Get support to better manage your chronic condition and live a better, healthier life.
If you have cancer, diabetes, kidney disease, heart disease and/or lung disease, our team will work with you to stay healthy and strong for your family and community.
Our program adopts a team approach. Both Outreach Workers and Care Coordinators will work with you to support you to access medical care and other culturally appropriate health and community services.
Working together, our team can help you to develop self-management skills to better manage your chronic condition and live a healthier life.
What do we offer?
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Help to better understand your chronic condition
Care Coordinators will work with you to help you to understand your chronic condition and what it means for you.
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Access to specialist doctors and allied health services
We'll support you to access medical care and other culturally appropriate health and community services.
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Help with transport to your medical appointments
We provide short-term transport assistance to medical appointments and will be there with you for support during your appointment.
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Links to community supports
We'll help you to connect to ongoing community supports e.g. home care services who can provide assistance to improve your physical health and wellbeing.
Accessing this service
Am I eligible?
To be eligible for the program, you must:
- Identify as Aboriginal and/or Torres Strait Islander;
- Be enrolled for chronic disease management in a GP Practice, Aboriginal Health Service and;
- Be unable to effectively manage your chronic condition e.g. cancer, diabetes, kidney disease, heart disease and/or lung disease.
Who are the Closing the Gap program staff?
This program is provided by a team of Aboriginal Outreach Workers, Care Coordinators and Indigenous Health Project Officers.
Care Coordinators work to help you understand your chronic health condition and how to manage it by following your GP management plan.
Outreach Workers help you to make better use of available health care services by providing practical assistance to access services and attend appointments.
How do I access the service?
We deliver this program to people living in metropolitan Adelaide, Gawler-Barossa, Yorke Peninsula & Mid North South Australia.
To get started, make an appointment with your regular GP and ask them to send through your GP Management Plan and make a referral to the Closing the Gap Integrated Team Care program.
If you do not have a regular GP, contact us on (08) 8209 0700 or email info@sonder.net.au and we’ll help you to access the service.
Information for GPs
To refer a patient to this program, complete a Closing the Gap Referral Form and a GP Management Plan and fax or email to us.
Referral formAm I at risk of developing a Chronic Disease?
As an Aboriginal or Torres Strait Islander person, you may be at higher risk of developing a chronic disease.
Better management of chronic disease is a key factor in meeting the target of closing the gap in life expectancy between Aboriginal and non-Aboriginal Australians.
Frequently Asked Questions
Where you can access this service
Information for general practices
Get support at your general practice
Looking to deliver better Aboriginal services at your general practice? Get in touch with our Indigenous Health Project Officer and find out how we can help.
Contact usVolunteer with us
Our Aboriginal Health Reference Group provides a voice to Aboriginal Health consumers, their relatives, significant others and carers. Members have the opportunity to provide input and feedback to improve the health outcomes of the Aboriginal community
Find out moreThis service is supported by funding from Adelaide PHN and Country SA PHN through the Australian Government’s Primary Health Network Program.
