Transitional Care – Coast & Country Primary Care

What is Transitional Care?

Sometimes when you are experiencing serious mental illness you receive mental health support from the hospital.

As you start to feel a little better, and no longer need to be seen by the hospital, it is important to make sure that you have the support you need close to home.

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For information about changes to service delivery due to COVID-19, please view our COVID-19 Information.

COVID-19 INFORMATION

Benefits

The Transitional Care Program can help you with this. Our Mental Health Nurse will help you to keep feeling better and connect you with services that you need so you don’t have to go back to hospital.

How to Access

Our Mental Health Nurse can see you in a range of settings, such as:

Inpatient mental health units
At home
In the community

About Transitional Care

The program partners with the Wyong Mental Health and ED teams to help support patients transitioning from hospital or community mental health teams to health and community services, to ensure patients stay connected from home during recovery.

The program provides coordinated clinical care for people with mental illness and complex needs.

Who is Eligible?

To be eligible, the client must:

be aged 18-65 years
have been diagnosed with a mental disorder and be experiencing significant disruption to their social, personal and/or work life, as a result of their mental disorder or risk factors
have been to hospital or presented to an Emergency Department at least once for treatment of their mental disorder in the preceding 12 months, or be at risk of needing hospitalisation in the future if appropriate treatment and care is not provided

How to Refer

Referrals to this service are made by Wyong Mental Health Teams.

If you believe someone is eligible for this program, please contact us on 02 4365 2294 and ask to speak with the Transitional Care team.