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 | ||
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| PSS – GP Initial Referral for adults and young people and children Mental Health Treatment Plan | 25 June 2020 | - | - |  |
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| PSS – GP Review Referral for adults and young people and children Mental Health Treatment Plan | 25 June 2020 | - | - | |
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| Resources - Depression, Anxiety, and Stress Scales (DASS 21) | 24 September 2019 |  |
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| Resources - Health of the Nation Outcome Scale (HoNOS) | Refer online | |
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| Resources - Edinburgh Postnatal Depression Scale (EPDS) | 24 September 2019 | |
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document
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| Resources - Kessler Psychological Distress Scale (K10) | 24 September 2019 | |
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| Resources - Kessler Psychological Distress Scale (K10+) | 24 September 2019 | - | - | |
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| Services Referral - Black Dog Insitute Referral Forms for Clinics | Download forms from hospital's website | |||||
| 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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