Community pathways

People 12+ impacted by alcohol or drugs including associated mental health issues (after-hours 18+ noted on one listing). Not currently residing in a residential AOD treatment service (community AODS cluster eligibility). Gold Coast region.

People 18+ impacted by alcohol or drugs including associated mental health issues. Live in Gold Coast region. Not currently in residential AOD treatment (cluster eligibility).

Patient has chronic and/or complex wound. Gold Coast PHN region residents (A3).

Person has pelvic pain. Gold Coast PHN region. Initial consult bulk billed; further treatments/investigations may incur OOP.

Adults 18+ transitioning hospital to home or referred from community with identified rehabilitation needs.

Chronic disease or complex medical concerns (as published).

Eligible Aboriginal and Torres Strait Islander people with chronic disease/s who require coordinated multidisciplinary care (aims stated; detailed inclusion list not published on that page).

Patient must have GPCCMP prepared/reviewed in previous 18 months to continue allied health under the plan. GPCCMP does not expire.

18+ with AUSDRISK ≥12; or Absolute CVD risk ≥15%; or BP ≥160 systolic or ≥100 diastolic; or waist circumference thresholds; or pre-existing: previous GDM, pre-diabetes, familial hypercholesterolaemia, diagnosed high BP or cholesterol (as on GCPHN form).

Diagnoses listed on form: Type 2 Diabetes; Pre-Diabetes; Coronary Heart Disease; COPD. Other clinical eligibility not expanded on the one-page form.

Persisting pain >3–6 months; not suitable for surgical or urgent pain specialist interventions; not a palliative care patient; requires improved self-management; able to participate in group education; able to give informed consent for audit data. Up to 12 months.

Children/young people in OOHC after GP screening if complex needs; or currently under Child Safety assessment after GP screening if complex needs; or requiring child abuse medical/forensic assessment (contact CPU first).

Children and young people in care (CHQ framework)

Not published on GCPHN listing

Identify as having specific cultural and/or language needs; any age; no clinical diagnosis; no visa or residency requirements.

People living with mild cognitive impairment or dementia, and carers — as per each HealthPathways page

Health professionals only. Content is locally agreed, evidence-informed.

As per statewide Clinical Prioritisation Criteria (CPC) and local Refer Your Patient guidelines. GCPHN does not republish condition-level CPC. Smart Referrals prompts for essential referral criteria.

Not published on template listing beyond GCH outpatient referral

Not published on GCPHN listing

Not published beyond GPs seeking non-urgent specialist outpatient advice or general service inquiries

Eligible HPs: GPs, specialists, nurses, midwives, paramedics, pharmacists

Identify as a culturally and/or linguistically diverse person (or family/spouse/carer); no visa requirements; any age; no clinical diagnosis required.

Not published on GCPHN listing

Not republished on GCPHN (points to CHQ)

Not republished on GCPHN; follow HealthPathways/QH

Aboriginal and Torres Strait Islanders with a social and emotional wellbeing issue (as published).

Aboriginal and Torres Strait Islander patients of Gold Coast Health

Aboriginal and Torres Strait Islander community members on a palliative care or cancer journey (as published in toolkit).

Identify as Aboriginal and/or Torres Strait Islander (or family/spouse/carer); any age; no clinical diagnosis required.

People of all ages. Level 5 profile: significant symptoms, functioning problems, significant risk of suicide/self-harm/self-neglect/harm to others, high distress.

People 18+ who require brief intervention to de-escalate a mental health concern and are safe/suitable for community-based support. Not for emergency (000) or Acute Care Team crisis.

DSM-5 diagnostic criteria. Allied health cannot determine eligibility. Maximum 40 psychological sessions per rolling/calendar year. Dietitians up to 20 sessions ≥20 minutes with GP referral if criteria not met for EDP (Better Access/EPC alternative described).

Screening (Yes/No): medically stable per GP guidelines; lacks clinically significant comorbidity (medical e.g. diabetes or severe MH diagnosis); help-seeking/willing to engage; does NOT have practical access to alternative provider (GP EDMP/private/self-fund); BMI 18.5 or above. If NO to any → ACT/AEDP pathway. Medical/psychiatric admission parameters in appendix.

Exclusively for GPs (not consumers). Open 7am–7pm AEST Mon–Fri excluding public holidays.

Aged 12–25; live in Gold Coast region

Aged 12–25 years; at risk of or experiencing a first episode of psychosis. Outreach at home/school/work/community.

People presenting with mental health conditions in primary care

Aged 12–18 with severe and/or complex mental health needs. Priority to those with trauma symptoms currently impacting life.

People experiencing mild distress, stress or anxiety. Accessibility/interpreting support available.

People of all ages at risk of developing or with emerging mental health needs. No/low risk of harm; functioning well.

Anyone of any age including children, young people, older adults, families, carers. Not a crisis service.

Pregnant and postpartum mothers and parents through to 5 years post birth experiencing or at risk of perinatal mental health challenges. Formal diagnosis not required. Includes neurodiverse, CALD/expat, pregnancy/infant loss, MBU recovery groups (some GCPHN-commissioned).

Anyone seeking support for their mental health, or a family member, carer or health professional seeking assistance. Free. Not for emergency (call 000).

Not published on GCPHN referral-templates or funded-services pages reviewed

Aged 18+; severe mental illness and/or complex life stressors; not currently engaged with Gold Coast Health Mental Health services; live in Gold Coast region.

Must be living in a Commonwealth-funded RACH within the Gold Coast region

Aged 16+ who have experienced a severe mental illness and/or complex life stressors; live in Gold Coast region; not currently engaged with Gold Coast Health Mental Health services; does not have an NDIS package.

Aged 12+ (special consideration under 12 may apply); identify as Aboriginal and/or Torres Strait Islander OR parent/carer/partner of an Aboriginal and/or Torres Strait Islander person; live in Gold Coast region.

People of all ages with serious or life-limiting illness and complex needs (community page).

Aboriginal and/or Torres Strait Islander children and young people aged 0–19 years in kinship or foster care with mild to moderate symptoms; live in Gold Coast region.

Live in Gold Coast Region; 12–65 years who identify with LGBTIQAP+ community and/or are questioning sexuality or gender.

Live in Gold Coast Region; adults 16–65 years experiencing situational distress (e.g. homelessness risk, DV, legal, financial hardship, relationship issues, social isolation).

Live in Gold Coast region; 16+ years. Targets men, CALD, remote, disaster-affected and others facing access barriers.

Live in Gold Coast region; aged 12+ years. Level 2: mild symptoms typically <6 months; functioning well.

Aged 12–25 at risk of or experiencing homelessness; live in Gold Coast region.

65+ or 55+ Aboriginal and/or Torres Strait Islander; lives at home not RACH not palliative; FRAIL scale 1 or 2 (score 3 may be accepted after BUnyAH review per PDF); at risk of frailty with ≥1 of: social isolation, poor self-care, recent hospitalisation, polypharmacy, multimorbidity, falls, poor nutrition, low socio-economic, mood changes; unable to access mainstream private/MBS services; Commonwealth pension and/or health care card; informed consent and can participate in groups; PDF also: good understanding of English without interpreter.

Free for Gold Coast residents. Specifically for older vulnerable people who need intensive assistance, have no-one else who can assist, and are eligible for government-funded aged care. A3 adds: 65+ (or 50+ Aboriginal and Torres Strait Islander) or frail/prematurely aged 50+ (40+ Aboriginal and Torres Strait Islander) on a low income; homeless or at risk; hoarding/squalor; no trusted carer; plus communication/literacy, reluctance to engage, and/or unsafe without services.

65+ or 55+ Aboriginal and/or Torres Strait Islander; FRAIL scale 1 or more; not palliative; not living in RACH; requires improved self-management; informed consent for audit. LIVE PAGE: currently at full capacity — new patients waitlisted; no estimated date.

Exclusively Aboriginal and Torres Strait Islander peoples aged over 18 (A3: can join Mungulli programs from age 18). Not palliative; lives in community not RACH; requires improved self-management; informed consent. Yarn and Walk at Greenheart Robina Parklands.

Aged 16+ in Gold Coast community; at risk of suicide; experiencing situational distress; not in contact with mental health service system; plus one or more adverse life events (relationship separation, financial problems, bereavement, family conflict, chronic health condition, work/school problem, pending legal matter, unemployment, housing insecurity, past trauma).

Gold Coast resident 16+ who has presented to: General Practice; Medicare Mental Health phone line; Kalwun Medical Service; Virtual Psychologist AOD provider; Headspace Psychologists; Youth Mental Health Clinician (some eligibility may apply).

Adults 18+ who have presented to or been discharged from Robina or Gold Coast University Hospital following a suicide attempt or suicidal crisis.

Gold Coast PHN region; same UCC condition list as Southport.

Gold Coast PHN region; acute episodic care not immediately life-threatening (minor infections, fractures/sprains, UTI, STI, minor cuts, bites/rashes, minor eye/ear, respiratory, gastroenteritis, mild burns).

Not published on the GCPHN template listing beyond public hospital MFM

Not published in detail on GCPHN pages (points to QH)