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1. 1800Respect
Phone support and counselling for people impacted by sexual assault, domestic or family violence and abuse.
2. Aboriginal Counselling Services
Aboriginal Counselling Services (ACS) is a 100% Aboriginal-owned business that provides intervention and therapeutic counselling for families, individuals and
3. ACON - Regional Outreach
ACON is NSW's leading health organisation specialising in community health, inclusion and HIV responses, for people of diverse sexualities and genders. We are
4. ADHD Support Australia
We provide a nurturing and friendly online community and live expert speaker events where you can build your knowledge and learn how to manage ADHD. Our popul
5. Alzheimer's Communication Carer Partner
The Alzheimer's Communication Care Partner offers guidance, advice, information and education to support the person living with Dementia through their Care Wa
6. Assertive Community Treatment Team
The Assertive Community Mental Health Team are part of the LHD community mental health teams. Teams made up of mental health clinicians from a variety of bac
7. Assessment & Therapy Team (A&T)
Provides Mental Health Assessments and therapy services to children and young people aged 5-17.
8. BaptistCare Counselling & Family Services
We offer generalist counselling to individuals, couples, children & families experiencing difficulties in the areas of relationship, separation, depression, i
9. Black Dog Institute
Adults can complete a range of clinical assessments for common mental health conditions. At the end the person will receive a personlaised report with suggest
10. Blue Mountains Aboriginal Culture & Resource Centre
The Blue Mountains Aboriginal Culture & Resource Centre provides services and support to Aboriginal and Torres Strait Islander People who permanently or tempo
11. Blue mountains calmbirth
Calmbirth antenatal education program
12. Blue Pages
Website with information about symptoms, treatments, help and resources, and prevention of depression.
13. Boyce & Dale Anxiety and Mood Disorders Clinic
Evidence-based psychological therapy to treat anxiety, obsessive-compulsive, and mood disorders. Our Clinical Psychologists have over 10 years of experience i
14. Bridging the Gap Child Youth and Family Centres
We have a small friendly team of Youth Counsellors, Art Therapists, Family Counsellors, Financial Counsellors and Youth Workers.
Counselling for Young peop
15. Butterfly Foundation
Support for people affected by eating disorders and negative body image - person with the illness, their family and their friends. They operate a national hel
16. Carer Gateway Counselling Service
The Carer Gateway Counselling Service is a free service for carers. Each weekday, from 8am to 6pm, our professional counsellors are waiting to talk through th
17. Caring Co
Caring Co is the easiest way to find the top aged care homes and retirement villages in Australia.
18. Catholic Care Western Sydney and the Blue Mountains
Springwood Drop-In Centre, 3/163 Macquarie Rd Springwood
A place for all members of the Blue Mountains to access counselling, food support, cuppa and chat,
19. Central Intake NBM Mental Health Line
Central phone access point for mental health services in the Nepean, Hawkesbury, Blue Mountains area
20. Changing for Good
Changing for Good is a program to help men stop using violence in their family and relationships. By providing ongoing support, specialist counselling and res
21. Child and Youth Mental Health Services ( CYMHS)
Nepean Blue Mountains Local Health District has a specialist mental health service for children and young people. This is called the Child and Youth Mental He
22. Clear View Psychology Services Pty Ltd
Clear View Psychology Services prides itself on timely treatment intervention to promote effective recovery across multiple community and workplace settings.
23. Commonwealth Psychosocial Support program
The Commonwealth Psychosocial Support service, provided by Flourish Australia, assists people with a severe mental illness who have reduced psychosocial funct
24. Community Garden - Springwood
The garden follows basic permaculture principles and uses organic growing methods. It aims to provide a community space for people to RENEW, REFRESH and CONNE
25. Cornelia De Wel Psychologist
Cornelia provides quality therapy for adults, young people and families.
26. Counselling and Therapy Centre - St John of God Health Care
Counselling and therapy programs for mental health, relationship difficulties and drug and alcohol issues for people over 18.
27. Counselling for People who are Chronically Ill, the aged and their carers
Counselling services for people with chronic illnesses, challenges associated with ageing, and for carers.
28. Dianella Cottage -Lives Lived Well
Dianella Cottage is an alcohol and other drugs community based treatment service. We are a harm minimisation service, which means we work with individuals at
29. Doing It Tough website
The Doing it Tough website connects men in NSW who are looking for support with addiction, relationship issues, financial difficulties, abuse, job related cha
30. Dokotela Telepsychiatry Service
Dokotela provides free telepsychiatry consultations for people living in the Blue Mountains, Hawkesbury, Lithgow and Penrith regions who experience severe and
31. Domestic Family Violence Linkers
The Recognise, Respond and Refer program (RRR) will support primary health care proefessionals in improving system responsiveness and outcomes for peopl
32. Early Psychosis Intervention (EPI) Program
The Early Psychosis Intervention (EPI) Team sees young people aged 12-24 who are experiencing, or who are likley to experience psychosis for the first time.
33. Elizabeth Williamson Psychology
Elizabeth offers counselling for children, adolescents and adults around a range of issues including behaviour management, prenatal support, anxiety, depressi
34. Empowered Mind and Body Lawson
Empowered Mind and Body offers Counselling and Psychotherapy services. I create a safe and supportive environment. One of care, hope, compassion, respect and
35. Empowered Mind and Body Penrith
Empowered Mind and Body offers Counselling and Psychotherapy services. I create a safe and supportive environment. One of care, hope, compassion, respect and
36. Facer Psychotherapy Services
I offer a psychotherapy service primarily based on an Acceptance and Commitment Therapy (ACT) framework with a focus on collaboration with the client while ta
37. Faith San Diego - Psychology
Faith San Diego is a registered Clinical Psychology Registrar who runs her own private practice at a medical centre in Windsor. She has a diverse clinical exp
38. Finding Felicity Counselling
Finding Felicity Counselling provides online counselling services to women experiencing mental health concerns such as anxiety or depression, experiencing gri
39. For Women (Positive Life NSW Social Support Service)
For Women is a online discussion forum every second month for all women living with HIV anywhere in NSW over 45 years of age regardless of their length of dia
40. Friendship Centre - Free Counselling Service
Free Counselling at Bligh Park Neighbourhood Centre
41. G'day Line
What is G'day Line? G'day Line isn't just a helpline - it's a space for heartfelt conversations, personalised resources, and connections to activities that ma
42. Glow Healthcare Agency
Glow Healthcare Agency is an Australian community based Aged Care Service provider located in NSW. We are an approved Aged Care Service provider and offer bot
43. GP Psychiatry Support Line
Free service to GPs to assist in managing the care of MH consumers. Provides advice for GPs about diagnosis, investigation, medication, and safety planning.
44. Grief Line
Free national support line dedicated to loss and grief counselling. It provides anonymous support and specialist counselling services to individuals and famil
45. Harman Foundation
At Harman Foundation, we specialise in providing assistance to the Indian sub-continental community particularly Punjabi including temporary visa holders and
46. Hawkesbury Community Mental Health
Mental health service for adults 18+ years including case management and education and support for clients, carers and families 4560 4100 (for people already
47. Hawkesbury Family Support Service Hawkesbury Family Support Service
Hawkesbury Family Support Service provides home visits or centre-based sessions. This service provide information and referral, counselling and support to fam
48. Head to Health Hawkesbury
Head to Health Hawkesbury provides a safe and welcoming space for people who may be in distress or crisis, or who need help finding the right mental health se
49. Head to Health Penrith
Penrith Head to Health is a free service offering caring, friendly and helpful support for people experiencing psychological distress, suicidal thoughts and c
50. headspace Hawkesbury
headspace Hawkesbury provides free information, support and services to young people, aged 12 - 25, and their families and friends. They can help with mental
51. headspace Katoomba
headspace provides free, early intervention mental health support to young people aged 12-25 years old and their friends and family. Promoting the wellbeing o
52. headspace Penrith
headspace provides free, early intervention mental health support to young people aged 12-25 years old and their friends and family. Promoting the wellbeing o
53. headspace Youth Early Psychosis Program (hYEPP)
headspace Youth Early Psychosis Program offers free and confidential support for young people (12-25yrs) who are experiencing an early episode of psychosis or
54. Health Dynamis Pty Ltd
Michelle is a Credentialed Mental Health Nurse (CMHN) in private practice, with experience spanning 30 years in healthcare across a diverse range of settings.
55. Healthy Mind - Black Dog Institue
A free online ready tool designed to help people with mild to borderline intellectual disability who are experiencing mild to moderate depression, anxiety and
56. Hear2Talk
It can be hard to find the right support to discuss issues at work that are impacting your wellbeing, or personal issues that might be impacting your work.
57. Home Instead
As we get older, everyday tasks can start feeling a little more strenuous. But that doesn't mean you'll need to leave your home behind. Home Instead can help
58. Hope Health & Care Services
Hope Health Care Services Lifestyle and health services
Hope Health Care Services prides itself in providing top Disability services in Australia, support
59. Hope4u foundation
Free counselling service provider that supports individuals or groups for specialised trauma.
Struggling with anxiety or depression or had trauma in you li
60. HopeStreet BaptistCare
Counselling - Men's Behaviour Change (Facing Up group) - Women's DV counselling - Living Beyond Abuse group - General counselling
61. Johanna Dennis Psychology
Provides psychological counselling, including support with anxiety/depression, grief, interpersonal challenges, work related challenges, life transitions, sle
62. Lemongrove Community Health Service
Services for people aged 18+ with chronic and complex health conditions.
Services include:
Allied health: Physiotherapy, occupational therapy, social
63. Let's Talk Dementia
A service commenced in 2023 to assist those in the community with a diagnosis of Dementia and their families, access information, education and support to det
64. Let's Talk Support and Mediation Service - Relationships Australia NSW
The Let's Talk Elder Support and Mediation Service is a new service to assist older people and their families to: • Prevent or resolve family conflict &b
65. Life after Loss Bereavement Counselling
Merilyn Fowler specialising in Life after Loss Bereavement Counselling 0409 903 031
66. Lifeline
A free, national, 24 hour telephone counselling service for people in a mental health crisis. Services are specific to the needs of the local community and ca
67. LikeMind - Penrith
LikeMind is an adult mental health service which aims to provide support for adults (18+ years old) with mental health concerns, as well as their families and
68. Lisa Paul Counselling/Psychotherapy
Lisa is a Counsellor/Psychotherapist specializing in Perinatal Mental Health and currently working in the Penrith and Windsor areas. Lisa has a background as
69. Louise Wallace Walsh Psychology and Psychotherapy
Trauma Services specialising in sensory motor psychotherapy and somatic experiencing, perinatal mental health ,specialist in birth trauma healing, mental heal
70. Mable
Mable helps you connect with care and support workers in your community and choose the people who share your interests and suit your needs best.
71. Made Of Stardust - Mind Body Spirit Coach
Teaching you the truth about how to harness your innate power to heal and thrive. Move beyond your diagnosis/label and discover the root cause of your symptom
72. Matilda Nepean
Matilda Nepean is a private hospital at Kingswood that provides a private mental health service that delivers assessment, treatment and support for a range of
73. MensLine
Free telephone and online support, information and referral service for men, specialising in family and relationship concerns, family violence, addiction, sui
74. Mental Health Access Line
A free, 24-hour emergency/crisis service for people with acute psychiatric illness and/or distress. It will direct people to the right care, allowing people w
75. Mental Health Nurse Incentive Program
Mental health nurses work with individuals who live with complex and severe mental illness providing support to individuals in collaboration with their carers
76. Mental Health Online
Mental Health Online provides comprehensive and effective online services, resources and programs free of charge. If you're experiencing mental distress incl
77. Mental Illness Fellowship of Australia
NFP, self-help, support and advocacy organisation for helping people with serious mental illness and their families/friends.
78. mentalhealthcarersaustralia.org.au
Details of Mental Health Carers Australia centres for the wellbeing of families and voluntary carers of people with mental illness.
My service helps the individual with both strategies and life position, a different way of looking and processing the world. A better way of being in the worl
80. Mind Over Matter Psychological Services
Navin Goonniah is a registered psychologist with over 10 years experience. He has worked in recruitment, child protection services, workers compensation, job
81. MindFlare - Psychology
At MindFlare, we specialise in creating unique tailored Psychology experiences that combine the latest technologies, evidence based research and best of all,
82. Mindhealthconnect
Australian Government website with information for people with mental health problems, their carers and professionals. Has a portal to access online therapy p
83. MindSpot
A free telephone and online service for adults which provides assessment, treatment and education courses for anxiety and depression, including, stress, OCD,
84. Miracle Babies Foundation - Premature birth support
Australia's leading organisation supporting premature and sick newborns, their families and the hospitals that care for them. Nurtureline: 24 hour family sup
85. Mountain Blue Therapy
Stephanie is a counsellor who provides therapy services to children, teenagers and adults. She is experienced working with adolescents, and also provides supp
86. Mountain Blue Therapy
Providing counselling and therapy for a range of individuals, both face to face and via telehealth. It is my goal to help you feel successful, give you tools
87. Mycompass
Internet and mobile self-help program provided by the Black Dog Institute for people with mild-to-moderate anxiety and depression. Allows the user to self-mon
88. myCompass - Black Dog Institute
Free online portal which aims to promote mental resiliance and wellbeing in patients aged > 18 years. Includes interactive self-help resources for tracking
89. NADO Disability Services
NADO Disability Services is a registered NDIS provider and has been servicing the Nepean and Blue Mountain regions for over 40 years. NADO is committed to pr
90. National Psychosocial Support
Service for people with a severe mental illness 18 years and older, residing in the Nepean Blue Mountains region (Penrith, Hawkesbury, Blue Mountains or Lithg
91. Nepean Anxiety Disorders Clinic
The Nepean Anxiety Disorders Clinic provides assessment and treatment for clients with a primary anxiety disorder, including panic disorder, agoraphobia, OCD,
92. Nepean Community Neighbourhood Services - child and family support
Functional Family Therapy-Child Welfare is an evidenced-based Family Therapy program designed for families where a risk of significant harm report exists in r
93. New Age Psychology Services
New Age Psychology offers psychotherapy sessions for diverse range of psychological problems. We have expertise in DBT, cognitive behavior therapy and schema
94. NewAccess - Marathon Health
A mental health coaching service for those 16 and over, experiencing mild to moderate anxiety and/or depression, accessible by phone or videoconferencing. We
95. Nicotine Addiction: Smoking and Vaping Cessation Clinic
Professor Renee Bittoun, who is a clinical academic, has been in the field of Smoking Cessation (and now Vaping Cessation) for over 40 years. This private ser
96. Nourished Not Deprived
An Allied health organisation connecting NDIS participants and Medicare patients to the most suited Allied-health care and supports in Australia.
97. NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS)
STARTTS' services are free for people of any age who have survived torture and/or trauma and are refugees, asylum seekers, from refugee-like backgrounds. They
98. Older Persons Mental Health Service
Assists clients over 65 with mental health problems with assessment and treatment. Referral by central access line.
99. One80TC
Men and women's drug and alcohol rehabilitation service. Offers long term residential program, aftercare outreach program and day rehabilitation program.
100. ONE80TC Men's, Women's and Outreach programs
ONE80TC Men's, Women's and Outreach programs offer Drug & Alcohol Rehabilitation Service.
LONG TERM RESIDENTIAL PROGRAM for Men and Women.
ONE80TC's
101. OnTrack
Offers free access to online programs, information, quizzes and advice. Supporting the Australian community to achieve mental and physical health and wellbein
102. Our Lady of Consolation (Aged Care and Services) - Hawkesbury & Penrith
Our Lady of Consolation Housing has a concern for older people who are in precarious accommodation situations because they have incomes at or below the level
103. Parent Line
A free telephone counselling, information and referral service for parents of children aged 0 to 18 who live in New South Wales. Calls are answered by a team
104. Penrith Carer Support Group
A support group for carers looking after someone with a mental illness and eating disorders. Opportunity to gain new resources and share stories about their
105. Penrith Community Mental Health Team
The Penrith Community Mental Health Team provides a range of trauma informed and recovery orientated services designed to help support people aged between 18
106. Penrith Therapy Centre
Established 32 years ago in a cottage surrounded by trees, Penrith Therapy Centre offers you a relaxed, friendly and discreet environment where you will feel
107. Perinatal Anxiety and Depression Australia (PANDA)
A national perinatal mental health telephone counselling service for people with perinatal depression and anxiety as well as their families. PANDA also have a
108. Positive Life NSW
Positive Life NSW is the leading state-wide service for all people living with and affected by HIV with the aim of eliminating prejudice, isolation, stigma an
109. Positive Life NSW Ageing Support Service
Positive Life Ageing Support program supports people over 45 years living with HIV across NSW to navigate the aged care, disability and/or healthcare maze and
110. Positive Life NSW Counselling Support Service
The Positive NSW Counselling program, Positive Minds, offers one-on-one support for all people living with HIV.
Positive Minds provides people living with
111. Positive Life NSW Counselling Support Service
The Positive NSW Counselling program, Positive Minds, offers one-on-one support for all people living with HIV. Positive Minds provides people living with HIV
112. Positive Life NSW Peer Navigation (HIV) Support Service
A Peer Navigator is a person living with HIV with lived experience and training to guide, refer, educate and connect you to the systems of care and support yo
113. Positive Life NSW Treatments Support
One-on-one support about HIV treatments for people living with HIV, our partners, family and friends affected by HIV. If you've been recently diagnosed or hav
114. Present Mind Psychology
Private psychology practice in Katoomba, providing services to ages 13-years and older. Utilising a wide variety of approaches depending on the clients' needs
115. Professional Psychological Services (NSW) Pty Ltd
We are a private psychology practice specialising in assessments, diagnoses and treatments since 2005. We are an eclectic team of Clinical Psychologists, Coun
116. PsychHelp
PsychHelp is a Telehealth psychological service. PsychHelp allows you to receive assistance from an Australian Registered Psychologist from the comfort of you
117. Psychlife Clinical Psychology
Evidence-based treatment provided to adults (21+)
118. Psychological Therapy Services (PTS)
The Psychological Therapy Services (PTS) program, formerly known as ATAPS, provides short-term support to people who have mild to moderate mental health conce
119. PTS Seek Out Support (Suicide Prevention) program
The Seek Out Support (SOS) program is designed to provide patients, with low to moderate risk of suicide or self-harm, access to short-term therapeutic suppor
120. Q Life Australia
Provides online peer support for lesbian, gay, bisexual, trans, intersex, questioning and queer (LGBTIQ+) young people aged 12 to 25 years old. Young people
121. ReachOut Australia
An online service. Helps under 25s and their parents with everyday questions about mental health.
122. Rekindle the Love
Relationship counselling through two day intensive workshops based in Lithgow. These are private sessions just for each couple run by an experienced Psychothe
123. Rural Help
Rural Help is a new psychology service that connects a variety of private psychologists with people living in remote communities VIA ONLINE COUNSELLING. Desig
124. SANE Australia Helpline
An online and telephone service that provides an oppurtunity to talk to a health professional or mail questions about mental illness and related topics to a t
125. SANE Helpline
Mental Health Information and advice helpline 1800 18 SANE
126. Someone Health - Bulk Billed Psychology
Someone Health is an innovative digital health clinic providing a new approach to connecting Australians with psychologists online. Our secure online teleheal
127. Springwood Uniting Church
Springwood Uniting Church is located in the beautiful Blue Mountains.
During the period of COVID-19 physical isolation we are unable to meet together in pe
128. St John of God
St John of God provides services that treat a wide range of mental health illnesses or conditions.Private health cover is needed to access these programs.
129. St John of God - OCD day program (Burwood)
Provides an intensive 18 week outpatient program for clients with OCD. This therapy program includes CBT, strategies for stress reduction, relapse prevention
130. St John of God Raphael Services
Provides specialist services and early intervention to parents experiencing mental health issues during the perinatal period (during pregnancy until the child
131. St Marys Community Mental Health Team
The St Marys Community Mental Health Team provides a range of trauma informed and recovery orientated services designed to help support people aged between 18
132. StandBy - Support After SuicideStandBy - Support After Suicide
The StandBy program is focused on supporting anyone who has been bereaved or impacted by suicide at any stage in their life, including: Individuals/Families/F
133. Start Talking Program - Gidget Foundation Australia
Provides support for perinatal depression and anxiety through: Support services for families suffering emotional distress during pregnancy and early parenting
134. Suicide Call Back Service
A 24 hour, free, nationwide service that provide telephone, video and online counselling. The professionally trained counsellors have specialist skills in wor
135. Supports-Your design Pty Ltd
One to one support in the local communities of Hawkesbury, Nepean and Lower Blue Mountains Specialising in Mental Health We can assist with supporting you at
136. Ted Noffs Foundation
Designed for people aged 12 to 25 years of age, offering:
Youth engagement activities including street art, music, vocational and educatinal workshops
137. TG Psychology
We are a locally owned and operated private psychology practice, located in High Street, Penrith. We have been open since 2012, and are very passionate about
138. TG Psychology
We are a locally owned and operated private psychology practice, located in High Street, Penrith. We have been open since 2012, and are very passionate about
139. The Link Foundation AOD
Our goals and objectives at The Link Foundation AOD reflect our commitment to providing comprehensive support and care to individuals and families impacted by
140. The Men’s Room (Positive Life NSW Social Support Service)
The Men's Room is an online discussion group run every second month for all men living with HIV who identify as heterosexual regardless of their length of dia
141. The Second Door Counselling Services
I provide trauma-informed counselling with clients whose lives have been impacted by grief, sexual, domestic, or family violence and trauma. Also, behaviour c
142. The Wellness Practice - Nepean
At The Wellness Practice, we're proud to serve the Penrith region with a range of holistic health services designed to enhance your physical and mental well-b
143. The Women’s Room (Positive Life NSW Social Support Service)
The Women's Room is an online social support and discussion forum every second month for all young women living with HIV (under 45 years of age) anywhere in N
144. THIS WAY UP
THIS WAY UP™ provides online learning programs, education and research in anxiety, depressive disorders and physical health. THIS WAY UP is part of the
145. THRIVE - Neami National
Neami National is piloting a program available to any Australian aged 18-65 with Internet access whose experience of employment has been impacted by mental he
146. Tresillian Parent's Help Line
Tresillian's Parent's Help Line Nurses can help with advice around your baby's sleep, feeding and development, providing information tailored to your needs an
147. Unbound Minds Psychology
We get it. Taking that first step can be daunting. Confusing. And even a little bit confronting. So then, why is therapy so often cold, clinical, and imperson
148. Visual Ventures trading as "Elizabeth Richter"
I use Mindfulness based therapy as the foundation from which all my practice evolves in my work with clients. Mindfulness based practice is both an approach a
149. Walk Together Counselling
Walk Together Counselling offers a unique approach to counselling, providing Walk and Talk Counselling services with a renowned Western Sydney based counsello
150. Wattle Place - Relationships Australia
Forced adoptions support - Offers free counselling, social connection, practical support, record searching and family tracing for those impacted by past force
151. Waypoint Counselling
Waypoint Counselling is an online counselling service that aims to assist teenagers and young adults with their mental health needs and goals. Waypoint counse
152. Wellbeing Psychiatry Clinic
The Wellbeing Psychiatry Clinic provides a bulk-billed psychiatry service to Aboriginal and Torres Strait Islander patients in the Blue Mountains area.
153. Wellbeing Support Workers - Peppercorn Services Inc.
Wellbeing support workers are available for individuals, families and communities that have been impacted by the recent floods and other disasters.
They ca
154. WestCare Community Services
WestCare Community Services provides a range of support services to help individuals in need of support.
These support services include:
Emergency
155. WiseMind - Mental Health Support in RACFs (residential aged care facilities)
The WiseMind program provides psychological therapy services for people with mental illness (or at risk of developing mental illness) living in Residential Ag
156. Womens Cottage - DV counselling
The Women's Cottage is a community based crisis support and resource centre, run by women, for women (and their children) who live, work or study in the Hawke
157. Youth Community Living Support Service (YCLSS)
The Youth Community Living Support Service (YCLSS) is a community mental health service for young people aged 15 to 24. The program provides case management a
158. Youth Enhanced Support Service (YESS) - Uniting
The Youth Enhanced Support Service (YESS) is a free outreach program for young people aged 12-25 years who have or are at risk of developing mental health con
Publicly available mental health information and self-help resources.
Low Intensity:
Self-help resources and low intensity interventions, including digital mental health, group and peer supports.
Moderate Intensity:
A mix of self-help resources, including digital mental health and low intensity interventions. Also psychological services for individuals who require them.
High Intensity:
High intensity services including periods of intensive intervention that may involve multidisciplinary support. Where issues may be persistent or episodic without a high level of risk, complexity or disability.
Acute & Specialist:
Intensive team-based specialist assessment and intervention (typically state/territory mental health services) with involvement from a range of different mental health professionals including case managers, psychiatrists, allied health workers, and GPs. Includes a high level of risk, disability or complexity.