The activity provides education and support for non-oxygen dependent clients with Chronic Obstructive Pulmonary Disease (COPD) admitted to Joondalup Health Campus (JHC), to improve self-management. The Health Coordinator (HC) integrates client’s post-discharge care with primary health and community based services for up to six months. In addition, the HC collaborates with JHC Respiratory Physicians to provide (GP) education, with the aim of improving care and management of COPD patients in the primary care setting.

Clinical Care Coordinator: The Clinical Care Coordinator will provide care coordination service to Integrated Team Care eligible Aboriginal and Torres Strait Islander people with chronic disease/s who require coordinated multidisciplinary care as detailed within their Care Plan. These Care Coordinators are coordinators for the Integrated Team Care Service in their geographical location, and will link to ICDC for Allied Health Services as required.

Clinical Care Coordinator: The Clinical Care Coordinator will provide care coordination service to Integrated Team Care eligible Aboriginal and Torres Strait Islander people with chronic disease/s who require coordinated multidisciplinary care as detailed within their Care Plan. These Care Coordinators are coordinators for the Integrated Team Care Service in their geographical location, and will link to ICDC for Allied Health Services as required.

The Clinical Care Coordinator provides care coordination service to Integrated Team Care eligible Aboriginal and Torres Strait Islander people with chronic disease/s who require coordinated multidisciplinary care as detailed within their Care Plan. These Care Coordinators are coordinators for the Integrated Team Care Service in their geographical location, and will link to Integrated Chronic Disease Care for Allied Health Services as required.

This project supports appropriate community members to be valuable contributors and to support community developed plans. The activity focuses 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.