Please see here for Frequently Asked Questions regarding the changes to the model of care for PSS.
Psychological Support Services (PSS) provides free access to short-term psychological therapy either face-to-face or via telehealth. PSS is for people experiencing mild to moderate mental health concerns who live in the Central and Eastern Sydney region and are experiencing financial hardship or low income, and who may not be able to access support through Medicare subsidised psychological services.
Under this program, CESPHN commissions Project 54 which reduces barriers to accessing psychological support for Aboriginal and Torres Strait Islander peoples by providing outreached-based, culturally appropriate, and sensitive support in locations across the region including La Perouse, Glebe and Sutherland LGA.
Have a diagnosable mild to moderate mental health concern.
May benefit from short-term treatment.
Are unable to access other services including the Better Access Initiative (Medicare subsidised psychological services) due to financial hardship or low income (Individual income below $67,000 or family income below $140,000).
For Project 54, the service is for Aboriginal and Torres Strait Islander people who live within the CESPHN region.
PSS also has a Suicide Prevention Service (SPS) program for individuals who are considered at risk following a suicide attempt, self-harm, or who have heightened suicidal ideation and who are best supported in the primary health care setting. See our SPS webpage here for eligibility and further information.
A GP Mental Health Treatment Plan (MHTP) forms part of accessing this service. This can be added to the online Service referral form and Healthlink referral form (Healthlink ID: CESPHNMH) templates. Both referral form pathways are compliant with the billing requirements for a GP MHTP.
In order to improve access to the program for underserviced or hard to reach groups, Non-Medical Practitioner (NMP) referrals are also accepted. NMP referrals allow Mental Health Practitioners (MHP) to carry out up to 10 sessions prior to obtaining a MHTP.
A Non-Medical Practitioner can include:
Education wellbeing staff and leadership.
headspace clinical staff.
Managers of community or neighbourhood centres.
Maternal and child health clinicians.
Aboriginal health workers, care coordinators, outreach workers and managers of Aboriginal Community Controlled Health Services (ACCHS).
Multicultural community health workers.
Referral Forms
Please do not open the Best Practice or Medical Director file before uploading into your clinical software.
Non-Medical Practitioners can refer individuals to PSS prior to the development of a GP Mental Health Treatment Plan. Limited additional sessions may be available based on clinical need after initial sessions have been completed. However, the individual will need to see their GP for a Mental Health Treatment Plan before additional sessions are approved.
Non-Medical Practitioners can refer to PSS using the online referral form.
Best Practice
Medical Director
Online
PSS Initial Referral and Mental Health Treatment Plan
To download the instruction manual to import Best Practice (BP) forms, click here.
To download the instruction manual to import Medical Director (MD) forms, click here.
Service Providers
Service Provider
Lilly Pilly Counselling (LPC)
Australian Primary Mental Health Alliance (APMHA) Healthcare Ltd.
From 1 July the PSS program model of care will change.
Funding for Psychological Support Service (PSS) is capped and targeted to delivering services to at-risk populations within the CESPHN region as well as individuals facing barriers to accessing care due to financial hardship, rather than the general population. The program delivers short term therapies for mild to moderate presentations.
In the past 12 months the demand for and within the program has risen significantly and the funding available could not meet the demand under the current model of care. Many clients were receiving sessions that aligned to treatment of severe and persistent mental illness with long term care. This is not what the PSS funding was intended to be for, and it had moved away from its original purpose. CESPHN fund a range of programs for people experiencing severe mental illness.
The program has now been re-designed to provide a course of treatment indicated for mild to moderate presentations that minimises barriers to care. This will ensure the program can remain open to eligible clients and reach the intended target population.
Clients who have consistently used PSS services annually are now ineligible unless they present with a new mild to moderate mental health concern. If they have already used up 18 sessions, they will not be eligible for ongoing PSS services.
What is changing with the PSS program?
Referrals to PSS can be made for a course of 10 sessions. After that, client’s may be able to access up to 8 additional sessions dependant on treatment need or extenuating circumstances. The decision about ongoing sessions will be made by the consortium clinical lead, in line with the advice of the treating clinician and the referring GP .
Rationale for ongoing sessions may include:
The need to provide support to transition the client to other support services
Managing a decline in the client’s mental health
Finalising treatment for more moderate presentations.
Significant impact arising from a negative event change in life circumstances (e.g. becoming homeless, death of a loved one)
Once clients have reached the maximum sessions under PSS they will exit the program. Clients cannot return to PSS unless there is a new diagnosis or treatment need. You should consider this at the time of the initial referral – if you feel that they will need a longer period of therapy this might not be the most appropriate pathway.
To increase accessibility to the program, we have removed the mandatory GP review required to continue sessions beyond session 10. Clinicians will continue to encourage clients to seek GP reviews.
The treating MHP is required to provide the GP with initial, progress, and final report detailing the client’s current condition, care planning, risk assessment, and exit planning.
Can referrals be made now?
Yes. Please note that there is a backlog of referrals that will be prioritised for allocation, and new referrals may still incur a wait time of up to 4-6 weeks.
Has the SPS program changed?
Suicide Prevention Service (SPS) referrals continue to be open. Clients can access 8 SPS sessions of psychological therapy for suicide prevention. These do not count to the sessions noted above.
Multiple rounds of SPS and extensions to SPS are not available. This would indicate the client needs a step up in care to a more appropriate service.
Will there be an overall lifetime restriction of sessions?
PSS is designed to be a one-off short-term program for individuals with mild to moderate mental health concerns. It is not an annually renewable program like Better Access.
Once clients have reached the maximum sessions under PSS (up to 18 Max) they will need to exit the program.
Clients can be referred again in the future if a new treatment need arises or a new mild to moderate mental health diagnosis occurs.
Can GPs re-refer clients to the program once they have utilised all their initial sessions?
Yes. Clients can be referred again in the future if a new treatment need arises or a new mild to moderate mental health diagnosis. E.g., A person seen treated for depression in PSS returns for Perinatal mental health support.
PSS is not designed or funded to provide ongoing treatment for clients on a continuing basis. Clients who continue to present to PSS may need a higher level of care that is no longer in the scope of mild to moderate treatment.
For most Individuals using PSS up to 10 sessions of intervention for an episode of care will be sufficient as they are presenting with mild-moderate levels of need. You can discuss any alternative options available to your client with the CESPHN Mental Health team.
What happened to my previous clients accessing PSS?
Together with the treating clinician, your client was assisted to either reach a point of treatment completed, move to an alternative program, such as Better Access, or wait for additional PSS sessions from 1 July.
If my client was discharged due to demand management, will they be eligible for more PSS?
Individuals can return to the PSS program to complete treatment if sessions are still available within their initial 10 sessions approval. To do this, Individuals will need to return within 12 months and still meet eligibility criteria. Please note that sessions beyond the 10 sessions are not guaranteed.
What happened to my client whose referral was on hold?
CESPHN is processing referrals that were placed on hold with consortiums to prioritise your client’s allocation to a treating clinician. Once accepted, you will receive an email notification (to the email you used in the original referral) that your client has their first appointment.
Dear Dr XX, PSS – Young Person (12-25) REFERRAL NOTIFICATION This email is to confirm that your referral on 07/02/2022 for services through the program for Referral: CESxxxxxx, client XX N, DOB xx/xx/xxxx, Gender Female has been accepted and is being processed by CONSORTIUM – John Smith. If you require any further information, please contact the team on: Email: mentalhealth@cesphn.com.au Regards, rediCASE
What services are available for client’s ineligible for or after completion of PSS?
CESPHN are working with PSS providers to ensure they can navigate our mental health service directory and understand the programs available locally.
A treating clinician will be able to refer clients to a range of options. Several options are listed below for your reference:
PICS – Mental Health Nurse and Peer Support program which now includes some group based therapeutic intervention along with the individual therapeutic intervention that mental health nurses can provide.
Connect and Thrive – Psycho-social support providing recovery based and trauma informed support and coordination for people living with severe and persistent mental illness
NSW Health Safe Havens located in Kogarah, Darlinghurst and Newtown providing a calm, culturally sensitive and non-clinical alternative to hospital emergency departments, for people experiencing distress or suicidal thoughts
SANE – counselling, peer support, online groups and events, 24/7 community forums, and online information and resources.
Your coach plus – CBT based mental health coaching and social prescribing, a low intensity option for people once they have finalised PSS.
SocialRX – Wellbeing group-based support and social prescribing service
If you have any further questions, please contact CESPHN Mental Health Intake Team on 1300 170 554 or mentalhealth@cesphn.com.au
Please note CESPHN emails are non-encrypted end to end therefore we cannot send or receive any emails with personal or sensitive information as it is considered a breach of privacy.
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