Stepped Care: Mental Health Services For People With Severe Mental Health Illness

For people with severe and / or complex mental health illness

  • Multi-agency referral pathways

  • Delivered by Mental Health Nurses

  • Assertive outreach care coordination activities

  • Care coordination and clinical nursing services including:
    • Monitoring a client’s mental state;
    • Liaising closely with family and carers, primary health care providers, acute health, emergency services, rehabilitation and support services as appropriate;
    • Administering and monitoring compliance with medication;
    • Providing information on physical health care, as required and, where appropriate, assist in addressing the physical health inequities of people with mental illness; and
    • Improving links to other health professionals/clinical service providers

  • Number and type of service depends on needs of individual