Mental health referral templates
PLEASE NOTE the cut off dates for referring your patients/clients to the Psychological Support Services (PSS) and Primary Integrated Care Supports Program (PICS) during the holiday period:
- PICS: Last date that referrals can be sent to the CESPHN will be COB Wednesday 23 December 2020.
- PSS: Last date that referrals can be sent to the CESPHN will be COB Friday 11 December 2020.
- Suicide Prevention referrals through PSS will be accepted up until COB Friday 11 December 2020.
PICS referrals will reopen on Monday 4 January 2021 and PSS referrals will reopen on Monday 11 January 2021
| Mental Health | Date as at | Word | Best Practice | Medical Director | Online | |
|---|---|---|---|---|---|---|
PSS – GP Initial Referral for adults and young people and children Mental Health Treatment Plan |
25 June 2020 |
– |
– |
|
|
|
PSS – GP Review Referral for adults and young people and children Mental Health Treatment Plan |
25 June 2020 |
– |
– |
|
|
|
Resources – Depression, Anxiety, and Stress Scales (DASS 21) |
24 September 2019 |
|
|
|
|
|
Resources – Health of the Nation Outcome Scale (HoNOS) |
– |
– |
|
|
||
Resources – Edinburgh Postnatal Depression Scale (EPDS) |
24 September 2019 |
|
– |
|
|
|
Resources – Kessler Psychological Distress Scale (K10) |
24 September 2019 |
|
– |
|
|
|
Resources – Kessler Psychological Distress Scale (K10+) |
24 September 2019 |
– |
– |
|
|
|
Services Referral – Black Dog Insitute Referral Forms for Clinics |
||||||
Services Referral – headspace Ashfield |
24 September 2019 |
|
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Services Referral – headspace Bondi Junction |
24 September 2019 |
|
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Services Referral – headspace Camperdown |
24 September 2019 |
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Services Referral – headspace Hurstville |
24 September 2019 |
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|
|
|
|
Services Referral – headspace Miranda |
24 September 2019 |
|
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