Map of commissioned services - All Services

South Burnett Region

South Burnett Podiatry

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy
Services Offered	Type of Service: Dietetics and exercise physiology - educating high and low risk clients on the importance of understanding their feet, skin conditions and how to improve circulation. Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs or allied health professionals
Referral Pathway	Contact Person: Katharine Butcher Phone: 07 4162 7633 Fax: 07 4162 4967 Email: reception@southburnettpodiatry.com.au To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and contact the provider.

Burnett Allied Care

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy
Services Offered	Type of Service: Dietetics Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral.
Referral Pathway	Contact Person: Anita Reeves Mobile: 0410 641 577 Email: sbdiet@outlook.com Fax: 07 4162 1539 Medical Objects: Yes To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Burnett Allied Care

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy
Services Offered	Type of Service: Pain education group Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: chronic pain (any area) for more than 3 months (minimum) of 3/10 Patients must also be aged between 15 - 75. Patients are excluded if they have any of the following: severe psychiatric illness current workcover or accident insurance claim current legal claim regarding health condition cancer related pain/ palliative care red flags View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or hospital nurse navigators and doctors
Referral Pathway	Contact Person: Sandra Langton Phone: 07 4162 5940 Email: reception@langtonphsyio.com.au Fax: 07 4162 5940 Medical Objects: Yes To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and via fax or Medical Objects.

Burnett Allied Care

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy and Nanango
Services Offered	Type of Service: Physiotherapy Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or hospital nurse navigators and doctors
Referral Pathway	Contact Person: Sandra Langton Phone: 07 4162 5940 Email: reception@langtonphsyio.com.au Fax: 07 4162 5940 Medical Objects: Yes To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and via fax or Medical Objects.

Burnett Allied Care

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy
Services Offered	Type of Service: Pulmonary rehabilitation Chronic Condition: Respiratory disease Group or Individual: Group
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosis of chronic obstructive pulmonary disease or other respiratory conditions such as bronchiectasis, interstitial lung disease, chronic asthma or pulmonary hypertension be recovering from an acute exacerbation of their condition be willing to participate (even if they are on long-term oxygen therapy or are current smokers). Patients are excluded if they have any of the following: severe cognitive impairment severe psychotic disturbance a relevant infectious disease musculoskeletal or neurological disorders that prevent exercise unstable cardiovascular disease (e.g. unstable angina, aortic valve disease, unstable pulmonary hypertension) unstable angina* or myocardial infarction during the previous month resting heart rate > 120 beats / min after 10 minutes rest (relative contraindication) systolic blood pressure > 200 mmHg ± diastolic blood pressure > 100 mmHg (relative contraindication) resting pulse oximetry (SpO2)% < 85% on room6 air or while breathing the prescribed level of supplemental oxygen. The referring doctor should be notified and exercise assessment should not proceed.6 Suggest the patient should be referred for assessment for long-term oxygen therapy (LTOT) if not already receiving supplemental oxygen. See testing protocol for oxygen supplementation. physical disability preventing safe performance Please note: 7-8 Participants with mild-moderate COPD/respiratory disease 2-3 Participants with severe COPD Please advise on referral form if mild, moderate or severe (see below). Stage Spirometry (post-bronchodilator) I – Mild COPD FEV1 / FVC < 0.7 and FEV1 60% to 80% predicted II – Moderate COPD FEV1 / FVC < 0.7 and FEV1 40% to 59% predicted III – Severe COPD FEV1 / FVC < 0.7 and FEV1 below 40% predicte View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or hospital nurse navigators and doctors
Referral Pathway	Contact Person: Sandra Langton Phone: 07 4162 5940 Email: reception@langtonphsyio.com.au Fax: 07 4162 5940 Medical Objects: Yes To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and via fax or Medical Objects.

Healthy Lifestyles Australia

Current Program	Chronic Conditions Program
Communities Serviced	Blackbutt, Murgon and Cherbourg
Services Offered	Type of Service: Dietetics and exercise physiology Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs
Website	Click to visit site
Referral Pathway	Phone: 07 3088 2323 Email: referrals@healthylifestylesaustralia.com Fax: 07 3053 8133 Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Rapid Exercise Physiologist Specialists

Current Program	Chronic Conditions Program
Communities Serviced	Kingaroy, Nanango, Cherbourg, Wondai & Yarraman
Services Offered	Type of Service: Exercise physiology Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Steve Bankier Phone: 07 4163 2661 Email: info@raidep.com.au To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and contact the provider.

South Burnett Physiotherapy

Current Program	Chronic Conditions Program
Communities Serviced	Murgon, Wondai and Cherbourg
Services Offered	Type of Service: Individual wellness coaching Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Referral Pathway	Contact Person: Katie Zerner Phone: 07 4168 3883 Email: southburnettphysio@bigpond.com Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via Medical Objects.

RHealth

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities within 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 012 710 or contact RHealth direct on 07 4638 1377 Email: services@rhealth.com.au Fax: 07 4151 0794 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

RHealth

Current Program	Mental Health Stepped Care - Mental Health Nurse Program
Communities Serviced	Communities in the Southern Downs, Cherbourg and South Burnett region
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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 07 4638 1377 Email: services@rhealth.com.au Fax: 07 4151 079 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Therapy Pro

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions. Also services 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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 004 414 Email: info@therapypro.com.au Fax: 07 3112 4203 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Burnett Allied Care

Current Program	Mental Health Stepped Care - Low Intensity
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	16+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Referral Pathway	Contact Information: Phone: 0458 525 787 Email: burnettalliedcare@gmail.com Fax: 07 5315 0886 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Lives Lived Well

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Cherbourg, Goondiwindi, Lockyer Valley, Somerset, South Burnett, Southern Downs and Western Downs regions
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@liveslivedwell.org.au Fax: 07 3539 9875 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

HealthWISE

Current Program	Mental Health Stepped Care - Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Communities in the Ipswich, Somerset, Cherbourg and South Burnett region, including the Boonah area.
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 people with or at risk of mental illness View criterialess
Referral Contact	Referrals must be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1800 931 540 Email: mentalhealth@healthwise.org.au Fax: 1300 452 059 Medical Objects: Yes To refer patients into this service, please fill out the HealthWISE Referral Form send via fax or 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	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	Interpreting for Allied Health Professionals Program Expression of Interest

Cherbourg Regional Aboriginal and Islander Community Controlled Health Services LTD (CRAICCHS)

Current Program	ITC
Communities Serviced	South Burnett and Cherbourg regions
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 Contact	07 4169 8600
Website	Click to visit site
Referral Pathway	https://www.ddwmphn.com.au/uploads/publications/Referral-Forms/PHN-1707026-ITC-Referral-Form_CCSS.rtf

Lainie Nicholson

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Person: Lainie Nicholson Mobile: 0411 024 834 Email: lainienicholson@gmail.com Fax: 07 5315 0886 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Kingaroy with some outreach to Nanango. Telephone and telehealth outreach services are also offered within the South Burnett 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.
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	Referrals must be made by GPs
Referral Pathway	Contact Person: Nadine Hinchliff Mobile: 0408 369 103 Email: nadine.hinchliff@gmail.com Fax: 07 4163 5014 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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 old and 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 aged 18 to 35 and men aged 18 to 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 old and 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

Vital Health

Current Program	Chronic Conditions Program
Communities Serviced	Chinchilla, Tara, Miles, Taroom
Services Offered	Type of Service: Dietetics assessment and treatment for prevention and management of chronic conditions. Chronic Condition: Diabetes Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Website	Click to visit site
Referral Pathway	Contact Person: Amie Southern Phone: 07 4662 6640 Email: amie@vitalhealthqld.com.au

Darling Downs Health

Current Program	Chronic Conditions Program
Communities Serviced	All of Western Downs region
Services Offered	Type of Service: Care coordination and support in the management or Chronic Conditions, including referring on to other services depending on assessment to improve patient outcomes. Chronic Condition: All in scope Group or Individual: Care coordination for individuals
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Referral Pathway	Contact Person: Jillian Cuddihy Phone: 07 4672 4000 Email: jillian.cuddihy@health.qld.gov.au Fax: 07 4672 4047 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Vital Health

Current Program	Chronic Conditions Program
Communities Serviced	Tara
Services Offered	Type of Service: Diabetes assessment and treatment for prevention and management of chronic conditions. Chronic Condition: Diabetes Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Website	Click to visit site
Referral Pathway	Contact Person: Amie Southern Phone: 07 4662 6640 Email: amie@vitalhealthqld.com.au

Better Movement Clinic

Current Program	Chronic Conditions Program
Communities Serviced	Dalby
Services Offered	Type of Service: Exercise physiology and dietetics, which includes: • Exercise Physiology one on one sessions • Exercise Physiology weekly group sessions • Dietitian one on one sessions • Dietitian monthly group sessions Better Movement Clinic (BMC) services target the treatment and management of chronic disease, chronic injury and disability. This includes exercise physiology, exercise science, dietetics, physiotherapy, remedial massage therapy and pilates. Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Referral Pathway	Contact Person: Helen Collins Phone: 07 4662 2855 Email: info@bettermovementclinic.com.au Fax: 07 4662 2899 Medical Objects: Yes To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via Medical Objects.

Vital Health

Current Program	Chronic Conditions Program
Communities Serviced	Tara
Services Offered	Type of Service: Physiotherapy assessment and treatment for prevention and management of chronic conditions Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Website	Click to visit site
Referral Pathway	Contact Person: Amie Southern Phone: 07 4662 6640 Email: amie@vitalhealthqld.com.au

Vital Health

Current Program	Chronic Conditions Program
Communities Serviced	Chinchilla, Tara
Services Offered	Type of Service: Podiatry assessment and treatment for prevention and management of chronic conditions. Chronic Condition: Diabetes Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Website	Click to visit site
Referral Pathway	Contact Person: Amie Southern Phone: 07 4662 6640 Email: amie@vitalhealthqld.com.au

Vital Health

Current Program	Chronic Conditions Program
Communities Serviced	Chinchilla, Tara, Miles, Taroom
Services Offered	Type of Service: Exercise physiology assessment and treatment for prevention and management of chronic conditions. Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Website	Click to visit site
Referral Pathway	Contact Person: Amie Southern Phone: 07 4662 6640 Email: amie@vitalhealthqld.com.au

RHealth

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities within 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 012 710 or contact RHealth direct on 07 4638 1377 Email: services@rhealth.com.au Fax: 07 4151 0794 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

Mi Mind Centre

Current Program	Mental Health Stepped Care - 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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Referral Pathway	Contact Information: Mi-Mind Centre (Services Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley region) Phone: 07 4613 0922 Email: office@mi-mindtrust.com.au Fax: 07 4613 0944 Contact Information: Our House Our Haven (Services the Ipswich, Scenic Rim and Somerset region) Mobile: 0416 826 203 Email: info@ohoh.org.au Fax: 07 3496 1753 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Heather Linsley

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Person: Heather Linsley Mobile: 0473 491 022 Email: hlinsley@bigpond.com Fax: 07 3532 5117 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Creative Holistic Counselling

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Information: Helen Druce Phone: 07 4665 5618 Mobile: 0427 974 761 Email: helen@creativeholisticcounselling.com.au Medical Objects: Yes To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via Medical Objects.

Rural Sky

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Goondiwindi 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	Referrals must be made by GPs
Referral Pathway	Contact Person: Katherine Johnstone and Suzie Collins Mobile: 0475 391 260 (Katherine) or 0438 711 500 (Suzie) Email: referral@ruralsky.com.au To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact Katherine or Suzie at the above details for referral pathway.

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

Lives Lived Well

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Cherbourg, Goondiwindi, Lockyer Valley, Somerset, South Burnett, Southern Downs and Western Downs regions
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@liveslivedwell.org.au Fax: 07 3539 9875 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

Goolburri Healing and Wellbeing Centre

Current Program	Mental Health Stepped Care - Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Communities in the Goondiwindi, Southern Downs and 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 people with or at risk of mental illness View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Referral Pathway	Contact Information: Phone: 07 4632 0338 Email: hwb@goolburri.org.au Fax: 07 4632 0548 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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	Interpreting for Allied Health Professionals Program Expression of Interest

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	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Jandowae and Chinchilla
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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Franki Treccase Phone: 0417 752 768 Email: barry@barrysheehan.com.au Fax: 07 4632 4041 Medical Objects: Yes To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax or Medical Objects.

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	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Toowoomba, Crows Nest and Millmerran. Also 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.
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	Referrals must be made by GPs
Referral Pathway	Contact Person: Veronica McKeen Phone: 07 4646 4953 Mobile: 0426 294 015 Email: contact@mindwarepsychology.com.au Fax: 07 4646 2452 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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 old and 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 aged 18 to 35 and men aged 18 to 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 old and 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

Healthy Lifestyles Australia

Current Program	Chronic Conditions Program
Communities Serviced	Lowood, Fernvale, Esk, Toogoolawah
Services Offered	Type of Service: Lowood - dietetics, exercise physiology and diabetes education Fernvale and Esk - dietetics and exercise physiology Toogoolawah - dietetics and exercise physiology Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs
Website	Click to visit site
Referral Pathway	Phone: 07 3088 2323 Email: referrals@healthylifestylesaustralia.com Fax: 07 3053 8133 Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Abel Podiatry

Current Program	Chronic Conditions Program
Communities Serviced	Gatton, Laidley, Esk, Lowood, Fernvale
Services Offered	Type of Service: Podiatry Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals must be made by GPs
Referral Pathway	Contact Person: Vickki Phone: 07 5462 2799 Email: vickki@ifac.com.au Fax: 07 5462 2899 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

RHealth

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities within 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 012 710 or contact RHealth direct on 07 4638 1377 Email: services@rhealth.com.au Fax: 07 4151 0794 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

Mi Mind Centre

Current Program	Mental Health Stepped Care - 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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Referral Pathway	Contact Information: Mi-Mind Centre (Services Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley region) Phone: 07 4613 0922 Email: office@mi-mindtrust.com.au Fax: 07 4613 0944 Contact Information: Our House Our Haven (Services the Ipswich, Scenic Rim and Somerset region) Mobile: 0416 826 203 Email: info@ohoh.org.au Fax: 07 3496 1753 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Therapy Pro

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions. Also services 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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 004 414 Email: info@therapypro.com.au Fax: 07 3112 4203 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Neami National

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions, including the Boonah area
Services Offered	The Optimal Health Program is an eight-session (over a 6-8 week period) 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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Referral Pathway	Contact Information: Fiona Terry Phone: 07 3375 7333 Mobile: 0434 335 207 Email: darra@neaminational.org.au Fax: 07 3375 758 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Lives Lived Well

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Cherbourg, Goondiwindi, Lockyer Valley, Somerset, South Burnett, Southern Downs and Western Downs regions
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@liveslivedwell.org.au Fax: 07 3539 9875 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

HealthWISE

Current Program	Mental Health Stepped Care - Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Communities in the Ipswich, Somerset, Cherbourg and South Burnett region, including the Boonah area.
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 people with or at risk of mental illness View criterialess
Referral Contact	Referrals must be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1800 931 540 Email: mentalhealth@healthwise.org.au Fax: 1300 452 059 Medical Objects: Yes To refer patients into this service, please fill out the HealthWISE Referral Form send via fax or 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	Interpreting for Allied Health Professionals Program Expression of Interest

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

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 old and 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 aged 18 to 35 and men aged 18 to 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 old and 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

AH Diabetes

Current Program	Chronic Conditions Program
Communities Serviced	Gatton, Toowoomba, Oakey
Services Offered	Type of Service: 6-week 'Healthy Living on a Budget' group program Chronic Condition: All in scope Group or individual: Group
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease AND aged 18-80 years View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Person: Celia Innerarity Phone: 07 4646 2530 Email: celia@ahdiabetes.com.au Fax: 07 4641 7556 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Healthy Lifestyles Australia

Current Program	Chronic Conditions Program
Communities Serviced	Oakey, Clifton and Toowoomba
Services Offered	Type of Service: Toowoomba - diabetes education Oakey - dietitian and exercise physiology Clifton - dietition, exercise physiology and diabetes education Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs
Website	Click to visit site
Referral Pathway	Phone: 07 3088 2323 Email: referrals@healthylifestylesaustralia.com Fax: 07 3053 8133 Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Margot Hawker Dietetics

Current Program	Chronic Conditions Program
Communities Serviced	Goondiwindi, Inglewood, Millmerran
Services Offered	Type of Service: Dietetics Chronic Condition: Diabetes Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs and allied health professionals
Referral Pathway	Contact Person: Margot Hawker Phone: 07 4671 1444 Email: kilbronae.m@bigpond.com Fax: 07 4671 2338 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send fax.

Toowoomba Podiatry Clinic

Current Program	Chronic Conditions Program
Communities Serviced	Clifton and Pittsworth
Services Offered	Type of Service: Podiatry Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Refferal must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Judith France Phone: 07 46321100 Email: info@toowoombapodiatry.com.au Fax: 07 4639 1305 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Warwick Physioworks

Current Program	Chronic Conditions Program
Communities Serviced	Clifton, Warwick
Services Offered	Type of Service: Individual consultations, 10-week exercise and health education group Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs or allied health professionals.
Referral Pathway	Phone: 07 4661 7756 Email: warwickphysio@gmail.com Fax: 07 4661 8375 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Lumsden Psychology

Current Program	Per- and Poly-Fluoroalkyl Substances (PFAS) Program
Communities Serviced	Toowoomba, Oakey and Kingsthorpe
Services Offered	Delivering specialised mental health psychological and counselling services to people who identify as being adversely affected by per- and poly-fluoroalkyl substances (PFAS) exposure and who live or work or have lived or worked in the Oakey PFAS investigation area.
Eligibility Criteria	Live or work or have lived or worked in the Oakey PFAS investigation area; and Identify as being adversely affected by per- and poly-fluoroalkyl substances (PFAS) exposure. View criterialess
Referral Contact	Referrals must be made by GPs
Referral Pathway	Contact Person: Marguerite Lumseden Phone: 0427 647 847 Email: therapy@myapollo.com.au Medical Objects: Yes To refer patients into this service, please send the referral form via Medical Objects.

Neami National

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities in 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information Phone: 1300 012 710 Email: navigator@neaminational.org.au Fax: 07 3103 4634 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

TOMNET (The Older Mens Network)

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Toowoomba
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	Referrals can be made by GPs, community organisations or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 07 4638 9080 Email: admin@tomnet.org.au To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

Mi Mind Centre

Current Program	Mental Health Stepped Care - 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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Referral Pathway	Contact Information: Mi-Mind Centre (Services Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley region) Phone: 07 4613 0922 Email: office@mi-mindtrust.com.au Fax: 07 4613 0944 Contact Information: Our House Our Haven (Services the Ipswich, Scenic Rim and Somerset region) Mobile: 0416 826 203 Email: info@ohoh.org.au Fax: 07 3496 1753 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Warwick, Clifton, Allora, Killarney, Stanthorpe, Inglewood and Wallangarra. Also accepts referrals from 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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Gordana Sloss Phone: 07 4661 3340 Email: admin@centreforhealthyliving.com.au Fax: 07 4667 1333 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Carbal Medical Services

Current Program	Mental Health Stepped Care - Low Intensity
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	18+ year old Aboriginal and Torres Strait Islanders living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 379 558 Email: rturnball@carbal.com.au (Toowoomba) Email: doliver@carbal.com.au (Warwick) Fax: 07 4639 7450 (Toowoomba) Fax: 07 4548 9550 (Warwick) To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Mental Illness Fellowship Queensland (MIFQ)

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Toowoomba and Ipswich regions, and the 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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@mifq.org.au To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

Carbal Medical Services

Current Program	Mental Health Stepped Care - Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Communities in the 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 people with or at risk of mental illness View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Person: Cathy Habgood Phone: 1300 379 558 Email: chabgood@carbal.com.au Fax: 07 4633 9550 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Lifeline Darling Downs and South West

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Participants must reside in the Darling Downs region, and fulfill the following requirements: be connected and engaged with a formal support service for the duration of the program (e.g. psychologist, counsellor, support worker) availability to attend the majority of the 20 week course, as attendance and participation is highly important have the ability and motivation to put the skills into practice in everyday life View criterialess
Referral Contact	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Sarah Owens and Alison Smith Phone: 1300 991 443 Email: lifeline@lifelinedarlingdowns.org.au Fax: 07 4699 1610 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Richmond Fellowship Queensland

Current Program	Mental Health Stepped Care - Low Intensity
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 07 3363 2555 Email: newsensations@rfq.com.au Fax: 07 3363 2557 (Ipswich) Fax: 07 3363 2598 (Toowoomba) To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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	Interpreting for Allied Health Professionals Program Expression of Interest

Alexandra Bryant

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Person: Alexandra Bryant Phone: 07 4637 9045 Mobile: 0438 840 782 Email: alexbryant@bigpond.com Fax: 07 4642 1410 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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 Islander 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	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Person: Gillian Bensley Mobile: 0417 618 211 Email: gillian.bensley@bigpond.com To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

Goolburri Aboriginal Health Advancement Co

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.
Referral Contact	07 4639 9000
Website	Click to visit site
Referral Pathway	headspace.toowoomba@unitedsynergies.com.au

Illuminable Minds

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	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	Referrals must be made by GPs
Referral Pathway	Contact Person: Nadja Jones Phone: 0459 606 717 Email: nadjajones@me.com To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and post to 13 Isabel St, Toowoomba or give to the patient to take with them.

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	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Toowoomba, Oakey and Kingsthorpe
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. Lumsden Pscyhology provides individual, adult and children, couple, and group psychological assistance.
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	Referrals must be made by GPs
Referral Pathway	Contact Person: Marguerite Lumsden Mobile: 0427 647 847 Email: therapy@myapollo.com.au Medical Objects: Yes To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send through Medical Objects.

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	To make a referral, please call 07 4632 1466
Website	Click to visit site

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	To make a referral, please call 07 4631 5822
Website	Click to visit site
Referral Pathway	Self-referral

Mindware Psychology

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Toowoomba, Crows Nest and Millmerran. Also 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.
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	Referrals must be made by GPs
Referral Pathway	Contact Person: Veronica McKeen Phone: 07 4646 4953 Mobile: 0426 294 015 Email: contact@mindwarepsychology.com.au Fax: 07 4646 2452 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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 old and 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 aged 18 to 35 and men aged 18 to 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	After Hours - Palliative Care
Communities Serviced	Toowoomba
Services Offered	Palliative Care
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
Referral Contact	To make a referral, contact 07 4659 8500
Website	Click to visit site
Referral Pathway	Call 07 4659 8500

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 old and 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

AH Diabetes

Current Program	Chronic Conditions Program
Communities Serviced	Gatton, Toowoomba, Oakey
Services Offered	Type of Service: 6-week 'Healthy Living on a Budget' group program Chronic Condition: All in scope Group or individual: Group
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease AND aged 18-80 years View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Person: Celia Innerarity Phone: 07 4646 2530 Email: celia@ahdiabetes.com.au Fax: 07 4641 7556 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Healthy Lifestyles Australia

Current Program	Chronic Conditions Program
Communities Serviced	Gatton, Laidley and Plainland
Services Offered	Type of Service: Dietetics, exercise physiology and diabetes education Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs
Website	Click to visit site
Referral Pathway	Phone: 07 3088 2323 Email: referrals@healthylifestylesaustralia.com Fax: 07 3053 8133 Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Abel Podiatry

Current Program	Chronic Conditions Program
Communities Serviced	Gatton, Laidley, Esk, Lowood, Fernvale
Services Offered	Type of Service: Podiatry Chronic Condition: All in scope Group or Individual: Individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals must be made by GPs
Referral Pathway	Contact Person: Vickki Phone: 07 5462 2799 Email: vickki@ifac.com.au Fax: 07 5462 2899 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Fresh Start Professional Healthcare

Current Program	Chronic Conditions Program
Communities Serviced	Gatton
Services Offered	Type of Service: Group exercise sessions for the prevention and management of chronic diseases and conditions; particularly diabetes, circulatory system disease, and chronic obstructive pulmonary disease (COPD). The program includes: 1 x initial appointment 8 x 60-minute group exercise classes - Including hydrotherapy and circuit recharge classes 1 x final appointment Chronic Condition: All in scope Group or Individual: Group
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Person: Bree Sauer Mobile: 0408 961 330 Email: bree.sauer@hotmail.com Fax: 07 5462 8584 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

Neami National

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities in 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information Phone: 1300 012 710 Email: navigator@neaminational.org.au Fax: 07 3103 4634 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

Mi Mind Centre

Current Program	Mental Health Stepped Care - 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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Referral Pathway	Contact Information: Mi-Mind Centre (Services Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley region) Phone: 07 4613 0922 Email: office@mi-mindtrust.com.au Fax: 07 4613 0944 Contact Information: Our House Our Haven (Services the Ipswich, Scenic Rim and Somerset region) Mobile: 0416 826 203 Email: info@ohoh.org.au Fax: 07 3496 1753 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Therapy Pro

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions. Also services 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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 004 414 Email: info@therapypro.com.au Fax: 07 3112 4203 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Neami National

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions, including the Boonah area
Services Offered	The Optimal Health Program is an eight-session (over a 6-8 week period) 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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Referral Pathway	Contact Information: Fiona Terry Phone: 07 3375 7333 Mobile: 0434 335 207 Email: darra@neaminational.org.au Fax: 07 3375 758 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Lives Lived Well

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Cherbourg, Goondiwindi, Lockyer Valley, Somerset, South Burnett, Southern Downs and Western Downs regions
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@liveslivedwell.org.au Fax: 07 3539 9875 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

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	Interpreting for Allied Health Professionals Program Expression of Interest

Artius Health

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies
Communities Serviced	Communities in 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	Referrals must be made by a GP
Website	Click to visit site
Referral Pathway	Contact Person: Shayne Dearling Phone: 1300 278 487 Email: WMReferrals@artius.com.au Fax: 07 3282 9103 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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

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 old and 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 aged 18 to 35 and men aged 18 to 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 old and 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

Steve Royle Exercise Physiology Group

Current Program	Chronic Conditions Program
Communities Serviced	Ipswich
Services Offered	Type of Service: 8-week healthy eating and active lifestyles group program. This program: Offers weekly sessions for 1.5 hours over a 8-week period. Aims to empower participants to take responsibility for their own health by focusing on behavior modification principles. Aims to support participants to make long term healthier lifestyle choices. Takes a no-diet philosophy and approach towards weight management, encouraging participants to look beyond weight as the sole measure of success. Aims to change participant attitudes and mindset regarding dietary fads, gimmicks and weight loss misconceptions. Chronic Condition: Diabetes Group or individual: Group This program has now reached full capacity. Should another program become available more information will be provided.
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND Suffer from and be considered to have clinically stable cardiovascular disease (CVD), pre-diabetes (e.g. insulin resistance), type 2 diabetes mellitus (T2DM) and/or metabolic syndrome or a combination of the aforementioned. Be in the contemplation or action stage for lifestyle modification/behavior change. Be happy to attend the program as part of the group. Be able to be independent within a group setting (i.e. not require consistent 1-on-1 supervision from the clinician). NOT have a diagnosed eating disorder (e.g. anorexia nervosa). View criterialess
Referral Contact	Referrals can be made by GPs, allied health professionals or self-referral
Referral Pathway	Contact Person: Steve Royle Phone: 07 3381 1835 (admin will answer the phone as Bremer Medical) Email: steve.royle@uqhealthcare.org.au Fax: 07 3381 1809 To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax.

EACH

Current Program	Chronic Conditions Program
Communities Serviced	All of LGA
Services Offered	Type of Service: Care coordination Chronic Condition: All in scope Group or Individual: Care coordination for individuals
Eligibility Criteria	12 years and older Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Person: Valerie Eden Phone: 07 3810 9400 Email: coordin8@each.com.au To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and contact the provider.

Healthy Lifestyles Australia

Current Program	Chronic Conditions Program
Communities Serviced	Ipswich Central and Booval, Redbank and Goodna, Rosewood, Springfield, Camira, Willowbank, Purga and Yamanto
Services Offered	Type of Service: Ipswich Central and Booval - dietetics, exercise physiology and diabetes education Redbank and Goodna - dietetics, exrcise phsyiology and diabetes education Rosewood - dietetics and exercise phsyiology Springifled - dietitian and exercise physiology Camira and Willowbank - dietitian Purga and Yamanto - dietitian and exercise physiology Chronic Condition: All in scope Group or Individual: Group and individual
Eligibility Criteria	Patients must have exhausted all other funding options prior to using Darling Downs and West Moreton PHN Chronic Conditions Program funding. This includes their private health insurance, Department of Veterans’ Affairs, Medicare and NDIS funding. AND have a diagnosed chronic condition or risk factor, specifically: arthritis cardiovascular disease chronic pain diabetes obesity physical inactivity respiratory disease View criterialess
Referral Contact	Referrals can be made by GPs
Website	Click to visit site
Referral Pathway	Phone: 07 3088 2323 Email: referrals@healthylifestylesaustralia.com Fax: 07 3053 8133 Medical Objects: Yes (preferred method for referrals) To make a referral, complete the PHN Chronic Conditions Referral Form (Medical Director, RTF for uploading to Best Practice or editable PDF) and send via fax or Medical Objects.

Neami National

Current Program	Mental Health Stepped Care - Health Service Navigators
Communities Serviced	Communities in 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	Referrals can be made by GPs, allied health professionals, self-referral or family members and carers
Website	Click to visit site
Referral Pathway	Contact Information Phone: 1300 012 710 Email: navigator@neaminational.org.au Fax: 07 3103 4634 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Rural and Remote Mental Health

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Rural and Remote Health will provide at least one service (outlined below) in each LGA across the Darling Downs and West Moreton 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 outlined region/s. SafeTALK is open to 16+ year olds living in the outlined region/s. View criterialess
Website	Click to visit site
Referral Pathway	To find out more about these services, please contact Debbie Smith at the below details. Contact Information: Debbie Smith Mobile: 0428 983 011 Email: debbiesmith@rrmh.com.au

Mi Mind Centre

Current Program	Mental Health Stepped Care - 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	People aged 12 and older, 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	Referrals must be made by GPs or psychiatrists. A Mental Health Treatment Plan is mandatory for referral to this service.
Referral Pathway	Contact Information: Mi-Mind Centre (Services Toowoomba, Goondiwindi, Western Downs and some of the Lockyer Valley region) Phone: 07 4613 0922 Email: office@mi-mindtrust.com.au Fax: 07 4613 0944 Contact Information: Our House Our Haven (Services the Ipswich, Scenic Rim and Somerset region) Mobile: 0416 826 203 Email: info@ohoh.org.au Fax: 07 3496 1753 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Therapy Pro

Current Program	Mental Health Stepped Care – Targeted Psychological Therapies.
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions. Also services 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	Referrals must be made by GPs
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 004 414 Email: info@therapypro.com.au Fax: 07 3112 4203 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

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	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Toowoomba and Ipswich regions, and the 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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1300 971 309 Email: newaccess@mifq.org.au To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and contact the provider for referral pathway.

Neami National

Current Program	Mental Health Stepped Care - Low Intensity
Communities Serviced	Communities in the Ipswich, Lockyer Valley, Scenic Rim and Somerset regions, including the Boonah area
Services Offered	The Optimal Health Program is an eight-session (over a 6-8 week period) 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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Referral Pathway	Contact Information: Fiona Terry Phone: 07 3375 7333 Mobile: 0434 335 207 Email: darra@neaminational.org.au Fax: 07 3375 758 To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

HealthWISE

Current Program	Mental Health Stepped Care - Aboriginal and Torres Strait Islander Social and Emotional Mental Health Support Services
Communities Serviced	Communities in the Ipswich, Somerset, Cherbourg and South Burnett region, including the Boonah area.
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 people with or at risk of mental illness View criterialess
Referral Contact	Referrals must be made by GPs, allied health professionals or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 1800 931 540 Email: mentalhealth@healthwise.org.au Fax: 1300 452 059 Medical Objects: Yes To refer patients into this service, please fill out the HealthWISE Referral Form send via fax or Medical Objects.

Richmond Fellowship Queensland

Current Program	Mental Health Stepped Care - Low Intensity
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	18+ year olds living in the outlined region/s View criterialess
Referral Contact	Referrals can be made by GPs or self-referral
Website	Click to visit site
Referral Pathway	Contact Information: Phone: 07 3363 2555 Email: newsensations@rfq.com.au Fax: 07 3363 2557 (Ipswich) Fax: 07 3363 2598 (Toowoomba) To refer patients into this service, please fill out the Mental Health Stepped Care Referral Form (Best Practice, Medical Director or editable PDF) and send via fax.

Ipswich Hospice Care

Current Program	After Hours - Palliative Care
Communities Serviced	Ipswich
Services Offered	Hospice Based 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	To make a referral, please call 07 3812 0063
Website	Click to visit site
Referral Pathway	GP or Hospital and Health Service