06
Aug
2018
A new approach to mental health care is being trialled in selected general practices in Coffs Harbour. The approach, which is being led by North Coast Primary Health Network, assesses mental health care needs, and where required provides more intensive support to patients. Initial feedback indicates patients are benefiting from the additional services.
Patients waiting to see their GP are being asked to complete a short mental health and wellbeing survey on an iPad. The survey is completely voluntary and patients identifying mental health concerns are invited to take part in the Link-me trial.
Support to patients with complex mental health needs is provided by a Care Navigator who is based in the general practice and collaborates with the patient’s GP. The Care Navigator also works directly with the patient to help them identify what they would like to improve and link them to relevant psychosocial and healthcare services. Currently, 70 people in Coffs Harbour have been offered Care Navigation.
North Coast Primary Health Network’s Director Integration Mid North Coast, Steve Mann, said the PHN had been fortunate to be one of only three areas in Australia involved in this key area of national research.
“The participating ‘Link-Me’ general practices and their patients with complex mental health needs have demonstrated a strong commitment to innovation over the last six months and we appreciate their outstanding efforts.
“We are confident these kinds of research opportunities will enable our GPs, families and carers in our region understand the best use of the limited number of health professionals we have available. As well as how the system might more collaboratively support these vulnerable community members based on what is proven to help individuals on their journey to recovery”.
Initial feedback from the Link-me trial has been positive.
“I’m not only feeling stronger and more confident but the best feeling is having the dark clouds leave and feel a sense of happiness within myself… I have an inner strength and new skills and tools which I will never stop using so I’m the one in control of my depression and anxiety and not the other way around.” – Link-me trial participant
Link-me is a randomised controlled trial. It’s a collaboration between the University of Melbourne and the North Coast Primary Health Network and is funded by the Department of Health. The trial ends on 30 December 2018 and participants will be surveyed at regular intervals in 2019 to measure whether there is an improvement in their mental health condition.
If you need mental health support, see your GP, visit the beyondblue website or phone the Mental Health Line on 1800 011 511.
Port Macquarie Trial Site for Mental Health Research
Come Along and Learn About Your Community’s Health Priorities
Contact for media enquiries
Steve Mann
Phone: (02) 6659 8820
Strategic Priority Area: One team
North Coast is identified as the region most likely to be impacted by climate change in Australia and also forecasted greatest growth in those 65+.
Healthy North Coast takes a lead role in ensuring the older population and the sector that supports them are prepared for, can respond to and recover from disasters and other emergencies.
We have led eight regional disaster management capacity building workshops, bringing together SES, community organisations and the aged care sector.
We have also developed disaster preparedness tip sheets for both residential and community aged care providers.
Strategic Priority Area: One team
In May 2022, the NSW Parliament passed the Voluntary Assisted Dying Act 2022. Effective from Tuesday, 28 November 2023, eligible people have the choice to access voluntary assisted dying.
Healthy North Coast has developed a webpage for both health professionals and consumers, with links to available information and resources.
Strategic Priority Area: No one is left behind
Healthy North Coast has worked with people living with dementia, their families and local service providers to develop an information booklet that will help them connect with local and national supports along their journey.
Highly regarded by a range of professional supporting those on or starting the dementia journey, the booklet includes commonly asked questions for people to ask their GP and/or specialist.
“It’s a fantastic resource and I give it to everyone on their first diagnosis. Its easy to read, so well planned and thought through and has lots of really useful information, tailored to the region.
I also find it very helpful when educating clinical staff.”
−Geropsychiatric Nurse Practitioner, Mid North Coast.
The resource is available in digital and printed copies, with more than 5,000 distributed across the region. An e-version is available to clinicians via the Dementia and Cognitive Impairment HealthPathway.
Strategic Priority Area: One team
Empowering aged care teams to deliver safer, more consistent care.
The Deteriorating Resident Triage Tool (DRRT) supports aged care staff to confidently recognise and respond to signs of resident deterioration. It enables timely, evidence-based decisions, strengthens communication with health services, and promotes early intervention and effective care planning, helping residents receive the right care, at the right time, in the right place. By doing so, it reduces unnecessary Emergency Department presentations and improves resident outcomes.
Developed in collaboration with a specialist geriatrician and informed by input from Residential Aged Care Managers, NSW Ambulance, GPs, and clinical experts across the Mid and North Coast Local Health Districts, the DRRT is practical, relevant, and aligned with contemporary best practice.
Aligned with the Strengthened Quality Standards:
Strategic Priority Area: No one is left behind
Care finders is a free service to assist older adults connect to aged care services and supports. Care finders support older people who experience significant barriers to accessing services, and walk alongside their clients at their own pace, to understand their individual situation and support them to work through the steps to address their needs. Care finders assist people with access to other supports in the community. They can provide connections both with accessing services for the first time, and with changing or finding new services and supports if their needs change.
Care finders can:
The care finder program has been extended to June 2029 and is provided by the following organisations. Each (Lismore, Coffs Harbour, Clarence Valley, Richmond Valley, Port Macquarie-Hastings, Kempsey, Nambucca and Bellingen) and Footprints (Kyogle, Tweed, Byron and Ballina).
Strategic Priority Area: Improving Lives Now
Healthy North Coast commissions two service providers to deliver psychological therapies and supports for older people with, or at risk of developing, a mental illness and who are living in residential aged care homes (RACHs).
The aim of the program is to both provide direct support to residents and their families and carers, as well as upskill the RACH workforce to respond to the needs of residents presenting with mental health concerns.
Strategic Priority Area: Securing a Healthier Future
Connection and a sense of belonging are protective factors for both individual and community health and wellbeing. Evidence highlights that the social determinants of health play a critical role in addressing many of our regions health challenges.
That’s why Healthy North Coast has long been committed to supporting communities to strengthen and to build social health. Our initiatives, including contemporary ‘Social Prescribing’, help people to connect to activities, supports and each other, and assist communities to integrate services and bridge gaps.
Strategic Priority Area: Improving Lives Now
The Royal Commission into Aged Care Quality and Safety identified several critical areas affecting aged care residents and our health system. Key challenges include:
Telehealth offers valuable opportunities to enhance support for residents living in aged care homes. Funded by the Commonwealth Department of Health and Aged Care, this initiative provides telehealth equipment and staff training as part of the response to the Royal Commission’s findings.
By improving access to primary care clinicians, specialist services, and other service providers through telehealth, we can significantly enhance health outcomes for residents, reducing unnecessary hospital transfers and emergency department visits.
The selection of telehealth equipment was guided by our Healthy Ageing Strategy (HAS), a comprehensive digital discovery questionnaire, and consultation workshops with various stakeholders. These efforts included interviews with residents to understand their attitudes toward telehealth, ensuring the initiative meets their needs and preferences.
Strategic Priority Area: Improving Lives Now
Aims to provide people who have life limiting conditions the opportunity to exercise choice and receive high quality care at home, harnessing improved and better coordinated supports and services that meet their individual needs.
Program objectives:
These objectives will contribute to achieving the following intended overarching outcomes of:
Funding is open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.
Workforce Locum support and R&R funding criteria
Wellbeing Flexible Funding Criteria & Eligibility
| *Team Size (Total staff and contractors) | Funding Available |
| Small (1-5) | $500-$1500 |
| Medium (6-20) | $1500-$4000 |
| Large (>20) | $4000-$5000 |
