Apex Clinics

Mindgardens Tertiary Referral Service for Psychosis

Prince of Wales Hospital (SESLHD)

Who is it for?

The Mindgardens Tertiary Referral Service for Psychosis (TRSP) will offer intensive and individualised therapeutic approaches for people who live with complex psychotic disorders. Typically, such people have already tried multiple services and treatment approaches, often over many years, without finding support that is truly helpful to them.

What is it about?

The Tertiary Referral Service for Psychosis (TRSP) is a new service for NSW hosted by South Eastern Sydney Local Health District (SESLHD) to improve the lives of those adults living with complex psychotic illness. The service, underpinned by research, aims to use information on clinical and other characteristics to better understand outcome trajectories in psychosis. The TRSP team supports NSW Health community mental health teams and offers intensive and individualised therapeutic approaches for individuals and their families/carers. Typically, individuals who are referred and assessed by the service have already tried multiple services and treatment approaches, often over many years, without finding support that is truly helpful to them.

We are a multidisciplinary team working collaboratively with individuals, their carers and their referring service. We provide a holistic comprehensive assessment and make treatment recommendations tailored to be deliverable in the setting where the individual is based. The TRSP is based at of the Prince of Wales Hospital, SESLHD and accepts appropriate referrals state -wide. We offer assessments by telehealth as well as in person. If you would like to learn more about this service, please contact us: SESLHD-POW-TRSP@health.nsw.gov.au

Download the TRSP Brochure (PDF)

Which organisations are involved?

  • South Eastern Sydney LHD
  • NeuRA
  • School of Psychiatry, UNSW
  • NSW Health has funded the TRSP pilot as part of the Schizophrenia Research Institute’s merger with NeuRA (this is combined with additional funding from Mindgardens)
  • Collaborations are being established with:
    • NSW Health’s Pathways to Community Living Initiative (PCLI), which supports people to move from long-term hospital care to appropriately supported homes in the community
    • UNSW Neuropsychiatric Institute; Department of Developmental Disability Neuropsychiatry; and National Drug and Alcohol Research Centre
    • Health Education and Training Institute
    • Agency for Clinical Innovation

Mindgardens Clinic for Depression

Black Dog Institute

Who is it for?

Every year, more than a million adults receive treatment from a GP for depression. It is becoming increasingly clear that some depression is too complicated for a GP to manage alone, but not so complex that the person needs in-patient care or support from a community mental health team. The Depression Clinic is for this “missing middle”.

What is it about?

The Mindgardens Clinic for Depression will offer an integrated spectrum of therapies for people whose depression is more complex, including medications, psychotherapy, exercise physiology and “social prescribing” – in which doctors make referrals for activities such as community groups that can improve people’s wellbeing. It will provide a mix of bulk-billed Medicare and fee-paying services.

The approach is modelled on integrated holistic clinics in other medical specialties, such as diabetes, where a multidisciplinary approach has been shown to improve patients’ health. It also includes aspects of the UK’s successful Improving Access to Psychological Therapies model, in which cognitive behaviour therapy (CBT) courses have been made more widely available to support people with depression. In addition, the Depression Clinic will interface with the Black Dog Institute’s popular Online Clinic, with its mental health screening software serving as a pathway for patients who need more intensive face-to-face care. Eventually, clients could be referred via online services to other Mindgardens apex clinics.

Working in close collaboration with its clients’ GPs, the Depression Clinic will evaluate whether this comprehensive, combined treatment model leads to quicker and more sustained recovery for depression patients and allows them to successfully resume their usual lives, and – if so – whether the approach represents value for money within the context of the Australian health care system.

Which organisations are involved?

  • Black Dog Institute
  • South Eastern Sydney LHD
  • Central and Eastern Sydney Primary Health Network