Is this a referral from a third party organisation/party *
here. What Service would you like to refer to? * Please select Mental Health Support Services Individual & Family Support Services Referral to IMPACT Support Services * Please select Family Mental Health Support Services Positive Start Parenting Program Community Navigators - Postcode 4670 only What region are you located? * Please select Bundaberg & District Discovery Coast North Burnett South Burnett Services available in Bundaberg * Please select Child & Youth Support 12-25 years Commonwealth Psychosocial Support Community Navigator Peer Support Program Services available in Discovery Coast * Please select Child & Youth Support 12-25YRS Commonwealth Psychosocial Support 16YRS+ Clinical Care Coordination 18YRS+ Service available in North Burnett * Please select Child & Youth Support 12-25 years Peer Support Program Service available in South Burnett * Please select Commonwealth Psychosocial Support Description Commonwealth Psychosocial Services support to assist in building social and community capacity. Eligibility 16 years and over Identifying with a mental health condition Not eligible for NDIS
STREAM 4. The Program is delivered through a clinical care coordination model which helps clients access a range of different services that supports their recovery.
18YRS+, At risk of, or experiencing complex/ severe mental health issues
Bridges Health & Community Care referrals only Description Child and Youth Enhanced Primary Mental Health Services provides clinical care coordination services for children and young people in the area with, or at risk of developing sever mental illness. Eligibility 12 to 25 years old, Moderate to severe mental health
Community Navigators provide assistance with linking to services and referrals within the community.
18 to 35 years old Currently or previously on CDC card
Within CDC trial site areas Persons at disadvantage.
Postcode 4670 only, other age groups can be assessed on a needs basis. Description Family Mental Health Support Services Provides early intervention support services for vulnerable families with children and young people who are showing signs of or are at risk of developing mental illnesses Eligibility 0 to 18 years old Description Positive Start Parenting provides prevention, early intervention and support for families, couples, children and individuals. Eligibility Parent or guardian of a child 0 to 18 years Reason for Referral - Other Information Relevant to Treatment OR Support Needs
Please attach any supporting documentation
Presenting Mental Health Issue
E.g. Diagnosis, issue – anxiety, depression etc.
Drug and/or Alcohol Issue
E.g. alcohol, cannabis
Other Health Issues or Psychosocial Factors
E.g. medical factors, other diagnosis, homelessness, stress, social situation
E.g. Harm to self or others, suicide risk, vulnerability
Comments or additional message to support this referral How did you hear about us Would you like to reciveve a copy of this referral? *
This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.
You will receive a copy of this email to the address provided referrers