Clinical Care Coordination Program


Do you have a mental health concern?

Would you benefit from improved links to other health professionals and services?

The Primary Mental Health Clinical Care Coordination Program provides short term consultation, clinical input and targeted support to people with a severe and complex mental health illness.

Clinical Care planners will work alongside patients, their GPs and other health professionals involved in their care to develop a joint care plan aimed at improving the ongoing management,
coordination and treatment of complex and severe mental illness.

Appointments will take place at Sonder offices or at GP practices where possible.

There is no cost involved for this service.

The Clinical Care Coordination Program is funded by the Adelaide Primary Health Network – an Australian government initiative.

Who is eligible?

  • To be eligible for the Clinical Care Coordination program you must:
  • be between the ages of 18 and 65 and;
  • have a clinically diagnosed severe and complex mental health illness.

Who are the Clinical Care Coordination Staff?

Clinical Care planners are experienced and qualified psychologists, social workers, mental health nurses and occupational therapists. They are specialised in providing short term, targeted clinical care coordination and integrated care planning. Our team ensures that clients receive the most appropriate care to meet their needs. 

How to access the program

You can access the program via your GP who needs to complete a Mental Health Treatment Plan. A Mental Health Treatment Plan is a plan made by you and your GP to treat a mental health condition.
The steps to getting a Mental Health Treatment Plan include:

  • Make an appointment to see your GP. When making a time to see your GP explain to the receptionist that you need to make a longer appointment because you want to discuss receiving a Mental Health Treatment Plan.
  • When you see your GP, they will assess whether a Mental Health Treatment Plan is suitable for your needs and discuss potential referral treatment options, and what actions you need to take.
  • Once you have your Mental Health Treatment Plan it will be sent by your GP to our service, Sonder. 
  • Our mental health staff will contact you to discuss your referral, assess your level of need and plan the appropriate treatment option

Your rights and responsibilities

Information about your rights and responsibilities are provided at the first appointment. This will include details about how we manage personal information.
You can also visit or call and talk to one of our friendly staff.

Exclusion Criteria

Northern Health Network is not an Emergency Service or crisis service. For emergencies contact Mental Health Triage by phoning 13 14 65.

Due to program restrictions, Northern Health Network clinicians are not mandated to provide medico legal reports for any workers’ compensation, family court or other legal matters.

Download Program Brochure (PDF)

Download Your Privacy and Consent Brochure

Download Carer Rights and Responsibilities Brochure

Download Form for Mental Health Treatment Plan (PDF)