Awarded Contracts

This Activity will deliver culturally safe, evidenced based mental health treatment and support services including direct counselling, advice, advocacy, and educational programmes regarding mental health and wellbeing to Aboriginal people. This Activity will be delivered by an appropriately skilled workforce, will adopt a Recovery Oriented Practice Framework and a holistic approach that includes physical, mental, spiritual, cultural, emotional and social wellbeing.

This Activity will deliver culturally safe, evidenced based mental health treatment and support services including direct counselling, advice, advocacy, and educational programmes regarding mental health and wellbeing to Aboriginal people. This Activity will be delivered by an appropriately skilled workforce and it will adopt a holistic approach that includes physical, mental, spiritual, cultural, emotional and social wellbeing. The Activity will operate in partnership with Carnarvon Medical Centre (CMC) and Carnarvon Medical Service Aboriginal Corporation (CMSAC).

This Activity focusses on the five dimensions of Aboriginal health and wellbeing: physical health, psychological health, social health and wellbeing, spirituality and cultural integrity. Coordinators work with individuals, families and community to build and enhance a strong connection to culture and country thereby increasing resilience in individuals and the community.

This program will work with Aboriginal people, to provide individual case management services to improve the access to counselling and to medical and non-medical professional services for people who have mental health issues. This program supports person-centred and client focused therapeutic approaches to delivering evidenced based care to Aboriginal people across all ages in a culturally safe environment. It will deliver specific mental health programs include suicide prevention, community engagement/education and outreach counselling. The program provides physical, mental, emotional, social and spiritual wellbeing, individual and group counselling, education, psychological therapies and group support during and after treatment. It will include outreach services with the aim to support metal health counselling services to the individual and the broader community and assist them to recover on country in a safe and culturally appropriate environment.

This activity will build resilience and capacity within the Aboriginal community by focusing on a strength based view of Aboriginal health and wellbeing. Activities will include increasing referrals, provision of information and education, engaging elders, identifying and engaging mentors and cultural leaders and improving partnership between service providers. This Activity focusses on the five dimensions of Aboriginal health and wellbeing: physical health, psychological health, social health and wellbeing, spirituality and cultural integrity. Coordinators work with individuals, families and community to build and enhance a strong connection to culture and country thereby increasing resilience in individuals and the community

This activity will deliver culturally safe assertive outreach services to Aboriginal people affected by poor mental health, alcohol and other drugs, providing an integrated, evidence-based response to problematic substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017 and will outreach to places where vulnerable and disadvantaged people can be reached. It will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of positive health behaviour change, and support general practice care. The service will work within a social and emotional wellbeing framework that recognises the historical and social determinants of health and the impacts of intergenerational trauma, grief, loss and exclusion. Aboriginal Mental Health Practitioners will lead the service and support clients and families through a Cultural model that provides a holistic and strengths-based approach to recovery.

The Active Life Enhancing Intervention (ALIVE) program Is a service for people aged 17 and over at medium to high risk of suicide that aims to reduce suicide and improve symptoms of people accessing the service. The service provides timely, responsive and professional support of assessment, case management, psychological therapy (includlng counselling and skills based Dialectical Behaviour Therapy), linkage to general practitioners (GPs) and appropriate health and social services to people. In addition, the service, which is also funded by the Mental Health Commission (MHC) is underpinned by strong partnerships ensuring an Integrated and collaborative service with close links to hospitals, community agencies and general practice.

ARBOR (Active Response Bereavement Outreach) is a proactive postvention support service providing short to medium term bereavement counselling and support for people bereaved by suicide. Office-based and outreach services are provided in the metro area by professional grief and bereavement counsellors and trained peer supporters. Peer supports are individuals who have been bereaved by suicide in the past. ARBOR is active in the community following suicide and aims for early engagement of those bereaved (family, friends, professionals and peers) with support services, resources and assistance. The program aims to: (1) reduce stigma and isolation associated with suicidal bereavement and normalise the grief process; (2) reduce the risk of suicide amongst those bereaved; and (3) raise awareness of the complexities of suicide bereavement with allied health professionals.

A pilot for the implementation of a place-based Suicide Prevention Support Coordinator (SPSC) located within the community to provide and strengthen the link between a person who has made a suicide attempt and their return to home and their community.

The Contractor is being funded for the Trial to work to trial solutions to address gaps in AHPHC service arrangements and improve service integration. Unless specifically stated in this Item B, the Contractor is not funded to replicate or duplicate services provided by the Practice Incentive Programme (PIP) After Hours Incentive.

The Contractor is being funded for the trial to work to trial solutions to address gaps in AHPHC service arrangements and improve service integration. Unless specifically stated in this item B, the contractor is not funded to replicate or duplicate services provided by the Practice Incentive Programme (PIP) After Hours Incentive. The key objectives of the activity are to provide access to affordable AHPHC services to vulnerable populations who would otherwise not utilize primary health care services.

StreetDoctor is a mobile GP clinic offering a bulkbilled health service that aims to improve patient health outcomes and reduce hospitalisation for marginalised people of all ages. StreetDoctor attends several sites around central Perth and the eastern suburbs, providing all the services of a conventional practice. The service is staffed by a doctor and a nurse, with outreach workers and a mental health outreach worker providing support to those accessing the clinic services. The clinic operates on a drop in/walk in basis from five difference locations covering the CBD and out to the eastern metropolitan region of Perth.

Womens Health Care Association trading as Womens Health and Family Services (WHFS) is centrally located in Northbridge and provides integrated health and support services to women and their families across the greater Perth metropolitan area. WHFS have a well-established history of engaging people with multiple co-occurring issues, including alcohol and other drug and mental health (AOD/MH), as well as trauma histories, family/domestic violence and other compounding concerns. In order to provide greater accessibility and flexibility for this target group, WHFS will provide evening services and additional creche. The principles of the Activity include: Integrated services and collaborative models of care; Place based, person centred approach; Building on the strength of what works in the current system; and Identifying new and effective ways of working together within and across traditional boundaries.

This Activity is to address the key after hours access issues in primary health a with an emphasis on inclusivity and partnerships, ensuring that the business model is compatible with other General Practice (GP) and key stakeholders’ business models. This Activity is a formalised GP collaborative that is Nurse Practitioner (NP) led to support after hours diversion of urgent care from Emergency Departments (ED) and be an after hours reponse by Nurse Practitioners and GPs

To increase access Alcohol and Other Drugs (AOD) counselling services outside of normal business hours, for clients and their families, affected by drug and alcohol issues.

This Activity will provide counselling to improve the health and wellbeing of vulnerable and hard to reach people with co-occurring Mental Health (MH) and Alcohol and other Drug (AOD) problems, who are not currently accessing services. The principles of this Activity include: Integrated services and collaborative models of care; Place based, person centred approach; Building on the strength of what works in the current system; and Identifying new and effective ways of working together within and across traditional boundaries.

This activity will deliver outreach services to people experiencing Alcohol and other Drugs (AOD) issues, providing an integrated, evidence-based response to problematic substance use problems. It will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of treatment outcomes, and support general practice care.

The Activity will deliver assertive outreach services to vulnerable and disadvantaged people experiencing Alcohol and other Drug (AOD) and/or Mental Health (MH) issues, providing an integrated, evidence-based response to problematic substance use and mental health problems. It will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of treatment outcomes, and support general practice care.

The Activity will provide clinical counselling services in Perth North (North West) region to people experiencing Mental Health (MH) and Other Drug (AOD) issues. The service will include in-reach or co-located services.

Holyoake currently provides a comprehensive alcohol and other drug (AOD) service for the north east metropolitan community (NEMCADS) through its Midland office. In order to provide services to vulnerable and disadvantaged clients who are currently not accessing AOD, and/or mental health (MH) services due to access barriers, Holyoake will deliver place-based services in the priority areas of Ellenbrook, Kalamunda and Mundaring. The principles of the Activity include: • Integrated services and collaborative models of care; • Place based, person centred approach; • Building on the strength of what works in the current system; and • Identifying new and effective ways of working together within and across traditional boundaries.

The Activity will address the demand for access to drug and alcohol treatment and extend these services into General Practice to increase the capacity of service delivery and achieve better effectiveness and efficiency in patient care.

The Activity is for the provision of increased AOD treatment services to the priority locations of Armadale, Waroona, Belmont and Murray

This activity will deliver assertive outreach services to vulnerable and disadvantaged people include those who are homeless, providing an integrated, evidence-based response to co-occurring substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017. The activity will outreach to places the target group can be reached and will deliver a range of treatment types to reduce substance-related harm, promote recovery, support maintenance of positive health behaviour change, and support general practice care.

This Activity will deliver culturally safe mental health services to Aboriginal people, with, or at risk of developing mental illness. This Activity will deliver a range of treatment types to promote recovery and support maintenance of positive health behaviour change and support general practice care. This Activity will work within a social and emotional wellbeing framework that recognises the historical and social determinants of health and the impacts of intergenerational trauma, grief, loss and exclusion. Aboriginal Mental Health Practitioners will lead the service and support clients and families through a culturally safe model that provides a holistic and strengths-based approach to recovery.

This activity will deliver culturally safe assertive outreach services to vulnerable and disadvantaged Aboriginal people, providing an integrated, evidence-based response to cooccurring substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017. The activity will outreach to places where vulnerable and disadvantaged women can be reached and will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of positive health behaviour change, and support general practice care. It will additionally facilitate Aboriginal community identified activities for Aboriginal youth that enable the underlying contributors to MH/AOD issues in these communities to be explored and addressed.

Activity will deliver assertive outreach services to vulnerable and disadvantaged Aboriginal people experiencing Alcohol and other Drugs (AOD) and/or Mental Health (MH) issues, providing an integrated, evidence-based response to problematic substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017 and will outreach to places where vulnerable and disadvantaged people can be reached. It will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of positive health behaviour change, and support general practice care.

This activity will deliver culturally safe assertive outreach services to Aboriginal men experiencing Alcohol and other Drugs (AOD) and/or Mental Health (MH) issues, providing an integrated, evidence-based response to problematic substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017. The activity will outreach to places where vulnerable and disadvantaged men can be reached and will deliver a range of treatment types to reduce substance-related harm, promote recovery and support maintenance of positive health behaviour change, and support general practice care. The staff of this service work collaboratively with the Aboriginal Outreach Worker from Womens Health and Family Services to address the needs of the whole family and allow direct access to other programs delivered by their organisation. Together and independently, the male and female Aboriginal Outreach Workers in the two organisations host community engagement activities with the broader Aboriginal community in these areas, to build trust and relationships, which assists in determining the types of interventions required.

The Attachment Program is a program targeting, primarily women, mothers to be and other primary caregivers with a history of problematic substance use. Program activities are designed to open communication, assist the mothers knowledge of child development and improve the mother-child relationships. The program is delivered by qualified counsellors and arts therapists who work with the primary care-giver and their children (up to 12 year of age) to build positive and secure relationships. A variety of therapeutic approaches are used including art therapy, play therapy, psycho-education and counselling focused on attachment and parenting. The therapeutic approaches are delivered in family and group programs alongside of individual counselling sessions to address the impact of their substance use on their children.

This activity will deliver culturally safe assertive outreach services to vulnerable and disadvantaged people of Culturally and Linguistically Diverse (CaLD) backgrounds, providing an integrated, evidence-based response to co-occurring substance use and mental health problems. The activity has been developed in response to local concerns identified through community engagement and co-design workshops undertaken in 2017. The activity will outreach to places where vulnerable and disadvantaged people from CaLD communities can be reached and will deliver a range of treatment types to reduce substance-related harm, promote recovery, support maintenance of positive health behaviour change, and support general practice.

This Activity will deliver low intensity mental health services to people of Culturally and Linguistically Diverse (CaLD) backgrounds who experience, or who are at risk of mild to moderate mental illness. The Activity is an outreach model of care that offers culturally appropriate, strengths-based, person-centred counselling and support in appropriate places including homes, places of residence, and community and other public spaces as appropriate. It will deliver a range of treatment types to promote recovery, support maintenance of positive health behaviour change, and support general practice, including low intensity psychological interventions, counselling, brief interventions, links to general practice, assisted referrals to other services, limited care coordination and shared care where appropriate. The Activity has a strong emphasis on stakeholder engagement and integration to facilitate referral pathways that are culturally appropriate for CaLD families.

The Culturally and Linguistically Diverse (CALD) Psychological Service provides structured psychological treatment services for Individuals (and their families) from a CALD background with, or at risk of, mental disorders. The primary focus is psychological treatment for mild-to-moderate mental health conditions with a secondary focus on short-term psychological interventions and providing assistance for people with Severe Mental Illness to access appropriate services. Priority areas are the local government areas (LGAs) of City of Stirling and City of Swan in the Perth North PHN and all LGAs in the Perth South PHN. The services are evidence-based, delivered in culturally appropriate and sensitive methods and formats including the use of interpreters where required.

The Activity is to develop and implement a trial utilising Clinical Care Coordinators (CCCS) at the Peel Health Hub (PHH). This activity will maximise the efficiency the system of care within the PHH and therefore improve the patient/client journey for people accessing the service and all co-located not for profit and government agencies within the PHH. Statement of Purpose For patients/clients the CCCs will facilitate seamless access to treatment and support services thus reducing barriers to access that many people with mental health and drug and alcohol issues experience. The clinical care provided by the CCCs will enable patients/clients to be managed in primary care and to live the life they want to live within their community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Delivered by South West Aboriginal Medical Service Aboriginal Corporation. Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Delivered by WA Country Health Service – Kimberley. Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Delivered by WA Country Health Service – Midwest. Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

Care Finder Service for Senior Australians who require specialist and intensive assistance to understand and access aged care and connect with other relevant supports in the community.

The Mental Health Nurse will support people who use the Aboriginal Medical Services in the Ngaanyatjarra Lands. Within their scope of practice, they will assess all levels of mental health illness and its impact on the life of the individual, their families, carers and their community. It is to provide treatment that is gender specific, locally and culturally appropriate with developed client self-management plans and client directed recovery plans. They will work alongside GPs and allied health professionals to provide a cohesive multidisciplinary approach to care and provide client /carer advocacy. This program will reduce the likelihood of unnecessary hospital admission and readmission for people with mental illness. It will assist in keeping Aboriginal and Torres Straits Islander people with mental illnesses well on country and feeling connected to the community by addressing unique barriers faced in this remote location including cross boundary care and after-hours services. In the absence of a GP, the Mental Health Nurse Practitioner can prescribe medication, within scope of practice, administer, monitor ensuring compliance. This Activity provides a stepped care approach and supports clients to transition up or down as their needs change.

Provision of an integrated service for vulnerable and disadvantaged people who are discharged from Emergency Departments or Justice Services. The service uses peer and case workers to coordinate and facilitate access to primary care and particularly Social Services, Mental Health (MH) and Alcohol and other Drug (AOD) support services in order to address underlying, often multiple unmet need.

The post-discharge support service delivers support and assistance to people discharged from emergency departments who need help to engage with primary care/general health and social care services. It is designed to support Individuals with mild, moderate and, in some cases, severe mental illness who lack the resources to manage ¢â?¬Å?acute¢â?¬Â? personal difficulties and, as a result, enter the healthcare system as ¢â?¬Å?crisis¢â?¬Â? or ¢â?¬Å?social care¢â?¬Â? presentations.The service facilitates access to primary care (including Mental Health (MH) and Alcohol and other Drug (AOD) support) and community services in order to address underlying unmet need. Short term/time-limited peer support, care coordination, low-intensity treatment and treatment supports are provided by case workers and peer workers operating within a stepped care framework across traditional boundaries of care.

This is a collaboration between the WA Primary Health Alliance (WAPHA) and the Mental Health Commission (MHC) to integrate complex trauma provision to meet the needs of an at-risk-sub-group of individuals referred to through the Choices Service. The MHC will commission and contract manage a service provider for this service which will support eligible clients under the existing Choices service model.

The Activity is an expansion of Asthma and COPD Telehealth Services to the Perth Metropolitan area, to assist in reducing the number of avoidable and preventable ED presentations, and reducing the burden on hospitals as a result of COVID-19. Additional resources and using relationships with hospitals and health care providers will enable the sharing of accurate and up to date information to vulnerable consumer groups, people with asthma, COPD and other chronic respiratory conditions

The Activity will provide clinical care coordination and self-management support for metropolitan domiciliary oxygen clients, with advanced respiratory disease. Respiratory Liaison Nurses (RLN) connect clients to community-based services, to ensure a seamless transition from tertiary hospitals and access to support during advanced stage respiratory disease. The RLN will ensure effective communication between community and hospital-based services to achieve best care. Eligible clients will receive telehealth monitoring to identify clinical deterioration and promote self-management. If required, this may lead to referral to an appropriate clinical service.

The contractor is undertaking a project for the Government of Western Australia, Department of Health, WA Country Health Service (WACHS) for the implementation of a Chronic Respiratory Disease Education and Clinical Support Service via Telehealth (the Project) as detailed in Appendix 1 to this activity schedule.

The program provides specialist frontline service delivery for people with co-occurring mental health and substance issues. The program also provides improved access and support at the front end of the service through peer support workers who are able to utilise their own lived experience to facilitate strong engagement with the recovery process as well as participate in the continuous improvement and co-design of the service.

Provides a community healthy weight management program using a coordinated approach with a variety of healthcare providers in the Cockburn area. The focus is on nutrition, physical activity and mental health, with programs tailored to children and adults, to reduce the burden of chronic disease associated with overweight and obesity.

This project will support appropriate community members to be valuable contributors and to support community developed plans. The activity will focus on community empowerment and community ownership of suicide prevention strategies, tailored to local places in accordance with a cultural framework conducive to Aboriginal empowerment and sovereignty and in alignment with the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSIPEP) activity success factors.

The activity will deliver evidence based treatment services to individuals, their families and significant others with co-occurring conditions of mental illness and problematic substance use.

The provision of continuing care for men moving from residential rehabilitation into transitional or community housing, and for their families or support networks.

This Activity will offer culturally appropriate counselling, outreach support and case management to young people with alcohol and drug (AOD) issues. Targeted support will also be provided to young people who identify with coinciding mental illness and substance use (comorbidity) issues and homelessness. This Activity will build capacity for connection with young people and enable improved access to counselling and mental health support within the Contractors Services. This Activity will also facilitate linkages and formal referral pathways to access other community services in response to the needs of the young person.

This Activity will deliver culturally safe outreach and counselling services to Aboriginal women with, or at risk of developing, mental illness. This Activity will deliver a range of treatment types to promote recovery and support maintenance of positive health behaviour change, and support general practice care.This Activity will work within a social and emotional wellbeing framework that recognises the historical and social determinants of health and the impacts of intergenerational trauma, grief, loss and exclusion. Aboriginal Mental Health Practitioners will lead the service and support clients and families through a culturally safe model that provides a holistic and strengths-based approach to recovery.This Activity is a collaborative partnership with Cyrenian House to address the needs of the whole family and promote smooth referral pathways and access into other relevant programs delivered by both organisations. The team consists of a female Aboriginal AOD counsellor and an outreach worker at Womens Health and Family Services and a male Aboriginal outreach worker at Cyrenian House.

The Activity will provide a strategic approach to the prevention and management of chronic conditions across Country WA through the implementation and coordination of evidenced based and person-centred strategies through, central and regional chronic conditions leadership and care coordination to: increase interagency /cross sector connection and collaboration; strengthen the chronic conditions management in primary care; improve health outcomes, and minimise chronic conditions preventable hospitalisations.

DBTeen is an evidence-based multi-family treatment program to address emotional dysregulation amongst 14- 18 year olds. It has been custom built for WA’s Primary Care context, based on Marsha Linehan’s Dialectical Behaviour Therapy protocol, along with Jill Rathus and Alec Millers DBT Skills Manual for Adolescents. Young people, together with their family members, learn psychological skills through 12 weekly group sessions. Individualised phone support and access to a DBT phone app are available between sessions to support participants as they put their new skills into practice to manage challenging situations.

The Contractor is undertaking a project for the WA Country Health Services (WACHS), Department of Health Western Australia, for the implementation of a Diabetes Education via Telehealth in Country WA Program (the Project) as detailed in Appendix 1 to this Activity Schedule.

This Activity will deliver evidence based alcohol and other drug treatment and support services including brief intervention, direct counselling, advice, advocacy and referral services to clients and their families. This Activity will be delivered by an appropriately skilled workforce.

The service will provide youth specific evidenced based alcohol and other drug treatment and support to reduce harm from substance use among 8-14 year olds residing in Port and South Hedland, Newman and Tom Price. The service will target individuals and their families/carers at risk of or experiencing harm from alcohol and drug use, provide and will include provision of a comprehensive assessment, brief intervention, counselling, case management and relapse prevention activities.

This program will work with people, including Aboriginal people, to provide individual case management services to improve the access to individual counselling and other professional services for people who have problematic alcohol and substance use issues and mental health issues. This outpatient outreach service provides case management focusing on problems that underly drug and alcohol addiction and relapse prevention. This service increases access rates, maximising the number of people receiving evidenced based drug and alcohol treatment interventions and management. The program provides physical, mental, emotional, social and spiritual wellbeing via medical treatment, individual and group counselling, education, psychological therapies and group support during and after treatment. GRSI outreach services aims to reduce alcohol and drug related harm to the individual and the broader community and assist them to recover on country in a safe and culturally appropriate environment.

The program will deliver culturally safe, evidenced based alcohol and other drug treatment and support services including direct counselling, advice, advocacy, and educational programmes regarding substance misuse to Aboriginal people. The service will be delivered by an appropriately skilled workforce and it will adopt a holistic approach that includes physical, mental, spiritual, cultural, emotional and social wellbeing to address Aboriginal alcohol and other drug issues.

The Activity will deliver a comprehensive range of treatment options to dual diagnoses mental health and substance users and their families in Leonora, Laverton and surrounding communities. It will provide an immediate response and will have the flexibility to allow the service to be responsive at the time when the clients need the service the most (which is afterhours) and also support the local hospital and community needs. This program will deliver evidence-based alcohol and other drug treatment strategies to reduce related harm and improve access to AOD services for individuals and families. It will also provide essential coordination with other mental health services to ensure an integrated approach is achieved. This program will be supported by therapeutic interventions provided by a Mental Health Practitioner for people referred for mental health counselling. This service will have an open-door approach to facilitate referral pathways into cost effective moderately intensive treatment and intervention programs which reduces demand on GPs and hospital emergency department. Therapy sessions can be either one-on-one, group sessions, outreach visits or via telehealth. This program also provides the opportunity to strengthen and support community resilience andcapacity by addressing antisocial drug related behaviours.

The PEPISU Women’s and Children’s Program provides a well-coordinated and comprehensive range of services to women who have problematic alcohol and drug use, who are pregnant and/or who have young children and their families. The project aims to minimise the harmful effects of substance use on maternal, foetal and child health and wellbeing and maximise participation in the community.

The Activity is for the provision of EPYS Functional Recovery Services which are centred on recovery oriented practices which recognise that young peoples’ self-determination is a vital part of successful treatment and recovery. The Services will be provided to young people who are referred from State Area Health Service Providers (HSPs) and will be complimentary to the care they are receiving from HSPs. The Activity will provide supports and/or services which support the Young Person and their family in the community. This may include linking young people to educational and vocational programs and other group based and individual psycho therapeutic services, inclusive of alcohol and other drug treatment services. The Activity will utilise a recovery oriented person-centred plan delivered in a shared care environment. The Services will be based upon relevant Early Psychosis Prevention and Intervention Centre (EPPIC) Model standards and principles as relevant to non-Government service delivery in a shared care environment with state mental health services.

Overall, the activity will provide care management for people with severe and complex mental illness who can be appropriately managed in the primary care setting by a General Practitioner (GP), Psychiatrist and/or other appropriate medical practitioner. All referrals to the face to face care management service will be by a GP, Psychiatrist or other appropriate medical practitioner, either directly or through the telephone based service provider. Initially, the service will focus primarily on those people who are currently accessing services under the Mental Health Nurse Incentive Program (MHNIP) and meet the severe and complex criteria. In a situation where a person currently accessing services under the MHNIP scheme does not require ongoing care management, the service provider will facilitate a warm referral to an appropriate service or develop a suitable exit strategy. The care managers will be a mental health nurse or other tertiary qualified mental health practitioner and will be assigned to work with specific people. During the period of intervention, this time-limited care management service will allow GPs to safely refer people into structured face to face care management that is closely linked with local health and social services. This service will work closely with the people accessing the service and their GP to prepare, review and implement their mental health care plan and prepare them for their GP consultations. The service will prioritise and proactively apply a solution focused approach to collaborate with, and refer to, local place based supports that best address the needs of peopleas part of a Stepped Care and shared care approach. The provider will also need to work closely with WAPHA and the telephone based service provider to develop and expand this face to face care management service over time in Metro areas with identified need, on a planned and phased basis, in cooperation with local GPs and other health professionals The

This Activity will provide evidence-based family therapy for families in which systemic family issues are contributing to mental health problems within the family. This includes, but is not limited to, family members experiencing the impact of domestic violence, problematic Alcohol and Other Drug (AOD) use, grief, disability, trauma and parenting challenges.

This Activity will provide evidence-based family therapy for families in which systemic family issues are contributing to mental health problems within the family. This includes, but is not limited to, family members experiencing the impact of domestic violence, problematic alcohol and other drug use, grief, disability, trauma and parenting challenges.

The Activity is to provide (0800 to 1800 initially) phone access to a psychiatrist for timely, easy, free, best evidence-based advice and support in managing Mental Health (MH) and Alcohol and Other Drug (AOD) presentations in the region.

Capital Works

After Hours funding stream WAPHA agrees to provide funding to operate headspace centre/s detailed in this schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. Authorisation by headspace will be documented by way of a formal agreement between headspace and the lead agency. The lead agency may operate the headspace centre only while its certification from headspace remains in place. The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 years old; – Contribute to an increase in mental health literacy of young people; – Facilitate access to evidence based treatment for young people with mental health problems, including those with associates physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for your people; – Support local, integrated approached to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community, in order to provide effective and appropriate mental health services to young people.

WAPHA agrees to provide funding to operate headspace centre/s details in this Schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. The aims and objectives of headspace centres are to; – Promote early help seeking by yound people 12-25 year olds – Contribute to an increase in the mental health literacy of young people – Facilitate access to evidence based treatment for young people with mental health problems, including those with associated physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for young people; – Support local, integrated approaches to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community. in order to provide effective and appropriate mental health services to young people.

The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 years old; – Contribute to an increase in mental health literacy of young people; – Facilitate access to evidence based treatment for young people with mental health problems, including those with associates physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for your people; – Support local, integrated approached to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community, in order to provide effective and appropriate mental health services to young people.

WAPHA agrees to provide funding to operate headspace centre/s details in this Schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 year olds – Contribute to an increase in the mental health literacy of young people – Facilitate access to evidence based treatment for young people with mental health problems, including those with associated physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for young people; – Support local, integrated approaches to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community. in order to provide effective and appropriate mental health services to young people.

The Contractor must ensure that the headspace Centre they operate delivers early identification and intervention strategies and holistic care for young people aged 12 to 25 years and operates in accordance with the headspace Centre Service Model as described in the headspace Model Integrity Framework as amended from time to time.

Aims and Objectives of headspace Centre 1.1 The aims and objectives of a headspace Centre is to provide young people with access to a headspace suite of services to: (1) promote early help seeking by young people 12-25 years old; (2) contribute to an increase in the mental health literacy of young people; (3) facilitate access to evidence-based treatment for young people with mental health problems, including those with associated physical or drug and alcohol problems; (4) enable better access to primary care services including allied health and general practitioner services for young people; (5) support local, integrated approaches to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical, educational and vocational problems; and (6) Collaborate with general practitioners, and other key providers of care and support in the community, in order to provide effective and appropriate mental health services to young people.

WAPHA agrees to provide funding to operate headspace centre/s detailed in this schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. Authorisation by headspace will be documented by way of a formal agreement between headspace and the lead agency. The lead agency may operate the headspace centre only while its certification from headspace remains in place. The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 years old; – Contribute to an increase in mental health literacy of young people; – Facilitate access to evidence based treatment for young people with mental health problems, including those with associates physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for your people; – Support local, integrated approached to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community, in order to provide effective and appropriate mental health services to young people.

WAPHA agrees to provide funding to operate headspace centre/s detailed in this schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. Authorisation by headspace will be documented by way of a formal agreement between headspace and the lead agency. The lead agency may operate the headspace centre only while its certification from headspace remains in place. The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 years old; – Contribute to an increase in mental health literacy of young people; – Facilitate access to evidence based treatment for young people with mental health problems, including those with associates physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for your people; – Support local, integrated approached to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community, in order to provide effective and appropriate mental health services to young people.

The Contractor must ensure that the headspace Centre they operate delivers early identification and intervention strategies and holistic care for young people aged 12 to 25 years and operates in accordance with the headspace Centre Service Model as described in the headspace Model Integrity Framework as amended from time to time.

WAPHA agrees to provide funding to operate headspace centre/s details in this Schedule on the condition that the lead agency is authorised by headspace to operate that headspace centre. The aims and objectives of headspace centres are to; – Promote early help seeking by young people 12-25 year olds – Contribute to an increase in the mental health literacy of young people – Facilitate access to evidence based treatment for young people with mental health problems, including those with associated physical or drug and alcohol problems; – Enable better access to primary care services including allied health and general practitioner services for young people; – Support local, integrated approaches to meeting the needs of young people, particularly those with co-morbid mental health, drug and alcohol, physical and vocational problems; and – Build the skills and confidence of general practitioners, and other key providers of care and support in the community. in order to provide effective and appropriate mental health services to young people.

The aims and objectives of a headspace Centre is to provide young people with access to a headspace suite of services.

The aims and objectives of a headspace Centre is to provide young people with access to a headspace suite of services.

The Contractor will receive Funds for the Capital Works for the Works Locations.

Building on the existing headspace model and applying the Core Components, the hYEPP delivers specialist treatment and care to young people 12 to 25 years who are; – experiencing a FEP or who are exhibiting symptoms warranting a diagnosis of psychosis; and/or – assessed as UHR, therefore not fully meeting the diagnostic threshold for a psychotic disorder.

Building on the existing headspace model the hYEPP delivers specialist treatment and care to young people aged 12 to 25 years who are; – Experiencing a FEP or who are exhibiting symptoms warranting a diagnosis of psychosis; and/or – Assessed as UHR, therefore not fully meeting the diagnostic threshold for a psychotic disorder.

WAPHA agrees to provide funding to operate an innovative trial headspace Outreach Service as detailed in this Schedule on the condition that the Lead Agency is authorised by headspace to operate the headspace Outreach Service. Authorisation by headspace will be documented by way of a formal agreement between headspace and the Lead Agency. The Lead Agency may operate the headspace Outreach Service only while its certification from headspace remains in place.

The aims and objectives of a headspace Satellite is to provide young people with access to a limited headspace suite of services

WAPHA agreed to provide funding to operate a headspace satellite detailed in this Schedule on the condition that the Contractor is authorized by headspace to operate the headspace satellite.

The aims and objectives of a headspace Satellite is to provide young people with access to a limited headspace suite of services

The aims and objectives of a headspace satellite to provide young people with access to a limited headspace suite of services.

The Health Navigator (HNAV) service promotes self-management skills to people living with chronic conditions through a virtual service as required, utilising a modified Flinders My Health Plan. The Health Navigator service is delivered in collaboration with the Integrated Chronic Disease Program (ICDC), CDC, and telehealth. Eligibility to HNAV is for those clients with a diagnosis or at risk of chronic disease who require additional support. The service will provide integration and centralisation of referrals to other WAPHA funded projects such as ICDC, nurse practitioners and telehealth.

Health Pathways

The Integrated Specialist Team works within Holyoake Wheatbelt Community Alcohol and Other Drug Service (CADS) to respond to the treatment and support needs of individuals with complex needs with their own issues, and families who are impacted.

This Activity consist of four sub-activities to work together to support the environment to address the youth and clinical elements within the ATSIPEP framework. The Contractor sub-activities are: (1) Cultural security framework implementation (upskilling of staff to provide culturally safe environment for Aboriginal clients); (2) Empowered young leaders (build on strength and invest in and support the Kimberley young leaders to have a voice in determining their own future); (3) Implementation of Kimberley self-harm and suicidal protocol (review evaluation and modify protocol training before implementation); and (4) GP Implementation of GP training and clinical level capacity (up-skilled to screen, assess & manage people presenting with suicidal thoughts).

This Activity will improve the health and wellbeing of vulnerable and hard to reach people with co-occurring mental health and alcohol and other drug problems, (AOD/MH) who are not currently accessing services. The principles of this service include: Integrated services and collaborative models of care; Place based, person centred approach; Building on the strength of what works in the current system; and Identifying new and effective ways of working together within and across traditional boundaries.

The Integrated Chronic Disease Care program provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease. using a multi-disciplinary team-based approach involving GP referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations.

The Activity is targeted at vulnerable or disadvantaged populations, including those in remote areas, with chronic diabetes, cardiology or respiratory conditions. Central to the Activity is a multi-disciplinary team-based service that provides a wrapped-around patient-centred approach in a primary care setting. A minimum compliment of clinical specialists and key coordinating roles shall form the team. The majority of the services will be based in Carnarvon, with some visiting allied health services, which will service Carnarvon and the Gascoyne District. The service shall be responsive to local needs. The service shall utilise an appropriate telehealth service to help support the face-to-face service, particularly for those patients residing in remote locations.

The Activity provides clinical care coordination and associated allied health services for vulnerable and disadvantaged persons who suffer from chronic diabetes, cardiology, obesity, or respiratory diseases using a multi-disciplinary team-based approach, in most cases involving general practitioner (GP) referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations.

The Activity is targeted at vulnerable or disadvantaged populations, including those in remote areas, with chronic diabetes, cardiology or respiratory conditions. Central to the Activity is a multi-disciplinary team-based service that provides a wrapped-around patient-centred approach in a primary care setting. A minimum compliment of clinical specialists and key coordinating roles shall form the team. The majority of the services will be based in Carnarvon, with some visiting allied health services, which will service Carnarvon and the Gascoyne District. The service shall be responsive to local needs. The service shall utilise an appropriate telehealth service to help support the face-to-face service, particularly for those patients residing in remote locations.

The Integrated Chronic Disease Care program provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, and/or respiratory disease. By using a multi-disciplinary team-based approach involving GP referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations. The program aims to improve health outcomes by promoting improved health literacy, consumer education and the development of self-management plans.

The Integrated Chronic Disease Care program provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease. By using a multi-disciplinary team-based approach involving GP referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations. The program aims to improve health outcomes by promoting improved health literacy, consumer education and the development of self-management plans.

The Integrated Chronic Disease Care program provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, and/or respiratory disease. By using a multi-disciplinary team-based approach involving GP referral, care navigation and access to health professionals, that is supported by tele-health services in remote locations. The program aims to improve health outcomes by promoting improved health literacy, consumer education and the development of self-management plans.

The activity is targeted at vulnerable or disadvantaged populations, including those in remote areas, with chronic diabetes, obesity, cardiology or respiratory conditions. Central to the Activity is a multi-disciplinary team-based service that provides a wrapped-around patient-centered approach in a primary car setting which shall consist of a minimum compliment of clinical specialists and key coordinating roles. the activity will operate in the East, West and Inland Pilbara regions. The shall be responsive to local needs. The service shall utilize an appropriate telehealth service to help support the face-to-face service, particularly for those patients residing in remote locations.

The Activity will deliver an integrated and holistic health solution for eligible individuals (Individuals) who have chronic health conditions, by coordinating their care to access specific clinical Services provided by the Contractor and complimentary services provided by other organisations. The Activity will provide Services with consideration to local health needs, and respond to local community requests for community events and health promotion activities. Services will be provided from local clinics, community venues and within community settings such as e.g. schools, pre-schools, aged care facilities, where clients feel comfortable to engage. The Activity will work to shift service provision from a reactive to a proactive model of care supporting people staying healthier within their communities, out of the acute services and being able to access the right service at the right time and right place.

This Activity provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease using a multi-disciplinary team-based approach involving GP referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations.

The Activity is targeted at vulnerable or disadvantaged populations, including those in remote areas, with chronic diabetes, cardiology or respiratory conditions. Central to the Activity is a multi-disciplinary team-based service that provides a wrapped-around patient-centred approach in a primary care setting. A minimum compliment of clinical specialists and key coordinating roles shall form the team. The majority of the services will be based in Carnarvon, with some visiting allied health services, which will service Carnarvon and the Gascoyne District. The service shall be responsive to local needs. The service shall utilise an appropriate telehealth service to help support the face-to-face service, particularly for those patients residing in remote locations.

The activity is targeted at vulnerable or disadvantaged populations, including those in remote areas, with chronic diabetes, obesity, cardiology or respiratory conditions. Central to the Activity is a multi-disciplinary team-based service that provides a wrapped-around patient-centered approach in a primary car setting which shall consist of a minimum compliment of clinical specialists and key coordinating roles. the activity will operate in the East, West and Inland Pilbara regions. The shall be responsive to local needs. The service shall utilize an appropriate telehealth service to help support the face-to-face service, particularly for those patients residing in remote locations.

The activity provides care coordination and multi-disciplinary team-based approaches to the provision of integrated primary health care services as detailed within individual care plans. The service works in partnership with other Aboriginal Medical Services, WA Country Health Services and Pilbara Population Health and other identified providers including Integrated Team Care and Integrated Chronic Disease Care programs, who are working with those at risk of or having a chronic disease.

Provision of clinical care, health coordination services aiming to improve the health outcomes of Aboriginal people in the Kimberley who have been diagnosed with rheumatic heart disease and acute renal failure.

The Activity is to target the most socioeconomically disadvantaged populations in specific areas with chronic diabetes, cardiology, respiratory or musculoskeletal conditions. Central to the Activity will be a multi-disciplined team-based service that provides a wraparound patient-centred approach in a primary care setting. The Activity will provide care coordination and enable access to a suite of allied health services. The Activity is to incorporate a telehealth service to support the face-to face service, particularly for those residing in remote locations. This may include providing linkages to existing telehealth services which support chronic condition management. The Activity will work in conjunction and in collaboration with other care coordinators, regional service planners, nurse practitioners, specialists, GPs, Integrated Team Care Activity service providers, Asthma WA and Diabetes WA telehealth services as well as other primary health care providers and local shires.

This Activity provides clinical care coordination for vulnerable and disadvantaged persons who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease using a multi-disciplinary team-based approach involving General Practitioner (GP) referral, care navigation and access to health professionals, that is supported by telehealth services in remote locations.

Increased access to a range of primary and allied health care services for rural and remote communities in the Pilbara, in particular, small and more remote communities in the Western Desert (Jigalong, Punmu, Kunawarritji & Parnngurr), targeted to community identified health needs for those at risk of or having a Chronic Disease. The appointment of a Chronic Disease Management Nurse is central to the development of this strategy.

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

Primary Health Networks (PHNs) have been established with the key objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes, and improving coordination of care to ensure patients receive the right care in the right place at the right time. Under the PHN Activity PHNs are to lead mental health and suicide prevention planning, commissioning and integration of services at a regional level to improve outcomes for people with or at risk of mental illness and/or suicide, in partnership with state and territory governments, general practitioners (GPs), non-government organisations, National Disability Insurance Scheme providers and other related services, organisations and providers.

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

WAPHA is implementing a stepped-care model for Integrated primary Health Care that comprises of three core interacting components (Core Components): 1) Integrated care management; 2) Low intensity telephone and eHealth services (Virtual Clinical); and 3) Place-based community support services. This Activity is for the provision of components 1 and 3 above with components 2 being provided state-wide by a single provider on a common platform (at no cost to the Contractor or Clients)

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal peoples access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officers (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal people’s access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officers (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal peoples access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal peoples access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal1 people’s access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPO’s), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal people’s access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPO’s), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multi disciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal peoples access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriglna11 people’s access to high quality, culturally appropriate health care, Including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPO’s), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal people’s access to high quality, culturally appropriate health care, including care coordination services.

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal1 people’s access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPO’s), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Integrated Team Care (ITC) Activity provides the opportunity for Contractors to develop flexible approaches to improve Aboriginal peoples access to high quality, culturally appropriate health care, including care coordination services. ITC is provided by a team/teams of Indigenous Health Project Officer (IHPOs), Aboriginal Outreach Workers (Outreach Workers) and Care Coordinators. The team work in their region, across the Indigenous and mainstream primary care sectors, to assist Aboriginal people to obtain primary health care as required, provide care coordination services to eligible Aboriginal people with chronic disease/s (Clients) who require coordinated, multidisciplinary care, and improve access for Aboriginal people to culturally appropriate mainstream primary care. ITC plays a key role in improving the cultural competency of mainstream primary care services as a means of reducing barriers to access to appropriate care (for approximately half of the Aboriginal population who seek medical care from mainstream services).

The Activity is for the provision of primary health and social supports, assistance and coordination for Aboriginal people, who are clients of organisations contracted by WAPHA to deliver the ITC activity (ITC Providers) and refer their clients who travel from the Country WA PHN region (Country WA) to Perth PHN Regions (Perth) for clinical health treatment services to the Contractor (Referring Providers).

The activity will conduct preliminary capacity development phases of the Kimberley Suicide Prevention Trial (the Trial): Engage with community and establish networks in 6 major communities; perform service provision analysis; and design a practice and evaluation (including data collection and analysis) framework, as a precursor to twelve months of project coordination in relation to the Kimberley Suicide Prevention Trial. The preliminary activity and project coordination work will be under this contract with the Kimberley Aboriginal Medical Service and be accountable to the Kimberley Suicide Prevention Steering Group, which has been charged with a responsibility to oversee the implementation of priorities set by the Kimberley Suicide Prevention Working Group, which is chaired by the Minister for Health. The Black Dog Institute has agreed to co-commission the think tank forum (only) component of preliminary phase of the Activity.

The program will provide a service which is holistic, person centred and recovery focussed for young people aged 12-25 years with, or at risk of severe mental illness in the catchment area or community of Kalgoorlie-Boulder. The mental health case worker will be responsible for liaison, collaboration and coordination with client’s GP, and other relevant health and human services to facilitate a joined-up response to meet client needs. In partnershi, with the client and their family/carer and other mental health service providers, ongoing review and management will occur by the mental health worker. This evidenced based community mental health service will provide early intervention, treatment and coordination which is person centered and recovery focused for young people ages 12-25 years (clients) at risk of severe mental illness in the Kalgoorlie-Boulder region, with the aim to prevent hospitalisation and the need for ongoing engagement with adult mental health services.

This community based service engages young people aged 12-25 years with or at risk of severe mental illness in an environment which resonates with the young person and is underpinned by evidence based psychological interventions which utilises a comprehensive assessment and integrated service approach. The service uses early intervention strategies which engage the young person and their family to delay the progression to or prevent the need for ongoing engagement with adult mental health services.

This evidenced based community mental health service will provide early intervention, treatment and coordination which is person centered and recovery focused for young people ages 12-25 years (client) at risk of severe mental illness in the lower South West with the aim to prevent hospitalisation and the need for ongoing engagement with adult mental health services.

This Activity will deliver culturally safe mental health services to Aboriginal youth, with, or at risk of developing mental illness. It will deliver a range of treatment types to promote recovery and support maintenance of positive health behaviour change and support general practice care. It will additionally facilitate Aboriginal community identified activities for Aboriginal youth that enable the underlying contributors to mental health issues in these communities to be explored and addressed.This Activity will work within a social and emotional wellbeing framework that recognises the historical and social determinants of health and the impacts of intergenerational trauma, grief, loss and exclusion. Aboriginal Mental Health practitioners will lead the service and support clients and families through a culturally safe model that provides a holistic and strengths-based approach to recovery.

The Mental Health Primary Care Coordination (MHPCC) activity funds organisations to engage mental health care coordinators (Coordinators) to help provide coordinated clinical care for people with severe and complex mental illness (Clients).

This Activity is an Aboriginal youth diversionary project designed and governed by elders from within a cultural block in the south west Kimberley that includes Nyikina, Mangala, Karajarri and Walmajarri language regions. This area extends from Bidyadanga in the West Kimberley to Wangkatjungka in the southern (central) Kimberley. This Activity provides an on country, cultural program to build individual, family and community resilience and well-being. This Activity is carried out by the Contractor and Aboriginal elders who take Aboriginal youth on ¢â?¬Ë?back to country trips to their traditional lands. During these trips, that are grounded in traditional law and culture, Aboriginal youth participate in cultural activities that enhance their understanding of their culture, cultural sites, their roles, importance and connection to country and community. Young people become healthy when: they spend time on the country of their ancestors and family; they are taught to speak in the traditional languages of their family; they are given opportunities to be deeply immersed in the culture, law and stories of their ancestors and family; and they are given opportunities to carry out the above in conjunction with members of their parents and grandparents generation through a process of intergenerational transmission. The Contractor will assist Aboriginal youth in a culturally appropriate manner through collaboration with the wider Fitzroy Valley community and relevant agencies to address issues of self-harm and suicide.

The activity will provide treatment and support services to people and/or their families who have alcohol and substance use issues who would otherwise experience significant barriers to engage in existing services provided by North East Metropolitan Community Alcohol and Drug Service to reduce the impact on individuals, families and communities.

The Activity is to assist individuals with severe mental illness whose access to psychosocial supports have been impacted by COVID-19. This Activity aims to support individuals, together with their families and carers, to access the supports needed to promote mental and physical wellbeing.

The Activity will provide an integrated, evidence-based response to problematic substance use and mental health problems through delivering an established group recovery program. The Self-Management and Recovery Training (SMaRT) program is a structured weekly program based on Cognitive-Behavioural Therapy / Motivational Interviewing and facilitated by trained SMART facilitators with lived experience of substance use problems.. The Perth South located service addresses specific local concerns identified through community engagement and co-design workshops undertaken in 2017 in Perth South PHN communities and aims to reduce substance-related harm, promote recovery, support maintenance of positive health behaviour change, and support general practice care.

St John of God Outreach Services – Raphael Services, offer early-intervention counselling, therapy and support to enable families to thrive emotionally and physically. Raphael Services multidisciplinary model, overseen by a Consultant Psychiatrist, includes specialist mental health clinicians, delivering personalised, community-based care to families. The mental health nurse is an integral part of the multi-disciplinary team (MDT) within Raphael Services. In collaboration with general practitioners (GPs), Raphael Services provide secondary level specialised mental health services to families experiencing mental health issues during the perinatal period; from conception until the child is four years old. Services are tailored to client needs and can include: (1) Assessment clients are offered an initial assessment. Appointments are made at the closest Raphael Services location with one of the experienced mental health clinicians to assess the presenting mental health issues, discuss individual needs and work together to agree on a treatment/support plan. All clients are discussed at the MDT meeting following assessment, and an overview and plan communicated back to referring GP; (2) Individual therapy one-on-one sessions with a mental health clinician; (3) Group therapy groups provide an opportunity to connect with other parents who are experiencing similar feelings and challenges. Raphael Services facilitates the Circle of Security Parenting Program, aimed at improving the parent-infant relationship; and (4) Psychiatric support clients are offered a psychiatric medical appointment, including advice and prescribing of medication, where indicated. The Activity will increase the clinical capacity of Raphael Services existing multidisciplinary team, by resourcing mental health nurses. The mental health nurses will work across the service locations including the Wembley hub and satellite service locations in Joondalup, Merriwa and Midland in PHN Perth

This Activity helps persistent pain sufferers improve self-management of their pain through expert education, individual case management, support, goal setting and improved use of community healthcare services. This Activity is designed so that participants can explore a range of different strategies for living well; leading to reduced reliance on medication for pain management, reduced requirements for emergency care and participants not requiring referral to higher level of hospital based care. This Activity also builds capacity in the local primary care sector, to provide improved chronic pain management for all clients.

This Activity helps persistent pain sufferers improve self-management of their pain through expert education, individual case management, support, goal setting and improved use of community healthcare services. This Activity is designed so that participants can explore a range of different strategies for living well; leading to reduced reliance on medication for pain management, reduced requirements for emergency care and participants not requiring referral to higher level of hospital based care. This Activity also builds capacity in the local primary care sector, to provide improved chronic pain management for all clients.

This Activity helps persistent pain sufferers improve self-management of their pain through expert education, individual case management, support, goal setting and improved use of community healthcare services. This Activity is designed so that participants can explore a range of different strategies for living well; leading to reduced reliance on medication for pain management, reduced requirements for emergency care and participants not requiring referral to higher level of hospital based care. This Activity also builds capacity in the local primary care sector, to provide improved chronic pain management for all clients.

This Activity helps persistent pain sufferers improve self-management of their pain through expert education, individual case management, support, goal setting and improved use of community healthcare services. This Activity is designed so that participants can explore a range of different strategies for living well; leading to reduced reliance on medication for pain management, reduced requirements for emergency care and participants not requiring referral to higher level of hospital based care. This Activity also builds capacity in the local primary care sector, to provide improved chronic pain management for all clients.

The activity provides a culturally appropriate drug and alcohol treatment service to Aboriginal and Torres Strait Islander people in the Perth North metropolitan region, resulting in reduced Alcohol and Other Drug (AOD) and related harm.

The Kimberley Continuing Care Program (KCCP) will continue to provide a holistic and culturally secure program for all Kimberley residents exiting existing alcohol and other drugs residential rehabilitation programs. Continuing Care teams in East and West Kimberley will provide sustained and assertive follow-up that includes the provision of monitoring and support to clients transitioning from high intensity residential rehabilitation programs to reduced intensive ongoing care while being re-introduced and reintegrated into their normal environments. Individualised Care packages are developed and implemented as part of the clients Recovery Care Plan. Clients actively participate in the development of their Recovery Plans by identifying risk and protective factors and the interventions required to best manage/enhance their recovery.

PORTS

As a minimum, the proposed activity will include aspects of: 1. Care coordination to support primary health providers to ensure patients receive appropriate coordinated care at the right time and place but he right organisation/service. 2.Health Navigation and education to support vulnerable and disadvantaged people manage their health and understand the services available to meet their needs. This includes providing support and information to help people make informed decisions and work towards self-management of their health to improve their outcomes. Linked to CONs 10444; 10441; 10666

This service provides after hours General Practice (GP) consultations located nearby the Armadale Hospital with the intention of providing patients access to GP consults as an alternative to presenting directly to the Emergency Department.

DAHS leads a strategy in collaboration with Numbala Nunga Residential Aged Care Facility (NN RACF) and Derby Hospital to minimise after hours presentations to hospital by palliative patients receiving care in the community and NN RACF residents.

F2F mental health psychological based brief intervention services as an adjunct to the PORTS service

The Activity aims to target the mental health needs of people living in residential aged care facilities (RACFs) with mild to moderate symptoms of common mental illness. Using various evidence-based psychological therapies these services are intended to enable residents of these facilities with mental illness to access needed mental health services similar to those other primary mental health care programs available in the community and commissioned against a stepped care framework. The service will provide In-reach psychological therapy targeted at residents with a diagnosis of mental Illness or assessed to be at risk of mental illness. Service provision may build on already existing relationships and arrangements for commissioning psychological services. The general issues most commonly expected to be seen under this service include: (1) Residents who are having significant transition issues and experiencing adjustment disorders or abnormal symptoms of grief and loss, for whom early treatment may avert descent into a more serious mood disorder. This group does need to be differentiated from residents who are exhibiting normal sadness and/or transition issues; (2) Residents with mild to moderate anxiety and/or depression – as above, this is expected to be the largest group requiring services through the measure; (3) Residents with past history of mental illness for which they received services before being admitted which could not be continued – particular issues of continuity of care and understanding patient history apply; (4) Residents who may have experienced elder abuse or past or recent trauma; (5) Residents who, in addition to their mental illness, have a level of comorbid cognitive decline and/or dementia.

The Activity aims to target the mental health needs of people living in residential aged care facilities (RACFs) with mild to moderate symptoms of common mental illness. Using various evidence-based psychological therapies these services are intended to enable residents of these facilities with mental illness to access needed mental health services similar to those other primary mental health care programs available in the community and commissioned against a stepped care framework. The service will provide In-reach psychological therapy targeted at residents with a diagnosis of mental Illness or assessed to be at risk of mental illness. Service provision may build on already existing relationships and arrangements for commissioning psychological services. The general issues most commonly expected to be seen under this service include: (1) Residents who are having significant transition issues and experiencing adjustment disorders or abnormal symptoms of grief and loss, for whom early treatment may avert descent into a more serious mood disorder. This group does need to be differentiated from residents who are exhibiting normal sadness and/or transition issues; (2) Residents with mild to moderate anxiety and/or depression – as above, this is expected to be the largest group requiring services through the measure; (3) Residents with past history of mental illness for which they received services before being admitted which could not be continued – particular issues of continuity of care and understanding patient history apply; (4) Residents who may have experienced elder abuse or past or recent trauma; (5) Residents who, in addition to their mental illness, have a level of comorbid cognitive decline and/or dementia.

The Activity aims to target the mental health needs of people living in residential aged care facilities (RACFs). Using various evidence-based psychological therapies these services are intended to enable residents of these facilities with mental illness to access needed mental health services similar to those other primary mental health care programs available in the community and commissioned against a stepped care framework. The service will provide In-reach psychological therapy) targeted at residents with a diagnosis of mental Illness or assessed to be at risk of mental illness. Service provision may build on already existing relationships and arrangements for commissioning psychological services. Guidance for intervention is provided by NICE and Beyond Blue’s What works to promote emotional wellbeing In Older People. The services are expected to primarily target residents with mild to moderate symptoms of common mental illness. However, residents with severe mental illness who are not more appropriately managed by a State or Territory Government Older Persons Mental Health Service, and who would benefit from psychological therapy are not excluded from the service. For this initiative, the definition of mental Illness is consistent with that applied to MBS Better Access items. People with dementia are not excluded from treatment if they also have a comorbid mental illness such as anxiety or depression.   Delirium may present with symptoms similar to those associated with a mental illness although it will not respond to psychological therapies and requires urgent medical assessment. A medical diagnosis of mental illness by a GP or psychiatrist is important to ensure that symptoms of cognitive decline, dementia or delirium are not mistaken for mental illness, and to ensure that physical Illness, and medication needs are considered in the overall care plan of the individual. There are several sub-groups of residents who have particular needs that services are likely to encounter. This includes: (1)      Residents who are having significant transition issues and experiencing adjustment disorders or abnormal symptoms of grief and loss, for whom early treatment may avert descent into a more serious mood disorder. This group does need to be differentiated from residents who are exhibiting normal sadness and/or transition issues; (2)      Residents with mild to moderate anxiety and/or depression – as above, this is expected to be the largest group requiring services through the measure; (3)      Residents with past history of mental illness for which they received services before being admitted which could not be continued – particular issues of continuity of care and understanding patient history apply; (4)      Residents who may have experienced elder abuse or past or recent trauma; (5)      Residents who, in addition to their mental illness, have a level of comorbid cognitive decline and/or dementia. The AIHW reported that 40% of residents with dementia were likely to have a comorbid mental health (or behavioural) problem3; and (6)      Residents from diverse and vulnerable communities, including Lesbian, Gay, Bisexual, Transgender, lntersex, Queer (LBGTIQ), or Culturally and linguistically Diverse (CALD) groups, for whom there may be additional barriers to diagnosis and care.

The Activity aims to target the mental health needs of people living in residential aged care facilities (RACFs). Using various evidence-based psychological therapies these services are intended to enable residents of these facilities with mental illness to access needed mental health services similar to those other primary mental health care programs available in the community and commissioned against a stepped care framework. The service will provide In-reach psychological therapy) targeted at residents with a diagnosis of mental Illness or assessed to be at risk of mental illness. Service provision may build on already existing relationships and arrangements for commissioning psychological services. Guidance for intervention is provided by NICE and Beyond Blue’s What works to promote emotional wellbeing In Older People. The services are expected to primarily target residents with mild to moderate symptoms of common mental illness. However, residents with severe mental illness who are not more appropriately managed by a State or Territory Government Older Persons Mental Health Service, and who would benefit from psychological therapy are not excluded from the service. For this initiative, the definition of mental Illness is consistent with that applied to MBS Better Access items. People with dementia are not excluded from treatment if they also have a comorbid mental illness such as anxiety or depression.   Delirium may present with symptoms similar to those associated with a mental illness although it will not respond to psychological therapies and requires urgent medical assessment. A medical diagnosis of mental illness by a GP or psychiatrist is important to ensure that symptoms of cognitive decline, dementia or delirium are not mistaken for mental illness, and to ensure that physical Illness, and medication needs are considered in the overall care plan of the individual. There are several sub-groups of residents who have particular needs that services are likely to encounter. This includes: (1)      Residents who are having significant transition issues and experiencing adjustment disorders or abnormal symptoms of grief and loss, for whom early treatment may avert descent into a more serious mood disorder. This group does need to be differentiated from residents who are exhibiting normal sadness and/or transition issues; (2)      Residents with mild to moderate anxiety and/or depression – as above, this is expected to be the largest group requiring services through the measure; (3)      Residents with past history of mental illness for which they received services before being admitted which could not be continued – particular issues of continuity of care and understanding patient history apply; (4)      Residents who may have experienced elder abuse or past or recent trauma; (5)      Residents who, in addition to their mental illness, have a level of comorbid cognitive decline and/or dementia. The AIHW reported that 40% of residents with dementia were likely to have a comorbid mental health (or behavioural) problem3; and (6)      Residents from diverse and vulnerable communities, including Lesbian, Gay, Bisexual, Transgender, lntersex, Queer (LBGTIQ), or Culturally and linguistically Diverse (CALD) groups, for whom there may be additional barriers to diagnosis and care.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible to receive Psychosocial Support and clients may be supported to make a NDIS eligibility application as part of their program.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible to receive Psychosocial Support and clients may be supported to make a NDIS eligibility application as part of their program.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible to receive Psychosocial Support and clients may be supported to make a NDIS eligibility application as part of their program.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

B.1.1 Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

Psychosocial Support Program (CPS) provides ongoing support for clients who accessed services under NationalPsychosocial Support-Transition, National Psychosocial Support Measure and Continuity of Support The service will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. The service provides time-limited and capacity building psychosocial supports to eligible clients for whom clinicalcare is not enough to help them build capacity for daily living and who would benefit from specialisedpsychosocial support at particular points in time.

Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible to receive Psychosocial Support and clients may be supported to make a NDIS eligibility application as part of their program.

Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible to receive Psychosocial Support and clients may be supported to make a NDIS eligibility application as part of their program.

Transition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eli

ransition Support Transition Support provides time limited support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who did not have a NDIS eligibility decision on 30 June 2019. This service ensures clients receive appropriate levels of support as they test eligibility for supports under the NDIS and transition to ongoing arrangements either through the NDIS or Psychosocial Continuity services. The referral pathway into Transition Support is restricted to existing clients of PIR, PHaMs, and D2DL as at 30 June 2019. No referrals can be made to or accepted into this program from any other pathway. B.1.2 Psychosocial Continuity Psychosocial Continuity provides ongoing support for clients who accessed services under Partners in Recovery (PIR), Day to Day Living (D2DL), and Personal Helpers and Mentors (PHaMs) on 30 June 2019, and who were found to be ineligible to receive services under the NDIS. Psychosocial Continuity will provide these clients with supports to achieve similar outcomes and continue to receive appropriate support using a recovery and strengths-based framework. Referrals into Psychosocial Continuity can only come from existing clients of PIR, PHaMs, and D2DL as at 30 June 2019 who were already deemed ineligible for NDIS, or clients of Transition Support who are deemed ineligible for NDIS support after 1 July 2019. B.1.3 Psychosocial Support Psychosocial Support provides time-limited and capacity building psychosocial supports to eligible clients for whom clinical care is not enough to help them build capacity for daily living and who would benefit from specialised psychosocial support at particular points in time. These services are for people who were not clients of PIR, PHaMs or D2DL programs on 30 June 2019, and who are not more appropriately supported by the NDIS. A NDIS eligibility decision is not required for new clients to be eligible t

The Activity is a day program that provides group and individual counselling using Cognitive Behavioural Therapy (CBT) and Psycho Education Groups to build skills and strategies to address problematic Alcohol and Other Drug (AOD) issues, and co-occurring AOD and mental health issues. It offers education, structure, skills and strategies for participants to develop relapse prevention management skills, make healthier lifestyle choices, supports clients who identify with dual diagnosis issues, positive goal setting, maintaining motivation and emotional regulation and management. Solid Ground offers a non-residential, culturally appropriate treatment and recovery program for Aboriginal people. There are two (2) solid ground day rehabilitation Activities delivered: (1) Activity one: Solid Ground Day Rehabilitation service in Midland. (2) Activity two: Solid Ground Day Rehabilitation service in Armadale.

The Activity will provide post-treatment and aftercare services, including psychosocial and living skills support, to individuals exiting intense Alcohol and Other Drug (AOD) treatment (residential or outpatients) to enable them to maintain treatment gains, reduce relapses and reliance on AOD and increase adherence to relapse prevention plans. For the purpose of this Agreement: (1) Post-Treatment is defined as the stage of treatment where the service provides maintenance support for people who have completed initial, more intensive treatment and could involve provision of counselling for ongoing issues; (2) Aftercare aims to facilitate psychosocial and living skills support for persons exiting AOD treatment and commences once the intense treatment has finished and the client has achieved her/his treatment goals. Aftercare can be provided simultaneously with Post-Treatment and the service intensity will vary depending on client needs, but may include: (a) Booster sessions and/or follow up meetings; (b) Support to attend self-help groups (e.g. Alcoholics Anonymous or Narcotics Anonymous); (c) Information about community engagement opportunities (e.g. interest groups, social networks); (d) Participation in regular sessions with other aftercare peers; and/or (e) Support to access a range of health, welfare and ongoing support services (such as housing, legal, vocational, mental health services, primary health care, etc.).

The Activity is a service model to increase co-occurring Alcohol and Other Drug (AOD) and Mental Health (MH) brief intervention and treatment capacity and the support to enable better primary care management support of low to moderate ADD conditions in the Warren Blackwood area (Manjimup).

The South West Aboriginal Suicide Prevention Service is an evidence-based, holistic, culturally appropriate and safe, suicide prevention treatment service for Aboriginal and Torres Strait Islander people at risk of suicide in the South West Region. The Service will be provided by an appropriately skilled workforce via face to face, telephone and virtual modalities and it will improve integration of primary mental health care and suicide prevention services by developing and strengthening appropriate partnerships and referral pathways. The Service builds the capacity and capability of the local health and primary care services regarding suicidal behaviour and the treatment of Aboriginal and Torres Strait Islander people in a community-based setting. The service will also build the capacity and capability of the local Aboriginal and Torres Strait Islander community to strengthen the individuals, family and community to better identify and support those who are at risk of, or who have attempted suicide or self-harm. The Activity connects to, and compliments, existing activities which support the social and emotional wellbeing of the Aboriginal and Torres Strait Island community in the South West.

This Activity provides a drug and alcohol treatment and relapse prevention service via individual and group counselling to people who are 12 years old and over with substance use issues, including support to family members. The service will be provided by suitably qualified drug and alcohol counsellors or clinicians. The service includes transition of existing clients from Accordwest Substance Service; early intervention; counselling; after-care/relapse prevention; and case management, care planning and coordination.

The Integrated Aboriginal Mental Health (MH) and Alcohol and Other Drug (AOD) program provides a coordinated system of evidence-based, culturally appropriate and safe mental health and AOD care to address the needs of Aboriginal people in the Southwest of Western Australia. The service will compliment and link to existing activities such as General Practitioners, specialist drug and alcohol and MH services, suicide prevention, social and emotional wellbeing services and mainstream services.

The program provides counselling to improve access to drug and alcohol treatment and rehabilitation services to the Aboriginal and Torres Strait Islander communities in the Wiluna and surrounding areas. The focus will be on women and families with co-occurring conditions of mental illness and substance use. It will provide the community with a holistic social and culturally appropriate service including confidential counselling, case management, crisis intervention, solution focused brief intervention and psycho-education. It will also provide community activities to promote healthy lifestyle, improved health literacy and group activities to promote connection to country, community and family.

A Community Aboriginal Liaison and Advocacy role that facilitates access to rehabilitation for people in remote communities, streamlines intake process, provides safe re-entry to the community post rehabilitation and coordinates post rehabilitation care.

The UWA Medical Centre is a fully equipped and accredited health service providing safe, high quality and confidential health care to the UWA community. The General Practice provides a full range of GP, health and support services including psychiatry and mental health. WA Primary Health Alliance co-funds mental health nurses to provide clinical care co-ordination, structured psychological treatment and low Intensity interventions for the UWA student population (24,000) with severe and complex and/or high risk mental illness to keep them well in the community, reduce potentially ·preventable hospitalisations and provide a crisis intervention service. The mental health nurses are an integral part of the newly established Care and Assessment Team (CAT), which is a merger of Counselling and Psychological Services (CAPS) and the Medical Centre as a single point of contact for students.

The Western Desert Social and Emotional Well being (SEWB) and Suicide Prevention Service will provide a holistic approach to integrating mental, social,physical and spiritual aspects of health for Aboriginal people in Newman and Western Desert Communities. The activity will also focus on building capacity within the mental health workforce to improve early intervention, suicide prevention, community support and SEWB services.

The activity is will provide treatment and support services to people and /or their families who have alcohol and substance use issues in the Wheatbelt to reduce the impact on individuals, families and communities.

The Wiern Mooditj Project will provide a culturally appropriate and clinically sound model of mental health care for Aboriginal people, in Maddington and Mirrabooka, who have co-existing physical health conditions.

Four Kimberley art centres (Mangkaja Arts Resource Agency (Fitzroy Crossing), Mowanjum Art & Culture Centre (Derby), Warlayirti Artist (Balgo), Warmun Art Centre (Warmun)) and the Contractor, will collaborate to promote and share the diversity and richness of Aboriginal art, language and identity of the Kimberley region. The collaboration will develop the Wirnan Creative Project as a framework for revitalising cultural connections and creative intersections between communities ensuring the vitality of Kimberley cultures and the maintenance of cultural knowledge and identity for future generations. Wirnan refers to cultural knowledge sharing and trade practices of Kimberley communities. The Kimberley art centres will engage artists, youth and community in strengthening intergenerational learning through the development of a series of community activities, skill development programs with multi-media exhibition outcomes reflecting the significance of this cultural practice.

The After Hours Aboriginal AOD Service provides engagement activities, face to face brief intervention and facilitates access to structured alcohol and drug counselling services to young Aboriginal people under 14 years of age who are experiencing harm from alcohol and other drug use (AOD) and reside in Roebourne. The afterhours service is an extension to and a key component of the Yaandina AOD service that provides structured and evidence based AOD professional counselling services in Roebourne during business hours. The Yaandina AOD team include 3 FTE adult counsellors, 1 FTE child and youth counsellor and 1 FTE Therapeutic Child and Family Counsellor. The after hours service will work under the direction and supervision of Yaandina AOD service and during the after hours period work closely with youth workers at Yaandina and PCYC youth centres, WAPOL Community Police, Department for Child Protection and Family Support staff and community elders who have designated safe houses.

The project will support the start of developing practical community driven ways in which traditional, evidenced based healing practices can be accessed, for persons presenting with social and emotional wellbeing concerns. Yiriman Woman will facilitate the establishment of a steering group, in consultation with existing networks, stakeholders and traditional healers, to guide the progress of this pilot and a project coordinator will be appointed to lead the project and maintain momentum. This pilot project will design and implement an outline of how traditional modalities of healing can be integrated into a service delivery model within an Aboriginal Community Controlled Health Organisation.

The Youth Alcohol and Other Drugs Outreach Hub provides an integrated alcohol and other drug (AOD) outreach, treatment and support service for young people aged 12-25 years in the Perth Metropolitan area who are at risk of or are experiencing AOD and AOD related Mental Health (MH) issues or other co-occurring complexities

The Activity is for continuation of the delivery of services as provided under the Youth and Family Support Service (YFSS) (under an Agreement with and funded by the Commonwealth). The Activity provides counselling and education, with an emphasis on engagement with marginalised and disadvantaged young people and their families and communities, to reduce the impact of substance misuse and associated behaviours and risks.

This activity will provide an integrated, evidence-based response to problematic substance use in young people through a Community Counsellor co-located at the Peel Youth Health Service. Using a person-centred approach, it will deliver a range of treatment types to reduce substance-related harm, promote recovery, support maintenance of positive health behaviour change, and support general practice care.

The selected service provider will establish a new youth outreach service that aims to reduce the risk and/or impact of severe and complex mental illness (SMI) amongst 12-25 year olds with or at risk of SMI, whose needs can be effectively managed in primary care, and are not being effectively serviced by existing services. The service will address these young peoples health (including mental health) needs through engaging youth mental health professionals and other staff who will work in tandem with existing local youth outreach / community / education services, providing high-quality care to young people where they already are, outside of a clinic environment, in the context of their existing relationships and familiar environments.

This Activity is a co-commissioned activity between WAPHA and the WA Education Department. Partners the Contractor and Kununurra District High School deliver a person-centred model that detects, intervenes, treats and prevents mental health issues among youth enrolled at Kununurra District High School. This Activity provides a range of psychological, medical and social interventions to youth aged 12 – 18 years with, or at risk of, severe mental health issues.