Clinical Care Coordination – Metro

Service coordination for people experiencing the impact of severe and complex mental illness

Our Clinical Care Coordination program provides short-term care planning to people experiencing the impact of severe mental illness.

The program aims to support people living with severe and complex mental health concerns by providing effective care coordination.

Our Clinical Care Planners will work closely with you, your GP and others involved in your care to plan what services will help you most.


Once you have a plan in place, your Clinical Care Planner will make referrals for you to access the services on your plan.

We’ll follow-up with you and the service providers to make sure the services are effective so you can continue to work towards recovery.

What do we offer?

  • Service coordination

    We’ll work with you to create a care plan to determine which services will help you most.

  • Guidance & advocacy

    We’ll make referrals for you and follow-up with providers to ensure the services are effective.

  • Goal setting

    Together, we’ll set goals that are focused on the changes most important to you.

  • No cost

    Mental health services are free at Sonder.

Accessing this service

Am I eligible?

To be eligible for this program, you must:

  • Be between the ages of 18 and 65;
  • Be diagnosed with a severe & complex mental illness and;
  • Have a Mental Health Treatment Plan.

What does a Clinical Care Planner do?

Your Clinical Care Planner will work with you to:

  • Develop a coordinated care plan, based on your goals and needs.
  • Conduct case conferencing with your GP, Psychiatrist and Allied Health Workers.
  • Ensure your family, carers and other physical and mental health practitioners are involved in the planning of services.
  • Establish referral pathways that allow you to easily move between services as your needs change.

How do I access this service?

To get started with the program, you’ll need to visit your GP and request a Mental Health Treatment Plan.

To find out how to get a Mental Health Treatment Plan, check out our webpage:

Getting a Mental Health Treatment Plan

Hear from our clients

Frequently Asked Questions

Information for GPs

To refer a patient to this service, please complete a Mental Health Treatment Plan and send to the Head to Health Phone Service through Secure Messaging via HealthLink (EDI: adphncru).

Due to program restrictions, Sonder clinicians are not able to provide medicolegal reports or assessments.

Mental Health Treatment Plan

Our recovery-focused approach

We support people living with mental health concerns to improve their wellbeing and pursue a life with meaning, hope and purpose.

We do this through:

  • Respecting your values, treatment and support preferences.
  • Focusing on and amplifying your strengths.
  • Supporting you to develop and reach personal goals and ambitions.
  • Helping you to develop self-management skills.
Sonder Receptionist welcoming Client

For Mental Health Emergencies Call 000

If you, or someone you are with, are hurt or need immediate support, please call 000.

Emergency and crisis support

This service is supported by funding from Adelaide PHN through the Australian Government’s PHN Program.