibility Criteria	Indigenous people residing in the area, with a mild to moderate mental illness. Self-referral, referral through Aboriginal Health Worker, Allied Health Practitioner or via General Practitioner. View criterialess
Referral Contact	For referrals, please phone the HealthWISE toll free number on 1800 931 540 or email mentalhealth@healthwisenenw.com.au
Website	Click to visit site
Referral Pathway	Self-referrals can be made direct to the service provider for assessment and a GP led mental health treatment plan for the client where clinically appropriate. For GPs and other service providers wanting to refer, fax the HealthWISE Referral Form to HealthWISE Coordinated Referral Network using 1300 452 059 or via Medical Objects.

Open Minds

Current Program	After Hours
Communities Serviced	Ipswich
Services Offered	Outreach Mental Health Services
Eligibility Criteria	Mental Health Program assisting Individuals who require active support in dealing with an urgent after hours situational crisis. View criterialess
Referral Contact	Clint Tierney, Team Leader: Mobile 0437 901 472
Website	Click to visit site
Referral Pathway	Self, QAS, APS, NGOs, GP

Richmond Fellowship Queensland

Current Program	Low Intensity Mental Health
Communities Serviced	Ipswich and Toowoomba
Services Offered	The New Sensations program offers a one-day workshop followed by up to four one-hour individual therapy sessions. The workshop will introduces participants to Sensory Modulation and the individual sessions tailor strategies to meet an individuals needs. Sensory Modulation can be described simply as improving the way someone feels or functions by using their senses. Sensory Modulation can help people to self-regulate when facing challenging moods, emotions, thoughts and feelings, especially when talking or thinking may be difficult. Participants learn strategies to improve their mood, manage their stress, feel more calm and relaxed or more alert and focused, and more motivated to get things done. Sensory items will be provided to explore in the group and some small items will be provided to take home.
Eligibility Criteria	The individual must be a resident of the region where the service is provided and must be aged 18 and over. View criterialess
Referral Contact	For referrals, please call Anneliese Russell on 0456 600 123 or email newsensations@rfq.com.au
Website	Click to visit site
Referral Pathway	GP or self-referral. To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above.

Ipswich Hospice Care

Current Program	After Hours
Communities Serviced	Ipswich
Services Offered	Hospice Based Palliative Care located at 37 Chermside Road, Eastern Heights, Ipswich.
Eligibility Criteria	Hospice care is provided to anyone with a life-limiting health condition, who their doctor believes to be in the end-stage of their illness, needing a level of care that cannot be safely provided at home, or if the client does not wish to die at home. Clients may be referred to the Hospice by themselves, their families and friends, their GP, Community Service Providers and other hospitals. For more information about referring a client please contact our Director of Nursing. View criterialess
Referral Contact	info@ipswichhospice.org.au Phone: 3812 0063 A/General Manager - Rosie Laidlaw
Website	Click to visit site
Referral Pathway	GP or Hospital and Health Service

Translating & Interpreting Service (TIS)

Current Program	Refugee Health
Communities Serviced	Whole of region
Services Offered	Allied Health Providers funded access to Translating & Interpreting Service (TIS).
Eligibility Criteria	Allied Health Professionals eligible for the program include: Audiologists, Diabetes Educator, Dietitians, Dentists, Exercise Physiologists, Mental Health workers, Physiotherapists, Psychologists, Podiatrists, Occupational therapists, Optometrists, Speech pathologists. Allied Health Professionals who are involved in the program must agree to: Complete cross cultural training Bulk bill clients they consult with under this program Participate in an evaluation of the program. View criterialess
Referral Contact	07 4615 0900
Referral Pathway	https://www.ddwmphn.com.au/attachments/pdf-form-clinical-measurement.pdf

Access Community Services

Current Program	Refugee Health
Communities Serviced	Redbank, Goodna
Services Offered	Refugee Health Nurses will facilitate access to refugee health assessment services as well as ongoing health care management by General Practices, assisting a smoother transition to the Australian healthcare system.
Eligibility Criteria	Refugee View criterialess
Referral Contact	07 3412 8222
Website	Click to visit site
Referral Pathway	www.accesscommunity.org.au

Headspace Ipswich

Current Program	Headspace
Communities Serviced	Ipswich
Services Offered	Headspace Ipswich can assist young people aged 12 to 25 years with mental health, general health, drug, alcohol, education and employment issues.
Eligibility Criteria	Young people can access the service who may experiencing the following: are feeling down, stressed or can't stop worrying; haven't felt like yourself for a long time; can't deal with school or finding it difficult to concentrate; are feeling sick or worried about their health; want to cut down on your drinking or drug use; want to talk about sexuality, identity or relationships; are having difficulties with friendships; have sexual health issues or want to find out about contraception; are being bullied, hurt or harassed; are worried about work, study or finances; or are having trouble at home. View criterialess
Referral Contact	07 3280 7900
Website	Click to visit site
Referral Pathway	headspace.ipswich@aftercare.com.au

Artius Health

Current Program	Mild to Moderate Mental Health – Targeted Psychological Therapies
Communities Serviced	Services the Ipswich and Lockyer Valley regions
Services Offered	Targeted Psychological Therapies (TPT) replaces the former Access to Allied Health Psychological Services (ATAPS) and Mental Health Services in Rural and Remote Areas (MHSRRA). TPT is designed to complement MBS Better Access psychology services funded by Medicare, not be in place of these services. • Support (up to three sessions) can be accessed as a Provisional referral prior to having a Mental Health Treatment Plan if the referral is urgent (within 24-48hrs), low risk of suicide, or a priority i.e. for young children; • Referrals can also be made for patients to access MBS Better Access through this referral process (these services are funded through MBS item numbers); • After a patient has exhausted all of their MBS Better Access sessions (maximum 6+4 Mental Health Treatment Plan MBS), and it is clinically appropriate for additional time, limited support of Up to five supplementary sessions can also be provided; • Some TPT providers may deliver Groups where clinically appropriate and suited to the client.
Eligibility Criteria	Targeted Psychological Therapies: People must reside in the Darling Downs and West Moreton region, have a mild to moderate mental health illness and fall into one of the following targeted demographics which focus on vulnerable cohorts, including (but not limited to): children under the age of 12 years people experiencing or at risk of, homelessness people living in rural and remote communities women experiencing perinatal depression people with intellectual disability (dual diagnosis) people from culturally and linguistically diverse (CALD) backgrounds population groups that are the subject of separate guidance material (Aboriginal and Torres Strait Islander people, people at risk of suicide and young people). View criterialess
Referral Contact	For referrals, please contact Shayne Dearling on 1300 278 487 or email WMReferrals@artius.com.au
Website	Click to visit site
Referral Pathway	To refer patients into these services, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and email or fax the form to the relevant provider above. Referrals must be made by General Practitioners.

The Institute for Urban Indigenous Health

Current Program	ITC - Kambu
Communities Serviced	Laidley, Ipswich, Goodna, Somerset, Lockyer and Pt Boonah
Services Offered	Care Coordinator is to assist Aboriginal and or Torres Strait Islander people diagnosed with diabetes, chronic respiratory disease, chronic renal disease and cancer in meeting the requirements of their treatment.
Eligibility Criteria	To be eligible clients must: Identify they Aboriginal and Torres Strait Islander and they have a Chronic Disease; 715 Health Assessment; Current GP Management Plan; Review every 12 months; and Referred on to Care Coordinator in local area. View criterialess
Referral Pathway	https://www.ddwmphn.com.au/uploads/publications/Referral-Forms/PHN-1707026-ITC-Referral-Form_CCSS.rtf

EACH

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Boonah, Esk, Gatton, Goodna, Ipswich, Laidley and Lowood
Services Offered	Drug and alcohol counselling, case management and relapse prevention services. Specific services include - Case management; Counselling; Early and brief interventions; Relapse prevention; and Referrals to relevant service providers.
Eligibility Criteria	People aged 16 years and older in need of evidence-based drug and alcohol treatment services and their family. View criterialess
Referral Contact	For referrals, please call 1300 003 224
Website	Click to visit site
Referral Pathway	Self-referral, GP

Kambu Aboriginal and Torres Strait Islander Corporation for Health

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Ipswich
Services Offered	A social health worker provides assistance to Aboriginal and Torres Strait Islander people who are affected by drug and alcohol use. Specific services include - Withdrawal support; Transport; Counselling; Case management; Family based intervention; Relapse prevention and support; and Referral pathways to relevant service providers.
Eligibility Criteria	Aboriginal and/or Torres Strait Islander people in need of evidence-based drug and alcohol treatment services, their family and community living in the West Moreton region. View criterialess
Referral Contact	For referrals, please call 07 3810 3000
Referral Pathway	Self referral, GP, Aboriginal Health Worker

Sunrise Way

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation based in Toowoomba.
Eligibility Criteria	18 years or older seeking residential based rehabilitation support. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 4638 9091
Website	Click to visit site
Referral Pathway	Self referral, GP

Ted Noffs

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	West Moreton Region
Services Offered	Drug and alcohol counselling services to young people 12 - 25 in the West Moreton region.
Eligibility Criteria	12 - 25 years of age Living in the West Moreton Region. View criterialess
Referral Contact	For referrals, please call 1800 753 300
Website	Click to visit site
Referral Pathway	Self referral, GP

Teen Challenge

Current Program	Drug and Alcohol Treatment Services
Communities Serviced	Whole of region
Services Offered	Drug and alcohol residential rehabilitation service, based in Toowoomba, for women 18-35 and men 18-39.
Eligibility Criteria	Women 18-35 and men 18-39. Please contact provider for further eligibility criteria. View criterialess
Referral Contact	For referrals, please call 07 3422 1500
Website	Click to visit site
Referral Pathway	Self referral, GP